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50 y/o male with PMHx of HTN presents to the ED s/p fall down stairs today. Patient states that he was walking to work then slipped and fell down a whole flight of stairs, striking the L side of his chest with left lateral chest pain.
Patient had left posterior and anterior rib fractures of ribs 6-10 with a small pneumothorax and some hemothorax, so t...
40 y/o male with no PMHx presents for sudden visual changes in the right eye starting yesterday morning with blurry vision in the inferior visual field of the right eye. States that he was seeing "white bubbles,” and a “wave” that is black with some red discoloration. Reports that the vision changes worsened acutely with the "dark area" appearing to expand upward. De...
76 y/o male with no reported PMHx presented via EMS for acute SOB after fall at home. Per EMS, neighbors called EMS after hearing fall as patient lives alone, reportedly admitted recently for a fall in Oct 2025 and declined nursing home upon discharge. EMS found patient to be hypoxic to 70% on RA and improved on CPAP. Patient placed on BiPAP by team with good O2 satu...
Today we'll go in the opposite direction of frostbite and talk about burns. While Maimonides is not a burn center, we still do get burn patients coming in.
Classifying Burns:
We no longer use 1st, 2nd or 3rd degree but based this off the depth of the burn
Superficial thickness: involves the epidermal laye...
Stepping outside and feeling the frosty air helped me pick the topic for today: Frost bite!
Frost bite is a cold injury when ice crystal formation intracellularly and extracellularly cause cell injury and death leading to tissue injury.
Pathophysiology:
At first the cold causes cell death with ice crysta...
