Procedures

  • Acute Dacrocystitis

    Case: A young woman with chronic nasolacrimal duct obstruction presents with 5 days of right sided swelling around her right eye. She was prescribed oral antibiotics by her primary care doctor, but symptoms worsened despite taking them. She denies systemic malaise, fevers, chills, rigors. She can see normally out of both eyes. No pain with Read more

  • Pyogenic Flexor Tenosynovitis

    Case: A middle-aged gentleman with a history of kidney transplant presented with a painful swollen right index finger. The pain and swelling started the day before. There was no preceding trauma to the finger. On exam, fusiform swelling of the digit, tenderness along the flexor tendon sheath, and extreme pain with passive extension of the Read more

  • Ulceroglandular Tularemia

    Key Points: Reference: Malik, M; Schatz, A; Sexton, TH; Warner, NC. THE SPIDER BITE THAT WASN’T: A NECROTIC ULCER IN AN OUTDOORSMAN. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 703. Journal of Hospital Medicine Volume 12 Suppl 2. https://shmabstracts.org/abstract/the-spider-bite-that-wasnt-a-necrotic-ulcer-in-an-outdoorsman/. Read more

  • Cutaneous Disseminated Fusarium Skin Lesions

    Vignette: A middle aged woman with MDS status post allogeneic stem cell transplant with delayed engraftment develops neutropenic fever with a new rash. She is empirically started on IV cefepime. Her preliminary workup is negative. Fevers persist and ID is consulted. On exam, you note erythematous lesions in varying stages of evolution, some of which Read more