Isolated distal DVT – Diagnosis and Management

In Clinical Questions by David Wonnacott3 Comments

Case: A 51-year-old woman presents to the ED with the chief complaint of left leg swelling. She recently underwent bunion correction surgery to her left foot 7 weeks ago, and her cast was removed one week ago. Over the last day or two she has had significantly increased leg swelling and more recently reports some dull pain described as” heaviness” to the affected leg. The patient denies chest pain, shortness of breath, or …

Medical Concepts: Abdominal Pain Labs

In Medical Concepts by David WonnacottLeave a Comment

A 40 year-old woman presents to your emergency department with a chief complaint of abdominal pain. Unfortunately, she does not speak English but an interpreter is being contacted. It is clear that she is in a lot of pain and she is not able to cooperate with your physical exam. Pain medication has been ordered and you are considering the workup that you need to get started. You wonder which investigations will be …

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Medical Concept: ECGs in Syncope

In Medical Concepts by David Wonnacott4 Comments

Editor’s Note: This absolutely fantastic piece on ECG findings in syncope has many ECGs. To get a better image click on the picture to to access the full size image at  the LIFTL ECG library. A huge shout out and thanks to the folks at LITFL for compiling such a great library! The Case You are a medical student working in the emergency department when a 31-year-old man presents following a syncopal episode.   …