Elaine Rabin, Lisa Patrick
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.059
Published online: December 22 2015
xNationwide, hospitals struggle to maintain specialist on-call coverage for emergencies. We seek to further understand the issue by examining reliability of scheduled coverage and the role of ad hoc coverage when none is scheduled.
Karina Reyner, Alan C. Heffner, Colleen H. Karvetski
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.068
Published online: December 23 2015
xUrinary tract infection (UTI) is a common cause of severe sepsis, and anatomic urologic obstruction is a recognized factor for complicated disease. We aimed to identify the incidence of urinary obstruction complicating acute septic shock and determine the characteristics and outcomes of this group.
Waridibo E. Allison, William Chiang, Ada Rubin, Lauren O'Donnell, Miguel A. Saldivar, Michael Maurantonio, Jeffrey Dela Cruz, Svetlana Duvidovich, Ellie Carmody
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.072
Published online: December 28 2015
xThe US Preventive Services Task Force recommends one-time screening of the 1945-1965 birth cohort (baby boomers) for hepatitis C (HCV) infection. New York State legislation mandates screening of baby boomers for HCV in most patient care settings except the emergency department (ED). This cross-sectional study explores baby boomer knowledge of HCV, prevalence of HCV infection, and linkage to care from a large urban ED.
Dayea Beatrice Jang, Sang Do Shin, Young Sun Ro, Kyoung Jun Song, Ki Ok Ahn, Seung Sik Hwang, Young Taek Kim, Sung Ok Hong, Jung A Choi
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.076
Published online: December 29 2015
xDiabetes mellitus (DM) and cardiac disease (CD) both likely effect out-of-hospital cardiac arrest (OHCA) survival, but the effect of their relationship on survival outcomes is unclear. This study aims to investigate whether the association of DM and OHCA outcomes differ in patients with and without CD.
Imo P. Aisiku, Peng Roc Chen, Hanh Truong, Daniel R. Monsivais, Jonathan Edlow
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.079
Published online: December 30 2015
xAneurysmal subarachnoid hemorrhage (SAH) is the most devastating form of hemorrhagic stroke. Primary predictors of mortality are based on initial clinical presentation. Initial serum lactic acid levels have been shown to predict mortality and disease severity. Initial serum lactate may be an objective predictor or mortality.
Jerome Edward B. Balbin, Rebecca Nerenberg, Alireza Baratloo, Benjamin W. Friedman
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.080
Published online: December 30 2015
xA total of 1.2 million patients present to US emergency departments (EDs) annually with migraine headache. Intravenous fluid (IVF) hydration is used to treat acute migraine commonly. We were unable to identify published data to support or refute this practice. The goal of this analysis was to determine if administration of IVF is associated with improved short-term (1 hour) or sustained (24 hours) migraine outcomes.
David A. Wampler, Chloe Pineda, Joan Polk, Emily Kidd, Dale Leboeuf, Marti Flores, Mike Shown, Chetan Kharod, Ronald M. Stewart, Craig Cooley
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.078
Published online: December 29 2015
xFor thirty years, emergency medical services agencies have emphasized limiting spinal motion during transport of the trauma patient to the emergency department. The long spine board (LSB) has been the mainstay of spinal motion restriction practices, despite the paucity of data to support its use. The purpose of this study was to determine reduction in lateral motion afforded by the LSB in comparison to the stretcher mattress alone.
Khadijah Breathett, Nishaki Mehta, Vedat Yildiz, Erik Abel, Ruchika Husa
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.077
Published online: December 29 2015
xTherapeutic hypothermia improves survival in patients after cardiac arrest, yet the impact of body mass index (BMI) on survival is lesser known. We hypothesized that nonobese patients would have greater survival post–therapeutic hypothermia than obese patients.
