Images In Emergency Medicine

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.

Read More

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.

Read More

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.

Read More

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.

Read More

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).

Read More

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.

Read More

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.

Read More

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.

Read More

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.

Read More

An Unexpected Diagnosis Presenting as Hip Pain After a Fall

Sauer, MD, MS, et al.

A 62 year old male presented to the emergency department with a complaint of two weeks of isolated left hip pain after slipping down two stairs three weeks prior to presentation. Initially well, the patient began experiencing progressive pain with ambulation. The patient’s history was significant for recurrence of rectal adenocarcinoma treated by surgical resection 10 years prior.

Read More

Ultrasound Detection of Patellar Fracture and Evaluation of the Knee Extensor Mechanism in the Emergency Department

Kiersten Carter, MD et al.

Traumatic injuries to the knee are common in emergency medicine. Bedside ultrasound (US) has benefits in the rapid initial detection of injuries to the patella. In addition, US can also quickly detect injuries to the entire knee extensor mechanism, including the quadriceps tendon and inferior patellar ligament, which may be difficult to diagnose with plain radiographs.

Read More

Point-of-Care Ultrasound to Diagnose a Simple Ranula

Ili Margalit, MD et al.

An 11-year-old previously healthy girl presented to the emergency department (ED) with three weeks of a rapidly progressive swelling underneath her tongue, causing difficulty in talking and eating. Physical examination revealed a 4.5 × 3 cm sublingual mass arising from the base of the tongue, around the midline (Figure 1). The mass was soft, movable and non-tender. The contents had a bluish hue, which was covered with normal appearing mucosa. A point-of-care ultrasound (POCUS) revealed a well-circumscribed homogenous cystic mass, separated from the muscular fibers of the tongue, without extravasation towards the neck (Figure 2) and without intra-cystic flow. A diagnosis of simple ranula was made.

Read More

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

CC-BY_icon.svg

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.