{"status":"ok","elements":" <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/capnocytophaga-ochracea-septicemia-after-a-dog-bite-the-case-of-a-usual-suspect-transmitting-an-unusual-organism.html\">Capnocytophaga ochracea Septicemia After a Dog Bite: The Case of a Usual Suspect Transmitting an Unusual Organism<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.5826'  style='float: right; ' ><\/div><p>Author Affiliation Clifford Chang, MD Inspira Health Network, Department of Emergency Medicine, Vineland, New Jersey Vakula Atthota, MD Inspira Health Network, Department of Infectious Diseases, Vineland, New Jersey; Inspira Health Network, Department of Internal Medicine, Vineland, New Jersey Madison Lord, DO Inspira Health Network, Department of Internal Medicine, Vineland, New Jersey Michael P. Bonk, MD [&hellip;]<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/brugada-syndrome-and-sudden-cardiac-death-an-electrocardiographic-history.html\">Brugada Syndrome and Sudden Cardiac Death: An Electrocardiographic History<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.19477'  style='float: right; ' ><\/div><p>Mark L. Moubarek, MD<\/p>\n<p>A 22-year-old male with a history of anti-neutrophil cytoplasmic antibody vasculitis, renal transplant, hypertension, and no known family history of sudden cardiac death suffered a witnessed cardiac arrest. An initial rhythm strip recorded by emergency medical services revealed ventricular fibrillation. Return of spontaneous circulation was achieved after three rounds of cardiopulmonary resuscitation, defibrillation, and intravenous epinephrine. The patient was brought to the emergency department and admitted to the intensive care unit. He was diagnosed with Brugada syndrome, and an automatic implantable cardioverter-defibrillator (AICD) was placed after discharge.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/atraumatic-infected-septal-hematoma-in-a-pediatric-patient.html\">Atraumatic Infected Septal Hematoma in a Pediatric Patient<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.19476'  style='float: right; ' ><\/div><p>Osher Shefer, MD<\/p>\n<p>We present a case of a 10-year-old male who developed an atraumatic, nasal septal hematoma with abscess following several days of rhinorrhea and cough. His chief complaint to the emergency department was a two-day history of nasal swelling and discomfort, associated with difficulty breathing through his nose. The patient was well-appearing with swelling and tenderness along the external nasal ridge and nasal septal swelling that occluded both nares. Contrast-enhanced maxillofacial computed tomography revealed a rim-enhancing, fluid-filled collection to the anterior nasal septum. The patient underwent successful incision and drainage by otolaryngology.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/painful-enlarging-cervical-mass-in-young-male.html\">Painful Enlarging Cervical Mass in Young Male<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.6664'  style='float: right; ' ><\/div><p>Jacob Lawing, MD<\/p>\n<p>A 32-year-old male who recently immigrated from Kenya presented to the emergency department (ED) with a painful, enlarging, right-sided neck mass for eight weeks duration. Point-of-care ultrasound was used to reveal a large cystic mass with internal septations and numerous hypoechoic round lesions. Initial tuberculosis blood test ordered in the ED was positive with cultures ultimately growing Mycobaceterium tuberculosis.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/point-of-care-ultrasound-for-earlier-detection-of-pediatric-pneumonia.html\">Point-of-Care Ultrasound for Earlier Detection of Pediatric Pneumonia<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.7216'  style='float: right; ' ><\/div><p>John H. Priester, MD<\/p>\n<p>An 8-month-old infant presented to a general emergency department with chief complaints of rhinorrhea, decreased activity, and fever. A point-of-care lung ultrasound (LUS) was performed at bedside with potential early findings of pneumonia. Based on these findings on LUS, a chest radiograph (CXR) was ordered and performed with no acute findings. He was discharged without antibiotics based on these findings; unfortunately, he returned two days later with worsening symptoms requiring chest tube placement, mechanical ventilation, and prolonged hospitalization for complicated bacterial pneumonia.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/a-woman-with-right-shoulder-pain.html\">A Woman with Right Shoulder Pain<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.7200'  style='float: right; ' ><\/div><p>Kitan Akinosho, MD<\/p>\n<p>We report a case of an 89-year-old female who presented with pain in her right shoulder following a fall onto her outstretched hand. Upon presentation, her right hand was held behind her head and elbow held above her head in flexion. There was obvious deformity seen and felt in her axilla. Radiograph of the shoulder showed an inferior shoulder dislocation and impacted humeral neck fracture. Given her age and comorbid osteoporosis, a bedside reduction was performed by orthopedics where the humeral head was intentionally dislocated from the humeral shaft. Thirteen days after the initial shoulder dislocation, the patient\u2019s shoulder was successfully repaired by open reduction.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/spinal-arachnoid-web.html\">Spinal Arachnoid Web<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.7189'  style='float: right; ' ><\/div><p>Maiya Smith, MD<\/p>\n<p>We describe a case of a 57-year-old male with multiple medical comorbidities who presented to the emergency department with a two-week history of upper back pain with associated numbness. Physical exam demonstrated sensory loss in a bilateral third and fourth thoracic dermatome distribution. The diagnosis of spinal arachnoid web was made based on neurological exam and imaging findings.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/point-of-care-ultrasound-diagnosed-intraocular-breast-metastasis.html\">Point-of-care Ultrasound Diagnosed Intraocular Breast Metastasis<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.1686'  style='float: right; ' ><\/div><p>Hamzah M. Yusuf, MD<\/p>\n<p>A 60-year-old female presented to the emergency department with unilateral eye pain and vision loss. Point-of-care ultrasound (POCUS) was performed, which demonstrated ocular metastatic lesions of breast cancer.