Images In Emergency Medicine

Cauda Equina syndrome

A 26-year-old male with a history of a work-related back injury presented to the emergency department complaining of several weeks of low back pain radiating down his left leg.

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Periorbital Noise

A 54-year-old man presented to the emergency department with a Glasgow Coma Score of 8 after throwing himself out of a window.

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Critical Care

Spontaneous Pneumomediastinum

A 23-year-old male presented to the emergency department (ED) with sore throat, chest pain and shortness of breath that started two days prior to his arrival and gradually increased in severity.

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Critical Care

Monomorphic Ventricular Tachycardia

An 83-year-old male with known coronary artery disease presented to our emergency department (ED) with a complaint of palpitations and associated minor chest discomfort while on his way to play a round of golf.

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Pelvic Digit

A 48-year-old female with systemic lupus erythematosus and renal failure was admitted to the hospital with pyelonephritis.

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Dermatomyositis

A 41-year-old Guatemalan woman with a history of remote uterine cancer presented to an urban community Emergency Department complaining of a pruritic, initially painful rash on her chest, eyelids, thighs, and elbows for three weeks.

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Pacemaker Extrusion Causing Chest Pain

A 55-year-old Hispanic male had a pacemaker placed in Mexico approximately one year prior to presenting to the Emergency Department. He noticed minor discomfort in his left chest one month earlier but did not see a physician.

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Left Atrial Myxoma

A 64-year-old white male presented to the Emergency Department with complaints of 24 hours of right lower quadrant abdominal pain.

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Traumatic Pneumocephalus

A six-year-old female was evaluated at the Emergency Department after being struck by an automobile driving 15–20 mph through a pedestrian crosswalk.

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Lisfranc Fracture-Dislocation

A 22-year-old intoxicated male presented to the emergency department after jumping from a second-story window, landing on his right foot. He was able to ambulate with a great deal of pain across the dorsum of his foot. Physical examination revealed significant tenderness to palpation over the second metatarsal with minimal edema.

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Retropharyngeal Abscess

A 40-year-old female presented to the emergency department with a one-week history of URI symptoms and a one-day history of more severe throat pain and swelling.

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Retinal Detachment

A 62-year-old Asian male with a past medical history significant for diabetes mellitus, hypertension, and prior surgical correction of a retinal detachment of the right eye presented to the emergency department (ED) for further evaluation of an abnormal examination by his optometrist.

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Aortic Dissection

A 42-year-old patient presented with chest pain and shortness of breath. The pain was atypical for cardiac disease, started suddenly, occurred at rest and was non-radiating.

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CSF Hydrothorax

A 30-year-old African-American female presented to the Emergency Department with a complaint of a cough for two months.

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Contact Information

WestJEM/ Department of Emergency Medicine
UC Irvine Health

3800 W Chapman Ave Ste 3200
Orange, CA 92868, USA
Phone: 1-714-456-6389
Email: editor@westjem.org

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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.