Cardiology , Infectious Disease , Wilderness Medicine , Toxicology

Case Report: Heart Block Stemming from Lyme Disease

10/31/2024 Puja Singh, MD , Marian Gambrell, MD

We present a case of bradycardia and dyspnea in an otherwise healthy young male found to have EKG abnormalities inclusive of third-degree heart block. The culprit? Lyme disease.

Urology

The Deadliest Genital Ulcer Is Not Infectious: A Case Report of Penile Calciphylaxis

10/31/2024 Andrew Good, DO , Agata Dow, MD , Chris Kilen, DO , Katherine Jones

Penile calciphylaxis is a harbinger of looming mortality, indicating need for a clear goals of care discussion.

Opinion-Editorial , Social EM , Health Policy

Viewpoint: A Preferential Option for the Poor in the Emergency Department

10/31/2024 Brian Elmore, MD

To be a border physician is to be confronted daily with the human consequences of a failed immigration policy. Our specialty has long operated as a band-aid for the policy-driven effects we see daily.

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

Trauma , Orthopedics

Morel-Lavallée Lesion: A Case Report

10/31/2024 Rana Akkad, DO , Sarah Taetz, MD , Geoff Comp, DO, FAWM

Morel-Lavallée lesions are serious injuries that can easily escape diagnosis, typically in the wake of high-velocity trauma. Untreated, MLLs can become a chronic condition with a risk of developing in

Infectious Disease , Cardiology , Wilderness Medicine , Hematology

Babesiosis Induced Atrial Flutter: An Unusual Precipitant of Atrial Flutter

10/31/2024 Darshak Vekaria, MD

Babesiosis can present with a varied clinical presentation, which can make it difficult to diagnose. However, one uncommon clue could be picked up on an ECG.

Ultrasound , Pain Management

A Review of the Literature Examining the Efficacy of the Greater Occipital Nerve Block as Treatment for Headaches in the Emergency Department

10/31/2024 Abdulhameed Qashqary, MBBS , Hamzah Adel Ramawad, MD

Millions of people come to the emergency department each year suffering migraine or other acute headaches; often, the pain is difficult to manage. But the literature shows the greater occipital nerve

Urology , Nephrology , Ultrasound

Ureteric Stone: Use of POCUS in Atypical Presentation

10/31/2024 Tahir Shahzad, MD

Urinary tract stones are a frequent chief complaint in the emergency department. Point-of-care ultrasound speeds a diagnosis and helps direct appropriate management.

Administration & Operations , Patient Interactions , Medical Education

A Perfect Storm of Uncertainty: Forecasting Inpatient Length of Stay from the Emergency Department

10/31/2024 John Thompson, MD

“How long will I be in the hospital?” A review of the literature suggests that predicting length of stay at time of admission remains extremely difficult, and emergency physicians in particular are po

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