{"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\/case-report\/critical-point-of-care-ultrasound-diagnosis-of-fourniers-gangrene-a-case-report.html\">Critical Point-of-care Ultrasound Diagnosis of Fournier\u2019s Gangrene: 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.2021.11.54849'  style='float: right; ' ><\/div><p>Lauren Ramm, MD<\/p>\n<p>Fournier\u2019s gangrene is a severe, necrotizing, and potentially fatal, soft tissue infection of the perineum that can be difficult to diagnose clinically. Point-of-care ultrasound (POCUS) has established a critical role in emergency medicine as a quick diagnostic tool due to its safety, accuracy, and cost effectiveness.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/case-report\" title=\"View all posts in Case Report\">Case Report<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/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\/case-series\/nebulized-tranexamic-acid-in-secondary-post-tonsillectomy-hemorrhage-case-series-and-review-of-the-literature.html\">Nebulized Tranexamic Acid in Secondary Post-Tonsillectomy Hemorrhage: Case Series and Review of the Literature<\/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.2021.5.52549'  style='float: right; ' ><\/div><p>Mira Dermendjieva, PharmD, BCCCP<\/p>\n<p>Post-tonsillectomy hemorrhage is a serious postoperative complication, and its acute management can present a challenge for the emergency provider. Although various strategies have been proposed, guidance on the best approach for management of this condition in the emergency department (ED) setting remains limited. Anecdotal reports of the use of nebulized tranexamic acid (TXA) for management of tonsillar bleeding have emerged over the past two years. Two recently published case reports describe the successful use of nebulized TXA for stabilization of post-tonsillectomy hemorrhage in an adult and a pediatric patient.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/case-series\" title=\"View all posts in Case Series\">Case Series<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/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\/cpc-em\/three-cases-of-emergency-department-medical-malpractice-involving-consultations-how-is-liability-legally-determined.html\">Three Cases of Emergency Department Medical Malpractice Involving \u201cConsultations\u201d: How Is Liability Legally Determined?<\/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.2021.7.52680'  style='float: right; ' ><\/div><p>Alaa Aldalati, MBBS<\/p>\n<p>This article presents three successfully litigated medical malpractice cases involving emergency physicians and consultants. We discuss the respective case medical diagnoses, as well as established legal principles that determine in a court proceeding which provider will be liable. Specifically, we explain the legal principles of \u201cpatient physician relationship\u201d and \u201caffirmative act.\u201d<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/medical-legal-case-reports\" title=\"View all posts in Medical Legal Case Reports\">Medical Legal Case Reports<\/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\/cpc-em\/19-year-old-woman-with-intermittent-weakness.html\">19-year-old Woman with Intermittent Weakness<\/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.2021.4.52011'  style='float: right; ' ><\/div><p>Garrett A. Cavaliere, DO, NRP<\/p>\n<p>Systemic weakness is a common chief complaint of patients presenting to the emergency department (ED). A well thought out approach to the assessment and workup of these patients is key to diagnostic accuracy and definitive therapy.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/clinicopathological-cases-from-the-university-of-maryland\" title=\"View all posts in Clinicopathological Cases from The University of Maryland\">Clinicopathological Cases from The University of Maryland<\/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\/images-in-emergency-medicine\/man-with-penile-pain.html\">Man with Penile 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.2020.7.47903'  style='float: right; ' ><\/div><p>Jesse Wray, MD<\/p>\n<p>We describe a case of spontaneous partial segmental thrombosis of the corpus cavernosum (PSTCC).<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/point-of-care-ultrasound-in-the-diagnosis-of-calciphylaxis.html\">Point-of-care Ultrasound in the Diagnosis of Calciphylaxis<\/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.2020.7.47886'  style='float: right; ' ><\/div><p>Natasha Tobarran, DO<\/p>\n<p>A 63-year-old male with a past medical history of end stage renal disease presented to the emergency department with painful, lower-extremity necrotic ulcerations. Ultrasound and computed tomography imaging showed concerns for calcium deposits. Biopsy confirmed the diagnosis of calciphylaxis, a rare lethal disease.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/point-of-care-ultrasound-for-long-head-of-the-biceps-tendon-rupture.html\">Point-of-care Ultrasound for Long Head of the Biceps Tendon Rupture<\/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.2020.7.47777'  style='float: right; ' ><\/div><p>Browning S. Wayman, MD, DTM&#038;H<\/p>\n<p>We present a case of a 59-year-old male who presented to the emergency department with left upper arm pain that started suddenly after lifting some plywood a few days prior. Point-of-care ultrasound (POCUS) was performed, which revealed a rupture of the long head of the biceps tendon.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/bilateral-foot-skin-eruption-in-a-hepatitis-c-patient.html\">Bilateral Foot Skin Eruption in a Hepatitis C 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.2020.7.46490'  style='float: right; ' ><\/div><p>Shane Davis, MD<\/p>\n<p>A 58-year-old female with history of hepatitis C virus presented to the emergency department with a bilateral skin eruption to her feet for one year. Following skin biopsy, the patient was diagnosed with Necrolytic acral erythema (NAE). She was treated with clobetasol ointment, zinc supplementation, and mupirocin, which resulted in improvement in her symptoms.