Clinical Practice and Cases in Emergency Medicine最新文献_第6页

Tension Hydrocele-How Point-of-care Ultrasound Helps in the Emergency Department: A Case Report. 张力性鞘膜积液——急诊超声如何帮助：一个病例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.61719

Sophia Potalivo, Sophia Fornbacher, Joey Abadilla, Ron Goubert, Eva Tovar Hirashima

引用次数: 0

Transaminitis from Duloxetine: Case Report. 度洛西汀引起的转氨炎1例。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.61865

Gayle Galletta, Savant Mehta, Daniel Jancura, Daminica Ryan, Irene Li

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Unmasking the Silent Liver-Lung Connection: A Pediatric Hepatopulmonary Syndrome Case Report. 揭露沉默的肝肺联系：一个儿童肝肺综合征病例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.53246

Shawn A Haupt, Demetra Lalos, Cornelia Muntean, Dmitriy Vaysman

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Yellow Oleander (Thevetia peruviana) Toxicity from a Misrepresented Dietary Supplement: A Case Report. 黄夹竹桃（Thevetia peruviana）毒性从一个错误的膳食补充剂：一个案例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-08-01 DOI: 10.5811/cpcem.54063

Samantha E Long, Allison Grim, Salil K Bhandari, Hashim Q Zaidi

{"title":"Yellow Oleander (Thevetia peruviana) Toxicity from a Misrepresented Dietary Supplement: A Case Report.","authors":"Samantha E Long, Allison Grim, Salil K Bhandari, Hashim Q Zaidi","doi":"10.5811/cpcem.54063","DOIUrl":"10.5811/cpcem.54063","url":null,"abstract":"Introduction: The \"lucky nut\" is the seed of the yellow oleander plant, often sold as a medicinal supplement in unregulated markets and known to contain cardiac glycosides, which may cause life-threatening bradycardias and Digoxin-like toxicity upon ingestion. Diagnosis is typically clinical, with treatment including Digoxin immune Fab with supportive intensive cardiac care.Case report: A 70-year-old male presented to the emergency department after ingesting one-fourth of a Peruvian nut he found at a local market to reduce his nocturnal polyuria. The patient brought a part of the Peruvian nut with him, which was identified as a seed of the yellow oleander. His clinical presentation was consistent with a digoxin-like toxicity, requiring multiple vials of Digoxin immune Fab and admission to the cardiac intensive care unit.Conclusion: Yellow oleander can cause a cardiac glycoside-related cardiotoxicity similar to a digoxin-like toxicity. Digoxin-like toxicity should be considered in the bradycardic patient with a recent ingestion of a plant or seed. It is important to obtain a thorough history including medication reconciliation and supplement use. Despite well-documented dangers, yellow oleander continues to appear as an unregulated ingredient or contaminant in dietary supplements. This case highlights the severity of oleander toxicity, the challenge of managing digoxin-like cardiac glycoside poisoning, and the public health risk posed by unintentional ingestion of supplements containing yellow oleander.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 3","pages":"320-323"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13517969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paradoxical Coronary Embolism as a Cause of Recurrent Myocardial Infarction: A Case Report. 矛盾的冠状动脉栓塞作为复发性心肌梗死的原因：1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.52911

Dago Berckmans

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The Complexity of Weak Rhesus Positivity in Pregnancy: Challenges and Management. 妊娠期恒河猴积极性弱的复杂性：挑战与处理。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.53965

Vimoltip Luksanapisitakul, Anas Alojayli

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Rare Case of Ethmoidal Encephalocele and Sequelae. 筛状脑膨出及后遗症罕见病例。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.48554

Kiveum Kim, Taylor Craig, Lucas Delicio, Alexander John Scumpia

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Preoperative Diagnosis of Amyand Hernia in the Emergency Department with Point-of-care Ultrasound: A Case Report. 急诊术前超声诊断淀粉样疝1例

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.50746

Neil Wallace, Aila Hauger

引用次数: 0

Myocardial Infarction in a 19-year-old with a History of Kawasaki Disease: A Case Report. 19岁川崎病心肌梗死1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.50676

Chad R Sethman, Jessica R Sethman, Bradley M End

{"title":"Myocardial Infarction in a 19-year-old with a History of Kawasaki Disease: A Case Report.","authors":"Chad R Sethman, Jessica R Sethman, Bradley M End","doi":"10.5811/cpcem.50676","DOIUrl":"10.5811/cpcem.50676","url":null,"abstract":"Introduction: Kawasaki disease is a vasculitis most commonly affecting children under five years of age but can also occur in older children and adults. When not sufficiently treated, Kawasaki disease can lead to cardiac complications such as myocarditis and coronary artery aneurysms, with aneurysms being the most serious long-term complication as it poses a risk for acute coronary syndrome.Case report: A 19-year-old with remote history of Kawasaki disease presented to the emergency department with chest pain, diaphoresis, and emesis after being struck in the chest by another player during a basketball game. Despite his young age and reported mild musculoskeletal trauma, an electrocardiogram and troponin were ordered. Electrocardiogram findings were concerning for ischemia, and troponin was elevated, confirming myocardial infarction and prompting a cardiology consult. Urgent percutaneous coronary intervention of the occluded aneurysm with balloon angioplasty resulted in significantly improved distal blood flow.Conclusions: Kawasaki disease is widely recognized as a cause of cardiac complications in childhood, but the risk does not end there. Adults with a history of childhood Kawasaki disease remain at risk for complications of coronary artery aneurysm, even when they received appropriate medical treatment. Thrombosis or dissection of a coronary artery aneurysm can lead to acute coronary syndrome in otherwise healthy individuals. Therefore, emergency physicians must maintain a high level of suspicion for cardiac complications in both children and adults with a history of Kawasaki disease. In this case, prompt diagnosis and intervention were essential to achieving the best possible outcome.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 2","pages":"191-194"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Carotid-cavernous Fistula in a Patient with Minimal Head and Facial Trauma: A Case Report. 颈动脉-海绵窦瘘在头部和面部轻微创伤患者：1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.48556

Yoshihiro Miyake, Tomohiro Abe, Keisuke Kubo, Hideki Nagoshi, Hidenobu Ochiai

{"title":"Carotid-cavernous Fistula in a Patient with Minimal Head and Facial Trauma: A Case Report.","authors":"Yoshihiro Miyake, Tomohiro Abe, Keisuke Kubo, Hideki Nagoshi, Hidenobu Ochiai","doi":"10.5811/cpcem.48556","DOIUrl":"10.5811/cpcem.48556","url":null,"abstract":"Introduction: Intracranial arterial injury is typically associated with high-energy trauma. Early diagnosis and treatment are essential for improving the patient's functional prognosis.Case report: A 76-year-old woman complained of pulsatile tinnitus 15 days post motor vehicle collision. On presentation she was found to have sustained polytrauma, mostly to her abdominal and thoracic regions, as well as a facial contusion. She then developed ptosis, conjunctival congestion, and an ocular motility disorder in all directions in her right eye. Magnetic resonance angiography showed a direct high-flow shunt from the internal carotid artery to the cavernous sinus. Similar symptoms then developed on her left side. She underwent successful embolization to the left-sided fistula.Conclusion: Fistulization of the carotid with the cavernous sinus is a rare complication of head or facial trauma. Our case indicates that this can occur even in patients with seemingly minor head or facial trauma.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 2","pages":"146-149"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0