Atypical Fungal Rash

Adel, MD, et al.

A 73-year-old man with rheumatoid arthritis on prednisone (10 milligrams [mg] daily routinely, and increased to 40 mg daily during frequent exacerbations) presented to the emergency department with chills and a leg rash.

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A Man with Severe Right Knee Pain

Takeda, MD, et al.

A 29-year-old man with no significant medical history presented to the emergency department with severe pain, swelling, and inability to move his right knee.

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Young Male with Seizures

Ayyan, MD, et al.

A 30-year-old Asian male presented with a history of generalized tonic-clonic seizures an hour before presenting to emergency department.

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Multiple Carpometacarpal Dislocations

Davies, MD, et al.

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.

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A Benign Case of Hepatic Gas

Hou, MS, et al.

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.

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Pemphigoid Gestationis

Kukkamalla, MD, et al.

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).

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Patient with Swollen Neck

Elagandhala, MD, et al.

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.

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Mercury Ingestion

Amin, DO, et al.

A 30-year-old male with history of bipolar disorder and previous incident of elemental mercury ingestion in a suicide attempt, presented to the emergency department with new-onset nausea and vomiting.

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Massive Right Breast Hematoma

Amin, DO, et al.

A 53-year-old female with a history of hypertension, congestive heart failure, and generalized anxiety disorder taking 81 milligrams of aspirin daily presented as a trauma activation following a motor vehicle collision.

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Eagle Syndrome

Bremmer, DO, et al.

A 30-year-old male presented to the emergency department with intermittent neck pain, dysarthria, right facial droop, right-sided facial paresthesias and right upper extremity weakness for several days prior.

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Donut Sign on Magnetic Resonance Angiography: Interpret with Caution

Gudivada, MD, et al.

We present two cases of cerebrovascular accidents. Case #1: A 24-year-old man presented with open fractures of the left femur and tibia after a motor vehicle collision. Case #2: A 26-year-old man presented to the emergency department after eight hours with hemiplegia and global aphasia.

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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


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

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.