Sebastian D. Schubl, R. Jonathan Robitsek, Christian Sommerhalder, Kimberly J. Wilkins, Taylor R. Klein, Scott Trepeta, Vanessa P. Ho
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.014
Published online: January 20 2016
xPenetrating injuries to the head and neck may not be able to cause unstable fractures without concomitant spinal cord injury, rendering prehospital spinal immobilization (PHSI) ineffectual, and possibly harmful. However, this premise is based on reports including predominantly chest and abdominal injuries, which are unlikely to cause cervical spine (CS) injuries.
Aparajita Sohoni, Arun Nagdev, Sukhjit Takhar, Michael Stone
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.020
Published online: January 20 2016
xAlthough ultrasound-guided regional nerve blocks have become more commonplace in the emergency department, there is no evidence to suggest that they are more effective than traditional landmark-based wrist blocks for hand anesthesia. We hypothesized that ultrasound-guided forearm nerve blocks would provide superior analgesia as compared with conventional landmark-based wrist blocks.
Tyler W. Barrett, Wesley H. Self, Dawood Darbar, Cathy A. Jenkins, Brian S. Wasserman, Natasha A. Kassim, Michael Casner, M. Benjamin Shoemaker
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.034
Published online: February 5 2016
xGiven the sparse evidence for selection of first-line therapy for acute atrial fibrillation (AF) based on clinical factors alone, incorporation of genotype data may improve the effectiveness of treatment algorithms and advance the understanding of interpatient heterogeneity. We tested whether candidate nucleotide polymorphisms (SNPs) related to AF physiologic responses are associated with ventricular rate control after intravenous diltiazem in the emergency department (ED).
Andrej Markota, Jure Fluher, Barbara Kit, Petra Balažič, Andreja Sinkovič
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.028
Published online: January 27 2016
Open AccessxTemperature management is a recommended part of post-resuscitation care of comatose survivors of cardiac arrest. A number of methods exist for temperature management, all of which have limitations. We aimed to evaluate the performance and ease of use of a new esophageal heat transfer device (EHTD; Advanced Cooling Therapy, Chicago, IL, USA) for temperature management of adult survivors of cardiac arrest.
Nixiao Zhang, Kangyin Chen, Seung-Woon Rha, Guangping Li, Tong Liu
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.016
Published online: January 20 2016
xAcute myocardial infarction (AMI) commonly seen in outpatient emergency care can lead to high hospitalization and high mortality, characterized by sudden onset of myocardial ischemia. The latest guidelines for clinical practice recommend the therapeutic principles for ischemia relief to prevent severe adverse consequences, such as death, cardiogenic shock, heart failure, or reinfarction. In general, chest pain is the unique complaint of patients with AMI, and the symptom severity varies widely resulting from not only personal emotions but multiple factors breaking the balance of oxygen supply and demands while the myocardium is at risk [1–3].
John E. Madias
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.022
Published online: January 21 2016
xI read with interest the study by Cha et all [1], published online ahead of print on October 3, 2015 in the Journal, based on a retrospective review of 300 patients with anaphylaxis of various etiologies (AN), who presented to the Emergency Department (ED) and were evaluated for myocardial injury (MYIN), with troponin I, and transthoracic echocardiogram (ECHO) within 5 h of presentation. The authors detected 22 patients with MYIN (7.3%), 4 of whom showed regional wall motion abnormalities (RWMA), with 3 of 4 also presenting with reduced systolic function.
Laxmaiah Manchikanti, Alan David Kaye
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.035
Published online: February 1 2016
xA retrospective observational study investigating San Diego Medical Examiner reports of prescription drug–related deaths that occurred in San Diego County during 2013 assessed the prescription controlled medication patterns in patients dying of prescription drug abuse [1]. This article, assessing prescription patterns including number of pills by specialty, provides important information. Primary care physicians are significantly involved with long-term opioid prescribing, measured at 39.1% of all prescriptions, whereas physician assistants and nurse practitioners prescribe 8.9% of the total.
