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Clinical Practice and Cases in Emergency Medicine
Scopus
ISSN 2474-252X · eScholarship Publishing, University of California · 1.227 artikel di indeks
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Artikel Jurnal
Medial Clavicle Physeal Fracture in a 15-Year-Old Male: A Case Report
Introduction: Sternoclavicular joint injuries are rare and potentially life-threatening injuries due to their proximity to vital mediastinal structures. In adolescents, skeletal immaturity can add complexity to the injury due to potential involvement of the physis. A physeal fracture with…
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Artikel Jurnal
Syncope in a Patient with Right Ventricular Compression from Severe Pectus Excavatum: A Case Report
Introduction: Pectus excavatum (PEX) is the most common congenital chest wall deformity, characterized by posterior depression of the sternum and lower costal margin. While often asymptomatic, severe PEX can lead to compression of the heart and great vessels, potentially causing right ventricular…
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Artikel Jurnal
Pleural and Pericardial Effusions Associated with Semaglutide: A Case Report
Introduction: Semaglutide, a glucagon-like peptide-1 receptor agonist, has gained increasing popularity for managing both type 2 diabetes mellitus and obesity. However, as its use increases, new adverse events are emerging. This case report presents a 70-year-old patient who developed pleural and…
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Artikel Jurnal
Recurrent Miller Fisher Syndrome: A Case Report
Introduction: Guillain-Barré syndrome can manifest with progressive paralysis, requiring careful monitoring and treatment with steroids or intravenous (IV) immunoglobin. While this disease can be devastating and require intensive care unit level of care, there are few incidences of relapses. Case…
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Artikel Jurnal
Carotidynia—A Rare Cause of Anterior Neck Pain: Case Report
Introduction: Carotidynia is a rare, often under-diagnosed condition characterized by idiopathic inflammation around the carotid artery, presenting with unilateral neck pain that typically resolves within two weeks. Case Report: A 32-year-old male presented with intermittent right anterior neck…
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Artikel Jurnal
Spontaneous Splenic Vein Rupture: Case Report of a Rare Presentation
Introduction: Spontaneous splenic vein rupture is a rare condition associated with a high risk of mortality. Only a few cases have been documented, all of which have been linked to underlying predisposing conditions. In this case, however, we present a previously healthy patient with no…
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Artikel Jurnal
Acute Aortic Dissection Masquerading as Testicular Torsion: A Case Report
Introduction: Aortic dissection is a rare but life-threatening condition with a high mortality rate if diagnosis is delayed. Aortic dissection classically presents with sudden-onset, sharp pain in the chest or back. However, atypical presentations can also occur, which could lead to a delay in…
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Artikel Jurnal
When STEMI Isn’t STEMI: Cardiac Arrest from Aortic Valve Papillary Fibroelastoma – A Case Report
Introduction: Cardiac arrest remains a major global cause of mortality, with both structural and non-structural cardiac abnormalities implicated. While ischemic heart disease is a common etiology, rare conditions such as papillary fibroelastoma can also result in life-threatening events through…
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Antimuscarinic Toxicity Safely Managed with High-Dose Transdermal Rivastigmine: A Case Report
Introduction: Antimuscarinic toxicity, which can cause delirium and unsafe behavior, may result from an adverse effect of prescribed medications or from non-medical substance use. Physostigmine shortages have prompted use of transdermal rivastigmine for management of antimuscarinic toxicity…
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Artikel Jurnal
A Case Report of Milk-Alkali Syndrome Secondary to Excessive Antacid Use
Introduction: Milk-alkali syndrome is characterized by the triad of hypercalcemia, metabolic alkalosis, and acute kidney injury resulting from excessive intake of calcium and absorbable alkali. Despite falling out of prominence with the advent of modern ulcer treatments, milk-alkali syndrome has…
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Artikel Jurnal
A Case Report of Acute Lymphoblastic Leukemia Presenting as Bilateral Knee Pain in a Healthy Runner
Introduction: Acute lymphoblastic leukemia (ALL) is typically a childhood disease but may present in older patients in rare occurrences. Due to its significant morbidity and mortality, early diagnosis is crucial. The symptoms of ALL may be non-specific, making the initial diagnosis difficult…
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Artikel Jurnal
Diagnosis of Bilateral Quadriceps Tendon Rupture Using Point-of-Care Ultrasound
Case Presentation: A healthy 32-year-old man presented to the emergency department with bilateral knee pain after landing from a jump. He was unable to extend his knees and had pain to palpation superior to the patella. Bilateral quadriceps tendon rupture was confirmed using point-of-care…
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Artikel Jurnal
Implementation of a Novel Agitated Behavior Score and Its Association with Code Violet Activation: A Case Series
Introduction: Agitation in the emergency department (ED) poses a significant safety concern for staff and patients. Multidisciplinary responses, such as Code Violet activations, are common but resource-intensive. Early identification and intervention may reduce escalation, but ED-specific data are…
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Artikel Jurnal
A Split from Traditional Orbital Compartment Syndrome Intervention: Case Report of Vision-saving Vertical Lid Split Procedure
Introduction: Many emergency physicians will never perform a lateral canthotomy and cantholysis, and one-third of those who try will be unsuccessful at relieving the pressure that threatens permanent vision loss. This procedure is notoriously difficult and rare, but a recently proposed…
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Artikel Jurnal
An Unusual Case of Spontaneous Pneumothorax Presenting as Right Lower Quadrant Pain: A Case Report
Introduction: Primary spontaneous pneumothorax generally presents with symptoms of chest pain and shortness of breath. Progression to a tension pneumothorax results in a medical emergency. Rare presentations with abdominal pain are possible and must be considered to expedite appropriate treatment…
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Artikel Jurnal
Use of Corrected QT Cutoffs Derived from Biological Variation to Predict Adverse Events Due to Antipsychotic Drugs: Case Report
Introduction: The use of antipsychotic drugs can prolong the corrected QT (QTc) interval of the electrocardiogram and cause a life-threatening ventricular arrhythmia. There is no consensus as to what is considered normal or what cutoff indicates QTc prolongation. However, recent literature has…
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Artikel Jurnal
Elderly Male with a Painful Red Eye
Case Presentation: An 83-year-old man with a history of left corneal transplant presented to the emergency department with several days of left eye pain, redness, and tearing. Visual acuity was 20/50 in the right eye and bare light perception in the left eye. Intraocular pressure was 15 millimeters…
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Artikel Jurnal
Clinical Application of Intravenous Lipid Emulsion Therapy in Cocaine-associated Cardiac Arrest: A Case Report
Introduction: Cardiac arrest in the setting of cocaine use portends high morbidity and mortality secondary to its powerful sodium channel blockade effects. Intravenous (IV) lipid emulsion has long been used as a rescue therapy in lipophilic toxicities. Case Report: We report a case in which IV…
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Artikel Jurnal
Yellow Granular Material in Hair: A Bedside Clue to Overdose from Cold Medication Containing Acetaminophen
Case Presentation: A 28-year-old woman was brought to the emergency department after being found collapsed at home. Because she was unable to provide a history, contextual bedside clues were important during the initial assessment. Bright yellow granular material with a medicinal odor was noted…
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