Neurology , Endocrinology , Social EM

Nonketotic Hyperglycemic Hemichorea: A Bad Case of the Wiggles

12/1/2020 Ideen Zeinali, MD , Matthew Edwards, MS , Giuliano De Portu, MD, FACEP

One of our nation's greatest health challenges is the management of type 2 diabetes mellitus, which is expected to swell by more than 50% by 2035. Many of these diabetic patients will lack both primar

Dermatology , Neurology , Infectious Disease

Coincident VZV Encephalitis and Otomastoiditis

12/1/2020 Aaron Tiffee, MD, FACEP , Kinnari Modi , Christina Chanthanivong

We explore a case of varicella-zoster virus (VZV) reactivation without typical skin findings in a 66-year-old patient who presented with mastoiditis and encephalitis.

Neurology , Orthopedics , Urology

The Smallest Red Flag: A Case of Non-Urologic Urinary Retention

10/9/2020 Sarayna McGuire, MD , Derick Jones, MD, MBA , Patti Paris, MD, MBA, FACEP

It is important to consider that acute urinary retention can be a subtle clue of a neurologic process warranting emergent CT imaging to rule out vertebral fracture and MRI to rule out spinal cord comp

Neurology , Ultrasound , Guided Procedures

Ultrasound Guided Supracondylar Nerve Blocks for Reduction of Distal Radius Fractures

2/11/2020 Heather Roesly, MD , Spencer Tomberg, MD

One of the most common fractures seen in the ED - and one of the most painful to manipulate and reduce prior to splinting. This nerve block can help.

Ultrasound , Neurology , Pain Management , Orthopedics

Risk Awareness in the Interscalene Nerve Block

10/10/2019 Heather Roesly, MD , Spencer Tomberg, MD

Before employing this nerve block when addressing shoulder dislocations, ensure familiarity with the nerve structure in the area and assess whether it will be appropriate in the patient.

Toxicology , Psychiatry , Neurology

Phenibut Overdose: Coming to an ED Near You

10/10/2019 Megan Hoffer, DO , Michael Tranovich, DO , Richard Houck, DO

This OTC anxiolytic might cause you a little anxiety in cases of overdose. Here's an overview on how to help affected patients.

Neurology

Detecting Wernicke-Korsakoff Syndrome

8/14/2019 Lee Johnson , May Li, MD

A missed diagnosis of Wernicke encephalopathy (WE) can lead to Korsakoff syndrome, which carries a 20% mortality rate. Because this life-threatening condition can be easily misdiagnosed, it's importan

Neurology

Take a HINT on Central Vertigo in the Emergency Department

8/13/2019 Michael D. Simpson, MD , Eric Kalivoda, MD

Differentiating benign peripheral conditions from central nervous system lesions like strokes can be difficult. Enter the HINTS exam - the objective measure.

Neurology , Trauma

Jackhammer Dissection

8/13/2019 Mary Katherine Montes de Oca , Zane P. Osborne, MD, MBA, FACEP , Sarah E. Fabiano, MD, FACEP, FAAEM

If a patient presents with recent trauma, neck pain, headache or neck manipulation with signs or symptoms of stroke, cervical artery dissection should be considered.

Pediatric EM , Neurology

Flaccid Paralysis in a 7-week-old Infant

8/19/2018 Yagnaram Ravichandran, MBBS, MD, FAAP , Amy DeLaroche, MBBS

Flaccid paralysis of the bilateral lower extremities in infants can be the presenting feature for a variety of diseases.

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