Case Reports in Emergency Medicine最新文献_第10页

Sore Throat, Fever, Septic Emboli, and Acute Respiratory Distress Syndrome: A Case of Lemierre Syndrome. 咽喉痛、发热、脓毒性栓塞和急性呼吸窘迫综合征:Lemierre综合征1例。

Case Reports in Emergency Medicine Pub Date : 2018-12-06 eCollection Date: 2018-01-01 DOI: 10.1155/2018/7373914

Farrukh N Jafri, Jodi Shulman, José C Gómez-Márquez, Matthew Lazarus, David M Ginsburg

引用次数: 5

Acute Agitation as an Initial Manifestation of Neuro-Behçet's Disease. 急性躁动是神经behaperet病的最初表现。

Case Reports in Emergency Medicine Pub Date : 2018-11-29 eCollection Date: 2018-01-01 DOI: 10.1155/2018/5437027

Yuki Otsuka, Tetsuya Yumoto, Hiromi Ihoriya, Namiko Matsumoto, Kota Sato, Koji Abe, Hiromichi Naito, Atsunori Nakao

{"title":"Acute Agitation as an Initial Manifestation of Neuro-Behçet's Disease.","authors":"Yuki Otsuka, Tetsuya Yumoto, Hiromi Ihoriya, Namiko Matsumoto, Kota Sato, Koji Abe, Hiromichi Naito, Atsunori Nakao","doi":"10.1155/2018/5437027","DOIUrl":"https://doi.org/10.1155/2018/5437027","url":null,"abstract":"Managing acutely agitated or violent patients in the emergency department (ED) represents a significant challenge. Acute agitation as an initial manifestation of neuro-Behcet's disease (NBD) is an extremely rare clinical entity. A 44-year-old male, who had been complaining about a severe headache and fever for several days, was admitted to our ED due to acutely presented incontinence and agitation. On admission, physical restraint and sedation with sevoflurane and propofol were required for his combative and violent behavior. Cerebrospinal fluid examination revealed increased cell count. Fluid attenuated inversion recovery magnetic resonance imaging showed a high intensity signal in the left parietal lobe and bilateral occipital lobe. As infectious meningoencephalitis was suspected, empirical therapy was immediately started. He recovered uneventfully without neurological defect in seven days. Based on positive human leukocyte antigen B-51 and clinical manifestations, the diagnosis of NBD was made and remitted by steroid therapy. Although acute NBD commonly presents with focal neurological symptoms, psychiatric symptoms could be considered the first manifestation. A focused and thorough examination coupled with appropriate management strategies can assist emergency clinicians safely and effectively manage these patients.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/5437027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36896647","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: 3

Internal Mammary Artery Injury without Chest Wall Fractures after Cardiopulmonary Resuscitation: A Case Report. 心肺复苏后无胸壁骨折的乳腺内动脉损伤1例。

Case Reports in Emergency Medicine Pub Date : 2018-10-23 eCollection Date: 2018-01-01 DOI: 10.1155/2018/1948151

Sayuri Tokioka, Shinichiro Masuda, Masamitsu Shirokawa, Takashi Shibui

{"title":"Internal Mammary Artery Injury without Chest Wall Fractures after Cardiopulmonary Resuscitation: A Case Report.","authors":"Sayuri Tokioka, Shinichiro Masuda, Masamitsu Shirokawa, Takashi Shibui","doi":"10.1155/2018/1948151","DOIUrl":"https://doi.org/10.1155/2018/1948151","url":null,"abstract":"High-quality cardiopulmonary resuscitation (CPR) is crucial for survival from cardiac arrest. However, various chest compression-associated injuries have been reported. Internal mammary artery (IMA) injury is one of the rare complications after CPR, and most of cases include rib and sternum fractures. In this report, we describe a rare case of IMA injury without chest wall fractures after CPR. An 85-year-old man with a history of acute myocardial infarction 2 weeks prior visited to our hospital for sustained ventricular tachycardia (VT). After admission, sustained VT requiring CPR occurred several times. Emergency coronary angiogram revealed 90% stenosis at the left anterior descending artery. Hence, emergency percutaneous coronary intervention (PCI) was performed. During the PCI, blood gas analysis showed decreasing serum hemoglobin levels. Contrast computed tomography revealed hemothorax and extravasation at the branch of the right IMA without chest wall fractures. The patient's deteriorating hemodynamic condition precluded thoracotomy or embolization to stop the bleeding. The patient died on the next day of hospitalization. IMA injury can occur after CPR, regardless of chest wall fractures and can be fatal without early diagnosis. For an emergency physician, IMA injury should be considered as a cause of unknown anemia after CPR.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/1948151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36662937","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: 1

