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Adult Female with Hand Pain
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Available online at www.sciencedirect.com
Visual Journal of Emergency Medicine 3C (2016) 33–34 www.elsevier.com/locate/visj
Adult Female with Hand Pain Michael E. Abboud, MD, Sarah E. Frasure, MDn Brigham and Women's Hospital, Boston, MA
Keywords: point-of-care ultrasound; necrotizing fasciitis; hand swelling
Fig. (A) Plain film of the left hand with subcutaneous gas and (B) ultrasound image of the dorsal surface of the left hand with “dirty” shadowing produced by subcutaneous gas in the tissue.
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Corresponding author. E-mail address: [email protected] (S.E. Frasure).
http://dx.doi.org/10.1016/j.visj.2015.12.009 2405-4690/& 2016 Elsevier Inc. All rights reserved.
34
M.E. Abboud, S.E. Frasure / Visual Journal of Emergency Medicine 3C (2016) 33–34
Visual Case Discussion A 43-year-old female presented to an emergency department (ED) with left hand pain, erythema, and swelling. Her primary care physician had prescribed oral clindamycin that had not improved her symptoms. Her vital signs were normal. Physical examination revealed edema, erythema, and crepitus to palpation over the dorsum of left hand. A plain film (Fig. A) was obtained, and the emergency physician subsequently performed a point-of-care ultrasound (Fig. B and Video). Appendix A. Supplementary material Supplementary material associated with this article can be found in the online version at http://dx.doi.org/10.1016/ j.visj.2015.12.009.
References [1] Misiakos EP, Bagias G, Patapis P, Sotironopoulos D, Kanavidis P, Machairas A. Current concepts in the management of necrotizing fasciitis. Front Surg 2014;29(1):36. [2] Yen ZS, Wang HP, Ma HM, Chen SC, Chen WJ. Ultrasonographic screening of clinically-suspected necrotizing fasciitis. Acad Emerg Med 2002;9(12):1448–1451.
Available online at www.sciencedirect.com
Visual Journal of Emergency Medicine 3C (2016) 33–34 www.elsevier.com/locate/visj
Adult Female with Hand Pain Michael E. Abboud, MD, Sarah E. Frasure, MDn Brigham and Women's Hospital, Boston, MA
Keywords: point-of-care ultrasound; necrotizing fasciitis; hand swelling
Fig. (A) Plain film of the left hand with subcutaneous gas and (B) ultrasound image of the dorsal surface of the left hand with “dirty” shadowing produced by subcutaneous gas in the tissue.
n
Corresponding author. E-mail address: [email protected] (S.E. Frasure).
http://dx.doi.org/10.1016/j.visj.2015.12.009 2405-4690/& 2016 Elsevier Inc. All rights reserved.
34
M.E. Abboud, S.E. Frasure / Visual Journal of Emergency Medicine 3C (2016) 33–34
Visual Case Discussion A 43-year-old female presented to an emergency department (ED) with left hand pain, erythema, and swelling. Her primary care physician had prescribed oral clindamycin that had not improved her symptoms. Her vital signs were normal. Physical examination revealed edema, erythema, and crepitus to palpation over the dorsum of left hand. A plain film (Fig. A) was obtained, and the emergency physician subsequently performed a point-of-care ultrasound (Fig. B and Video). Appendix A. Supplementary material Supplementary material associated with this article can be found in the online version at http://dx.doi.org/10.1016/ j.visj.2015.12.009.
References [1] Misiakos EP, Bagias G, Patapis P, Sotironopoulos D, Kanavidis P, Machairas A. Current concepts in the management of necrotizing fasciitis. Front Surg 2014;29(1):36. [2] Yen ZS, Wang HP, Ma HM, Chen SC, Chen WJ. Ultrasonographic screening of clinically-suspected necrotizing fasciitis. Acad Emerg Med 2002;9(12):1448–1451.