A Maisonneuve fracture is a specific ankle fracture pattern that involves the medial malleolus, syndesmosis and proximal fibula. It can be easily missed if a provider does not routinely evaluate the proximal fibula as part of their ankle examination, as x-rays of the ankle can often appear normal. Disruption of these structures yields an unstable ankle fracture, thus making close follow up for operative management imperative. It is key to identify this fracture when patients present to the Emergency Department with ankle injuries to ensure definitive management and prevention of complications down the line. 

Join Dr. Diaz as she breaks down the approach to priapism- a rare and painful ED presentation that every ED doctor should feel comfortable managing. Review dorsal penile nerve block, cavernosal aspiration and medication with phenylephrine to hopefully achieve detumescence!

Although hand injuries are often triaged to minor care/fast track, not all of these injuries are so minor in nature. Join Dr. Adam Gottula and Dr. Bennett Lane as they discuss one of the most fear hand injuries: Hydrofluoric Acid Exposure.

You are finally done with your initial trauma assessment when you see a purple, swollen ear. You know this auricular hematoma needs to be evacuated but where to start? What’s the latest on bolstering? Join Dr. Ijaz as he goes through the basics and the latest on auricular hematoma management.

Not all sore throats are created equal. Join Dr. Stephanie Winslow as she discusses one of the most concerning presentations of sore throat in an adult: Epiglottitis.

Is there an Ellis class IV? You ask yourself as you look at a fractured tooth… Start your Monday off with a review the classification and management of dental fractures with Dr. Eileen Hall.

How often do we see the elderly patient that comes into the ED with the chief complaint of “nosebleed”? Although these visits are usually straightforward, sometimes they are not. Be prepared for the next complicated nosebleed you see by reading this post by Dr. Ijaz who nose a thing or two about epistaxis!

Sometimes finding a way to treat a migraine in a patient can induce a migraine in ourselves! Join Dr. Zalesky in learning about the diagnosis of migraines, the red flags associated with the diagnosis, and learning how to best manage a patient that walks through your emergency department doors with disabling migraine.

Far too often we are faced with the situation in which we are concerned about septic arthritis in a patient’s ankle. Although tapping the ankle can be a daunting task, Dr. Leech provides us with a guide in this month’s minor care post to make difficulty with ankle arthrocentesis a problem of the past.

Sexually Transmitted Illness and related complaints are seen frequently in the emergency department. Does every dysuria, discharge and exposure need treatment for STIs? Do they all need evaluation? Dr. Pulvino looks at the CDC recommendations for commonly seen STI’s and discusses common treatments and the importance of a strong history and physical.