Month: November 2020

Case Reports

Renal Papillary Necrosis Case Report

Case Report (Sickle Cell Disease and Rhabdomyolysis vs. Renal Papillary Necrosis)  31 yo M w/ hx of sickle cell disease (SCD) presents to the ED c/o gross hematuria x 12 days. Pt  reports hematuria began shortly after exercising and has remained constant with each episode  of urination. Pt denies experiencing any similar sx’s previously. No abdominal pain, dysuria,  back pain, fever, nausea, vomiting, fatigue, myalgias. Otherwise, pt states he feels perfectly  normal. Pt was sent to ED from clinic for further evaluation.  Vitals stable.

by Mallory Castillo, MD
TJ Tidbits

Nail Trauma

Nail Trauma Brief Anatomy Overview: Topics to discuss:-Acrylic Nail Injury-Subungual Hematoma management -Nail Bed Injuries and management - cosmetic importance, prevent infection, enhance tactile sensation, enhancement of picking up objects, protects digits from mechanical injuries Why Should we care? 1) Acrylic Nail Injury 21 year old female presents to ED with “broken nail.” Patient had acrylic nails placed 2 weeks ago and accidentally slammed her right thumb into car door 2 hours ago, and heard a crack. She noticed bleeding at the sit

by Tejeshwer Jaswal, DO