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Traumatic Takotsubo Cardiomyopathy in a Patient with Extensive Coronary Artery Disease 广泛冠状动脉疾病患者的外伤性Takotsubo心肌病
Case Reports in Emergency Medicine Pub Date : 2019-06-12 DOI: 10.1155/2019/7270426
Abagayle E Renko, Warren C. Doyle, Paul W. Sokoloski
{"title":"Traumatic Takotsubo Cardiomyopathy in a Patient with Extensive Coronary Artery Disease","authors":"Abagayle E Renko, Warren C. Doyle, Paul W. Sokoloski","doi":"10.1155/2019/7270426","DOIUrl":"https://doi.org/10.1155/2019/7270426","url":null,"abstract":"Takotsubo Cardiomyopathy (TCM) should be considered in the differential diagnosis for patients with cardiovascular symptoms not only following emotional trauma but also following motor vehicle accidents. A 45-year-old woman presented with chest pain following a motor vehicle accident. While she had an elevated troponin level and an extensive history of cardiac disease, her electrocardiogram was normal. Echocardiogram, however, demonstrated transiently reduced left ventricular systolic function with mid to apical hypokinesis consistent with TCM. We emphasize the use of a diagnostic score and point of care focused cardiac ultrasound (FOCUS) to expedite the recognition, evaluation, and treatment of suspected TCM in an Emergency Department setting.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73947297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Case of Acute Myocardial Infarction in a Patient Whose Initial Complaints Were Hematemesis and Epigastric Discomfort. 一例最初主诉为吐血和胃上不适的急性心肌梗死患者。
Case Reports in Emergency Medicine Pub Date : 2019-05-23 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5984251
Kazuhiko Omori, Youichi Yanagawa
{"title":"A Case of Acute Myocardial Infarction in a Patient Whose Initial Complaints Were Hematemesis and Epigastric Discomfort.","authors":"Kazuhiko Omori,&nbsp;Youichi Yanagawa","doi":"10.1155/2019/5984251","DOIUrl":"10.1155/2019/5984251","url":null,"abstract":"<p><p>The patient was a 64-year-old woman with systemic lupus erythematosus, thrombophlebitis of the lower legs, cerebral infarction with left hemiparesis, and colostomy after perforation of the sigmoid colon. On the morning of her presentation, the patient felt epigastric abnormality. Thereafter, hematemesis occurred twice, leading her to call an ambulance in the afternoon. Upon arrival, electrocardiography before securing a venous route and obtaining blood samples revealed ST segment elevation in leads II, III, and aVF. As her vital signs were stable and her hemoglobin level had decreased by just 1.1 g/dl in comparison to the previous day, emergency coronary angiography (CAG) was performed. CAG revealed complete occlusion at section #4. She underwent right coronary angioplasty with stent placement. The patient's course after angioplasty was uneventful. On the 15<sup>th</sup> hospital day, esophagogastroduodenoscopy revealed esophageal erosion and superficial gastritis. She was discharged on foot the following day. When physicians treat patients with hematemesis, electrocardiography and the measurement of troponin are essential before esophagogastroduodenoscopy.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"5984251"},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5984251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37382430","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
Case of Nontraumatic Rectus Sheath Hematoma from Muscle Training Mimicking Acute Abdomen. 模拟急腹症肌肉训练所致非外伤性直肌鞘血肿1例。
Case Reports in Emergency Medicine Pub Date : 2019-05-23 eCollection Date: 2019-01-01 DOI: 10.1155/2019/3158969
Yukino Ariyoshi, Hiromichi Naito, Hiromi Ihoriya, Tetsuya Yumoto, Noritomo Fujisaki, Kohei Tsukahara, Taihei Yamada, Yasuhiro Mandai, Takaaki Osako, Atsunori Nakao
