scholarly journals Tracheal Lipoma Mimicking Asthma

2021 ◽  
Vol 24 (12) ◽  
pp. 916-918
Author(s):  
Barış Çil ◽  
Mehmet Kabak
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Rare Condition ◽  
Chest Ct ◽  
Benign Tumors ◽  
Shortness Of Breath ◽  
Treatment Resistant ◽  
Chest Ct Scan ◽  
Tracheal Tumors

Primary tracheal tumors are very rare and 10%–20% are benign tumors. Tracheal lipoma is extremely rare and only a few cases have been reported in the literature. A 69-year-old male patient presented to the emergency department with complaints of shortness of breath, respiratory distress, chest pain and cough. Chest CT scan showed a round mass in the topography of the trachea that almost caused airway obstruction. The lesion was resected endoscopically and the pedicle base was cauterized. Tracheal lipoma is a rare condition that should lie in the differential diagnosis of treatment-resistant asthma.

scholarly journals 50-year-old Male With Chest Pain

2019 ◽  
Vol 3 (4) ◽  
pp. 321-326
Author(s):  
William Fernandez ◽  
Laura Bontempo ◽  
Zachary Dezman
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Troponin I ◽  
Shortness Of Breath ◽  
Upper Limit ◽  
Work Up

A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. This case takes the reader through the differential diagnosis and systematic work-up of the deadly causes of chest pain, ultimately leading to this patient’s diagnosis.

scholarly journals Meningococcemia Presenting as a Myocardial Infarction

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Daniel Lachant ◽  
David Trawick
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Chest Pain ◽  
Cardiogenic Shock ◽  
Neisseria Meningitidis ◽  
Early Recognition ◽  
Myocardial Dysfunction ◽  
Shortness Of Breath ◽  
Gram Negative ◽  
St Elevation

Neisseria meningitidisis an encapsulated gram negative diplococcus that colonizes the nasopharynx and is transmitted by aerosol or secretions with the majority of cases occurring in infants and adolescents. Meningococcemia carries a high mortality which is in part due to myocarditis. Early recognition and prompt use of antibiotics improve morbidity and mortality. We report a 55-year-old male presenting to the emergency department with chest pain, shortness of breath, and electrocardiogram changes suggestive of ST elevation MI who developed cardiogenic shock and multisystem organ failure fromN. meningitidis. We present this case to highlight the unique presentation of meningococcemia, the association with myocardial dysfunction, and the importance of early recognition and prompt use of antibiotics.

scholarly journals Just the Facts: Protected code blue – Cardiopulmonary resuscitation in the emergency department during the coronavirus disease 2019 pandemic

CJEM ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 431-434 ◽  
Author(s):  
Sarah McIsaac ◽  
Randy S. Wax ◽  
Brit Long ◽  
Christopher Hicks ◽  
Christian Vaillancourt ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Emergency Department ◽  
Chest Pain ◽  
Cardiopulmonary Resuscitation ◽  
Emergency Medical Services ◽  
Negative Pressure ◽  
Shortness Of Breath ◽  
Code Blue ◽  
Palpable Pulse ◽  
History Of

Emergency medical services (EMS) is called for a 65-year-old man with a 1-week history of cough, fever, and mild shortness of breath now reporting chest pain. Vitals on scene were HR 110, BP 135/90, SpO2 88% on room air. EMS arrives at the emergency department (ED). As the patient is moved to a negative pressure room, he becomes unresponsive with no palpable pulse. What next steps should be discussed in order to protect the team and achieve the best possible patient outcome?

scholarly journals A tale of two SCADs: Spontaneous coronary artery dissection series

2021 ◽  
Vol 9 (37) ◽  
pp. 70-73
Author(s):  
Sanjana Rao ◽  
Nitish Mittal ◽  
Mohammad M Ansari
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Intramural Hematoma ◽  
Rare Condition ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Shortness Of Breath ◽  
Coronary Artery Dissection ◽  
Coronary Artery Angiography ◽  
Associated Symptoms

Spontaneous coronary artery dissection (SCAD), a relatively rare condition, occurs when a tear is present in the coronary artery walls, slowing the flow of blood due to potential clotting. Most patients show symptoms of chest pain or shortness of breath; however, SCAD is seen mostly in relatively young and healthy women with minimal past medical history. Within this report, we present two female SCAD patients and the etiology of a SCAD case, including a complicated diagnosis and treatment. We describe a 33-year-old woman and a 40-year-old woman both presenting to the emergency department with chest pain and shortness of breath. Electrocardiogram was done and coronary artery angiography was performed on both patients, demonstrating a SCAD. Both patients were treated with aspirin, bet-blockers, and statin to relieve associated symptoms and accordingly discharged.   Key words: Spontaneous coronary artery dissection (SCAD), Female, intramural hematoma

scholarly journals Post traumatic painful shoulder – a delayed clinical feature of upper lobe lung cancer in a 74 year-old male. - case report -

