Browsing: Hematology

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
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
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.
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
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
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.
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
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
Hematology , Orthopedics

Multiple Myeloma: Diagnostic and Treatment Considerations in the Emergency Department

10/10/2019 Daniel Patino-Calle, MD , Shawn London, MD, FACEP
Symptoms of multiple myeloma can be as nondescript as weight loss, fatigue, generalized weakness, and bone pain. Focus on the classic tetrad of hypercalcemia, renal failure, anemia, and bony lytic les
Hematology

Hemolytic Anemia from Combined Use of Dapsone and Hydrochlorothiazide

4/10/2019 Rana Prathap Padappayil, MBBS , Vrinda Kumar, MBBS , Lisa Ann Kirkland, MD, FACEP
This case study highlights the need to investigate patients who present with non-specific complaints with a potentially life-threatening cause in mind.

#FOAMed and External Sources

What Does the ACC Say About OAC Reversal?

Emergency Medicine Literature of Note 12/08/2017

Thrombocytopenia

EM Clerkship 03/11/2018

The tPA Bleed

EM Clerkship 04/22/2018

Bleeding Disorders

EM Clerkship 12/31/2017
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