Monday, December 30, 2013

Hematocolpos mimicking acute urinary retention in Emergency Department

Lower abdominal pain with lower urinary tracts symptoms in young girls presented to Emergency
Department (ED) is urinary tract infection (UTI) until proven otherwise. We reported a case of classic UTI
presentation with unusual finding of hematocolpos. We believed the unusual circumstance of this case is
likely to be repeated in some other clinical practice and such differential diagnoses should be considered. click here

Monday, December 23, 2013

Subtalar Dislocation Reduction with Regional Block in Emergency Department

Pain is one of the common presentation in ED. It is a stressful event and has an impact psychologically and  emotionally. It is important for the ED physician to control the pain first before asking further question. I'd still remember one of the lecturer always quote the word ' give me morphine, then we talk' when dealing with patient in pain. There are many methods available nowadays to control the pain in ED, one of that is regional block. The knowledge of regional block is very useful. We can help alleviate the patient pain while doing a procedure.This case report shows one of the technique using regional block...click here