scholarly journals Delayed thrombosis of all upper limb arteries: A rare complication in the closed posterior elbow dislocation in the emergency department

Author(s):  
Hamid Ilyas ◽  
Muhammad Abd Ur Rehman ◽  
Hina Akram
2016 ◽  
pp. bcr2016214376 ◽  
Author(s):  
Christopher Stephen ◽  
David Alexander Munnoch

2019 ◽  
Vol 3 (1) ◽  
pp. 47-50
Author(s):  
Carly Loner ◽  
Peter Crane

We report a case of acute necrotizing eosinophilic myocarditis (ANEM) secondary to drug rash with eosinophilia and systemic symptoms (DRESS) related to administration of minocycline. Myocarditis is a rare complication of DRESS and can manifest as either a self-limited hypersensitivity myocarditis or as the frequently fatal ANEM. Due to the high morbidity and mortality caused by this disease, emergency physicians should be aware of the potential of ANEM in patients with history of DRESS and new-onset cardiac dysfunction. This case reviews the clinical presentation and management of ANEM and the potential role of extracorporeal membrane oxygenation use in the emergency department.


2020 ◽  
Vol 4 (4) ◽  
pp. 668-670
Author(s):  
Zach Edwards ◽  
Stephen DeMeo

Introduction: Sepsis commonly brings patients to the emergency department (ED). Patient outcomes can vary widely. In some cases, rare complications of sepsis such as autoimmune hemolytic anemia can occur. Case Report: A 68-year-old female presented with sepsis secondary to infected nephrolithiasis. The patient had signs and symptoms consistent with hemolysis upon arrival to the ED. Her hemolysis progressively worsened over a two-day period leading to a diagnosis of warm autoimmune hemolytic anemia. She responded well to treatment; however, her condition began to worsen due to a new infection caused by perforated colonic diverticula. The patient ultimately expired from complications of her perforated colonic diverticula. Conclusion: It is crucial that emergency physicians understand the risk factors, symptoms, pathophysiology, and treatment of this rare complication of sepsis so that favorable patient outcomes can be achieved.


2020 ◽  
pp. 175857322097702
Author(s):  
Giles Faria ◽  
Siddharth Virani ◽  
Mohammed Shaeir ◽  
Patricia Velazquez-Ruta ◽  
Baha John Tadros ◽  
...  

Introduction COVID-19 has had a significant impact on healthcare systems. We aim to quantify the impact of this outbreak on shoulder and elbow trauma in our institution. Methods We prospectively collected data on patients presenting to our hospital with shoulder and elbow injuries during COVID-19. This included the number of attendances to the emergency department, fracture clinic, inpatient admissions and operative treatments. This was compared to a pre-COVID-19 period. We also assessed the efficacy of telephone clinics. Results There has been a noticeable decrease in the number of emergency department and fracture clinic attendances with upper limb complaints. The number of in-person fracture clinic reviews also decreased, with a reciprocal exponential increase in telephone consultations. We recorded a decrease in the number of shoulder and elbow trauma procedures performed. There was a small increase in the proportion of injuries treated conservatively during COVID-19. Our telephone clinics yielded a diagnosis and management plan in many cases and patient perspective appeared favourable. Conclusion We have noted significant change in the upper limb caseload. Certain injuries have reduced, likely due to COVID-19 lockdown. Moreover, we consider several changes to current practices could be taken forward after the pandemic.


PEDIATRICS ◽  
1971 ◽  
Vol 48 (5) ◽  
pp. 832-833
Author(s):  
M. G. Norman ◽  
Elie Cass

Cardiac tamponade occurring after swallowing a safety pin is a rare complication of foreign body in the esophagus. This case is reported to warn pediatricians of this danger. A 1-year-old child was found apparently lifeless in her crib at home. She was rushed to hospital where she was pronounced dead on arrival in the Emergency Department. The coroner ordered an autopsy. Significant findings were confined to the esophagus, heart, and pericardium. A 1'' long safety pin was found 2 cm proximal to the esophageo-gastric junction. The pin was open, with the sharp point and keeper pointing cephalad. The point had punctured the esophagus and adjacent pericardium.


2006 ◽  
Vol 12 (4) ◽  
Author(s):  
Talel Badri ◽  
Mourad Mokni ◽  
Maha Ben Sassi ◽  
Faika Cherif ◽  
Mohamed Iyadh Azaiz ◽  
...  
Keyword(s):  

2009 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Konstantina G. Yiannopoulou ◽  
Theodoros Avramidis ◽  
Roxani Divari ◽  
Alexandros Papadimitriou

We describe the case of a male patient who developed electromyographically confirmed myokymia, dystonia and tremor and clinically confirmed focal dystonia and tremor, secondary to electrical injury. Dystonia is a rare complication of electrical injury. Myokymic discharges secondary to electrical injury are previously unreported. Dystonia and tremor EMG findings were present not only at the clinically affected muscles of the lower limb but also at the clinically unaffected upper limb muscles. This is the first case report to link myokymia as a secondary complication of an electrical injury.


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