{"title":"Case of Nontraumatic Rectus Sheath Hematoma from Muscle Training Mimicking Acute Abdomen.","authors":"Yukino Ariyoshi,&nbsp;Hiromichi Naito,&nbsp;Hiromi Ihoriya,&nbsp;Tetsuya Yumoto,&nbsp;Noritomo Fujisaki,&nbsp;Kohei Tsukahara,&nbsp;Taihei Yamada,&nbsp;Yasuhiro Mandai,&nbsp;Takaaki Osako,&nbsp;Atsunori Nakao","doi":"10.1155/2019/3158969","DOIUrl":"https://doi.org/10.1155/2019/3158969","url":null,"abstract":"<p><p>Rectus sheath hematoma is an unusual but well-known clinical problem. Our hospital admitted a 54-year-old woman complaining of harsh right-sided hypogastric pain that started while muscle training. Computed tomography of the abdomen and pelvis demonstrated a right rectus sheath hematoma. As the hematoma did not increase, the patient was conservatively treated. Despite increased awareness of rectus sheath hematoma, its early diagnosis and treatment still present a challenge to emergency physicians. Swift acknowledgement of this rare cause of abdominal pain may avoid more intrusive examination, unnecessary hospitalization, and laparotomy. Careful consideration of the patient's medical history and a high index of suspicion are needed to diagnose this complication.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"3158969"},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/3158969","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37382429","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: 5
Expression of Concern on "Late Onset Traumatic Diaphragmatic Herniation Leading to Intestinal Obstruction and Pancreatitis: Two Separate Cases". “迟发性外伤性膈疝导致肠梗阻和胰腺炎:两例独立病例”的关注表达。
Case Reports in Emergency Medicine Pub Date : 2019-05-22 eCollection Date: 2019-01-01 DOI: 10.1155/2019/6917081
Case Reports In Emergency Medicine
{"title":"Expression of Concern on \"Late Onset Traumatic Diaphragmatic Herniation Leading to Intestinal Obstruction and Pancreatitis: Two Separate Cases\".","authors":"Case Reports In Emergency Medicine","doi":"10.1155/2019/6917081","DOIUrl":"https://doi.org/10.1155/2019/6917081","url":null,"abstract":"Case Reports in Emergency Medicine would like to express concern with the article titled “Late Onset Traumatic Diaphragmatic Herniation Leading to Intestinal Obstruction and Pancreatitis: Two Separate Cases” published in Case Reports in Emergency Medicine in August 2015 [1], as the article was published without the approval of Dr. Baris D. Yildiz and his name was missing from the authors’ list. An institutional investigation claimed Dr. Yildiz waived his right to be an author, which he disputed. A court of Intellectual and Industrial Property Rights in Turkey ruled thatDr. Yildiz should be listed as co-author, whichwas upheld at appeal. However, Dr. Yildiz did not agree to a corrigendum listing him as an author. Additionally, the editorial office was contacted by someone saying they were the legal representative of one of the patients and they had not consented to publication. However, the representative’s identity was not verified and they did not respond to queries.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"6917081"},"PeriodicalIF":0.0,"publicationDate":"2019-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6917081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37382431","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
Two Rare Cases of Appendicitis: Amyand's Hernia and De Garengeot's Hernia. 两例罕见阑尾炎:Amyand疝和De Garengeot疝。
Case Reports in Emergency Medicine Pub Date : 2019-04-16 eCollection Date: 2019-01-01 DOI: 10.1155/2019/6759206
Kimberly A Schaaf, Eric M Melnychuk, Ross D Ellison, Amy J Snover
{"title":"Two Rare Cases of Appendicitis: Amyand's Hernia and De Garengeot's Hernia.","authors":"Kimberly A Schaaf,&nbsp;Eric M Melnychuk,&nbsp;Ross D Ellison,&nbsp;Amy J Snover","doi":"10.1155/2019/6759206","DOIUrl":"https://doi.org/10.1155/2019/6759206","url":null,"abstract":"<p><p>An Amyand's hernia is an inguinal hernia that contains vermiform appendix. De Garengeot's hernias are similar; however, in this case the appendix is within a femoral hernia. Both types of hernia are rare, and those hernias associated with appendicitis, perforation, or abscess are even scarcer presentations. The treatment of Amyand's hernia and De Garengeot's hernia is not standardized. Generally, hernia repair is performed but disagreement remains regarding the use of mesh and performing appendectomy. This case series describes two individuals with appendicitis presenting to one emergency department within a 24-hour time frame. One case is of a patient with Amyand's hernia and another case is a patient with De Garengeot's hernia with an adjacent abscess. Both individuals were managed with appendectomy and hernia repair without the use of mesh.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"6759206"},"PeriodicalIF":0.0,"publicationDate":"2019-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6759206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37281443","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: 8
