Best case ever.

Best case ever.

Yes, this is EMK's Best Case Ever mini podcast series, and I'm your host, Dr. Anton Helman. In anticipation of our main episode podcasts on the recognition and management of soft tissue infections in the emergency department,

it's my pleasure to welcome back to EM cases,

Dr. Andrew Morris, an infectious disease specialist at the University Health Network

and the Mount Sinai Hospital in Toronto. Dr. Morris, welcome back to EM cases, and let's hear

your best case ever related to skin and soft

tissue infections.

Thanks, Anton.

It was probably about 15 years ago.

I was working in another city, and I was called to the emergency department by my colleague

to assess a nurse who was moving a patient with another colleague from one bed to another, transferring the patient.

And she bumped her elbow on the bedrail.

And the next day, she developed progressive pain with some very mild redness.

It really looks like a bruise over her elbow.

But she was also starting to feel a little bit unwell and had some mild chills.

And her nursing colleague encouraged her to come down to the emergency department.

The emerge doc saw her.

It was a little concerned, wasn't sure exactly what was going on, asked me to see her.

And when I examined her, noticed a little bit of bruising as well as some bilateral

conjunctivitis. And on top of that, she had abnormalities in her blood work, including the thing

that sticks in my mind is her coagulopathy. Her INR was well over to in somebody who was previously

...