Consequences of Misdiagnosed and Mismanaged Hereditary Angioedema Laryngeal Attacks: An Overview of Cases from the Romanian Registry. 误诊和管理不当的遗传性血管性水肿喉部发作的后果：罗马尼亚注册病例综述。

Case Reports in Emergency Medicine Pub Date : 2018-10-22 DOI: 10.1155/2018/6363787

Dumitru Moldovan, Noémi Bara, Valentin Nădășan, Gabriella Gábos, Enikő Mihály

{"title":"Consequences of Misdiagnosed and Mismanaged Hereditary Angioedema Laryngeal Attacks: An Overview of Cases from the Romanian Registry.","authors":"Dumitru Moldovan, Noémi Bara, Valentin Nădășan, Gabriella Gábos, Enikő Mihály","doi":"10.1155/2018/6363787","DOIUrl":"10.1155/2018/6363787","url":null,"abstract":"Emergency department (ED) physicians frequently encounter patients presenting with angioedema. Most of these involve histamine-mediated angioedema; however, less common forms of angioedema (bradykinin-mediated) also occur. It is vital physicians correctly recognize and treat this; particularly since bradykinin-mediated angioedema does not respond to antihistamines, corticosteroids or epinephrine and hereditary angioedema (HAE) laryngeal attacks can be fatal. Here we present four case reports illustrating how failures in recognizing, managing, and treating laryngeal edema due to HAE led to asphyxiation and death of the patient. Recognition of the specific type of angioedema is critical for rapid and effective treatment of HAE attacks. Bradykinin-mediated angioedema should be efficiently differentiated from the most common histamine-mediated form. Improved awareness of HAE and the associated risk of life-threatening laryngeal edema among emergency physicians, patients, and relatives and clear ED treatment protocols are warranted. Moreover, appropriate treatments should be readily available to reduce fatalities associated with laryngeal edema.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/6363787","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36662938","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: 10

A Hiccup in Hiccup Management: Cardiac Arrest from Previously Undiagnosed Congenital Long QT Syndrome. 呃逆管理中的呃逆:先前未确诊的先天性长QT综合征引起的心脏骤停。

Case Reports in Emergency Medicine Pub Date : 2018-10-10 eCollection Date: 2018-01-01 DOI: 10.1155/2018/5023954

Robert Hughes, Johnathan M Sheele

引用次数: 2

Point-of-Care Ultrasound Identifies Decompensated Heart Failure in a Young Male with Methamphetamine-Associated Cardiomyopathy Presenting in Severe Sepsis to the Emergency Department. 即时超声识别失代偿性心力衰竭的年轻男性与甲基苯丙胺相关的心肌病呈现在严重败血症急诊科。

Case Reports in Emergency Medicine Pub Date : 2018-10-09 eCollection Date: 2018-01-01 DOI: 10.1155/2018/2859676

David Kinas, Michael Dalley, Kayla Guidry, Mark A Newberry, David A Farcy

{"title":"Point-of-Care Ultrasound Identifies Decompensated Heart Failure in a Young Male with Methamphetamine-Associated Cardiomyopathy Presenting in Severe Sepsis to the Emergency Department.","authors":"David Kinas, Michael Dalley, Kayla Guidry, Mark A Newberry, David A Farcy","doi":"10.1155/2018/2859676","DOIUrl":"https://doi.org/10.1155/2018/2859676","url":null,"abstract":"We describe a case of a young male who presents to the emergency department with severe sepsis and decompensated heart failure with underlying Methamphetamine-Associated Cardiomyopathy that was previously undiagnosed. This presentation is unique because Methamphetamine-Associated Cardiomyopathy is an uncommonly reported condition that presented in a complex clinical scenario of severe sepsis and decompensated congestive heart failure. We discuss how we used point-of-care ultrasound (POCUS) in this case to identify an unsuspected disease process and how it changed our initial resuscitation strategy and management. Emergency physicians can utilize point-of-care ultrasound (POCUS) to help identify these high-risk patients in the emergency department and guide appropriate resuscitation. Methamphetamine-Associated Cardiomyopathy (MAC) is an infrequently described complication of methamphetamine abuse, most commonly presented as a nonischemic dilated cardiomyopathy. With the rise in methamphetamine abuse in the United States, complications from methamphetamine use are more commonly presenting to the emergency department. Proper education and rehabilitation, with a goal of abstinence from amphetamine use, may allow patients to potentially regain normal cardiac function. Since the majority of patients present late with severe cardiac dysfunction, early detection is essential amongst critically ill patients since recognition may significantly influence ED management.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2859676","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36701524","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: 3