Torben K. Becker, Michael Bernhard
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.033
Published online: January 26 2016
xWe read with interest the prospective, cluster-randomized, and open-label study by Ono et al. [1] evaluating airway management using the laryngeal tube (LT) and the laryngeal mask airway (LM) in out-of-hospital cardiac arrest patients in Japan. However, we have questions about the author’s methodological approach.
Goran P. Koracevic
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.031
Published online: January 27 2016
xNatriuretic peptides (NPs), both B-type NP (BNP) and its precursor N-terminal pro-BNP (NT-proBNP), are the most established acute heart failure diagnostic biomarkers, being very useful in the emergency setting [1]. They improve diagnostic discrimination in patients with an undifferentiated dyspnea [1]. Moreover, BNP and NT-proBNP are currently believed to be useful in excluding acute heart failure (HF) [2,3]; diagnosing HF in primary care [4]; providing diagnosis of HF in patients with pleural effusion [5]; adding an incremental value for prognostication in chronic stable HF [6,7]; improving mortality prediction models in acute decompensated HF (ADHF) [8]; guiding therapy to decrease the risk of HF-related hospitalization but not of the risk of the all-cause mortality/hospitalization [9] (the available evidence for BNP-guided HF therapy is of low quality, insufficient [10], and restricted to HF patients with the reduced left ventricular ejection fraction, as concluded in a meta-analysis) [11]; predicting postoperative atrial fibrillation after thoracic surgery [12] and after any surgery (cardiac or noncardiac) [13]; predicting a new-onset atrial fibrillation in acute myocardial infarction [14] and major adverse cardiac events after an acute myocardial infarction and others.
Lukasz Szarpak, Zenon Truszewski, Marcin Madziała, Lukasz Czyzewski
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.030
Published online: January 27 2016
xWe read with interest the article of Bilge et al [1] concerning on endotracheal intubation (ETI) with tactical fiberoptic imaging systems. Under the conditions of cervical spine suspected damage and to limit the movements of the spine, direct laryngoscopy using laryngoscope with Macintosh or Miller blade may be difficult [1–3]. In such cases, we should use alternative methods of ETI, including videolaryngoscopes or fiberoptic intubation (FOB).
Gianfranco Cervellin, Giuseppe Lippi
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.029
Published online: January 27 2016
xWe read with interest the article of Acikgoz et al [1], who showed that the concentration of potassium measured in serum by a conventional clinical chemistry analyzer was significantly and consistently higher than that measured in paired samples by means of a blood gas analyzer. However, we raise some doubts as to whether these results may be considered clinically and analytically meaningful. First, in this study, it is stated that potassium was measured in serum using a blood gas analyzer placed in the emergency department (ED).
Yalcin Solak, Seyyid Bilal Acikgoz
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.032
Published online: January 27 2016
xWe thank Cervellin and Lippi for their interest in our article [1] in which we assessed the agreement of potassium values measured by central laboratory biochemistry analyzer and blood gas analyzer. The authors state that we had studied blood gas samples in a point-of-care device placed in the emergency department (ED). Actually, we did not report such a thing in the Methods section, and all blood gas samples were sent for analysis to the biochemistry laboratory; our blood gas analyzer was placed in the central laboratory, as well.
Nobuyasu Komasawa, Takuro Sanuki, Masanori Haba, Hiroshi Igarashi, Kazuhiro Mizumoto, Toshiaki Minami
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.042
Published online: February 12 2016
xThe American Society of Anesthesiologists published the ‘Practice guidelines for management of the difficult airway (ASA-DAM)’ in 1993, and these guidelines were updated in 2003 and 2013 [1]. The guidelines provide recommendations and cautionary guidelines for anesthesiologists regarding safe airway management during anesthesia, and emphasize the need for preoperative physical or physiological examination, an appropriate pre-planned strategy, and adequate emergency airway equipment.
