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A Pregnancy Complication to Look out for even after Pregnancy
​BY GREGORY TAYLOR, DO, & SHERIF G. EL-ALAYLI, DOA 30-year-old G5P3 presented to the ED with bilateral lower-extremity edema and headache for three days. She presented one week after an uncomplicated full-term vaginal delivery with an unremarkable pregnancy course and no prior requirement for antihypertensive therapy. The headache was described as achy to sharp, with associated photophobia. She also noted occasional vaginal spotting, which was common a few weeks after delivery. She denied any chest pain, shortness of breath, nausea or vomiting, abdominal pain, or any other symptoms. She admitted to occasional mild cr...
Source: The Case Files - August 28, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Severe Symptoms, but a Truly Treatable Disease
​BY NOURA MAHDI; DARRON LEWIS; JEREMY OSBORNE; & AHMED RAZIUDDIN, MDA 73-year-old man was brought to the emergency department from his nursing home for rectal bleeding and anemia. The patient mentioned he had had episodes of bright red rectal bleeding and constipation for a few months. A colonoscopy had been done prior to the visit, which revealed a large intestine tumor and biopsy confirming adenocarcinoma. He was awaiting an appointment with his surgeon.The patient reported bloody rectal leakage, and a CBC done at the nursing home showed a hemoglobin level of 7.2. He also complained of dyspnea but denied any other ...
Source: The Case Files - March 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Todd's Paralysis: A Crucial Entity Masquerading Stroke in the Emergency Department
A 73-year-old female with history of hypertension, left parietal ischemic stroke (leading to sequela of slight paralysis in her right extremities), and symptomatic epilepsy presented with right-sided weakness after a 5-min-long, convulsive right-sided seizure. Due to the post-seizure right-sided paralysis, the patient was referred to our center with a provisional diagnosis of acute stroke. However, interrogation of patient history revealed that the patient had been taking aspirin 300  mg and phenytoin 2 × 100 mg regularly before her presentation.
Source: The Journal of Emergency Medicine - January 15, 2017 Category: Emergency Medicine Authors: Halil Onder Tags: Visual Diagnosis in Emergency Medicine Source Type: research