Clinicopathological Case

55-year-old Woman with Headache, Vomiting, and Visual Disturbance

Shaker, MD, et al.

A 55-year-old woman with a past medical history of hypertension, hyperlipidemia, and iron deficiency anemia presented to the emergency department with three days of headache, nausea, vomiting, and visual changes. Her vital signs were within normal limits. She was noted to have a left cranial nerve six palsy on exam.

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Beware of the Zebra: Nine-year-old with Fever

Lupez, MD, et al.

A nine-year-old female arrived to the emergency department (ED) with her parents who described a chief complaint for their daughter of “fever and vomiting.” They elaborated on the case and described that the patient had been experiencing diffuse abdominal pain, vomiting, intermittent subjective fevers, and decreased energy, with development of a mild headache earlier that day.

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54-Year-Old Female with a Syncopal Episode

Cimino-Fiallos, MD, et al.

A 54-year-old woman presented to the emergency department (ED) with a complaint of syncope. The patient was unable to offer any history, so all information was obtained from her friend, paramedics, and past records.

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29-year-old Woman with Dyspnea

England, MD, et al.

A 29-year-old female presented to the emergency department (ED) with a chief complaint of worsening dyspnea over the prior three weeks. Her shortness of breath was exacerbated by exertion and lying down. It was also worse at night.

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13-year-old Girl with Fevers

Cobb, MD, et al.

A 13-year-old African-American female presented to our pediatric emergency department (ED) with fever for eight days, as high as 103°F at home.

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Contact Information

WestJEM/ Department of Emergency Medicine
UC Irvine Health

333 The City Blvd. West, Rt 128-01
Suite 640
Orange, CA 92868, USA
Phone: 1-714-456-6389


ISSN: 1936-900X
e-ISSN: 1936-9018

ISSN: 2474-252X

Our Philosophy

Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.