James Syme (1799–1870) was a Scottish General Surgeon. The Syme ankle amputation attributed to him was a triumph of conservative surgery in the days where more proximal amputations had much higher mortality rates.
Non-traumatic abdominal ecchymosis of the abdominal wall and flanks (Grey Turner, Cullen and Stabler); scrotum (Bryant) and upper thigh (Fox) as clues to potentially serious causes of abdominal pathology.
A 22 year old woman with a past history of a seizure disorder presents to the ED with a 3 day history of progressive rash and fever. The rash began as macules and papules on the chest and neck and has now become blistered and eroded and involves the mouth and eyes. Her temperature is 39°C and she feels miserable
An open fracture is a fracture that communicates with an overlying disruption of the skin and soft tissues. They are also called compound fractures. Open fractures are potentially limb-threatening injuries.
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