Volume 15, Issue 4, July 2014
Jiro Tamura, MD et al.
A 59-year-old man had been admitted to our hospital three times with tarry stool, hematemesis, and abdominal discomfort. His medical history included no abdominal operation. Repeated upper endoscopy, colonoscopy, and computed tomography (CT) had been negative.
Volume 15, Issue 4, July 2014
Michael R. Minckler, MD et al.
A 51-year-old male with a history of chronic obstructive pulmonary disease and obstructive sleep apnea presents to the emergency department complaining of 48 hours of progressive right eye pain and swelling after he ran into his dresser while sleep-walking. He does not know which surface of the dresser contacted his eye. He denies changes in visual acuity, flashes, or floaters.
Volume 15, Issue 4, July 2014
Yalcin Golcuk, MD et al.
A 83-year-old man with a history of urinary stone disease presented to the emergency department with abdominal and right-sided flank pain. Examination demonstrated distended abdomen and right costovertebral angle tenderness.
Volume 15, Issue 4, July 2014
Caleb P. Canders, MD et al.
A 63-year-old man presented with abdominal distension and shortness of breath for two days. He reported flatus and denied chest pain, anorexia, vomiting, or abdominal pain.
Volume 15, Issue 4, July 2014
Landon A. Jones, MD et al.
A 37 year-old male presented after an altercation in which he was dragged by a vehicle. The patient was intoxicated and asking repetitive questions. He demonstrated significant facial trauma—including frank bloody discharge from both ears and dental trauma.
Volume 15, Issue 4, July 2014
Meghan Galer, MD et al.
A healthy 58-year-old man presented to the emergency department with right arm weakness first noticed while playing hockey that day. He could not recall the onset of injury, but endorsed several weeks of antecedent intermittent right shoulder discomfort.
Volume 15, Issue 2, March 2014
Amar Patel, MD et al.
A 58-year-old male with schizophrenia presented to the emergency department after being shot by law enforcement with two bean bag rounds. He was shot once in the upper abdomen.
Volume 15, Issue 2, March 2014
Christopher Coyne, MD et al.
A previously healthy 48 year-old male presented to the hospital with a 4-week history of “pimples” on his scrotum. This condition had progressively worsened, resulting in increased pain, swelling and redness to the genital region and buttocks.
Volume 15, Issue 2, March 2014
Nathan J. Cleveland, MD, MS et al.
A 28-year-old female was transferred to the emergency department from her physician’s office for further evaluation of tachycardia. She was being seen for a recent illness which included nausea, vomiting, diarrhea and fevers. The patient endorsed fatigue, dyspnea on exertion, and extremity edema. She had no chest pain or cough. Exam revealed a pale, fatigued, mildly ill-appearing female with bilateral lower extremity edema and diminished breath sounds on the right.
Volume 15, Issue 2, March 2014
Jayten Shook, DO et al.
A 25-year-old woman presented to the emergency department (ED) with 4 days of progressive, left-sided neck pain and swelling. Additional symptoms included sore throat, dysphagia and left otalgia.
Volume XV, Issue 1, February 2014
Francis M. Fesmire, MD et al.
Examination on arrival to the emergency department revealed altered mental status, right hemiplegia, forced leftward gaze, and complete aphasia. Patient was ineligible for tissue plasminogen (TPA) therapy due to unknown time of symptom onset. Computed University of Tennessee College of Medicine Chattanooga, Chattanooga, Tennessee Figure 1. Transverse (left) and coronal (right) computed tomography angiogram demonstrating abrupt cutoff of the left middle cerebral artery at the site of the thrombus (marked by arrows). Tomography angiogram (CTA) revealed occlusion of the left middle cerebral artery (MCA) with acute thrombus (Figure 1).