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/bezold-abscess-in-a-case-of-eosinophilic-otitis-media.html\">Bezold Abscess in a Case of Eosinophilic Otitis Media<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.21313'  style='float: right; ' ><\/div><p>Satoshi Tsuruta, MD<\/p>\n<p>A 57-year-old man with a history of bronchial asthma and eosinophilic sinusitis presented to the emergency department with an exacerbation of otitis media. His primary complaints were otopyorrhea, headache, and neck pain with redness. Contrast-enhanced computed tomography revealed a posterior neck abscess contiguous with the mastoid process. The patient underwent mastoidectomy and received antimicrobial therapy. Eosinophilic granulation tissue in the middle ear obstructed the middle ear aditus and directed the inflammatory process toward the mastoid tip.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/median-nerve-measurement-and-steroid-injection-for-carpal-tunnel-syndrome-a-case-report.html\">Median Nerve Measurement and Steroid Injection for Carpal Tunnel Syndrome: A Case Report<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.7194'  style='float: right; ' ><\/div><p>Gregory Oliva, DO<\/p>\n<p>Carpal tunnel syndrome is an entrapment neuropathy that affects 3% of adults in the United States. The current techniques used for diagnosis have limited specificity\/sensitivity, and the techniques used for treatment have limited efficacy.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/spontaneous-hemothorax-from-pulmonary-intralobar-sequestration-a-case-report.html\">Spontaneous Hemothorax from Pulmonary Intralobar Sequestration: A Case Report<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.3259'  style='float: right; ' ><\/div><p>Clayton Korson, MD<\/p>\n<p>Pulmonary sequestration is a rarely reported phenomenon where aberrant lung tissue exists independently from the rest of the tracheobronchial network. Complications may include hemothorax; however, there is a paucity of descriptions of this condition in the literature.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/pupil-unleashed-unraveling-the-enigma-of-an-unusual-traumatic-head-injury-a-case-report.html\">Pupil Unleashed: Unraveling the Enigma of an Unusual Traumatic Head Injury: A Case Report<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.20308'  style='float: right; ' ><\/div><p>Akash Daswaney, MBBS<\/p>\n<p>Isolated oculomotor nerve palsy after mild traumatic brain injury is unusual and prognostically significant due to unclear mechanisms and recovery challenges. We present a case of isolated oculomotor nerve palsy following minor head trauma, shedding light on this unusual occurrence.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/k-cramps-recurrent-abdominal-pain-in-a-patient-with-chronic-ketamine-use-a-case-report.html\">&ldquo;K Cramps,&rdquo; Recurrent Abdominal Pain in a Patient with Chronic Ketamine Use: A Case Report<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.19431'  style='float: right; ' ><\/div><p>Tucker Avra, DVM<\/p>\n<p>Medical and nonmedical ketamine use is increasing in the United States. This will likely lead to an increase in emergency department (ED) visits in individuals experiencing associated side effects. Physicians will need to be able to effectively recognize and manage ketamine-related complications.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/community-acquired-candida-albicans-empyema-leading-to-tension-physiology-a-case-report.html\">Community-Acquired Candida albicans Empyema Leading to Tension Physiology: A Case Report<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.19426'  style='float: right; ' ><\/div><p>Jason Cinti, DO<\/p>\n<p>A tension empyema, in which purulent material accumulates in the chest cavity and leads to cardiopulmonary dysfunction, is a rare complication of empyemas. Moreover, fungal empyemas that grow Candida albicans and cause tension physiology have not yet been previously described.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/tension-pyopneumothorax-in-an-immunocompetent-adolescent-a-case-report.html\">Tension Pyopneumothorax in an Immunocompetent Adolescent: A Case Report<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.6590'  style='float: right; ' ><\/div><p>Elizabeth May-Smith, MD<\/p>\n<p>Tension pyopneumothorax is a rare, life-threatening condition that occurs as a complication of intrathoracic infection or bronchopleural fistula. In the few cases reported in the literature, the patients typically have multiple comorbidities, underlying lung disease, and\/or an immunocompromised state.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder --> <div class=\"wmle_item_holder col2\" style=\"display:none;\">\n\n\n\n    <div class=\"wmle_item\">\n\n    \n\n        \n\n        <h3 class=\"title\">\n\n            <a href=\"https:\/\/westjem.com\/articles\/angioedema-secondary-to-tenecteplase-use-in-a-patient-with-acute-ischemic-stroke-a-case-report.html\">Angioedema Secondary to Tenecteplase Use in a Patient with Acute Ischemic Stroke: A Case Report<\/a>\n\n        <\/h3>\n \n        <div class=\"teaser\">\n        <script type='text\/javascript'>\n    _altmetric_embed_init();\n    <\/script>\n         <div class='altmetric-embed' data-badge-type='small-badge' data-doi='10.5811\/cpcem.7190'  style='float: right; ' ><\/div><p>Babette Newman, DO<\/p>\n<p>Angioedema, a swelling of the subcutaneous or submucosal layers of the skin or gastrointestinal tract, is a potential complication to thrombolytic therapy in the treatment of acute ischemic strokes. In these cases, angioedema develops due to increased levels of bradykinin as a result of the activation of the fibrinolytic pathway and contact activation system. Angioedema can involve the tongue, larynx, and vocal cords, leading to occlusion of the airway and death due to asphyxiation. It is vital for the emergency physician to know that this complication can occur to ensure appropriate monitoring for development of angioedema.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/articles\" title=\"View all posts in Articles\">Articles<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder -->","max_pages":190}