Archives

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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Dyspnea in a Patient with Melanoma

Bontempo, MD, MEd, et al.

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.

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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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A Brush with Danger

Hirsch, MD, et al.

A five-year-old male presented to the emergency department (ED) after falling off a stool while brushing his teeth, resulting in a penetrating oropharyngeal injury.

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Point-of-care Cranial Ultrasound in a Hemicraniectomy Patient

Sarwal, MD, et al.

A 74-year-old male presented to the emergency department with right-sided weakness and confusion and was found to have a left parietal intraparenchymal hemorrhage with cerebral edema and left-to-right midline shift on non-contrast computed tomography (CT) of the head.

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A Case of Necrotic Skin Lesions on the Abdomen

Christians, DO, et al.

A 42-year-old female with a history of type II diabetes, partial left nephrectomy, and fibromyalgia was transferred from an outside hospital for concerns of a painful rash on her abdomen and flanks.

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Blinking Bug Bite

Miller, MD, et al.

A three-year-old female presented to a community emergency department with a one-day pruritic rash on her knee.

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This Rash Puts You in the ICU

Skaggs, MD, et al.

A 33-year-old female with a history of psoriasis presented to the emergency department with a diffuse, pruritic skin rash that had been progressive for two days.

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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

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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.