The incidence of post-viral ITP is about 1 per 20,000 children a year. Two-thirds of children who develop ITP have had a recent viral illness. The mechanism is not fully understood but typically resul
Warfarin-induced skin necrosis (WISN) is a rare condition thought to be due to microvascular thrombosis and ischemia and is commonly related to protein C deficiency. Recognition of WISN is critical to
Contraceptive use increases the risk of enlarged hepatocellular adenomas and significant bleeding. When screening for medical history and medication lists, emergency physicians should ask women with a
Acquired methemoglobinemia, a pathologic condition due to elevated quantities of methemoglobin in the blood, is an infrequent presentation in a healthy adult patient. This case illustrates the risk as
NSAIDs are the most commonly used class of drugs in the world. They possess analgesic, antipyretic, and anti-inflammatory properties. Its GI side effects are most apparent and well-documented and can
Direct oral anticoagulants (DOACs) have become the preferred anticoagulant medication for patients with nonvalvular atrial fibrillation, deep vein thrombosis, and pulmonary embolism. However, recent c
This is a unique case of Lemierre's syndrome in a person who injects drugs (PWID) without a history of recent oropharyngeal infection or the presence of a central venous catheter.
Immune thrombocytopenia (ITP) can often be first diagnosed and recognized in an ED setting, both as a primary and incidental finding. Let's review a typical presentation and the unique pathology and s
A young woman presents with a 3-week history of fatigue, nausea, vomiting, heavy bleeding, and lightheadedness. Within hours she is intubated in the ICU. Follow the case management to understand an at