scholarly journals 36-year-old Male with Syncope

2020 ◽  
Vol 4 (3) ◽  
pp. 272-276
Author(s):  
Samantha King ◽  
Ryan Spangler ◽  
Zachary Dezman ◽  
Laura Bontempo
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Initial Examination ◽  
Case Presentation ◽  
Work Up

Case Presentation: A 36-year-old incarcerated male presented to the emergency department (ED) after an episode concerning for syncope. The patient had nystagmus and ataxia on initial examination. Discussion: There is a broad differential diagnosis for syncope, and for patients presenting to the ED we tend to focus on cardiogenic and neurologic causes. This case takes the reader through the differential diagnosis and systemic work-up of a patient presenting to the ED with syncope.

scholarly journals 37-year-old Transgender Man with Fevers, Dysuria, and Sudden Decompensation

2020 ◽  
Vol 4 (3) ◽  
pp. 277-282
Author(s):  
Emily Fleming ◽  
J. David Gatz
Keyword(s):  
Emergency Department ◽  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Presentation ◽  
Stable Case ◽  
Work Up

Introduction: Patients in the emergency department may experience sudden decompensation despite initially appearing stable. Case Presentation: A 37-year-old transgender man presented to the emergency department (ED) with several months of fevers, myalgias, and weight loss. The patient acutely became febrile, tachycardic, and hypotensive after an initially reassuring assessment in the ED. Discussion: This case takes the reader through the differential diagnosis and work-up of the decompensating patient initially presenting with subacute symptoms.

scholarly journals 55-year-old Male with Exertional Dyspnea

2020 ◽  
Vol 4 (2) ◽  
pp. 111-115
Author(s):  
Eric Friedman ◽  
J. David Gatz ◽  
Zachary Dezman ◽  
Laura Bontempo
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Chest Radiograph ◽  
Successful Treatment ◽  
Type I Diabetes ◽  
Diagnostic Study ◽  
Type I ◽  
Exertional Dyspnea ◽  
Case Presentation ◽  
Work Up

Introduction: Dyspnea is a common presenting complaint for many patients in the emergency department. Case Presentation: A 55-year-old man with type I diabetes presented to the emergency department with one month of intermittent palpitations and dyspnea. His lungs were clear to auscultation, and his chest radiograph was normal. Discussion: This case takes the reader through the differential diagnosis and systematic work-up of dyspnea with discussion of the diagnostic study, which ultimately led to this patient’s diagnosis and successful treatment.

scholarly journals Neonate born with ischemic limb to a COVID-19 positive mother: management and review of literature

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Shahana Perveen ◽  
Karmaine A. Millington ◽  
Suchitra Acharya ◽  
Amit Grag ◽  
Vita Boyar
Keyword(s):  
Differential Diagnosis ◽  
Compartment Syndrome ◽  
Upper Extremity ◽  
Preterm Neonate ◽  
Review Of Literature ◽  
Case Presentation ◽  
Ischemic Limb ◽  
History Of ◽  
Hand Amputation ◽  
Work Up

AbstractObjectivesTo describe challenges in diagnosis and treatment of congenital neonatal gangrene lesions associated with history of maternal coronavirus disease 2019 (COVID-19) infection.Case presentationA preterm neonate was born with upper extremity necrotic lesions and a history of active maternal COVID-19 infection. The etiology of his injury was challenging to deduce, despite extensive hypercoagulability work-up and biopsy of the lesion. Management, including partial forearm salvage and hand amputation is described.ConclusionsNeonatal gangrene has various etiologies, including compartment syndrome and intrauterine thromboembolic phenomena. Maternal COVID-19 can cause intrauterine thrombotic events and need to be considered in a differential diagnosis.

scholarly journals 73-year-old Female with Syncope and Motor Vehicle Collision

2021 ◽  
Vol 5 (4) ◽  
pp. 369-376
Author(s):  
Kevin Flanagan ◽  
Zachary Dezman ◽  
Karl Dachroeden ◽  
Laura Bontempo
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Motor Vehicle ◽  
Motor Vehicle Collision ◽  
Initial Assessment ◽  
Case Presentation ◽  
Traumatic Injuries ◽  
Vehicle Collision ◽  
Attending Physician ◽  
Suspected Diagnosis

