HEENT SAEM CLINICAL IMAGES
SAEM Clinical Images Series: There’s a Stone Under My Tongue

A 44-year-old female presented to the emergency department with the complaint of a "stone under [her] tongue." She reported that the “stone” had been present and painless for two years. The day prior, she began experiencing pain at this site while brushing her teeth. She sq...

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HEENT OPHTHALMOLOGY SAEM CLINICAL IMAGES
SAEM Clinical Images Series: My Eye Looks Different

A 29 year-old-male with a past medical history of left eye enucleation secondary to a gunshot wound several years prior presents to the Emergency Department (ED) for blurry vision, redness, and concern for a deformity to his right eye. The patient states symptoms started 2-...

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HEENT PEDIATRICS SAEM CLINICAL IMAGES
SAEM Clinical Images Series: Facial Swelling

A 5-year-old male with a history of recent frontal sinusitis associated with preseptal cellulitis requiring surgery presented with facial swelling. Swelling developed in the [+] The post Read more

HEENT SAEM CLINICAL IMAGES
SAEM Clinical Images Series: My Eye is Swollen

A 56-year-old male presented to the Emergency Department with a chief complaint of painful eyelid swelling and itching upon waking up. He reported no history of trauma or fever. He had one similar episode in the past which was self-limiting. The patient denied vision loss, ...

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HEENT SAEM CLINICAL IMAGES
SAEM Clinical Images Series: Unilateral Facial Pain

A 78-year-old male with a past medical history of Lewy body dementia, hypertension on bisoprolol, hypothyroidism, COPD, chronic lower extremity edema on furosemide, and overactive bladder on oxybutynin presented to the emergency department for evaluation of three days of pr...

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HEENT OPHTHALMOLOGY SAEM CLINICAL IMAGES TRAUMA
SAEM Clinical Image Series: Snowball Effects

A 13-year-old boy presented to the emergency department with complaints of a right eye injury. Five hours prior to arrival, he was struck directly in the right eye with a snowball resulting in immediate eye pain, localized swelling, some flashes of light in his vision and b...

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HEENT PEDIATRICS TRICKS OF THE TRADE
Trick of the Trade: DIY Nasal Snot Aspirator

Nasal congestion is a common symptom of upper respiratory tract infections, such as bronchiolitis, in newborns and infants. Because newborns are obligate nose breathers, any congestion presents a challenge during feeding and sleeping. These infants become frustrated when th...

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HEENT SAEM CLINICAL IMAGES
SAEM Clinical Image Series: A Recurring Neck Mass

A 30-year-old female with no significant past medical history presents to the Emergency Department with a six-day history of an enlarging, tender, red “bump” on her anterior neck. She reports similar swelling during bouts of pharyngitis. She also reports a recent upper resp...

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DERMATOLOGY HEENT PEDIATRICS SAEM CLINICAL IMAGES
SAEM Clinical Image Series: Sudden Onset of Facial Petechiae in Kindergartener

A 6-year-old boy with no past medical history presented when his parents noticed facial petechiae after picking him up from school. He had a series of four recent upper respiratory infections within four months since starting public kindergarten. He occasionally also compla...

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ENDOCRINE-METABOLIC HEENT SAEM CLINICAL IMAGES
SAEM Clinical Image Series: Facial Edema

A 44-year-old female presents to the emergency department after noticing swelling of her tongue and face, specifically the cheeks and periorbital area. She states the swelling began two weeks ago and has progressively worsened. She also complains of redness. Vitals: T 38....

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