Archives

A Toddler with Spontaneous Pneumomediastinum

Chow, MD, et al.

An 18-month-old female with unremarkable birth history presented to the emergency department (ED) for drooling and “difficulty breathing.” She had three days of cough and rhinorrhea, but otherwise no reports of fever, vomiting, trauma, foreign-body ingestion or aspiration. Her vaccinations were up to date.

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Female with Abdominal Wall Mass

Koo, MD, et al.

A 32-year-old female with a past surgical history of a low transverse Cesarean section presented to the emergency department with a left lower quadrant abdominal mass and pain.

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Man with Scrotal Rupture

Perechocky, MD, et al.

A 55-year-old male presented to the emergency department (ED) with scrotal pain and swelling. He reported that four months prior, he fell and sustained minor trauma to his scrotum.

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A Case of Syncope

Dwyer, MD, et al.

An 88-year-old female presented to the emergency department (ED) after a syncopal event. Upon arrival, the patient was awake and complaining of chest pain.

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Severe Bilateral Ear Pain

Canine, DO, MS, et al.

A 23-year-old female presented to the emergency department five weeks post-partum for headache, severe bilateral ear pain, and left ear drainage.

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Post-Cholecystectomy Syndrome

Moore, MD, et al.

A 32-year-old female with a history of cholecystectomy three years prior, presented to the emergency department with epigastric pain.

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Aortic Pseudo-dissection

Huesgen, MD, et al.

A 21-year-old female with a past medical history significant for asthma and oral contraceptive use presented complaining of shortness of breath and wheezing.

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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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Right Atrial Thrombus or Chiari Network?

Fredericks, BS, et al.

A 31-year-old African-American male with known sickle cell disease presented to the emergency department (ED) with a one-week history of chest pain and bilateral leg pain.

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Aortoesophageal Fistula

Roten, DO, et al.

A 90-year-old female presented after sudden collapse with a Glasgow Coma Score of 3, and profound hypotension.

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A Man with Cyanotic Digits

Wiskel, MD, et al.

A 37-year-old right-handed male auto mechanic with a 40 pack-year smoking history presented to the emergency department with progressive digital pain, cyanosis and paresthesias to his right hand over the prior month.

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Adult Male with Neck Pain

Natsui, MD, et al.

A 19-year-old male presented to the emergency department after a fall while playing soccer. He attempted to head the ball but instead fell backwards, hitting his head and neck on the ground. He did not lose consciousness but developed immediate pain along the right side of his neck.

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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.