Browsing: Hematology

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Cardiology , Hematology , Toxicology

Sudden Post-Coital Hemopericardium with Cardiac Tamponade on Apixaban

4/8/2021 Hardeep Hunjan, DO , Tiffany Anaebere, MD
Direct oral anticoagulants (DOACs) have become the preferred anticoagulant medication for patients with nonvalvular atrial fibrillation, deep vein thrombosis, and pulmonary embolism. However, recent c
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Trauma , OB/GYN , Hematology

Hemoperitoneum in a Reproductive-Age Woman

4/8/2021 Rolando Israel Castillo, DO , David Levy, DO , Adam Schwartz, DO
Hemoperitoneum during pregnancy is an emergent condition that places the mother and fetus at risk.
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Social EM , Sepsis , Hematology

Septic Thrombophlebitis as a Consequence of Intravenous Drug Use Disorder

10/9/2020 Ali Elsaied, DO , Kuljit Kaur, DO , Darragh Cullen, DO
This is a unique case of Lemierre's syndrome in a person who injects drugs (PWID) without a history of recent oropharyngeal infection or the presence of a central venous catheter.
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Hematology

Petechiae and Gingival Bleeding: ITP Beyond the Boards

6/11/2020 Marc Cassone, DO , Brilee Madison, DO , Jennifer Spinozzi, MD , Conor Young, MD , Richard O. Davis, DO
Immune thrombocytopenia (ITP) can often be first diagnosed and recognized in an ED setting, both as a primary and incidental finding. Let's review a typical presentation and the unique pathology and s
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Hematology , Critical Care

Managing Atypical Hemolytic Uremic Syndrome

6/10/2020 Peter Brooks, DO , Martin D. Klinkhammer, MD, MPH, FACEP
A young woman presents with a 3-week history of fatigue, nausea, vomiting, heavy bleeding, and lightheadedness. Within hours she is intubated in the ICU. Follow the case management to understand an at
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Hematology , Orthopedics

Multiple Myeloma: Diagnostic and Treatment Considerations in the Emergency Department

10/10/2019 Daniel Patino-Calle, MD , Shawn London, MD, FACEP
Symptoms of multiple myeloma can be as nondescript as weight loss, fatigue, generalized weakness, and bone pain. Focus on the classic tetrad of hypercalcemia, renal failure, anemia, and bony lytic les
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Hematology

Hemolytic Anemia from Combined Use of Dapsone and Hydrochlorothiazide

4/10/2019 Rana Prathap Padappayil, MBBS , Vrinda Kumar, MBBS , Lisa Ann Kirkland, MD, FACEP
This case study highlights the need to investigate patients who present with non-specific complaints with a potentially life-threatening cause in mind.
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Trauma , Hematology

A Simplified Treatment-Based Approach to TEG and ROTEM

6/11/2018 Adam Morcom, MD
It's becoming more common to use thromboelastography and rotational thromboelastometry in the ED. What's your comfort level with TEG and ROTEM?
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Critical Care , Hematology

Management of Methemoglobinemia

4/13/2018 Joshua Glick, MD , Seth Merker, MD
Methemoglobinemia can be fatal if not managed correctly. Make sure you know what to do for patients with this particular blood disorder.
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Hematology

Blood Transfusion Reactions: TACO, TRALI, and Other Considerations

6/5/2017 Joseph R. Giles, MD , Gary F. Pollock, MD, FACEP
Blood Transfusion Reactions: TACO, TRALI, and Other Considerations A 67-year-old woman with no known medical problems presents to the emergency department (ED) with severe anemia identified by her pr