Images In Emergency Medicine

Post-Cholecystectomy Syndrome

Moore, MD, et al.

A 32-year-old female with a history of cholecystectomy three years prior, presented to the emergency department with epigastric pain.

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Aortic Pseudo-dissection

Huesgen, MD, et al.

A 21-year-old female with a past medical history significant for asthma and oral contraceptive use presented complaining of shortness of breath and wheezing.

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A Case of Erythema Nodosum with Coccidioidomycosis

Said, BS, et al.

Erythema nodosum (EN) is associated with many systemic diseases and infections. This case report provides an image of erythematous nodules, an overview of the various causes of EN, and the laboratory tests and imaging that can be done in the emergency department to narrow its broad differential diagnosis.

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Paratracheal Cysts

Mohebbi, MD, et al.

A 38-year-old male with no significant past medical history presented to the emergency department with pain and swelling on the left mandibular area and the right upper quadrant of the abdomen after a reported assault in which he was punched in the face and kicked in the right chest wall during a fight at a bar.

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Right Atrial Thrombus or Chiari Network?

Fredericks, BS, et al.

A 31-year-old African-American male with known sickle cell disease presented to the emergency department (ED) with a one-week history of chest pain and bilateral leg pain.

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Aortoesophageal Fistula

Roten, DO, et al.

A 90-year-old female presented after sudden collapse with a Glasgow Coma Score of 3, and profound hypotension.

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A Man with Cyanotic Digits

Wiskel, MD, et al.

A 37-year-old right-handed male auto mechanic with a 40 pack-year smoking history presented to the emergency department with progressive digital pain, cyanosis and paresthesias to his right hand over the prior month.

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Adult Male with Neck Pain

Natsui, MD, et al.

A 19-year-old male presented to the emergency department after a fall while playing soccer. He attempted to head the ball but instead fell backwards, hitting his head and neck on the ground. He did not lose consciousness but developed immediate pain along the right side of his neck.

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Intercostal Lung Herniation

Manthey, MD, et al.

A pleasant 51-year-old gentleman began to experience right chest wall discomfort approximately one month prior to his presentation to the emergency department (ED).

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Adult Female with a Headache

Wittbold, MD, et al.

A 38 year old female with a history of a right foot drop after medial facetectomies (L4-L5, L5-S1) and micro-discectomy (L4-L5) eight weeks prior presented to the emergency department (ED) with two weeks of headache and neck pain.

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Phytophotodermatitis

Smith, MD, et al.

A 22-year-old college student presented to the emergency department with a painful rash to her left upper extremity.

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Pediatric Oral Commissure Burn

Hoffman, DO, et al.

A five-year-old male presented to the emergency department at 2 a.m. after having bitten through a television power cable and suffering a burn injury to his mouth 20 minutes prior to arrival.

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The Daughter Cyst

Kyle, DO, et al.

A 35-year-old woman, gravida 4 para 3 estimated at 9+1 weeks gestational age by uncertain last menstrual period, presented with vaginal bleeding.

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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
Email: westjem@gmail.com

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

CPC-EM
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.