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 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 The Use of Bedside Ultrasound in the Evaluation of Patients Presenting with Signs and Symptoms of Pulmonary Embolism

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Adarsh N. Patel ◽  
L. Connor Nickels ◽  
F. Eike Flach ◽  
Giuliano De Portu ◽  
Latha Ganti
Keyword(s):  
Emergency Department ◽  
Pulmonary Embolism ◽  
Radiation Exposure ◽  
Computerized Tomography ◽  
Signs And Symptoms ◽  
Pregnant Patient ◽  
Poor Quality ◽  
Pulmonary Angiography ◽  
Bedside Ultrasound

Evaluation of patients that present to the emergency department with concerns for the diagnosis of pulmonary embolism can be difficult. Modalities including computerized tomography (CT) of the chest, pulmonary angiography, and ventilation perfusion scans can expose patients to large quantities of radiation especially if the study has to be repeated due to poor quality. This is particularly a concern in the pregnant population that has an increased incidence of pulmonary embolism and may not be able to undergo multiple radiographic studies due to fetal radiation exposure. This paper presents a case of a pregnant patient with signs and symptoms concerning pulmonary embolism. The paper discusses the use of bedside ultrasound in the evaluation of patients with pulmonary embolism.

Differential diagnosis between ventriculitis and fourth ventricle cyst in neurocysticercosis

1983 ◽  
Vol 59 (4) ◽  
pp. 660-663 ◽  
Author(s):  
Abelardo Salazar ◽  
Julio Sotelo ◽  
Hector Martinez ◽  
Francisco Escobedo
Keyword(s):  
Differential Diagnosis ◽  
Fourth Ventricle ◽  
Correct Diagnosis ◽  
Signs And Symptoms ◽  
Large Cyst ◽  
Content Type ◽  
Surgical Exploration ◽  
Precise Diagnosis ◽  
The Central Nervous System ◽  
Radiological Procedures

✓ The fourth ventricle is frequently affected in patients with cysticercosis of the central nervous system, due either to a large cyst occluding the cavity or to granular ependymitis (ventriculitis) as a consequence of diffuse inflammation within the intraventricular and subarachnoid spaces. In some cases, the differential diagnosis between these two forms of neurocysticercosis is difficult to make, even after special radiological procedures. It is important to establish the correct diagnosis, since a surgical approach is beneficial only when the fourth ventricle is obstructed by a large cyst. In this paper, the clinical differences between fourth ventricle cysts and ventriculitis are presented in 16 patients with neurocysticercosis who were subjected to surgical exploration of the posterior fossa. Patients with a large cyst occluding the fourth ventricle had a short evolution of signs and symptoms, Bruns' syndrome, and discrete or no inflammatory reaction in the cerebrospinal fluid (CSF). Patients with ventriculitis generally had a longer duration of signs and symptoms, Parinaud's syndrome, a consistently positive complement fixation test to cysticerci, and more cells and proteins in the CSF. The clinical picture and ancillary studies can give the precise diagnosis in most patients before surgical exploration is performed.

scholarly journals Intussusception in a pregnant woman

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Ana Cristina Silva ◽  
Pedro Soares Moreira ◽  
Vitor Costa Simões ◽  
Mónica Sampaio ◽  
Marisa Domingues Santos
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Pregnant Patient ◽  
Computed Tomography Scan ◽  
Intestinal Necrosis ◽  
History Of ◽  
Emergent Laparotomy ◽  
Tomography Scan

Abstract Abdominal pain in a pregnant woman with a history of laparoscopic Roux-en-Y gastric bypass (LRYGB) in the emergency department is challenging. Intussusception is a rare cause of small bowel obstruction after LRYGB and can lead to intestinal necrosis, perforation, sepsis and death. The authors report a case of a 34-week pregnant patient, previously submitted to LRYGB, presenting to the emergency department with abdominal pain and vomiting. A computed tomography scan suggested the presence of ileoileal intussusception. So, an emergent laparotomy was performed with invagination reduction. The postoperative period was uneventful, as well as pregnancy and caesarian performed 4 weeks after surgery. At the 45-month follow-up, there was no recurrence of intussusception.

scholarly journals Dedo Azul Não-Isquémico Espontâneo: Um Fenómeno Raro e Benigno

2015 ◽  
Vol 28 (4) ◽  
pp. 528
Author(s):  
Daniela Franco ◽  
Daniela Alves ◽  
Ana Cristina Almeida ◽  
Carlos Costa Almeida ◽  
Cecília Moreno ◽  
...  
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Complete Resolution ◽  
Signs And Symptoms ◽  
Early Assessment ◽  
Temperature Changes ◽  
Palpable Pulse ◽  
Fast Resolution ◽  
The Right ◽  
Finger Tip

The spontaneous non-ischaemic blue finger is a rare and benign disorder, characterized by purple discoloration of a finger, with complete resolution. This article reports the case of a woman of 88 years, which after a few hours of stay in the emergency department developed without associated trauma, a purplish color of the 3rd finger of the right hand, with a palpable pulse and without temperature changes or pain. The etiological investigation was negative. The patient was assessed one week after the event and showed complete<br />resolution. There are several diseases that share the same signs and symptoms, as such the diagnosis is based on the spontaneous violaceous color sparing the finger tip, and fast resolution without treatment. Though being a harmless phenomenon, it requires early assessment for timely differential diagnosis with severe pathologies.

