Thrombophlebitis and pseudothrombophlebitis in the ED Michael Joseph Drescher, Alan Jon Smally
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90185-6
The American Journal of Emergency Medicine , Vol. 15 , Issue 7 ,
Published in issue: November 1997
x The patient presenting to the emergency department (ED) with a painful swollen lower extremity is considered to have deep venous thrombosis (DVT) until this diagnosis can be ruled out. This clinical presentation, however, is far from specific and the differential diagnosis includes symptomatic Baker's cyst, also known as pseudothrombophlebitis syndrome (PTP). This article presents two cases of PTP and reviews the literature relevant to diagnosis of DVT and PTP. Ultrasonography is now the diagnostic test of choice for both DVT and PTP, being safe, accurate, noninvasive, and rapid, and should ideally be available for use in the ED.
Appendiceal stump abscess ten years after appendectomy Carson R. Harris
DOI: http://dx.doi.org/10.1016/0735-6757(89)90050-8
The American Journal of Emergency Medicine , Vol. 7 , Issue 4 ,
Published in issue: July 1989
x A case of an appendiceal stump abscess occurring 10 years after appendectomy is presented. Although appendiceal stump abscess rarely appears years after an appendectomy, the possibility still exists and should be considered in the differential diagnosis of right lower quadrant abdominal pain.
Congenital cervical cystic hygroma causing an airway emergency Chih-Ping Chen
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90215-2
The American Journal of Emergency Medicine , Vol. 17 , Issue 6 ,
Published in issue: October 1999
Locked-in syndrome: Report of a case Ugo E. Gallo, Phil B. Fontanarosa
DOI: http://dx.doi.org/10.1016/0735-6757(89)90278-7
The American Journal of Emergency Medicine , Vol. 7 , Issue 6 ,
Published in issue: November 1989
x Locked-in syndrome is a unique clinical condition associated with ventral pontine lesions. The locked-in state is characterized by tetraplegia and mutism with maintenance of alertness as well as vertical eye movements and eye blinking, by which communication is possible. A case of locked-in syndrome in a 58-year-old man that demonstrates the clinical manifestations of the disorder is reported. Unless the physician is familiar with the signs and symptoms of the locked-in syndrome, the diagnosis may be missed and the patient may erroneously be considered comatose.
Pediatric splenic trauma: Predicting the success of nonoperative therapy Derek D. Muehrcke, Samuel H. Kim, Charles J. McCabe
DOI: http://dx.doi.org/10.1016/0735-6757(87)90085-4
The American Journal of Emergency Medicine , Vol. 5 , Issue 2 ,
Published in issue: March 1987
x The charts of all pediatric patients discharged from the Massachusetts General Hospital with a diagnosis of a ruptured spleen were reviewed over a six-year period to determine if any factors could be used to predict which children could be managed safely without operation. Seventy-five percent of these injuries were so managed. The patients who required surgical intervention were older (mean age, 17 years), had multiple injuries (mean ISS, 41), presented with more blood loss (mean hematocrit, 23.5%), and suffered their injuries as a result of a motor vehicle accident.
The use of light reflection rheography to rule out deep venous thrombosis in emergency patients Phillip Brottman, Douglas Propp, Craig Goldstein
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90113-3
The American Journal of Emergency Medicine , Vol. 15 , Issue 2 ,
Published in issue: March 1997
Index to volume 8
DOI: http://dx.doi.org/10.1016/0735-6757(90)90189-7
The American Journal of Emergency Medicine , Vol. 8 , Issue 6 ,
Published in issue: November 1990
Dalteparin in emergency patients to prevent admission prior to investigation for venous thromboembolism Dawn L Bauld, Michael J Kovacs
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90004-9
The American Journal of Emergency Medicine , Vol. 17 , Issue 1 ,
Published in issue: January 1999
x A 15-month prospective cohort study of emergency department (ED) patients with suspected venous thromboembolism was conducted to assess the role of low molecular weight heparin (dalteparin) in an emergency setting in suspected venous thromboembolism prior to diagnostic confirmation. Patients were given a therapeutic dose of dalteparin and were discharged home; they then returned the next day for diagnostic testing. All patients were followed for 3 months. Of 128 patients, 44 had positive test results and 84 had negative test results.
The VIDAS D-dimer test for venous thromboembolism: a prospective surveillance study shows maintenance of sensitivity and specificity when used in normal clinical practice David Mountain, Ian Jacobs, Andrew Haig
DOI: http://dx.doi.org/10.1016/j.ajem.2006.09.004
The American Journal of Emergency Medicine , Vol. 25 , Issue 4 ,
Published in issue: May 2007
x As a result of a number of clinical management studies, D-dimer (DD) tests such as VIDAS (BioMérieux Australia P/L-Sydney, NSW) have been recommended to reduce venous thromboembolism (VTE) investigations. Surveillance studies for new tests are recommended. We prospectively assessed VIDAS DD in normal practice.
Retropharyngeal abscess in an afebrile child Robert A. De Lorenzo, Jonathan I. Singer, William M. Matre
DOI: http://dx.doi.org/10.1016/0735-6757(93)90110-W
The American Journal of Emergency Medicine , Vol. 11 , Issue 2 ,
Published in issue: March 1993
x A case of retropharyngeal abscess in a child is reported. The patient was nontoxic appearing, afebrile, and had minimal symptoms. The case is used to highlight the high index of suspicion that may be necessary to diagnose the condition. Diagnostic approaches, emergency treatment, and disposition of patients are discussed.
Index to volume 15
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90192-3
The American Journal of Emergency Medicine , Vol. 15 , Issue 7 ,
Published in issue: November 1997
Contents
DOI: http://dx.doi.org/10.1016/S0735-6757(12)00495-0
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published in issue: November 2012
Index to volume 9
DOI: http://dx.doi.org/10.1016/0735-6757(91)90133-5
The American Journal of Emergency Medicine , Vol. 9 , Issue 6 ,
Published in issue: November 1991
Diagnostic role of ED ultrasound in deep venous thrombosis and pulmonary embolism Bradley W Frazee, Eric R Snoey
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90123-7
The American Journal of Emergency Medicine , Vol. 17 , Issue 3 ,
Published in issue: May 1999
x Proximal deep venous thrombosis (DVT), which may lead to pulmonary embolism (PE), is one of the serious and underrecognized causes of lower extremity pain and swelling. The diagnosis of DVT requires a confirmatory objective test because clinical signs and symptoms are unreliable. Assessment of thigh vein compressibility with real-time ultrasound is an accurate test for DVT that may be performed rapidly at the bedside. Although unproven, we propose that wider use of this test in the emergency department by emergency physicians might increase the diagnosis of DVT, prevent PE, and reduce utilization of other more costly and invasive diagnostic tests.
Emergencies in continuous dialysis patients: Diagnosis and management Clifford C. Cloonan, Cloyd B. Gatrell, Howard M. Cushner
DOI: http://dx.doi.org/10.1016/0735-6757(90)90201-A
The American Journal of Emergency Medicine , Vol. 8 , Issue 2 ,
Published in issue: March 1990
x The number of patients undergoing long-term hemodialysis and peritoneal dialysis is growing in the United States. To provide adequate emergent care to these patients emergency physicians must understand the alterations in normal physiologies present in these patients and how this may affect care. Cardiovascular disease and infection (especially Staphyloccus aureus sepsis) are the leading causes of death among dialysis patients. These patients are also subject to a significantly higher incidence of life-threatening electrolyte disturbances, particularly hyperkalemia and hypercalcemia, than the general population.