Acute Onset of Hypersomnolence and Aphasia Secondary to an Artery of Percheron Infarct and a Proposed Emergency Room Evaluation. 继发于高位动脉梗死的嗜睡和失语的急性发作和建议的急诊室评估。
Case Reports in Emergency Medicine Pub Date : 2019-04-08 eCollection Date: 2019-01-01 DOI: 10.1155/2019/1260865
Tamra Ranasinghe, SoHyun Boo, Amelia Adcock
{"title":"Acute Onset of Hypersomnolence and Aphasia Secondary to an Artery of Percheron Infarct and a Proposed Emergency Room Evaluation.","authors":"Tamra Ranasinghe,&nbsp;SoHyun Boo,&nbsp;Amelia Adcock","doi":"10.1155/2019/1260865","DOIUrl":"https://doi.org/10.1155/2019/1260865","url":null,"abstract":"<p><p>Artery of Percheron (AOP) is a rare anatomical variant, which supplies bilateral paramedian thalami and the rostral mesencephalon via a single dominant thalamic perforating artery arising from the P1 segment of a posterior cerebral artery. AOP infarcts can present with a plethora of neurological symptoms: altered mental status, memory impairment, hypersomnolence, coma, aphasia, and vertical gaze palsy. Given the lack of classic stroke signs, majority of AOP infarcts are not diagnosed in the emergency setting. Timely diagnosis of an acute bilateral thalamic infarct can be challenging, and this case report highlights the uncommon neurological presentation of AOP infarction. The therapeutic time window to administer IV tPA can be missed due to this delay in diagnosis, resulting in poor clinical outcomes. To initiate appropriate acute ischemic stroke management, we propose a comprehensive radiological evaluation in the emergency room for patients with a high suspicion of an AOP infarction.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"1260865"},"PeriodicalIF":0.0,"publicationDate":"2019-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/1260865","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246645","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: 5
Novel Method for Removing Embedded Cactus Spines in the Emergency Department. 急诊部去除仙人掌内埋刺的新方法。
Case Reports in Emergency Medicine Pub Date : 2019-04-08 eCollection Date: 2019-01-01 DOI: 10.1155/2019/6062531
Andrew M Ford, Steven T Haywood, Douglas R Gallo
{"title":"Novel Method for Removing Embedded Cactus Spines in the Emergency Department.","authors":"Andrew M Ford,&nbsp;Steven T Haywood,&nbsp;Douglas R Gallo","doi":"10.1155/2019/6062531","DOIUrl":"https://doi.org/10.1155/2019/6062531","url":null,"abstract":"<p><p>Injuries from cactus spines can present challenges to Emergency Medicine providers. When the patient has mental limitations that prevent cooperation with removal, these challenges grow. Traditional removal techniques have several drawbacks including prolonged time for complete removal and incomplete removal. We present the case of a 22-year-old with a history of low-functioning autism and congenital motor dysfunction with a cactus spine injury to a large surface area of her chest, abdomen, and extremities. Conscious sedation utilizing intramuscular ketamine and Operating Room (OR) hair removal mitts were utilized to quickly and effectively remove the cactus spines. The patient had efficient, painless resolution of her injury without need for additional spine removal.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"6062531"},"PeriodicalIF":0.0,"publicationDate":"2019-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6062531","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246646","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
Haloperidol-Induced Dystonia due to Sedation for Upper Gastrointestinal Endoscopy: A Pediatric Case Report. 氟哌啶醇引起的上消化道内窥镜镇静引起的肌张力障碍:一个儿科病例报告。
Case Reports in Emergency Medicine Pub Date : 2019-03-27 eCollection Date: 2019-01-01 DOI: 10.1155/2019/3591258
Kazufumi Yaginuma, Masahiro Watanabe, Kyohei Miyazaki, Atsushi Ono, Hiromichi Murai, Maki Nodera, Yuichi Suzuki, Kazuhide Suyama, Yukihiko Kawasaki, Mitsuaki Hosoya
