Predicting tularemia with clinical, laboratory and demographical findings in the ED Derya Yapar, Ali Kemal Erenler, Özlem Terzi, Özlem Akdoğan, Yasemin Ece, Nurcan Baykam
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.034
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: October 24 2015
x We aimed to determine clinical, laboratory and demographical characteristics of tularemia on admission to Emergency Department (ED).
Posterior reversible encephalopathy syndrome as the first presentation of chronic kidney disease Mohammadmahdi Forouzanfar, Pauline Haroutunian, Alireza Baratloo, Behrooz Hashemi
DOI: http://dx.doi.org/10.1016/j.ajem.2013.11.013
The American Journal of Emergency Medicine , Vol. 32 , Issue 5 ,
Published online: November 18 2013
x Posterior reversible encephalopathy syndrome is a clinicoradiologic syndrome characterized by seizure, headache, nausea, vomiting, altered mental status, visual disturbance, or visual loss, together with radiologic findings.
Spontaneous reduction of ileoileal adult intussusception after blunt abdominal injury Mucahit Emet, Abdullah Osman Kocak, Ilker Akbas, Adem Karaman, Sukru Arslan
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.053
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 28 2015
x This is the first case report of an adult who had spontaneous reduction of ileoileal intussusception occurred after punching to the abdomen. A 40-year-old man was brought to our emergency department by ground ambulance due to pounding and punching a few hours ago. Physical examination showed multiple dermabrasions on his face, abdomen, and lower extremities. All other examinations were unremarkable except that of mild abdominal pain. Laboratory results gave no clues. On abdominal x-ray, paucity of intestinal gas, pseudomass and surrounding gas appearances were visible.
Determination of radiography requirement in wrist trauma Suha Turkmen, Aysegul Cansu, Yunus Karaca, Mehmet Emre Baki, Oguz Eroglu, Ozgur Tatli, Mucahit Gunaydin, Ercument Beyhun, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.011
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: June 13 2015
x The purpose of this study was to evaluate predetermined physical examination and function tests recommended to identify severe injury among patients presenting with wrist injury to the emergency department and to establish a reliable clinical decision rule capable of determining the need for radiography in wrist injuries.
Esophageal rupture diagnosed with bedside ultrasound Charlotte Derr, Jessica Maloney Drake
DOI: http://dx.doi.org/10.1016/j.ajem.2011.12.036
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: March 2 2012
x A 69-year-old man presented to the emergency department with hematemesis, hypotension, tachycardia, and hypothermia. The emergency physician performed a bedside ultrasound of the chest, heart, and abdomen. The heart was unable to be visualized in the parasternal, apical, or subxiphoid windows, and free fluid and particulate matter were visualized in the chest and abdomen. The inability to visualize the heart in the normal cardiac windows suggested a diagnosis of pneumopericardium. Based upon the patient's presenting symptoms and ultrasound findings, an esophageal perforation was suspected.
Heart-type fatty acid-binding protein as a potential biomarker of acute carbon monoxide poisoning Ali Kemal Erenler, Turker Yardan, Ahmet Baydin, Murat Gunay, Ramazan Amanvermez
DOI: http://dx.doi.org/10.1016/j.ajem.2013.04.005
The American Journal of Emergency Medicine , Vol. 31 , Issue 8 ,
Published online: June 27 2013
x The aim of this study was to investigate the role of serum heart-type fatty acid-binding protein (H-FABP) in the evaluation of patients with carbon monoxide (CO) poisoning.
A manifestation of endometriosis that will take your breath away: a case report Gaurav Patel, Brendon Stankard, Robert Gekle, Steve Park, Adam Rucker
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.051
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: November 8 2014
x Pneumothorax should be included in the differential diagnosis of any patient presenting with sudden onset chest pain or dyspnea, and the diagnosis should be made promptly and accurately. Catamenial pneumothorax, although a rare entity, is a possibility that should be considered in menstruating females presenting with chest pain and/or dyspnea. This case serves to demonstrate the effectiveness of point-of-care ultrasonography in making the prompt diagnosis of a pneumothorax, which in this case was a catamenial pneumothorax.
Squamous cell carcinoma of the tonsil masquerading as a peritonsillar abscess Matthew M. Fort, Rob Gathings, Mark C. Domanski
DOI: http://dx.doi.org/10.1016/j.ajem.2013.02.015
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: May 13 2013
x A 58-year-old man presented to the emergency department with a persistent left-sided sore throat of 2-month duration. The sore throat had not responded to antibiotic therapy. Over the past week, the soreness had increased and was aggravated by opening the mouth. He denied fever but admitted to a 10-lb weight loss. His social history was significant for alcohol and tobacco use. Physical examination revealed a bulging and erythematous left soft palate with a deviated uvula. Areas of the tonsil were noted to be ulcerating through the soft palate.