Introduction: Patients with traumatic injuries can be difficult to assess, and their evaluation often evolves in the emergency department (ED). We describe how an ED attending physician member developed a differential diagnosis for this presentation, arrived at a suspected diagnosis, and what test he proposed to prove his hypothesis. Case Presentation: This clinicopathological case presentation details the initial assessment and management of a 73-year-old female who presented to the ED following a motor vehicle collision precipitated by a syncopal episode. Conclusion: The final surprising diagnosis is then revealed.

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 19-year-old Woman with Intermittent Weakness

2021 ◽  
Vol 5 (3) ◽  
pp. 276-282
Author(s):  
Garrett Cavaliere ◽  
Neeraja Murali ◽  
Laura Bontempo ◽  
Zachary Dezman
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Diagnostic Accuracy ◽  
Chief Complaint ◽  
Case Presentation ◽  
Diagnostic Studies ◽  
Definitive Therapy ◽  
Electrolyte Abnormalities

Introduction: Systemic weakness is a common chief complaint of patients presenting to the emergency department (ED). A well thought out approach to the assessment and workup of these patients is key to diagnostic accuracy and definitive therapy. Case Presentation: In this case, a 19-year-old female presented to the ED with generalized weakness and near syncope. She had global weakness in her extremities and multiple electrolyte abnormalities. Discussion: This case takes the reader through the differential diagnosis and evaluation of a patient with weakness and profound electrolyte derangements. It includes a discussion of the diagnostic studies and calculations that ultimately led to the patient’s diagnosis.

scholarly journals The Tired Pregnant Woman

2021 ◽  
Vol 5 (4) ◽  
pp. 494-498
Author(s):  
Katie VanNatta ◽  
Nicole Yuzuk ◽  
David Trotter ◽  
Brandon Wisinski
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Pregnant Woman ◽  
Hyperemesis Gravidarum ◽  
Correct Diagnosis ◽  
Signs And Symptoms ◽  
Pregnant Patient ◽  
Initial Assessment ◽  
Case Presentation ◽  
Intermittent Bleeding

Introduction: Many pregnant women develop hyperemesis gravidarum. There are numerous gastrointestinal, genitourinary, neurologic, and metabolic causes to consider in this patient population. Case Presentation: This clinicopathological case presentation details the initial assessment and management of an 18-year-old pregnant patient who presented to the emergency department with a complaint of nausea, vomiting, fatigue, and intermittent bleeding. Discussion: This case takes the reader through the differential diagnosis and evaluation of the patient and the signs and symptoms, including her agitation and tachycardia, that led us to the correct diagnosis.

scholarly journals Cerebral fat embolization with paroxysmal sympathetic hyperactivity syndrome and septic shock at high altitude: a case report and literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Min Li ◽  
Gang Zhu ◽  
Hao Guo ◽  
Shun Nan Ge ◽  
Guo Dong Gao ◽  
...  
Keyword(s):  
Septic Shock ◽  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
High Altitude ◽  
Fat Embolism ◽  
Neurological Rehabilitation ◽  
Case Presentation ◽  
Sympathetic Hyperactivity ◽  
Paroxysmal Sympathetic Hyperactivity

AbstractBackgroundCerebral fat embolism (CFE) syndrome at high altitude was rare complicated with paroxysmal sympathetic hyperactivity (PSH) syndrome and septic shock. It is a challenge to differential diagnosis and treatment at high altitude.Case presentationThis case presents a CFE with PSH and septic shock of a 23-year-old man occurred at high altitude of 3800 m above sea level, transferred by airplane successfully and cured in the department of neurosurgery, Xi’an Tangdu Hospital.ConclusionsIt is key that CFE with PSH can be rapid diagnosed and treatment bundles of septic shock should be initiated as soon as possible. Early neurological rehabilitation played an important role for good outcome.

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