Tal Berkowitz, Deborah Young
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.073
Published online: July 29 2015
xA 4-week-old female infant presented to the emergency department (ED) due to a 1-week history of not moving her left lower extremity as well as crying during diaper changes. She had been seen 6 days prior at an ED, had normal x-rays, and was discharged home. The infant was afebrile and well appearing and had been feeding well all week. Laboratory tests in our department, including a complete blood count with differential and inflammatory markers, were all normal. Repeat x-rays showed a subtle distal tibial lucency, initially overlooked.
Katherine Stolper, Erin R. Hanlin, Michael D. April, John L. Ritter, Curtis J. Hunter, Kathleen Samsey, Joseph K. Maddry
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.069
Published online: July 29 2015
xEpidural compression syndrome is a collective term encompassing disease processes causing compression of the spinal cord, conus medullaris, or cauda equina. Most frequently discussed among these subsets is cauda equina syndrome, characterized by back pain, lower-extremity motor weakness, saddle anesthesia, decreased rectal tone, and urinary or fecal incontinence. The study of choice for cauda equina syndrome is lumbar magnetic resonance imaging (MRI). Yet symptom complexes consistent with cauda equina syndrome may instead be due to higher-level compressive lesions not identified by lumbar MRI.
Giulia Russo, Antonella Cherubini, Maurizio Fisicaro, Giovanni Cioffi, Andrea Di Lenarda
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.064
Published online: July 29 2015
xRadial pseudoaneurysm (PA) is a rare complication of the transradial approach for the arterial catheterization.
Soheila Talebi, Farzaneh Ghobadi, Sameer Chaudhari, Ely Gracia, Ola Olatunde, Gerald Pekler, Ferdinand Visco, Getaw Worku Hassen
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.077
Published online: August 7 2015
xWe report here 2 cases of methadone induced Torsades de Pointes with a clinical presentation mimicking convulsive seizures in a substance abuser These cases highlight the importance of being aware of methadone-induced Torsades de Pointes and the occasional atypical clinical presentations of this condition.
Huai-min Liang, Qiu-lin Chen, Er-yong Zhang, Jia Hu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.075
Published online: July 29 2015
xSternal fractures caused by blunt chest trauma are associated with an increased incidence of cardiac injury. Reports of the incidence of cardiac injury associated with sternal fracture range from 18% to 62% [1]. Delayed cardiac tamponade is a rare phenomenon that appears days or weeks after injury. Moreover, after nonpenetrating chest trauma, cardiac tamponade is very rare and occurs in less than 1 of 1000 [2]. This case describes a patient who had delayed cardiac tamponade 17 days after a severe blunt chest trauma.
Justin M. Jones, Heather M. Ryan, Mark Tieszen, David D. Leedahl
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.071
Published online: July 29 2015
xDabigatran etexilate is a novel oral anticoagulant indicated for anticoagulation in the management of atrial fibrillation and venous thromboembolism. Before its approval by the US Food and Drug Administration, warfarin, a vitamin K antagonist, was one of few oral anticoagulant options. The burden of therapeutic drug monitoring, dietary restrictions, and various drug interactions associated with warfarin have countered its extensive history of efficacy. Although dabigatran etexilate may alleviate some concerns encountered with warfarin therapy, there remains a paucity of evidence surrounding emergent reversal strategies in severe hemorrhage.
Young Sun Choi, Dong Jin Kim, Wook Kim
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.034
Published online: August 17 2015
xSpontaneous rupture of the left gastroepiploic vessel causing abdominal apoplexy or spontaneous hemoperitoneum is extremely rare. Such ambiguous condition can delay diagnosis, resulting in hypovolemic shock. Reporting such rare cases is valuable to clinicians. Here, we report a 19-year-old man who initially presented left upper quadrant pain and diaphoresis followed by vomiting after ingesting alcohol. He was diagnosed with diffuse hemoperitoneum and large amount of hematoma in left side of lesser sac due to spontaneous rupture of left gastroepiploic vessel.