Sore throat may be a clue to the early diagnosis of spontaneous pneumomediastinum Ke-Wei Chen, Wen-Yi Chiu, Yi-Hao Lo
DOI: http://dx.doi.org/10.1016/j.ajem.2014.06.024
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: June 27 2014
x Spontaneous pneumomediastinum is defined as presence of air in the mediastinum without obvious cause such as esophageal perforation or abscess formation. It is a benign condition and usually resolved by itself in 1 to 2 weeks. The main symptom of spontaneous pneumomediastinum is retrosternal chest pain. Here, we present a young adult who complained about sore throat initially. Marked retropharyngeal emphysema was noted by neck x-ray. Pneumomediastinum was confirmed with chest x-ray and computed tomographic scan later on.
An unlikely culprit—the many guises of thiamine deficiency Ami Schattner, Asaf Kedar
DOI: http://dx.doi.org/10.1016/j.ajem.2012.10.024
The American Journal of Emergency Medicine , Vol. 31 , Issue 3 ,
Published online: February 4 2013
x A 59-year-old patient presented with prolonged abdominal pain, vomiting, and anorexia, which were finally found to be caused by an abscess in a previously resected kidney bed. After operation, vomiting continued, and the patient was treated with omeprazole when investigations revealed esophagitis. However, vomiting persisted with associated increasing lassitude, tachycardia, blood pressure lability (hypertension or episodic hypotension/syncope), leg pain, apathy, and somnolence. Nystagmus and areflexia were observed, suggesting thiamine deficiency and Wernicke encephalopathy.
Concurrent pulmonary embolism and acute coronary syndrome with dynamic electrocardiographic changes Ahmet Yildiz, Cem Bostan, Fatih Akin, Alev Arat Ozkan, Tevfik Gurmen
DOI: http://dx.doi.org/10.1016/j.ajem.2011.02.006
The American Journal of Emergency Medicine , Vol. 30 , Issue 4 ,
Published online: March 30 2011
x Concomitant occurrence of pulmonary embolism and acute coronary syndrome is rare. The early diagnosis and treatment of acute coronary syndrome with right ventricular myocardial ischemia during acute pulmonary embolism (APE) are crucial. The irreversible right ventricular myocardial dysfunction is a major risk factor for mortality from APE. In this case report, we present a 66-year-old female patient with APE who had a significant right coronary artery (RCA) lesion, which was successfully treated with angioplasty and stent implantation.
A case of rectus sheath hematoma due to Foley catheterization after acute urinary retention Yoon Hee Choi, Duk Hee Lee, Soon Young Yun, Jae Hee Lee
DOI: http://dx.doi.org/10.1016/j.ajem.2011.03.020
The American Journal of Emergency Medicine , Vol. 30 , Issue 5 ,
Published online: June 6 2011
x Rectus sheath hematoma (RSH) is generally not considered a reason for abdominal pain and its incidence as a cause of abdominal pain is unknown. RSH is a rarely seen but nonetheless an important disease causing abdominal pain. During contractions of the rectus abdominis muscle, the inferior epigastric artery must glide with the muscle to avoid tearing. When the inferior epigastric artery is torn, blood dissects along the rectus sheath leading to hematoma formation. We report a case of spontaneous rectus sheath hematoma due to Foley catheterization after acute urinary retention.
Time to individualize duration of parenteral anticoagulation in pulmonary thromboembolism? Goran P. Koracevic
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.016
The American Journal of Emergency Medicine , Vol. 30 , Issue 6 ,
Published online: May 25 2012
x Modeling suggests that more than 900 000 incident or recurrent venous thromboembolism (VTE) events occur annually in the United States, of which approximately one third are fatal; 30-day pulmonary thromboembolism (PTE) survival is 59.1% [1]. Drawbacks of the current PTE protocol were pointed out recently [2]. Contemporary guidelines for initial anticoagulants in PTE are based on only 2 relatively old (>20 years) studies: one in DVT and the other in VTE patients (some of them having PTE) [2-4]. It is questionable if half of the single, old study in PTE is enough to make generalization to all PTE patients today.