The Role of Acetyl Cysteine in Cocaethylene (Non-Acetaminophen) Acute Liver Failure. 乙酰半胱氨酸在醋酸(非对乙酰氨基酚)急性肝衰竭中的作用。

Case Reports in Emergency Medicine Pub Date : 2018-09-26 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4393064

Getaw Worku Hassen, Amaninder Dhaliwal, Catherine Ann Jenninigs, Hossein Kalantari

{"title":"The Role of Acetyl Cysteine in Cocaethylene (Non-Acetaminophen) Acute Liver Failure.","authors":"Getaw Worku Hassen, Amaninder Dhaliwal, Catherine Ann Jenninigs, Hossein Kalantari","doi":"10.1155/2018/4393064","DOIUrl":"https://doi.org/10.1155/2018/4393064","url":null,"abstract":"Background: Acute liver failure can result from acetaminophen overdose, viral infection, toxins, and other disease conditions. Liver transplant is available in limited fashion and the criteria are strict as to who should get an available liver. N- Acetyl Cysteine (NAC) has been used in non-acetaminophen induced liver failure with success. Here we report a case of acute liver failure from cocaethylene that was reversed with NAC along with other medical therapy.Case presentation: A 50-year-old female patient presented to the Emergency Department (ED) with a two-day history of coffee ground vomiting and hematemesis. She reported occasional substance abuse and heavy alcoholism. She reported shortness of breath and chest pain from the recurrent forceful vomiting. The rest of the review of systems was unremarkable except a fall from intoxication. Physical examination revealed anicteric conjunctiva and nontender abdomen and her vital signs were within normal limits. Initial blood work revealed acute liver and renal failure. The patient was started with general medical management and liver transplant service rejected the case due to active substance abuse. She underwent brief hemodialysis and was started on NAC. Over the course of her hospital stay her liver function and kidney function improved significantly and patient was discharged to home.Conclusion: In cases where liver transplant is not an option for various reasons including active substance abuse, a trial of N-Acetyl Cysteine may be beneficial and should be considered in the Emergency Department.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4393064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36603399","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: 2

Urinoma: Prompt Diagnosis and Treatment Can Prevent Abscess Formation, Hydronephrosis, and a Progressive Loss of Renal Function. 尿瘤:及时诊断和治疗可以防止脓肿形成、肾积水和肾功能的逐渐丧失。

Case Reports in Emergency Medicine Pub Date : 2018-09-25 eCollection Date: 2018-01-01 DOI: 10.1155/2018/5456738

Jason Goldwasser, Razwana Wahdat, James Espinosa, Alan Lucerna

{"title":"Urinoma: Prompt Diagnosis and Treatment Can Prevent Abscess Formation, Hydronephrosis, and a Progressive Loss of Renal Function.","authors":"Jason Goldwasser, Razwana Wahdat, James Espinosa, Alan Lucerna","doi":"10.1155/2018/5456738","DOIUrl":"https://doi.org/10.1155/2018/5456738","url":null,"abstract":"This case describes a 70-year-old female who presented with right flank pain around the site where a stent had been placed in her right kidney at an outside hospital several months earlier. The patient arrived tachycardic with a leukocytosis and a lactic acidosis. Further imaging revealed a very hydronephrotic right kidney and an extremely large fluid collection in the right retroperitoneum extending into the right flank consistent with leakage of urine from the obstructed right kidney. Prompt treatment of this rare phenomenon is crucial for delay in medical care can lead to abscess, hydronephrosis, electrolyte instability, and a progressive loss of renal function. Treatment for small urinomas is usually conservative as the collection will most often be reabsorbed. Larger urinomas even without systemic signs often necessitate more aggressive medical treatment. A drainage catheter can be placed with ultrasound or CT guidance. Percutaneous nephrostomy tubes are often used as well for additional drainage and decompression. Fluid culture is recommended to guide antibiotic treatment.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/5456738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36603394","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: 21

An Unusual Presentation of Acute Weakness: Acute Inflammatory Demyelinating Polyneuropathy in a Patient with Psychiatric Illness. 急性虚弱的不寻常表现:精神疾病患者的急性炎症性脱髓鞘性多神经病变。

Case Reports in Emergency Medicine Pub Date : 2018-09-23 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4065342

Eric Lombardi, Ryan Misek, Krishna Patel

引用次数: 1

Head Down Deep Breathing for Cardioversion of Paroxysmal Supraventricular Tachycardia. 低头深呼吸用于阵发性室上性心动过速的心脏复律。

Case Reports in Emergency Medicine Pub Date : 2018-09-23 eCollection Date: 2018-01-01 DOI: 10.1155/2018/1387207

Steven Hoon Chin Lim, Shieh Mei Lai, Kelvin Cheok Keng Wong

引用次数: 0