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Based on a blend of the number of podcast downloads, webpage views, social media engagement, number of positive emails and comments that I received, and my own favs, I'm pleased to bring you the EM Cases Best of 2019 Top 10. The post EM Cases Best of 2019: Top 10 appeared first on Emergency Medicine Cases.
It was the EBM rumble down under for SMACC 2019. You can see the original SGEM […] The post SGEM Xtra: The REBEL vs. The SKEPTIC at SMACC 2019 first appeared on The Skeptics Guide to Emergency Medicine. It was the EBM rumble down under for SMACC 2019. You can see the original SGEM Xtra post from March 2019.
Fetal Congenital Cystic Adenomatoid Malformation (CCAM): Pathogenesis, Diagnosis, and Clinical Management: A Case Report. Clinical and Experimental Obstetrics & Gynecology. Dec 46 (6) 999–1002, [link]. Leblanc C, Baron M, Desselas, E, Phan, MH, Rybak A, Thouvenin G, Lauby C, Irtan S.
The ECG below is taken from a man who has been referred by his GP after presenting symptom-free for a health check following an electric shock at work in a domestic current.
You are shown an ECG of a 25 years of age Chinese female at 0200 hours on a saturday morning complaining of chest discomfort. Due to the department being busy a nurse has done her blood test prior…
The ECG below is taken from an 83 year old man with a seizure history for the past 8 years. He presents after two 10 minute generalised tonic-conic seizures at home 10 days after self ceasing his C…
An 86 year old diabetic man presents to ED with a 1 month history of diarrhoea and fatigue and intermittent upper abdominal pain over the last week. His ECG is as below.
Following is an ECG of a 63 years of age man complaining of a 45 minute duration of a chest discomfort. You find him in mild discomfort and apart for being mildly hypertensive all his other observa…
You are asked to review an ECG of a 24 years of age man complaining of a two day history of a mild intermittent non cardiac sounding chest pain. En route you the noted on his CXR showed cardiomegal…
Following is an ECG of a 52 years of age man with a 3 day hx of intermittent chest discomfort. He is currently asymptomatic with a BP 150/95 mmHg. Describe the ECG abnormalities and what would you …
61 years of age lady presented with an acute shortness of breath whilst walking her dog. She denied any chest pain nor any pre-syncope. She looked well from the end of the bed and at clinical exami…
58 years of age lady presented with being generally unwell for 2 days. She has had a renal transplant and at clinical examination was noted to be tachycardic , normotensive and febrile at 38.3
The following ECG is shown to you at 0130 hours of a monday morning on a 49 years of man struggling with severe crushing central chest heaviness for 6 hours. He is unwell and clammy with stable hem…
You are seeing a 52 year old man who has had an MI 14 years ago secondary to a spontaneous RCA dissection. He presented late (with Q waves seen on ECG) and so was treated medically. 8 years later h…
The following is an ECG of an 88 years of age man complaining of a lack of energy for the past 3 days. The nurse has mentioned that his initial observation are within normal limits with a blood pre…
You are reviewing the ECG of an 82 year old man who has had an episode of syncope after a herald of spinning and dizzyness. He has had similar symptoms for the last 4 days, particularly when gettin…
Following ECG was obtained from a 24 years of age man complaining of a week history of intermittent chest pain. He is clinically well and his haemodynamics are all within normal limits. Describe t…
You are shown and ECG on a 54 years of age male patient you have yet to review with decreased exercise tolerance with intermittent dizziness. Describe and discuss the abnormalities.
Okamoto, 2019) Superior Mesenteric Artery Syndrome: Presentation Presenting complaints are often vague but include epigastric abdominal pain, gastric distension, early satiety, and vomiting. Okamoto, 2019) In unable to tolerate PO intake next steps include nasojejunal tube feed or TPN if necessary. Ann Vasc Surg. 76: 514-535.
The ECG below is taken from a man who has been referred by his GP after presenting symptom-free for a health check following an electric shock at work in a domestic current.
The ECG below is taken from an 83 year old man with a seizure history for the past 8 years. He presents after two 10 minute generalised tonic-conic seizures at home 10 days after self ceasing his C…
An 86 year old diabetic man presents to ED with a 1 month history of diarrhoea and fatigue and intermittent upper abdominal pain over the last week. His ECG is as below.
You are reviewing a 43 yr old hypertensive patient who has been referred by their GP after presenting with central chest pain (currently pain free.) They have provided previous ECGs from today and …
The ECG below is taken from an 84 year old Nursing Home resident who complained of chest pain after a seated syncope. On examination his observations are within normal limits and he has mechanical …
You see a 77 year old diabetic lady with a one month history of SOBOE on a background of Rheumatic fever as a child. On examination she has a pan systolic murmur.
You see a 26 year old lady who has presented concerned that her lap band may have slipped. She had one vomit post eating last night and then woke with palpitations at 4am with associated shortness …
You are seeing a 52 year old man who has had an MI 14 years ago secondary to a spontaneous RCA dissection. He presented late (with Q waves seen on ECG) and so was treated medically. 8 years later h…
A 32 year old man has presented after developing left sided chest pain whilst shoveling in the garden. He feels sweaty and dizzy. He is a FIFO worker with no medical history.
You are reviewing a 73 year old patient who has presented after several days of chest pain. Their observations are within normal limits and their ECG is as follows:
Following is an ECG of a 25 years old man with a four day history of left sided chest pain and its 0400 hours in the morning. He’s in a mild discomfort but looks well from the end of the bed and hi…
2019; 17: 98. 2019; 47(2): 183–193. PMID: 27186577 Conroy AL, Opoka RO, Bangirana P, Idro R, Ssenkusu JM, Datta D, Hodges JS, Morgan C, John CC. Acute kidney injury is associated with impaired cognition and chronic kidney disease in a prospective cohort of children with severe malaria. Pediatr Clin N Am 69 (2022) 47–64. 8 Dec 2022.
Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g.
2019 Aug;276(8):2199-2203. Epub 2019 May 11. Klug TE, Holm N, Greve T, Ovesen T. Perichondritis of the auricle: bacterial findings and clinical evaluation of different antibiotic regimens. Eur Arch Otorhinolaryngol. doi: 10.1007/s00405-019-05463-z. PMID: 31079204.
It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ). 2019 Nov;47(11):1539-1548. 2019 Jun 27;380(26):2506-2517. Shehabi 2012 ) The multi-center cohort ED-SED study examined 324 mechanically ventilated patients. Crit Care Med.
Date: May 15th, 2019 Guest Skeptic: Dr. Dara Kass is an Assistant Professor, Emergency Medicine, Columbia University Medical Center. This is an SGEM Xtra that was recorded at the Society of Academic Emergency Medicine 2019 (SAEM) annual meeting. All of the SAEM 2019 winners can be found at this LINK.
Silva-Ramos 2021) Majority of cases arise from travel to South Africa. (Frean 2019) The classic triad described is fever, eschar and rash. Ricardi 2019) Tick-Borne Encephalitis has a biphasic pattern of symptoms. Ricardi 2019) Initial symptoms are nonspecific and include fever, malaise, headache, nausea, vomting and myalgias.
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