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Must Not Miss Pediatric Fractures

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Andy is a 9-year-old male presenting to the emergency department after a left sided FOOSH injury. The initial survey indicates no other associated injuries or neurovascular compromise. However, Andy is holding his left arm and describes a poorly localized pain along his wrist and forearm preventing him from moving it. His immunizations are UTD and he is otherwise healthy without any history of orthopedic injuries. What are your differential diagnoses? What findings on …

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The Simple Guide to Management of Non-Valvular Atrial Fibrillation in the ED

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Case Presentation Mohammed is an otherwise healthy 58-year-old male presenting with a 24-hour history of palpitations and light-headedness following rigorous exercise. He denies chest pain, shortness of breath, diaphoresis, syncope, or focal neurological symptoms. He has no previous chronic conditions or hospitalizations. No alcohol or drug use. On exam, Mohammed appears somewhat anxious but is not in distress. He is tachycardic at 130, with vitals otherwise within normal limits. Cardiac exam reveals an …