Emergency Medicine
- Anaphylaxis: Expanding our perspective
Anaphylaxis is not always the extreme scenario we learned about in medical school. There is a range of far milder allergic infusion reactions that are nonetheless anaphylaxis.
- Recurrent anemia in a patient with chronic lymphocytic leukemia
New episodes of anemia do not automatically imply disease progression, and each should be evaluated completely.
- A perspective on discussing COVID-19 vaccines: Efficacy and adverse effects
Physicians should be vigilant and open-minded regarding possible adverse reactions to the vaccines, and should take time to discuss the demonstrated efficacy of vaccines with patients.
- COVID-19 vaccine-induced cellulitis and myositis
The day after receiving the second dose of the mRNA vaccine, redness and pain developed at the injection site, eventually involving the whole left arm and shoulder.
- Exanthem and enanthem with fever and dyspnea
The patient presented with high fever, productive cough, dyspnea, generalized myalgias, conjunctivitis, and whitish elevations with an erythematous base on the buccal mucosa.
- Spontaneous coronary artery dissection: Principles of management
Once thought to be rare, it is increasingly recognized as a common cause of acute coronary syndrome, particularly in young women.
- We have a greater understanding of ‘cardiac syndrome X,’ but questions remain
A better understanding of angina due to ischemia and no obstructive coronary artery disease has led to recognition of coronary microvascular dysfunction in many of these patients.
- Chest pain: The importance of serial ECGs
Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.
- Coronary microvascular dysfunction: Considerations for diagnosis and treatment
A review of pathophysiology, considerations for invasive and noninvasive coronary function testing, management, and remaining knowledge gaps.
- Rapid cognitive decline and myoclonus in a 52-year-old woman
Symptoms also included confusion, blank staring, blurred vision, incoordination of the extremities, decreased verbal communication, and holding her left hand in a fist.