The Nystagmus of BPPV Never “Beats Horizontally in One Direction”
The recently published Clinical Review article about diagnosis of posterior circulation stroke in its original ePub form contained an important factual error (1). The authors stated, “the nystagmus in benign paroxysmal positional vertigo (BPPV) almost always beats horizontally in one direction.” This is an incorrect characterization. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 1, 2024 Category: Emergency Medicine Authors: Jonathan A. Edlow Tags: Letter to the Editor Source Type: research
Response to: Posterior Tibial Nerve Block for the Treatment of Plantar Fasciitis in the Emergency Department
We have read the case report: “Posterior Tibial Nerve Block for the Treatment of Plantar Fasciitis in the Emergency Department” by Shalaby and colleagues (1). We wish to add further commentary on this case. In particular, we would like to explore best practice to support the provision of high-value care and optimize outcomes for patients presenting to the emergency department (ED) with plantar heel pain. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - February 1, 2024 Category: Emergency Medicine Authors: Piers Truter, Daniel Gabb, Theo Kapakoulakis, Wouter Gerryts, Brady Green Tags: Letter to the Editor Source Type: research
A Case of Cutaneous Leishmaniasis with Mucosal Involvement in the Northern United States
Cutaneous leishmaniasis (CL) is a vector-borne parasitic infection endemic to many sub-tropical regions worldwide. In the Americas, Leishmania braziliensis is responsible for most reported CL cases. Variable symptom presentation and susceptibility to secondary infection make diagnosing CL a difficult proposition for physicians who may not encounter cases frequently. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 25, 2024 Category: Emergency Medicine Authors: Timothy Graziano, Andrew J. Ferdock, Carla M. Rossi, Kristine L. Schultz Tags: Selected Topics: Wound Care Source Type: research
Tips for Transient Perivascular Inflammation of the Carotid Artery Syndrome
Idiopathic carotidynia, also known as transient perivascular inflammation of the carotid artery (TIPIC) syndrome, is a rare, self-limited, clinical-radiologic entity that is not often included during medical training and can be challenging to diagnose. The radiologic finding in isolation has a wide differential. It requires a combination of clinical, laboratory, and imaging findings for accurate diagnosis and management. Although well reported in the otolaryngology, radiology, and neurology literature, the entity is not as well reported in the emergency medicine literature. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 24, 2024 Category: Emergency Medicine Authors: Alexandra Castro, Francisco Zerpa, Lyle Gesner Tags: Clinical Communications: Adult Source Type: research
Tips for Transient Perivascular Inflammation of the Carotid Artery (TIPIC) Syndrome
Idiopathic carotidynia, also known by the acronym of Transient Perivascular Inflammation of the Carotid artery (TIPIC) syndrome, is a rare self-limited clinical-radiologic entity that is not often taught in medical training and can be challenging to diagnose. The radiologic finding in isolation has a wide differential. It requires a combination of clinical, laboratory, and imaging findings for accurate diagnosis and management. Although well known in the Otolaryngology, Radiology, and Neurology literature, the entity is not as well known in Emergency Medicine literature. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 24, 2024 Category: Emergency Medicine Authors: Alexandra Castro, Francisco Zerpa, Lyle Gesner Tags: Clinical Communications: Adult Source Type: research
Visual Diagnosis: Hematocolpometra Diagnosed with Point-of-Care Ultrasound in a Pediatric Patient with Right Lower Quadrant Abdominal Pain
Abdominal pain is a common pediatric complaint with most cases being benign and self-limiting. Appendicitis is the most common surgical cause of acute abdominal pain in these patients, often presenting with the classic combination of generalized abdominal pain moving to the right lower quadrant, anorexia, nausea, vomiting, or fever. 1 When evaluating female pediatric patients, gynecologic causes of abdominal pain must also be considered and can often mimic acute appendicitis.1 Point-of-care ultrasound (POCUS) can be used to differentiate common causes of abdominal and pelvic pathology rapidly and accurately in patients pre...
