A 32-year-old man with a history of hemophilia A presented to the emergency department with right shoulder pain, swelling, and decreased range of motion.
Acute upper gastrointestinal bleeding is a common emergency presentation. The United States Centers for Disease Control and Prevention 2018 survey of emergency department (ED) visits reported 436,000 ED visits for unspecified gastrointestinal bleeding that year.1
A vulvar hematoma is a hemorrhagic fluid collection in the female external genitalia. The majority occur as an obstetrical complication, especially during labor. Non-obstetrical vulvar hematomas are usually the result of trauma, with coitus being the most common etiology.
Weakness is a common chief complaint in the emergency department, and the use of glucocorticoids is pervasive in medicine. Muscle weakness, or myopathy, is a well documented side effect of chronic glucocorticoid use. However, acute myopathy, with an onset shortly after initiation of glucocorticoids, is much rarer.
Brown-Séquard syndrome is a rare neurological disorder due to hemisection of the spinal cord that can occur from a variety of causes, most commonly trauma.
Arterial dissection is well known as a potential cause of stroke in young patients. Vertebral artery dissection occurs most commonly in the setting of minor trauma but has been seen in cases of cervical manipulation. With advances in at-home therapeutic modalities for neck pain came the advent of handheld massage guns. These massage guns have gained considerable popularity in recent years, but their safety for use in the cervical region has not been well studied.
Point-of-care ultrasound (POCUS) has great sensitivity in the diagnosis of abscesses and swollen lymph nodes. Many studies outline the characteristics that distinguish abscesses from lymph nodes on POCUS.
Achilles tendon ruptures often occur during physical activity where the tendon is frequently stressed. Although rare, rupture can also result from electric shock.
Traumatic carotid artery dissections (CAD) are rare but produce potentially devastating injuries. Most patients develop symptoms within 72 hours of traumatic injury.
As ketamine gains traction as an alternative to opiates in the treatment of chronic pain, ketamine-induced ulcerative cystitis is now being recognized as a complication of its use. The first-line treatment is phenazopyridine, an over-the-counter medication for dysuria that historically has been known to cause methemoglobinemia. This report details the case of a patient presenting to the emergency department (ED) with methemoglobinemia.
Uterine rupture is a rare but potentially fatal complication of pregnancy. The incidence of uterine rupture is estimated to be between 0.3 and 11 per 10,000. Additionally, uterine sacculation is a sac or outpouching of the uterus that can lead to uterine rupture in pregnancy. Here we describe a case of a patient who was found to have a uterine sacculation on point-of-care ultrasound in the emergency department (ED) that was complicated by uterine rupture.
Ruptured ectopic pregnancy is one of the leading causes of maternal death. Point-of-care ultrasound (POCUS) has been shown to be highly sensitive for excluding ectopic pregnancy. Ectopic pregnancy after a hysterectomy is a rare but life-threatening occurrence. We present a case where POCUS helped to diagnose a post-hysterectomy ectopic pregnancy.
Approximately two million people present to the emergency department (ED) with eye-related complaints each year in the United States. Differentiating pathologies that need urgent consultation from those that do not is imperative. For some physicians, ocular ultrasound has eclipsed the dilated fundoscopic exam as the standard posterior segment evaluation in the ED.
Cardiac masses are a rare cause of chest pain. They can often be missed on a chest radiograph performed to evaluate non-specific chest pain and are not readily evaluated with traditional laboratory testing. However, these masses can be visualized with point-of-care ultrasound.
Testicular torsion, or the twisting of the spermatic cord compromising blood flow to the testis, is a urologic emergency with the potential to cause infertility in male patients. The diagnosis may be clinical or confirmed using imaging, with ultrasound being the modality of choice.
Author Affiliation Rajadurai Meenakshisundaram, MBBS, MD Apollo KH Hospital, Department of Emergency Medicine and Critical Care, Melvisharam, Tamil Nadu, India Joshua Vijay Joseph, MBBS, MEM, PG Apollo KH Hospital, Department of Emergency Medicine and Critical Care, Melvisharam, Tamil Nadu, India Prabakaran Perumal, MBBS Apollo KH Hospital, Department of Emergency Medicine and Critical Care, Melvisharam, Tamil […]
Author Affiliation Andrew Harkins, MD Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois Christine Bassig-Santos, BS Chicago Medical School at Rosalind Franklin University, North Chicago, Illinois Michael Cirone, MD Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois; University of Illinois-Chicago, Department of Emergency Medicine, Chicago, Illinois Case presentation Discussion […]
Author Affiliation Jason David, MD Nellis Air Force Base, Mike O’Callaghan Military Medical Center, Department of Emergency Medicine, Las Vegas, Nevada Jerad Eldred, MD University of Nevada, Las Vegas, University Medical Center of Southern Nevada, Department of Emergency Medicine, Las Vegas, Nevada David Raper, DDS Nellis Air Force Base, Mike O’Callaghan Military Medical Center, Department […]
Author Affiliation Alexandra H. Baker, MD Boston Children’s Hospital, Department of Pediatrics/Division of Emergency Medicine, Boston, Massachusetts; Harvard Medical School, Department of Pediatrics, Boston, Massachusetts Susan Lipsett, MD Boston Children’s Hospital, Department of Pediatrics/Division of Emergency Medicine, Boston, Massachusetts; Harvard Medical School, Department of Pediatrics, Boston, Massachusetts Case presentation Discussion ABSTRACT Case Presentation An eight-week-old […]
Author Affiliation John C. Bates, PA-C Einstein Healthcare Network, Department of Emergency Medicine, Philadelphia, Pennsylvania Victoria Kneller, DO Einstein Healthcare Network, Department of Emergency Medicine, Philadelphia, Pennsylvania Layla Abubshait, MD Einstein Healthcare Network, Department of Emergency Medicine, Philadelphia, Pennsylvania Case presentation Discussion ABSTRACT Case Presentation We describe a case of abdominal pain in a male […]
Author Affiliation Michael Muradian, MD Beaumont Health, Department of Emergency Medicine, Royal Oak, Michigan Stephen Fox, MD Beaumont Health, Department of Emergency Medicine, Royal Oak, Michigan Patrice Barish, MD Beaumont Health, Department of Emergency Medicine, Royal Oak, Michigan; Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Auburn Hills, Michigan Brett Todd, MD […]
Author Affiliation Kelechi Abarikwu, BS University of Arizona College of Medicine, Tucson, Arizona James S. Komara, DO Mayo Clinic, Department of Emergency Medicine, Phoenix, Arizona Andrej Urumov, MD Mayo Clinic, Department of Emergency Medicine, Phoenix, Arizona Case presentation Discussion ABSTRACT Case Presentation A 37-year-old man with severe obstructive sleep apnea presented to the emergency department […]
Author Affiliation Eddie X. Ortiz-Galloza, MD Kern Medical, Department of Emergency Medicine, Bakersfield, California Bianca Arechiga, DO Kern Medical, Department of Emergency Medicine, Bakersfield, California Jagdipak Heer, MD Kern Medical, Department of Emergency Medicine, Bakersfield, California Daniel Quesada, MD Kern Medical, Department of Emergency Medicine, Bakersfield, California Case presentation Discussion ABSTRACT Case Presentation We describe […]
Author Affiliation Juliana Wilson, DO, MPH University of Colorado Denver – Anschutz Medical Campus, Department of Emergency Medicine, Aurora, Colorado; Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado Matthew Mendes, MD University of Colorado Denver – Anschutz Medical Campus, Department of Emergency Medicine, Aurora, Colorado Marian E. Betz, MD, MPH University of Colorado […]
