Archives

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.

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Accidental Ingestion of Hearing Aid with Exposed Battery

Kunstadt, MD, et al.

A 59-year-old female presented to the emergency department (ED) three days after accidental ingestion of an intact in-the-ear hearing aid. This is the first report of ingestion of a complete hearing aid traveling past the gastroesophageal junction.

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Management of Complex Facial Lacerations in the Emergency Department

Badeau, MD, et al.

A 34-year-old male presented to the ED as a trauma activation. He was the restrained driver in a single-car motor vehicle accident in which he sustained burns to the bilateral upper extremities, left-sided rib fractures, a right femoral neck fracture, open right tibia/fibula fractures, and full-thickness lacerations to his face.

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Takotsubo Cardiomyopathy Presenting as Wellens’ Syndrome

Taylor, DO, et al.

A 65-year-old female with a history of a seizure disorder was brought to the emergency department (ED) by ambulance after experiencing three seizures earlier in the day. Emergency medical services personnel were present for the third seizure and treated her with diazepam 5 mg intravenously prior to arrival to the hospital.

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“A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus

Kiyani, MD, et al.

A 56-year-old female with history of non-small cell lung cancer, hypertension, recently treated H. pylori infection and diabetes presented to a local emergency department (ED) twice in a week with the complaints of worsening nausea and bilious emesis over a one-month period while she was receiving chemotherapy.

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Testicular Rupture: A Tough Nut to Crack

Holliday, MD, et al.

Blunt scrotal injury represents a diagnostic dilemma for emergency physicians (EP). Consequently, point-of-care ultrasound (POCUS) has emerged as a tool for early investigation of the acute scrotum in the emergency department.

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Abiotrophia defectiva Endocarditis: An Easy Miss

Escarcega, MD, et al.

Subacute endocarditis often presents with an indolent course. A potentially lethal form generated by infection with Abiotrophia defectiva may be easily overlooked early in its presentation. This report discusses the case of an 18-year-old male discovered to have severe endocarditis after presenting to the emergency department with the chief complaint of foot pain.

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Remote Management of Atrial Fibrillation: A Case Report

Chiu, MD, MBA, et al.

We report a case of new-onset atrial fibrillation with rapid ventricular response in a 37-year-old male who presented to the emergency department. This patient was not admitted to the hospital or placed on observation, but rather placed on a cellular outpatient 12-lead telemetry (COTLT) device with emergency response capabilities and discharged home.

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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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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.