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M&M - Dr. Reyner

9/11/2014

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Picture
Missed Foreign Bodies in Wound
  • Litigation - wound repair is a big issue - make sure to document (and have) discussion with patient about possibility of retained foreign body, document pre and post exam.
  • Plain films usually first line but will miss organic material.
  • US by ED docs better than XRAY; look for comet-tailing with glass and metal.

Stenoclavicular Dislocation - 
  • Mediastinal structures at risk for damage here - need CT to evaluate for vascular damage. 

Chest Pain 
Pt seen with normal 12 lead ECG. D/C'd home. Returned within 12 hours with a STEMI.

Core concept - LISTEN TO YOUR PATIENTS - history is everything - no amount of clinical decision rules can trump this. 




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  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction