Neuroleptic malignant syndrome (NMS) is a rare but potentially fatal complication resulting from neuroleptic drug therapy. Presentation of NMS can vary, and diagnosis relies primarily upon medical history and symptomatology.
We present the first case of successful naloxone reversal of opioid toxidrome from recreationally used kratom. We advocate further research and regulation to ensure standardized dosing to protect patients.
This case report of an 18-year-old woman with suicidal ideation illustrates the practicality and utility of a brief, single-session, crisis intervention model that facilitated discharge from the ED. This report will help practitioners to apply this model in their own practice and identify patients who may require psychiatric hospitalization.
Here we report a case of a female who presented to the emergency department in acute respiratory distress two days after receiving a transfusion of packed red blood cells for post-operative anemia following a hysterectomy.
We present a woman with bilateral VP shunts who presented with right-sided abdominal distension, pain, and tenderness and who was found to have an abdominal pseudocyst on point-of-care ultrasound and computed tomography.
We report a case of acute necrotizing eosinophilic myocarditis (ANEM) secondary to drug rash with eosinophilia and systemic symptoms (DRESS) related to administration of minocycline.
In this report we discuss the case of a female patient who presented with a ruptured ectopic pregnancy and hemoperitoneum despite a correctly positioned IUD.
This is a report of a 78-year-old male with an incomplete immunization history who presented to an emergency department with jaw pain and who was ultimately diagnosed with tetanus. This report highlights the importance of prompt diagnosis, treatment, and prevention of tetanus.
A 23-year-old man with acute lymphoblastic leukemia presented to the emergency department without any history of constitutional symptoms (fatigue, anorexia, or weight loss), dyspnea, bruising, or bleeding.
Tubal ectopic pregnancies are commonly diagnosed during the first trimester. Here we present a second-trimester tubal ectopic pregnancy that was previously misdiagnosed as an intrauterine pregnancy on a first-trimester ultrasound.
A 34-year-old female with a history of methamphetamine-associated cardiomyopathy presented to the emergency department (ED) with generalized weakness, altered mental status, and chest pain.
A 30-year-old man presented to the emergency department (ED) complaining of right-hand pain after punching a wall in anger approximately one hour prior to arrival.
A 50-year-old woman with widely metastatic melanoma presented to the emergency department with dyspnea. She was found to be tachypneic, hypoxic, tachycardic, and hypotensive.
A 33-year-old obese male with a history of well-controlled type II diabetes and hyperlipidemia presented to the emergency department with a one-day history of recurrent non-bloody diarrhea and abdominal pain in the morning progressing to significant nausea, increased non-radiating abdominal pain, and multiple episodes of non-bilious, non-bloody emesis in the evening.
A 55-year-old female presented to the emergency department with an enlarging forehead mass after a fall with head injury two weeks prior. She reported focal, tender swelling to her right forehead and headache.
A 32-year-old female gravida 3 para 2 presented to the emergency department (ED) with two weeks of hyperpigmented macular and blistering rash involving bilateral upper and lower extremities (Image 1) and trunk (Image 2).
An 81-year-old male was referred by his general practitioner with a troponin-T of 153 nanograms per liter (ng/L) (reference range <5 ng/L) and chest pain ongoing for 13 hours on arrival.
A 25-year-old female with a history of sickle cell disease (on prophylactic penicillin VK) and venous thromboembolic disease (on oral anticoagulation with apixaban) presented to the emergency department with one week of right-sided neck pain and subjective fevers, and a one day history of trismus.
In this article, we present two medicolegal cases illustrating medical and diagnostic pitfalls that can lead to litigation for missed testicular torsion.
