Boy with Abdominal Pain

xloma.fota.13 shared this article with you from Inoreader Boy with Abdominal Pain Via Annals of Emergency Medicine An 11-year-old boy presented to the emergency department with sudden-onset, severe, sharp, right upper quadrant abdominal pain and vomiting. On examination, the patient was afebrile, with a pulse rate of 92 beats/min and right upper quadrant tenderness. Laboratory test results were unremarkable, including a WBC count of 9,670/mm3 without left shift. Radiography of the abdomen revealed no evidence of obstruction. Abdominal point-of-care ultrasonography was performed (Figures 1 and 2, left panel, and Video E1, available online at http://www.annemergmed.com) and the diagnosis was confirmed by contrast-enhanced computed tomography (CT) (Figures 1 and 2, right panel). View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Woman with ST Changes Following Days of Vomiting

xloma.fota.13 shared this article with you from Inoreader Woman with ST Changes Following Days of Vomiting Via Annals of Emergency Medicine A 76-year-old woman with a history of recently diagnosed gastritis, osteoarthritis, depression, and hypertension presented to the emergency department (ED) for generalized weakness after an unwitnessed fall. She was found by her son, who stated that she had been feeling weak during the past few weeks and had had daily episodes of nausea with nonbilious and nonbloody vomiting that had increased in frequency during the past week. On the patient's arrival, her pulse rate was 100 beats/min, temperature 97.2°F, respiratory rate 24 breaths/min, oxygen saturation 100% on room air, and blood pressure 128/60 mm Hg. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

ECG of the month: A “de Winter”-like ECG pattern in a patient presenting with progressive lethargy

xloma.fota.13 shared this article with you from Inoreader ECG of the month: A "de Winter"-like ECG pattern in a patient presenting with progressive lethargy Via Annals of Emergency Medicine An 87-year-old man with hypertension, diabetic nephropathy, and heart failure with preserved ejection fraction was brought to the emergency department (ED) for progressive weakness with lethargy for the past 3 days. His medication included atenolol, perindopril, torsemide, amlodipine, atorvastatin, sitagliptin, and basal insulin. Spironolactone was added to this regimen 2 weeks ago in the setting of clinical congestion. On arrival at the ED, he was bradycardic, at 53 beats/min. Capillary blood glucose level was elevated, at 14 mmol/L. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Symptomatic Emergency Department Patients Should Undergo Empirical Therapy for Gonorrhea/Chlamydia Regardless of Testing

xloma.fota.13 shared this article with you from Inoreader Symptomatic Emergency Department Patients Should Undergo Empirical Therapy for Gonorrhea/Chlamydia Regardless of Testing Via Annals of Emergency Medicine Neisseria gonorrhoeae and Chlamydia trachomatis are the 2 most commonly diagnosed and reported sexually transmitted infections in the United States.1 Among men, these infections cause urethritis and epididymitis. Among women, they cause cervicitis and urethritis, although most infected patients are asymptomatic.2 Antibiotics readily cure urethritis, cervicitis, and pelvic inflammatory disease, and early treatment of these infections prevents transmission and complications. All emergency department (ED) patients with presentations consistent with N gonorrhoeae or C trachomatis should undergo empirical therapy rather than test-based treatment. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Bridging Oceans and Thrombolysis

xloma.fota.13 shared this article with you from Inoreader Bridging Oceans and Thrombolysis Via Annals of Emergency Medicine Zi W, Qiu Z, Li F, et al. Effect of endovascular treatment alone vs intravenous alteplase plus endovascular treatment on functional independence in patients with acute ischemic stroke: the DEVT randomized clinical trial. JAMA. 2021;325:234-243. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Young Man with Odynophagia

xloma.fota.13 shared this article with you from Inoreader Young Man with Odynophagia Via Annals of Emergency Medicine A 30-year-old man presented to the emergency department with throat pain and oral intolerance of fluids for several hours. Earlier that day, an outpatient operation was aborted after multiple unsuccessful intubation attempts in the operating room. The patient had unremarkable vital signs, noting only odynophagia. Computed tomography (CT) of the neck and an esophagram with water-soluble contrast were acquired. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Highlighting the Concepts of Local Exhaust Ventilation in Negative-Pressure Rooms

xloma.fota.13 shared this article with you from Inoreader Highlighting the Concepts of Local Exhaust Ventilation in Negative-Pressure Rooms Via Annals of Emergency Medicine We think the letter by Braude and Femling1 pointed out that negative-pressure rooms are not absolutely safe for health care professionals. The authors briefly mention that negative pressure and air exchanges will not make the room much safer owing to aerosolized particles that are generated continuously. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.