Annals of EMWelcome to Incision and Drainage. On this blog, we’re going to drain some pus. Of course, we’ll talk about a lot of things, but if I do my job right, most of the topics will be provocative. I like controversies in medicine and health care. I like the fuzzy gray areas, where the laminar flow [...]
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A 43-year-old man, who currently uses drugs intravenously, presents to the emergency department (ED) with 2 weeks of fever, back pain, and progressive weakness in his arms bilaterally. He reports having a cough with whitish sputum. He denies any history of recent trauma. His blood pressure (BP) is 130/75 mm Hg, heart rate (HR) is [...]
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