Emergency Medicine
- Emphysematous cystitis
The patient had fallen in her home and remained on the floor for 2 days until neighbors heard her cries and called 911.
- Who needs to carry an epinephrine autoinjector?
Patients who have had anaphylaxis or who are at risk of it should carry an epinephrine autoinjector with them at all times.
- Acute-onset quadriplegia with hyperreflexia
MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.
- Which patients with pulmonary embolism need echocardiography?
The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.
- Renal vein thrombosis and pulmonary embolism
A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.
- Pulmonary infarction due to pulmonary embolism
A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.
- Fournier gangrene
The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.
- Calcific uremic arteriolopathy
A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.
- Wolff-Parkinson-White pattern unmasked by severe musculoskeletal pain
WPW pattern can be asymptomatic, whereas the syndrome is characterized by symptomatic arrhythmias.
- ‘Dry drowning’ and other myths
Drowning is a common and often preventable cause of death, especially in children. But dry drowning is a myth.