Jung Soo Park, Jin Hong Min
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.033
Published online: August 18 2015
xTraumatic tattoos can result from the accidental deposition of foreign particles in the dermis. These pigmented particles can become permanently lodged in the dermis after wound re-epithelialization and lead to irregular black or blue skin discoloration. Different methods exist for tattoo removal. The best strategy is to prevent traumatic tattoo formation by immediately removing the foreign particles before the healing process begins. Here, we present a fine-tuned, hydrosurgical debridement system to selectively debride wounds and preserve as much viable tissue as possible.
Ali Haydar Akça, Hakan Sarzep
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.032
Published online: September 12 2015
xTraumatic lung herniation is a rare condition. It may occur as a complication of severe blunt chest trauma [1,2]. Herniation of the lung is possible through a chest wall defect caused by multiple rib fractures or by a chondral-costal or clavicle-sternal dislocation [1,3].
Jason Gagnon, Harold Katner, S. Brent Core, Jean Dozier, Chintan Patel, Chanty Davis
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.031
Published online: August 29 2015
xAcute rhabdomyolysis is a rare phenomenon in the emergency setting almost exclusively associated with trauma, drugs, and recent upper respiratory and gastrointestinal infection. Rare reports in the literature have highlighted adult patients presenting with rhabdomyolysis as 1 component in a constellation of symptoms in acute HIV-1 seroconversion; however, there are few reports of rhabdomyolysis as the sole presenting symptom. This case highlights the importance of investigating HIV and other sexually transmitted diseases in pediatric cases of rhabdomyolysis in the emergency care setting.
Michael E. Abboud, Sarah E. Frasure
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.030
Published online: August 17 2015
xNicardipine is a dihydropyridine calcium-channel blocker that is frequently used in the acute treatment of hypertension in the emergency department (ED). Reflex sympathetic tachycardia is a well-described side effect of this medication. Two experimental studies and 1 anesthesia case report, however, have previously described nicardipine-induced bradycardia as a very rare side effect. We report the case of an elderly patient with an acute ischemic stroke who developed nicardipine-induced bradycardia in the ED.
Wan-Bin Yin, Yan-Hua Wei, Guang-Wei Liu, Xiao-Tang Zhao, Mao-Shen Zhang, Ji-Lin Hu, Nan-Yang Zhang, Yun Lu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.029
Published online: August 17 2015
xPyometra is an uncommon and potentially lethal disease that occurs mainly in postmenopausal women. Spontaneous perforation of pyometra presenting as acute abdomen is an extremely rare complication of pyometra, and the patients are always admitted to the emergency department. An additional case is reported herein. In addition, a literature review was performed between 1949 and 2015. A correct preoperative diagnosis was made in 21.05% of all the cases. Of all cases, 25.71% were associated with malignant disease.
Erin L. Simon, Leslie Gair, Mitch Kovacs
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.028
Published online: August 17 2015
xSeptic arthritis of a lumbar facet joint is a rare condition that typically manifests with fever and low back pain. Risk factors for septic arthritis include diabetes mellitus, age, alcohol abuse, and rheumatoid arthritis. One complication of septic arthritis of a lumbar facet joint is formation of an epidural abscess, which has the potential to cause neurologic deficits. Risk factors for epidural abscess include diabetes mellitus, intravenous drug use, alcoholism, spinal abnormalities, and chronic renal failure.
Erin L. Simon, Mitch Kovacs
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.024
Published online: August 18 2015
xAcute arterial occlusion is an emergency condition that, if untreated, can lead to serious complications and potential limb amputation. Risk factors for acute arterial occlusion include aortic atherosclerosis, arterial trauma, recent myocardial infarction, and atrial fibrillation. We present a patient with no history of peripheral vascular disease who presented to the emergency department with severe bilateral leg pain. Computed tomography angiography was performed showing bilateral acute arterial occlusions.