2014 ◽  
Vol 20 (1) ◽  
pp. 40-43
Author(s):  
Arghir Oana-Cristina ◽  
Trenchea Mihaela ◽  
Iliescu Mădălina ◽  
Galie N. ◽  
Ciobotaru Camelia
Keyword(s):  
Lung Cancer ◽  
Case Report ◽  
Chest Pain ◽  
Symptomatic Treatment ◽  
Chest Ct ◽  
Clinical Feature ◽  
Painful Shoulder ◽  
History Of ◽  
Post Traumatic ◽  
Chest Ct Scan

ABSTRACT A 74 year old Caucasian man, presents with a 6 week history of right sided chest pain including traumatic related painful right shoulder. Shoulder minor contusion was diagnosed and partial managed by symptomatic treatment associated to rehabilitation. The pain was initially eased with nonsteroidal anti-inflammatory drug (NSAID) use and finally changed worsening. He has evidence of moderate COPD on spirometry and has been commenced on inhalers. An invasive primitive adenocarcinoma lung cancer was confirmed by chest CT scan and lymphnode biopsy through mediastinoscopy

scholarly journals Delayed Upper-Airway Injury after Accidental Alkaline Ingestion

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Matthew F. Ryan ◽  
Mindy Fernandez ◽  
Karen Laauwe
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Upper Airway ◽  
Acute Injury ◽  
Upper Endoscopy ◽  
Shortness Of Breath ◽  
X Ray ◽  
Airway Injury ◽  
Chest X Ray ◽  
Alkaline Cleaning

A 62-year-old man presented to the emergency department one week after accidentally drinking an alkaline cleaning agent stored in unlabeled bottle. The day of the incident the patient presented to an outside hospital where he was admitted for an upper endoscopy of the esophagus which was found to be negative for acute injury. An initial chest X-ray taken the day of the incident was also found to be normal. After discharge the patient continued to have a sore throat and marked dysphagia which caused him to vomit repeatedly. Moreover, the patient began to develop chest pain with associated shortness of breath. We present a case of delayed airway injury and tracheal thickening and associated chest pain after alkaline ingestion and we discuss herein the pathophysiology and management of alkaline ingestions.

scholarly journals Community-acquired pneumonia in the emergency department: an algorithm to facilitate diagnosis and guide chest CT scan indication

2020 ◽  
Vol 26 (3) ◽  
pp. 382.e1-382.e7 ◽  
Author(s):  
P. Loubet ◽  
S. Tubiana ◽  
Y.E. Claessens ◽  
L. Epelboin ◽  
C. Ficko ◽  
...  
Keyword(s):  
Emergency Department ◽  
Ct Scan ◽  
Community Acquired Pneumonia ◽  
Chest Ct ◽  
Chest Ct Scan

scholarly journals Pulmonary Embolism presenting as Syncope

2015 ◽  
Vol 12 (1) ◽  
pp. 37-41
Author(s):  
Dipak Mall ◽  
Yang Shaning
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Pulmonary Embolism ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Cardiac Care ◽  
Appropriate Treatment

The diagnosis of Pulmonary embolism can easily be missed if it is not considered as one of the major differential diagnosis in a case of syncope without chest pain. We describe a case of a 74years old female with pulmonary embolism induced syncope, which highlights one of the difficulties in diagnosing pulmonary embolism. In a patient presenting in syncope without chest pain but raised troponin, the possibility of pulmonary embolism should also be considered if it does not fit with myocardial infarction. Otherwise, the diagnosis can be easily missed and patients may not receive appropriate treatment resulting in increased mortality. Pulmonary embolism should be considered in the differential diagnosis of every syncopal event in Emergency department and Cardiac care units. DOI: http://dx.doi.org/10.3126/njh.v12i1.12343 Nepalese Heart Journal Vol.12(1) 2015: 37-41

scholarly journals Woman with dyspnea and history of systemic lupus erythematosus

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Nicolas Kahl ◽  
◽  
Sukhdeep Singh ◽  
Jessica Oswald ◽  
◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Emergency Department ◽  
Chest Pain ◽  
Lupus Erythematosus ◽  
Lower Leg ◽  
Shortness Of Breath ◽  
Pleuritic Chest Pain ◽  
Systemic Lupus ◽  
Blood Clots ◽  
History Of

32-year-old woman with history of pleurisy and systemic lupus erythematosus presented to the emergency department with shortness of breath and pleuritic chest pain, acutely worse over one day after a six hour flight three days prior. She became dyspneic walking from her hotel bed to the bathroom. She endorsed 3 weeks of right lower leg cramping. She denied history of blood clots. She appeared tachypneic and speaking in short phrases upon arrival. A bedside ultrasound was performed, see Figures. Vitals: T: 98.3 F, HR: 130, BP: 142/88, RR: 24, oxygen saturation 97% on room air.

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