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.

A 10-year-old child with acute torticollis due to polymicrobial deep neck infection

2022 ◽  
Vol 15 (1) ◽  
pp. e244331
Author(s):  
Alex Guri ◽  
Eric Scheier
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Point Of Care ◽  
Correct Diagnosis ◽  
Point Of Care Ultrasound ◽  
Deep Neck Infection ◽  
Eikenella Corrodens ◽  
Neck Infection ◽  
Streptococcus Constellatus ◽  
Early Use

Torticollis in children can be a sign of a potentially dangerous disease; the correct diagnosis is not always obvious on history and physical examination. The use of point-of-care ultrasound (POCUS) helps to limit the differential diagnosis and direct appropriate further laboratory and radiology-performed evaluation. We present a case of a 10-year-old child whose deep neck infection (DNI) was timely diagnosed in the paediatric emergency department by early use of POCUS and drained under POCUS guidance after admission to the hospital. The culture from the fluid grew Eikenella corrodens, Streptococcus constellatus and Prevotella buccae. This case demonstrates that DNIs occur in children with acute acquired torticollis, even without fever and demonstrates the importance of early use of POCUS in cases where DNI is a potential diagnosis. Moreover, this case emphasises the importance of microbiological identification of DNIs that can be the key to successful treatment.

scholarly journals An undiagnosed myasthenia gravis presenting as isolated recurrent acute respiratory failure

2012 ◽  
Vol 03 (01) ◽  
pp. 80-82
Author(s):  
Ram Shri Sharma ◽  
Nalini Sharma ◽  
ME Yeolekar
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Critical Care ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Myasthenia Gravis ◽  
Care Setting ◽  
Signs And Symptoms ◽  
Initial Presentation ◽  
Speech Therapist

ABSTRACTAcute respiratory failure is an uncommon initial presentation of myasthenia gravis (MG). In our case a 22-year-old woman of unrecognized MG presented to the emergency department with isolated respiratory failure as the first presenting symptom. Initially she presented with dysphonia and was managed by speech therapist and ENT surgeons for 3 months. Subsequently, she presented with signs and symptoms of sepsis and went into acute respiratory failure. This case highlights the need to consider MG in the differential diagnosis of an otherwise unexplained respiratory failure in the critical care setting.

scholarly journals Clinicopathological Conference: 54-year-old with Facial Swelling for One Month

2020 ◽  
Vol 4 (4) ◽  
pp. 638-641
Author(s):  
Justin Pile ◽  
Adam Dawson ◽  
Lynn Maxa
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Allergic Reaction ◽  
Early Treatment ◽  
Multidisciplinary Approach ◽  
Correct Diagnosis ◽  
Critical Importance ◽  
Correct Conclusion ◽  
Facial Swelling ◽  
Ed Visits

A 54-year-old female with facial swelling for one month who had repeatedly been treated for allergic reaction during multiple emergency department (ED) visits, presented to the ED for the same complaint of facial swelling. Maintaining a broad differential diagnosis was of critical importance to appropriately evaluating the patient and arriving at the correct conclusion for the etiology of the patient’s symptoms. Upon establishing the correct diagnosis, a multidisciplinary approach was used to intervene to provide early treatment without delay.

scholarly journals Osteomyelitis of the mandible with pseudotumoral manifestation

2016 ◽  
Vol 11 (2) ◽  
pp. 200-203
Author(s):  
A. ZAMFIR-CHIRU-ANTON ◽  
◽  
A.E. STANCIU ◽  
D.C. GHEORGHE ◽  
◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Examination ◽  
Correct Diagnosis ◽  
Cellular Infiltration ◽  
Osteolytic Lesions ◽  
Case Presentation ◽  
Infectious Origin ◽  
Uncommon Disease ◽  
Diagnosis Therapy

Osteomyelitis of the mandible is an uncommon disease, sometimes with severe invalidating symptoms. Some cases can present as tumors of the jaw and are possibly seen in ENT practice. Objective. To present the differential diagnosis of mandibular swellings of inflammatory origin. Material, method. Case presentation of a 9y child admitted and biopsied in the ENT department. Results. Histologic examination showed focal areas of osteolytic lesions along with moderate inflammatory cellular infiltration, all within newly formed bone. Under NSAI drugs, the symptoms were alleviated, the patient remaining under close follow-up. Conclusion. Osteomyelitis of the mandible is not always of infectious origin. The clinical examination, the imagistics and biopsy are key elements to correct diagnosis. Therapy is still under evaluation for noninfectious osteomyelitis.

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