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Artikel Jurnal
Unmasking the Silent Liver-Lung Connection: A Pediatric Hepatopulmonary Syndrome Case Report
Introduction: Hepatopulmonary syndrome is a rare but serious cause of pediatric hypoxemia. Case Report: A 10-year-old obese male with obstructive sleep apnea and asthma presented to the emergency department with low baseline oxygen saturations and exertional hypoxia, despite normal physical exam…
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Artikel Jurnal
Penetrating Neck Injury in a Child Presenting as a Simple Laceration: A Case Report
Introduction: Penetrating neck injury is rare in children, but it can have devastating consequences due to the vital structures in the neck. Having a high index of suspicion is crucial for detection and management of such injuries. Superficial-appearing wounds can mask underlying injury. In this…
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Artikel Jurnal
Novel Technique in Performing Ocular Ultrasound in Trauma: A Case Series
Introduction: Ocular ultrasound is highly effective for diagnosing traumatic eye injuries such as retinal detachment, vitreous hemorrhage, foreign bodies, and retrobulbar hematomas. However, it is contraindicated in cases of suspected globe rupture, as applying external pressure to the eye could…
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Artikel Jurnal
Tension Hydrocele—How Point-of-care Ultrasound Helps in the Emergency Department: A Case Report
Introduction: Tension hydrocele is a rare but serious complication that can threaten testicular viability. This case report describes how testicular point-of-care ultrasound (POCUS) enabled timely recognition of a large hydrocele compromising testicular perfusion and guided management. Case Report…
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Artikel Jurnal
Magnetic Mishaps—Small Bowel Obstruction Caused by Ingested Magnets Complicated by Appendicitis: A Case Report
Introduction: Magnet ingestions are a growing pediatric emergency due to the use of widely available stronger magnets in toys. A legislative ban briefly reduced injuries, but cases rose after its reversal in federal court. Magnet ingestions are resulting in increasing morbidity and mortality…
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Artikel Jurnal
Emergency Department Presentation of Duloxetine-induced Acute Extrapyramidal Symptoms: A Case Report
Introduction: Duloxetine, a serotonin-norepinephrine reuptake inhibitor, has been associated with extrapyramidal symptoms and tardive syndromes; however, such adverse reactions are rare and remain sparsely documented, particularly in the setting of non-psychiatric use. Case Report: A young…
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Artikel Jurnal
Blunt Thoracic Aortic Injury Presenting as Hemodynamically Stable: A Case Report
Introduction: Blunt thoracic aortic injury is a rare but potentially fatal consequence of motor vehicle collisions. While commonly associated with hemodynamic instability, some cases present with normal vital signs, delaying diagnosis and treatment. We present the case of a 42-year-old unrestrained…
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Artikel Jurnal
Fishing Hook Globe Injury Diagnosed with Point-of-care Ultrasound: A Case Report
Introduction: Globe injuries constitute true ophthalmologic emergencies and require prompt surgical intervention. When direct physical examination is limited, due to trauma or swelling, point-of-care ultrasound (POCUS) can serve as a valuable adjunct in evaluating globe integrity. Case Report: We…
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Artikel Jurnal
Entrectinib-related Myocarditis Causing a Triangular QRS-ST-T Waveform Electrocardiographic Pattern: A Case Report
Introduction: Entrectinib is a kinase inhibitor used in ROS1-positive non-small cell lung carcinoma. Cardiovascular toxicity is rare, with only one prior report of myocarditis related to entrectinib use. The triangular QRS-ST-T waveform electrocardiographic pattern is a ST-elevated myocardial…
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Artikel Jurnal
Immunoglobulin A Vasculitis-Associated Ileoileal Intussusception in an Adult Male: Case Report
Introduction: Immunoglobulin A (IgA) vasculitis, formerly known as Henoch–Schönlein purpura, is a small-vessel leukocytoclastic vasculitis caused by IgA immune complex deposition. While it is the most common systemic vasculitis in children, adult cases can present with more severe systemic…
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Artikel Jurnal
Dynamic Supraglottic Airway Collapse Diagnosed Using Airway Point-of-care Ultrasound: A Case Report
Introduction: Acquired idiopathic laryngomalacia causing dynamic airway collapse is rare in adolescents and may be overlooked because it mimics more common causes of acute dyspnoea and stridor in the emergency department (ED). Airway point-of-care ultrasound (POCUS) provides a rapid, non-invasive…
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Artikel Jurnal
VenoArterial Extracorporeal Membrane Oxygenation in Cardiac Arrest Suspected due to Massive Pulmonary Embolism: A Case Report
Introduction: High-risk pulmonary embolism (PE) is an uncommon but potentially reversible cause of out-of-hospital cardiac arrest, frequently presenting as pulseless electrical activity (PEA). Early identification and multidisciplinary intervention are critical, yet confirmatory imaging is often…
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Artikel Jurnal
Use of Balloon Tamponade Device for Aortoesophageal Fistula: A Case Report
Introduction: Aortoesophageal fistula is a rare but life-threatening hemorrhagic complication of thoracic endovascular aortic repair. Without intervention, mortality approaches 100%. Our case highlights the utility of using an esophageal-gastric balloon tamponade device for hemostasis. Case Report…
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Artikel Jurnal
Berberine Poisoning with Polymorphic Ventricular Tachycardia: A Case Report
Introduction: Natural supplements are readily available without a prescription and are not regulated by the United States Food and Drug Administration. The popularity of berberine, a bioactive compound used for centuries in traditional Chinese medicine, has surged due to its proposed benefits in…
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Artikel Jurnal
Keeping An Eye Out for Stroke—Herpes Zoster Ophthalmicus Leading to Acute Ischemic Stroke
Introduction: Herpes zoster ophthalmicus, a reactivation of varicella-zoster virus involving the ophthalmic branch of the trigeminal nerve, is a known but under-recognized risk factor for acute cerebrovascular and cardiovascular events. Case Report: We report the case of an 84-year-old female with…
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Artikel Jurnal
Subungual Myiasis Presenting to the Emergency Department: A Case Report
Introduction: Subungual myiasis is an infection under the fingernail or toenail caused by an infestation of fly larvae. It is rarely reported internationally, with only one previously reported case in the United States. Case Report: An 80-year-old female with a history of polyneuropathy, peripheral…
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Artikel Jurnal
The Floating Threat: A Rare Case Report of Carotid Saddle Thrombus in a Healthy Adult
Introduction: Carotid free-floating thrombus is a rare and potentially devastating cause of ischemic stroke. Diagnosis remains challenging due to the dynamic nature of the lesion. Case Report: We report the case of a 46-year-old female presenting with neck pressure and gait instability, who was…
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Artikel Jurnal
Electrocardiographic Changes Related to Targeted Temperature Management in Brugada Syndrome: A Case Report
Introduction: Brugada syndrome is an important differential diagnosis for unexplained sudden cardiac arrest, particularly in younger patients. The electrocardiographic (ECG) pattern characteristic of Brugada syndrome can be provoked by fever and may vary with changes in body temperature. Therefore…
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Artikel Jurnal
Nontraumatic First Rib Fracture in a Young Weightlifter Resulting in Winged Scapula: A Case Report
Introduction: Shoulder pain is a common emergency department (ED) presentation. Scapular winging is a rare condition often associated with long thoracic nerve injury. 9 This case report describes an even rarer case of dorsal scapular nerve injury caused by a nontraumatic first rib fracture in a…
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