
Also known as: Trampled
Warehouse worker crushed against metal shelf by forklift, requiring surgical exploration in OR for deep wound assessment.
Also known as: Collapsed lung
Professional bull rider gored in the chest by a bull, resulting in open pneumothorax with rib fractures. Later developed tension pneumothorax requiring needle decompression after pulling out chest tube.
Also known as: Broken rib
Two open rib fractures from bull goring injury, contributing to chest trauma and pneumothorax.
Also known as: Spinal cord compression
Progressive narrowing of cervical spine causing spinal cord compression, impairing grip and motor function. Patient refuses recommended spinal fusion surgery despite risk of paralysis if he continues bull riding.
Also known as: AVM
Grade 4 deep arteriovenous malformation discovered after presenting with vision loss and tonic-clonic seizure. Patient opts for high-risk surgical resection (70% mortality) rather than progressive decline over 2-5 years. Patient dies during surgery.
Also known as: Seizure
Tonic-clonic seizure that led to discovery of underlying arteriovenous malformation. Treated with Ativan.
Also known as: Amniotic bands
Pregnant patient with amniotic bands wrapped around umbilical cord, discovered after fall. Required immediate fetal surgery to release bands and prevent oxygen/nutrient restriction to baby. Complicated by bleeding due to prophylactic blood thinners.
Also known as: Breast cancer
Patient's past medical history includes ER-positive breast cancer treated six years prior, for which Dr. Kingston was her surgical oncologist. Relevant to current pregnancy as patient had frozen eggs before cancer treatment.