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/carotid-artery-dissection-as-a-result-of-penetrating-ear-trauma.html\">Carotid Artery Dissection as a Result of Penetrating Ear Trauma<\/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.2020.6.47537'  style='float: right; ' ><\/div><p>Nicholas Peairs, MD<\/p>\n<p>Here we present the case of a previously healthy 67-year-old female with carotid artery dissection as a result of penetrating ear trauma.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/a-case-of-a-missing-proximal-humerus.html\">A Case of a Missing Proximal Humerus<\/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.2020.6.48396'  style='float: right; ' ><\/div><p>Jessica Lynn Williams, MD<\/p>\n<p>In this case, we demonstrate how a small radiolucency in the proximal humerus can progress to an even larger problem within a few months in a patient without follow-up. Our patient\u2019s ultimate diagnosis was renal cell carcinoma with metastasis to the right proximal humerus, completely obliterating the affected bone.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/use-of-point-of-care-ultrasound-for-the-seizing-infant-an-adjunct-for-detection-of-abusive-head-trauma.html\">Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma<\/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.2020.6.48207'  style='float: right; ' ><\/div><p>Jonathan Rowland, MD<\/p>\n<p>An eight-week-old infant presented to the emergency department in cardiac arrest. Return of spontaneous circulation was obtained and the patient subsequently began seizing. Point-of-care ultrasound of the anterior fontanelle revealed an extra-axial fluid collection consistent with subdural hematoma (SDH).<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/tubelight-adrenals-in-diabetic-ketoacidosis.html\">Tubelight Adrenals in Diabetic Ketoacidosis<\/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.2020.6.47617'  style='float: right; ' ><\/div><p>Prakrati Yadav, MBBS<\/p>\n<p>We report a patient with the triad of diabetic ketoacidosis, hypertriglyceridemia, and acute pancreatitis associated with computed tomography hypoperfusion complex and adrenal hyperdensity on abdominal imaging \u2013 an association not previously reported in diabetic ketoacidosis.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/hirschsprungs-disease-a-rare-adult-diagnosis.html\">Hirschsprung\u2019s Disease: A Rare Adult Diagnosis<\/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.2020.6.46492'  style='float: right; ' ><\/div><p>Kaitlyn Schmutz, PA-C<\/p>\n<p>Approximately 94% of patients with Hirschsprung\u2019s disease (HD) are diagnosed before the age of five. In our case, a young adult with years of constipation presented to the emergency department with significant abdominal distention. He was ultimately diagnosed with HD, which was identified using computed tomography (CT).<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/rare-cause-of-syncope-in-a-gravid-female.html\">Rare Cause of Syncope in a Gravid Female<\/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.2020.5.46948'  style='float: right; ' ><\/div><p>Andrew Bellino, MD<\/p>\n<p>A 33-year-old gravid female was brought to the emergency department after she collapsed in the street. Point-of-care ultrasound showed free fluid in the abdomen and confirmed an intrauterine pregnancy. Surgical teams were consulted, and cross-sectional imaging revealed a spontaneously ruptured splenic artery aneurysm (SAA). The patient was taken expeditiously to the operating room for splenic artery ligation and subsequent splenectomy.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/de-winter-t-wave-pattern-in-proximal-left-anterior-descending-artery-occlusion.html\">De Winter T-wave Pattern in Proximal Left Anterior Descending Artery Occlusion<\/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.2020.5.47322'  style='float: right; ' ><\/div><p>David Gregory, MD<\/p>\n<p>We describe a case of an acute myocardial infarction with an atypical electrocardiogram showing a de Winter T-wave pattern suggesting the 100% proximal left anterior descending artery occlusion seen on emergent cardiac catheterization.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/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\/images-in-emergency-medicine\/symptomatic-aortic-endograft-occlusion-in-a-70-year-old-male.html\">Symptomatic Aortic Endograft Occlusion in a 70-year-old 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.2020.5.46734'  style='float: right; ' ><\/div><p>Jose Cardenas, MD<\/p>\n<p>A 70-year-old male with prior aorta endovascular aneurysm repair presented with progressive lower extremity weakness over the course of several hours. There was noted loss of palpable bilateral femoral pulses in the emergency department. Computed tomography angiography revealed a kinked and occluded aortic endograft. He subsequently underwent successful axillobifemoral bypass revascularization.<\/p>\n        <\/div>\n\n        <div class=\"topmeta\">\n     <\/div>\n\n     <div class=\"metacats\">\n<a href=\"https:\/\/westjem.com\/cpc-em\" title=\"View all posts in Clinical Cases and Reports in EM\">Clinical Cases and Reports in EM<\/a> | <a href=\"https:\/\/westjem.com\/cpc-em-volume-4-issue-3\" title=\"View all posts in CPC-EM: Volume 4 Issue 3\">CPC-EM: Volume 4 Issue 3<\/a> | <a href=\"https:\/\/westjem.com\/images-in-emergency-medicine\" title=\"View all posts in Images In Emergency Medicine\">Images In Emergency Medicine<\/a>     <\/div>\n\n    <\/div><!-- EOF wmle_item_holder -->\n\n<\/div><!-- EOF wmle_item_holder -->","max_pages":36}