Orthopedics , Neurology , Toxicology

Delayed Presentation of Gluteal Compartment Syndrome Complicated by Sciatic Neuropathy Following Prolonged Immobilization Due to Opioid Overdose: A Case Report

12/10/2024 Georgina Koutouzis, DO , Vanna Albert, MD

Compartment syndrome is an orthopedic emergency that can be difficult to identify but can lead to significant morbidity and mortality if unidentified or left untreated. A major risk factor for develop

Spinal Epidural Abscess - suggested heading.jpg

Orthopedics , Neurology , Infectious Disease

Navigating the Diagnostic Challenge: Recognizing Spinal Epidural Abscesses in Emergency Medicine

12/10/2024 Katie Tucker , Boyd Burns, DO, MBA, MHA, FACEP

Back pain is one of the top 5 reasons for emergency department visits in the United States. Among these billions of visits, you will find an extremely difficult-to-diagnose, yet life-threatening, cond

Infectious Disease , Ophthalmology , Neurology

Neurosyphilis: More Than Meets the Eye

12/2/2024 Prateek Khurana, DO , Anna Poteraj, MD , Zhanna Roit, MD , Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C

With the rising prevalence of neurosyphilis over the years, emergency medicine physicians should be cognizant of this can't-miss diagnosis in patients with focal neurologic findings, new-onset dementi

Neurology

Bilateral Thalamic Infarct: A Diagnosis Not to Sleep On

12/2/2024 Benjamin Kartub, MD , Abby Cosgrove, MD , Khalid Alsherbini, MD, FNCS

Occlusion of the Artery of Percheron leading to isolated bilateral thalamic infarcts is a rare and difficult diagnosis in emergency medicine. Learn the symptoms that can help keep it top of mind.

Toxicology , Neurology

An Unusual Cause of Stuttering: A Case Report

10/31/2024 Grace Cheetany , Charles Worth, DO , Kristina Domanski, MD

Vague neurologic symptoms, including impaired speech, can be difficult to diagnose and – for female patients – dismissed as behavioral. But commonly prescribed medications such as SSRIs may be a cause

Pediatric EM , Neurology

When a Headache Is Not Just a Headache

10/31/2024 Moshe Bengio, DO , Glenn Goodwin, DO, EMT-P , Abhishek Roka, MD , Michelle Marin, MD

Acute, persistent headache in a pediatric patient with no recent trauma can have a broad differential and, in most cases, should raise red flags. This case demonstrates the evaluation and management o

Hematology , Neurology

Hyperviscosity Syndrome: A Differential Diagnosis for Altered Mental Status

10/22/2024 Hector D. Barreto-Vazquez, MD , Philip Alapat, MD

Altered mental status is a common presentation that requires a time-sensitive evaluation. But that evaluation can be addressed under a broad range of categories. This case demonstrates AMS evaluation

Critical Care Devices , Critical Care , Neurology

Critical Care Device Series: External Ventricular Drain

6/30/2024 Josh Wild, DO , Luxi Qiao, MD, MPhil , Sherard Lacaille , Daniel Zapata, MD

External ventricular drain placement is often considered a lifesaving measure to alleviate severe hydrocephalus or elevated intracranial pressure. This paper reviews current guidelines and steps for p

Deep Dive in CritCare , Critical Care , Neurology

Deep Dive into the Evidence: Monitoring and Management of Elevated Intracranial Pressure in Severe Traumatic Brain Injury

6/11/2024 Luxi Qiao, MD, MPhil , Josh Wild, DO , Eleni McCaffery, MD , Dominique Gelmann, MD , Dustin Slagle, MD , Sung-Min Cho, DO, MHS

Elevated ICP is an emergent complication associated with injury to the brain. In this Deep Dive, we summarize the existing evidence regarding the monitoring and management of elevated intracranial pre

Neurology

Not all Weakness is Stroke: Difficult Diagnosis of Cerebellar Abscess Without MRI Ability

4/15/2024 Samuel Orchard, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Brain abscesses can be difficult to diagnose and often mimic other intracranial pathology such as stroke or malignancy. These patients may not exhibit infectious symptoms such as fever, leukocytosis,

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