An unusual infection of cervicofacial area caused by dental pathology: flesh-eating syndrome Serife Ozdinc, Ebru Unlu, Oya Oruc, Nese Nur User, Zeynep Karakaya
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.035
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 21 2015
x Necrotizing fasciitis (NF) of the cervicofacial area is highly rare, but physicians should be familiar with the presentation of this situation owing to the suddenness of its beginning, the rapidness of its spread, and ending with high mortality and morbidity. In this article, 5 patients with NF admitted to emergency department with dental pathology history were discussed with a review of the literature. The purpose of this case series is to raise awareness about NF of the cervicofacial area caused by dental pathologies.
Neurologic complication after a roller coaster ride Davi Sa Leitao, Dercio Mendonca, Harish Iyer, Cheng-Kai Kao
DOI: http://dx.doi.org/10.1016/j.ajem.2010.09.026
The American Journal of Emergency Medicine , Vol. 30 , Issue 1 ,
Published online: October 27 2010
x Neurologic complications after roller coaster rides are uncommon but potentially catastrophic. Physicians should have a high index of suspicion and prompt appropriate investigation. A 22-year-old healthy African American man presented with a 2-day history of constant occipital headache associated with vertigo, nausea, vomiting, and ambulatory dysfunction. Physical examination showed gait ataxia, slight dysmetria, and vertical nystagmus. Magnetic resonance imaging (MRI) of the brain showed early subacute ischemic infarct in the right cerebellum in the distribution of the right posterior inferior cerebellar artery.
Clinical features of patients inappropriately undiagnosed of pulmonary embolism Juan Torres-Macho, Ana B. Mancebo-Plaza, Ana Crespo-Giménez, M. Rosa Sanz de Barros, Carlos Bibiano-Guillén, Raúl Fallos-Martí, Jorge Calderón-Parra, José M. de Miguel-Yanes
DOI: http://dx.doi.org/10.1016/j.ajem.2013.08.037
The American Journal of Emergency Medicine , Vol. 31 , Issue 12 ,
Published online: September 23 2013
x The objective of this study was to identify clinical factors associated with delayed diagnosis of acute pulmonary embolism (PE) in the emergency department (ED).
Cervicofacial emphysema and pneumomediastinum after a high-speed air drill endodontic treatment procedure Polat Durukan, Omer Salt, Seda Ozkan, Banu Durukan, Cemil Kavalci
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.006
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: February 10 2012
x Cervicofacial subcutaneous emphysema is defined as the abnormal introduction of air in the subcutaneous tissues of the head and neck. It is mainly caused by trauma, head and neck surgery, general anesthesia, and coughing or habitual performance of Valsalva maneuver. The occurrence of subcutaneous emphysema after dental treatment is rare, and diffusion of gas into the mediastinum is much rarer, especially when the procedure is a nonsurgical treatment. The most common dental cause of pneumomediastinum is the introduction of air via the air turbine handpiece during surgical extraction of an impacted tooth.
An unusual cause of acute abdominal pain: mesenteric panniculitis Ayla Buyukkaya, Harun Gunes, Ismet Ozaydın, Mehmet Ali Ozel, Ramazan Buyukkaya, Ayhan Sarıtas
DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.050
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: March 6 2015
x Mesenteric panniculitis is among the rare causes of abdominal pain, and its diagnosis is difficult for not only physicians but also radiologists. We aimed to present clinical and radiological findings of 2 patients admitted to the emergency department because of abdominal pain and diagnosed with mesenteric panniculitis, and discuss the relevant current literature. Emergency physicians who treat many patients with abdominal pain should remember mesenteric panniculitis when making differential diagnosis especially in patients with pain localized to left paraumbilical region.
Presenting signs and symptoms in the emergency department: Evaluation and treatment: Glenn C. Hamilton, editor. Williams and Wilkins, 1993 Rodney W. Smith
DOI: http://dx.doi.org/10.1016/0735-6757(94)90072-8
The American Journal of Emergency Medicine , Vol. 12 , Issue 4 ,
Published in issue: July 1994
Child presenting to the ED with prolonged autonomic symptoms followed by generalized seizure activity Henry David
DOI: http://dx.doi.org/10.1016/j.ajem.2009.06.018
The American Journal of Emergency Medicine , Vol. 28 , Issue 2 ,
Published in issue: February 2010
x A 5-year-old girl presented to the emergency department (ED) with a parental complaint of vomiting and seizure-like activity. The patient had been in her normal state of health before the onset of this activity and had had no recent illnesses. Shortly after the child had gone to bed, she awoke complaining of feeling sick to her stomach. Over several minutes the child became less responsive to questioning, followed by rightward eye and head deviation and vomiting. Following this, the child's eyes remained fixed in a rightward gaze and she was no longer responsive to questioning despite appearing awake.
