Emergency Medicine

  • Atraumatic splenic rupture in acute myeloid leukemia
    Karthik Gnanapandithan, MD, MS
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 715-716; DOI: https://doi.org/10.3949/ccjm.86a.19042

    Atraumatic splenic rupture is rare but potentially life-threatening, especially if the diagnosis is delayed.

  • Low-dose steroids for acute exacerbations of COPD in a non-ICU setting: Worth consideration
    Asim Kichloo, MD, Michael M. Aljadah, and Hassan H. Beiz, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 717-718; DOI: https://doi.org/10.3949/ccjm.86a.19027

    Despite the guidelines, most patients still receive high intravenous doses for acute exacerbations.

  • Severe hypercalcemia in a 54-year-old woman
    Michael A. Munoz, MD, Zeeshan Zafar, MD, MBA and Benson A. Babu, MD, MBA
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 719-723; DOI: https://doi.org/10.3949/ccjm.86a.18126

    Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?

  • A complication of enoxaparin injection
    Ahmad Muneer Sharayah, MD, Samrah Zaigham, MD, Noor Hajjaj, MD and Mihir Maniar, DO
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 648-649; DOI: https://doi.org/10.3949/ccjm.86a.19026

    Computed tomography revealed a hematoma measuring 15 by 15 cm compressing the bladder and causing hydronephrosis.

  • A 66-year-old man with abnormal thyroid function tests
    Yazan N. Alhalaseh, MD, Zaid A. Abdulelah, MD, Ahmad O. Armouti, MD and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 666-675; DOI: https://doi.org/10.3949/ccjm.86a.19024

    A 66-year-old man presents with an acute exacerbation of COPD requiring hospitalization.

  • Giant cell arteritis: An updated review of an old disease
    Timothy Rinden, DO, Eric Miller, MD and Rawad Nasr, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 465-472; DOI: https://doi.org/10.3949/ccjm.86a.18103

    Glucocorticoids, the mainstay of treatment, should be started as soon as the disease is suspected.

  • Infection or not infection, that is the question—Is procalcitonin the answer?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 297-298; DOI: https://doi.org/10.3949/ccjm.86b.05019

    What is different about procalcitonin that allows it to succeed as a biomarker where CRP and the ESR have failed?

  • Pyoderma gangrenosum mistaken for diabetic ulcer
    Michael A. Munoz, MD and Benson A. Babu, MD, MBA, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 319-320; DOI: https://doi.org/10.3949/ccjm.86a.19015

    A man with type 2 diabetes, hypertension, anemia, and ulcerative colitis presented with an ulcer on his leg.

  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

  • How should I treat acute agitation in pregnancy?
    Joshua D. Niforatos, MTS, Jonathon W. Wanta, MD, Anna P. Shapiro, MD, Justin A. Yax, Do, DTMH and Adele C. Viguera, MD, MPH
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 243-247; DOI: https://doi.org/10.3949/ccjm.86a.18041

    This is an obstetric emergency. Intervention should progress in a stepwise manner.

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