Gastroenterology , Vascular , Nephrology

Two Sides of a Compression Coin: A Comparison of Wilkie's and Nutcracker Syndrome

11/14/2024 Kay Nicole Tipton, DO, MS , Neelou Tabatabai , Field Davis, DO

The vague presentation of abdominal pain can lead you down many differential pathways. When combined with sudden or rapid weight loss, it can point to 2 rare syndromes caused by compression. Review th

Critical Care , Critical Care Roadblock , Airway

Roadblock: Refractory Hypoxia on the Ventilator

11/5/2024 Dominique Gelmann, MD

The EMRA Critical Care Committee's Roadblock series is the resuscitationist's guide to overcoming the obstacles in the normal algorithm of critically ill patients. Through this series, we will ask the

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.

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

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.

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

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