Browsing: Hematology

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Pediatric EM , Hematology

Mystery Bruising: A Case of Post-Viral ITP

4/15/2023 Caroline Lawless , Timothy Truman, DO , Nicole Laslett, DO
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
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Dermatology , Hematology , Oncology , Toxicology

Warfarin-Induced Skin Necrosis: Not Your Typical Rash

4/15/2023 Brandon Murdock, MD , Chung-ting J. Kou , Paul A. Gonzales , David M. Crawford
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
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Hematology , OB/GYN

Contraceptives: Rare Complications and Their Implications for Emergency Medicine

6/10/2022 Cody Meyers, MD , Ray Chahoud, DO
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
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Hematology , Pain Management , Toxicology

A Real Pain in the Mouth: Acquired Methemoglobinemia

12/12/2021 Emily Wolery, MD , Cynthia Oliva, MD , K.T. Dyer, MD
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
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Toxicology , Hematology

Bleeding Risk after NSAID Use

4/8/2021 Colton Beck , MAJ John Kiel, DO, MPH, CAQ-SM
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
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Cardiology , Hematology , Toxicology

Sudden Post-Coital Hemopericardium with Cardiac Tamponade on Apixaban

4/8/2021 Hardeep Hunjan, DO , Tiffany Anaebere, MD
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
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Trauma , OB/GYN , Hematology

Hemoperitoneum in a Reproductive-Age Woman

4/8/2021 Rolando Israel Castillo, DO , David Levy, DO , Adam Schwartz, DO
Hemoperitoneum during pregnancy is an emergent condition that places the mother and fetus at risk.
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Social EM , Sepsis , Hematology

Septic Thrombophlebitis as a Consequence of Intravenous Drug Use Disorder

10/9/2020 Ali Elsaied, DO , Kuljit Kaur, DO , Darragh Cullen, DO
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.
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Hematology

Petechiae and Gingival Bleeding: ITP Beyond the Boards

6/11/2020 Marc Cassone, DO , Brilee Madison, DO , Jennifer Spinozzi, MD , Conor Young, MD , Richard O. Davis, DO
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
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Hematology , Critical Care

Managing Atypical Hemolytic Uremic Syndrome

6/10/2020 Peter Brooks, DO , Martin D. Klinkhammer, MD, MPH, FACEP
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

#FOAMed and External Sources

Work-up of a Monoclonal Gammopathy

HQMedEd.com 04/15/2016

Emergent Issues in Sickle Cell Disease

FOAMcast 05/01/2019

The tPA Bleed

EM Clerkship 04/22/2018

Thrombocytopenia

EM Clerkship 03/11/2018
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