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
Finding the Balance: The Point-of-Care Ultrasound Diagnosis of Pseudoaneurysm
A 49-year-old male with recent intravenous drug use presents to the Emergency Department with right arm swelling. He states this lump in his arm is painless and has been slowly growing for months. Vitals are BP 109/72, HR 78, SpO2 99% on room air, and T 36.9C. Physical exam shows a golf ball-sized mass in the right antecubital fossa (Figure 1) without overlying skin changes or distal neurovascular deficits. Point-of-care ultrasound (POCUS) was performed utilizing a water bath with visualization of bidirectional swirling in a round cavity adjacent to the brachial artery (Figure 2; Video 1). Given hemodynamic stability and...
Source: The Journal of Emergency Medicine - January 11, 2024 Category: Emergency Medicine Authors: Terrence D. Habiyaremye, Alyssa C. Alloy, Ryan C. Gibbons Tags: Visual Diagnosis in Emergency Medicine Source Type: research
Transient hematotoxicity after emerald horned pitviper (ophryacus smaragdinus) envenomation: a case report
In this report, we describe what we believe is the first documented human envenoming from an emerald horned pitviper, Ophryacus smaragdinus. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 9, 2024 Category: Emergency Medicine Authors: Devin Shumway, Karen Pho, Nichole Andrews, Spencer Greene Tags: Selected Topics: Toxicology Source Type: research
Transient Hematotoxicity Following Emerald Horned Pitviper (Ophryacus smaragdinus) Envenomation: A Case Report
In this report we describe what we believe is the first documented human envenoming from an emerald horned pitviper, Ophryacus smaragdinus. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 9, 2024 Category: Emergency Medicine Authors: Devin Shumway, Karen Pho, Nichole Andrews, Spencer Greene Tags: Selected Topics: Toxicology Source Type: research
Black Cohosh Interactions with Prescription Medications Associated with Serotonin Toxicity and Rhabdomyolysis: A Case Report
Serotonin toxicity is a well-described phenomenon that is commonly attributed to a variety of drug-drug combinations. Some unregulated herbal supplements have been implicated in the onset of serotonin toxicity, however there is currently minimal literature available that demonstrates the potential for black cohosh to contribute to rhabdomyolysis and serotonin toxicity, despite its known serotonergic properties. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 9, 2024 Category: Emergency Medicine Authors: Matthew Robert Dernbach, Joseph E Carpenter, Nihar Shah, George Benjamin Carter Tags: Selected Topics: Toxicology Source Type: research
Missed Opportunities to Diagnose and Treat Asymptomatic Hypertension in Emergency Departments in the United States, 2016-2019
Less than half of US adults with hypertension (HTN) are controlled and a third are unaware of their condition. The emergency department (ED) represents a setting to improve HTN control by increasing awareness of asymptomatic hypertension (aHTN) according to the 2013 American College of Emergency Physicians (ACEP) asymptomatic elevated blood pressure clinical policy (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - January 9, 2024 Category: Emergency Medicine Authors: Adesuwa Akhetuamhen, Kristin Bibbins-Domingo, Jahan Fahimi, Valy Fontil, Robert Rodriguez, Ralph C. Wang Tags: Original Contributions Source Type: research