{"title":"Haloperidol-Induced Dystonia due to Sedation for Upper Gastrointestinal Endoscopy: A Pediatric Case Report.","authors":"Kazufumi Yaginuma,&nbsp;Masahiro Watanabe,&nbsp;Kyohei Miyazaki,&nbsp;Atsushi Ono,&nbsp;Hiromichi Murai,&nbsp;Maki Nodera,&nbsp;Yuichi Suzuki,&nbsp;Kazuhide Suyama,&nbsp;Yukihiko Kawasaki,&nbsp;Mitsuaki Hosoya","doi":"10.1155/2019/3591258","DOIUrl":"https://doi.org/10.1155/2019/3591258","url":null,"abstract":"<p><p>Dystonia is a movement disorder characterized by sustained muscle tone. Antipsychotic agents sometimes cause acute dystonia that can rapidly worsen within a few hours or days. Because healthy children rarely receive antipsychotic agents, it is unusual to see antipsychotic agent-induced dystonia in pediatric emergency departments. We report a rare case of a 12-year-old healthy boy who presented with acute dystonia after administration of haloperidol for sedation. He was suspected of laryngeal dystonia because stridor and desaturation were present. The symptoms disappeared with the administration of hydroxyzine. Rapid diagnosis was important in this case because laryngeal dystonia is a potential life-threatening complication due to upper airway obstruction. Considering the risk of side effects, doctors who are not accustomed to administering pediatric anesthesia should consult a pediatrician and/or an anesthesiologist prior to administration of anesthetics to pediatric patients.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"3591258"},"PeriodicalIF":0.0,"publicationDate":"2019-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/3591258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37193894","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: 4
Retracted: Marathon Runner with Acute Hyponatremia: A Neurological Disorder. 撤稿:马拉松运动员急性低钠血症:一种神经系统疾病。
Case Reports in Emergency Medicine Pub Date : 2019-03-26 eCollection Date: 2019-01-01 DOI: 10.1155/2019/3954675
Case Reports In Emergency Medicine
{"title":"Retracted: Marathon Runner with Acute Hyponatremia: A Neurological Disorder.","authors":"Case Reports In Emergency Medicine","doi":"10.1155/2019/3954675","DOIUrl":"https://doi.org/10.1155/2019/3954675","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1155/2012/342760.].</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"3954675"},"PeriodicalIF":0.0,"publicationDate":"2019-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/3954675","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37193893","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
Relapsing Kikuchi-Fujimoto Disease Requiring Prolonged Steroid Therapy. 复发的菊chi- fujimoto病需要长期类固醇治疗。
Case Reports in Emergency Medicine Pub Date : 2019-03-07 eCollection Date: 2019-01-01 DOI: 10.1155/2019/6405687
Ulrich Gerwig, Rolf Guenter Weidmann, Gregor Lindner
{"title":"Relapsing Kikuchi-Fujimoto Disease Requiring Prolonged Steroid Therapy.","authors":"Ulrich Gerwig,&nbsp;Rolf Guenter Weidmann,&nbsp;Gregor Lindner","doi":"10.1155/2019/6405687","DOIUrl":"https://doi.org/10.1155/2019/6405687","url":null,"abstract":"<p><p>We report the case of a 26-year-old woman with an eight-week history of painfully enlarged cervical lymph nodes, recurrent headache, and malaise. Her medical history was unremarkable. The physical examination showed multiple enlarged cervical lymph nodes. Laboratory examination was unremarkable, and magnetic resonance tomographic imaging showed multiple enlarged cervical lymph nodes with aspect of a lymphoma. Lymph node biopsy revealed Kikuchi-Fujimoto disease, histologically characterized by histiocytic necrotizing lymphadenitis. A therapeutic trial with nonsteroidal anti-inflammatory drugs (NSAID) showed no effect, so steroid therapy was started. Due to relapse of symptoms after steroid withdrawal the tapering regimen was prolonged for a total of seven months.</p>","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"2019 ","pages":"6405687"},"PeriodicalIF":0.0,"publicationDate":"2019-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6405687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328350","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
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