Laura Anna Simone, Jonathan Orsborn, Ron Berant, Mark O. Tessaro
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.020
Published online: August 13 2015
xEsophageal food impaction in children occurs most commonly at the level of the thoracic inlet, where ultrasonography of the anterior neck can visualize the esophagus. We describe a series of cases in which point-of-care ultrasound by pediatric emergency physicians was used to diagnose esophageal food impaction. This novel technique may expedite diagnosis for children with this distressing condition.
Wahib Zafar, Ben Chaucer, Fidencio Davalos, Jay Nfonoyim
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.046
Published online: August 29 2015
xScrotal edema is a sign for emergent action in many patients. In a few rare cases, it may be the sole presenting sign for acute pancreatitis. Serum lipase is the criterion standard for diagnosis of acute pancreatitis. Acute pancreatitis has rarely been documented in the setting of normal serum lipase. To date, both have never been documented in 1 patient. We present a case of scrotal edema secondary to acute pancreatitis with normal serum lipase. It is important to include the diagnosis of acute pancreatitis in patients who present with scrotal edema even in the setting of normal serum lipase.
Anne Boyd, David Mills, Kristen Hook, Rahul Kaila
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.043
Published online: August 29 2015
xDrug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a fairly rare but potentially life-threatening adverse drug reaction characterized by rash, fever, lymphadenopathy, hematologic abnormalities, and multiorgan involvement. Pathogenesis of the disease is not fully understood, but proposed mechanisms include drug metabolism defects, human herpesvirus reactivation, and genetic predisposition. Diagnosis and treatment can be difficult or even delayed, as there are no globally accepted diagnostic criteria and those afflicted have nonspecific clinical findings.
Christopher B. Adams, Nicole M. Acquisto, Jason M. Rotoli, Thomas LoStracco, Ann R. Shamaskin, Joel S. Pasternack
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.053
Published online: September 7 2015
xWe report a case of superior mesenteric artery thrombosis after the abrupt discontinuation of rivaroxaban in a 59-year-old male patient. The initial presentation was of sudden onset abdominal pain, nausea, vomiting, diarrhea, and hematochezia in the setting of recently holding rivaroxaban anticoagulation for an atrial flutter ablative procedure. Imaging revealed thrombosis of the superior mesenteric artery and acute mesenteric ischemia requiring emergent surgical intervention for embolectomy. Upon exploratory laparotomy, the bowel was found to be viable, and an embolectomy with patch angioplasty was successful without complication.
Jacqueline R. Argamany, Kelly R. Reveles, Bryson Duhon
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.051
Published online: September 7 2015
xSynthetic cannabinoid usage has increased in the past decade. Concurrently, emergency management of associated adverse effects due to synthetic cannabinoid usage has also risen. Reported toxicities include psychosis, seizures, cardiotoxicity, acute kidney injury, and death. While cannabis was first described as a cause of acute hyperemesis in 2004, a more recent case series also describes the association between cannabinoid hyperemesis and risk of acute renal failure. Synthetic cannabinoids have also been reported to cause acute hyperemesis and acute renal failure; however, the risk of rhabdomyolysis-induced renal failure has yet to be elucidated.
Cem Gun, Hasan Aldinc, Serpil Yaylaci, Tansu Gudelci, Ozgur Karcioglu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.09.002
Published online: September 9 2015
xFlank pain is a common complaint in the emergency department, and the most frequent cause of flank pain is urolithiasis. Spontaneous renal artery dissection and renal artery thrombosis are rare causes of abdominal pain which can result in renal parenchymal injury. They are mostly difficult to diagnose and treat in the emergency setting. The present report describes 2 patients admitted to the emergency department because of acute flank pain who were diagnosed with renal infarction.
DOI: http://dx.doi.org/10.1016/S0735-6757(16)00141-8
Published in issue: April 2016
DOI: http://dx.doi.org/10.1016/S0735-6757(16)00142-X
Published in issue: April 2016
DOI: http://dx.doi.org/10.1016/S0735-6757(16)00143-1
Published in issue: April 2016
