Month: February 2019

Sunday Scaries

What’s the Deal with UTIs – Sunday Scary

Urinary Tract Infection The Case: 60-something year old male presents to the ED with signs of urinary frequency and feelings of incomplete voiding. When you see the UA results there are moderate nitrites, moderate leukocyte esterases but NO urine bacteria. Your attending turns to you and says "Why did you order rocephin for sterile pyuria, there are no bacteria", and you turn to your attending to say "because I should have finished this Sunday scary weeks ago. i loathe weird UAs" The UTI Breakdown Upper and Lower Urinary Tract Upper = Kidneys and Ureter (P

by Alyssa Cocchiara, DO
Sunday Scaries

Anterior Hip Dislocation (Sunday Scary)

The Case: 71 yr old female (on Coumadin) presents to the ED after a slip and fall. Pt is laying on the stretcher complaining of left hip pain. What you see when you walk up to the bed is the patient laying like this: Patient had distal pedal pulses, sensation and movement intact and with make shift measurement, it looked as though the malleoli were lined up (no real length discrepancy) After addressing that this little lady was not bleeding in her head, she received x-rays of her left extremity and pelvis: ANTERIOR HIP DISLOCATION IN A NATIVE HIP The Hi

by Alyssa Cocchiara, DO