Source: The Journal of Emergency Medicine - January 24, 2024 Category: Emergency Medicine Authors: Elspeth Pearce, Adrienne Malik Source Type: research
Just a Ginger Ale
I told an elderly woman and her daughter it looked like lung cancer, "I'm so sorry. We don't know for sure yet." (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 23, 2024 Category: Emergency Medicine Authors: Christiana Prucnal Tags: Humanities and Medicine Source Type: research
The great mimicker: secondary syphilis-associated nephrotic syndrome in an adolescent patient
We present the case of a 17-year-old male adolescent who pr esented to the emergency department with a chief symptom of abdominal pain. In addition, he was found to have a number of stigmata characteristic of both syphilis and nephrotic syndrome, including a rash and diffuse edema, particularly in the lower extremities. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 22, 2024 Category: Emergency Medicine Authors: Alexander Bronzo, Elena Insley, Sharon Yellin, Vivian Levy Toledano, Nessy Dahan Tags: Clinical Communications: Pediatric Source Type: research
Rate of successful shoulder reduction on first confirmatory imaging in the emergency department
The management of acute shoulder dislocation in the emergency department (ED) is common. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 22, 2024 Category: Emergency Medicine Authors: Jeffrey R. Stowell, Levi Filler, Carl Mitchell, Ashkon Mahmoudi, Thomas Whiting, Carl Pastore, Matthew Kunz, Murtaza Akhter Tags: Original Contributions Source Type: research
Modified pecs ii block for axillary hidradenitis suppurativa
Hidradenitis suppurativa (HS) is a painful, chronic inflammatory skin condition. Patients experience exacerbations, leading them to present to the emergency department (ED) for incision and drainage. Direct injection of local anesthetic into these lesions is extremely painful and seldom provides adequate anesthesia. A modified method of the PECS II block can provide anesthesia to the skin of the axilla, making management of HS much less painful for both patient and physician. We performed a bilateral modified PECS II block on a patient requiring incision and drainage of HS lesions in both axillae. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 22, 2024 Category: Emergency Medicine Authors: Michael Shalaby, Raghav Sahni, Daniel Puebla, Stephanie Fernandez Tags: Techniques and Procedures Source Type: research
The Great Mimicker - Secondary Syphilis Associated Nephrotic Syndrome in an Adolescent Patient
Syphilis is long regarded as “The Great Mimicker” for its variety of symptoms and clinical manifestations. Rarely, it can present with renal involvement, particularly nephrotic syndrome. This is an uncommon initial presentation, particularly in pediatrics. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 22, 2024 Category: Emergency Medicine Authors: Alexander Bronzo, Elena Insley, Sharon Yellin, Vivian Levy Toledano, Nessy Dahan Tags: Clinical Communications: Pediatric Source Type: research
Abdominal Compartment Syndrome Secondary to Bulimia Nervosa: A case report and systematic review of published cases
We present a case of a twenty-year-old female who presented with abdominal pain and distension after consuming a large quantity of food the previous night and was unable to purge. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 20, 2024 Category: Emergency Medicine Authors: Nifesimi Olojede, Emanuel Cassimatis, Henry Tsao Tags: Clinical Communications: Adult Source Type: research
Exploring D-lactate as a biomarker for acute intestinal necrosis in 2958 patients: a prospective cross-sectional study
Timely diagnosis of acute intestinal necrosis (AIN) is lifesaving but challenging due to unclear clinical presentation. D-lactate has been proposed as an AIN biomarker and we aimed to test the diagnostic performance in a clinical setting. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: David Straarup, K åre A. Gotschalck, Peter A. Christensen, Rikke W. Rasmussen, Henrik Krarup, Søren Lundbye-Christensen, Aase Handberg, Ole Thorlacius-Ussing Tags: Clinical Laboratory in Emergency Medicine Source Type: research
Association between frailty and head impact location after ground-level fall in older adults
Mild Traumatic Brain Injuries (TBI) are highly prevalent in older adults, and ground-level falls are the most frequent mechanism of injury. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 19, 2024 Category: Emergency Medicine Authors: Xavier Dubucs, Éric Mercier, Valérie Boucher, Samuel Lauzon, Frederic Balen, Sandrine Charpentier, Marcel Emond Tags: Brief Reports Source Type: research
Emergency Ultrasound Unveils Intermediate-High Risk Saddle Pulmonary Embolism with Extensive Bilateral Clot Burden, Masquerading as Micturition Syncope – A Case Report
Isolated syncope as the manifestation of pulmonary embolism (PE) is a rare and diagnostically challenging presentation that often leads to delayed or missed diagnosis, increasing morbidity and mortality. Despite emphasizing cardiovascular etiologies of syncope, current guidelines offer essentially no guidance in establishing a diagnostic workup for PE in these patients. By performing bedside echocardiography, emergency physicians can accurately identify concerning features suggestive of PE in syncope patients. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 15, 2024 Category: Emergency Medicine Authors: M. Townsend Reeves, Harjeev Lahil, Aaron Gold, Mauricio Danckers, Laurence Dubensky, Todd L. Slesinger Tags: Ultrasound in Emergency Medicine Source Type: research
