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Orthopedics , Neurology , Infectious Disease

Navigating the Diagnostic Challenge: Recognizing Spinal Epidural Abscesses in Emergency Medicine

12/10/2024 Katie Tucker , Boyd Burns, DO, MBA, MHA, FACEP

Back pain is one of the top 5 reasons for emergency department visits in the United States. Among these billions of visits, you will find an extremely difficult-to-diagnose, yet life-threatening, cond

Orthopedics , Neurology , Toxicology

Delayed Presentation of Gluteal Compartment Syndrome Complicated by Sciatic Neuropathy Following Prolonged Immobilization Due to Opioid Overdose: A Case Report

12/10/2024 Georgina Koutouzis, DO , Vanna Albert, MD

Compartment syndrome is an orthopedic emergency that can be difficult to identify but can lead to significant morbidity and mortality if unidentified or left untreated. A major risk factor for develop

Toxicology , Dermatology

Case Report: Severe Chronic Argyria Secondary to Silver Supplement Use

12/10/2024 Brian Evans, MD , Jonathan Bartolomei, MD , Cory Howard, MD

Colloidal silver is a popular, yet unregulated, supplement used for a spectrum of perceived health benefits. However, the FDA issued a final rule deeming it “not generally recognized as safe and effec

Airway , Vascular , Ultrasound

Silent Strangulation: A Unique and Unpredictable Encounter of a Spontaneous Thyroid Hematoma in the Emergency Department

12/3/2024 Tibor Nagy, DO , Austin King , David Gregory, MD

Airway management of expanding neck hematomas can challenge even the most expert of emergency clinicians. Management becomes even more challenging in atypical presentations.

Trauma , Urology , Psychiatry , Toxicology

Auto-Orchiectomy: Examining Cases, Causes, and Motives

12/3/2024 Samantha K. Kos, MS , Hannah G. Davis-Adams, BS, BA , Brooke M. Beers, MS , Bryan R. Troop, MD, FACS

Auto-orchiectomy has been linked to psychosis, substance use, and psychiatric disorders. Treating the result of the behavior is critical - but it’s also important to address the underlying impetus.

Vascular , Ultrasound

Differential Beyond Deep Vein Thrombosis for Unilateral Leg Swelling: A Case of May-Thurner Syndrome in the Emergency Department

12/3/2024 Shaylor Klein, DO, MSEd , Jamie Adamski, DO, FACOEP, FAAEM

Since almost 1 million of cases of deep vein thrombosis (DVTs) are diagnosed each year in the United States, it can be an easy diagnosis to make at the door. However, when the ultrasound is negative,

Toxicology , EMS , Prehospital Care

Buprenorphine on Wheels: Management of Opioid Use Disorder in Pre-Hospital Setting

12/2/2024 Carlos Rodriguez, DO , Sergio Camba, MD , Kimberly Baldino, MD

When paramedics initiate buprenorphine treatment for opioid use disorder (OUD) and suspected overdose in the prehospital setting, they reach patients who face the highest risk of opioid-related mortal

Infectious Disease , Ophthalmology , Neurology

Neurosyphilis: More Than Meets the Eye

12/2/2024 Prateek Khurana, DO , Anna Poteraj, MD , Zhanna Roit, MD , Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C

With the rising prevalence of neurosyphilis over the years, emergency medicine physicians should be cognizant of this can't-miss diagnosis in patients with focal neurologic findings, new-onset dementi

Toxicology , Dermatology , Psychiatry

Osteomyelitis and Auditory Hallucinations Associated with Long-Term Inhalant Use

12/2/2024 Laura Szczesniak, MD, PhD , Michael J. Uihlein, MD, CAQ Sports Medicine

The use of inhalants can lead to classic findings in the emergency department, but don’t forget to perform a thorough skin exam in any patient experiencing the effects of huffing.

Infectious Disease , Ophthalmology , Dermatology

Vision Loss Leading to HIV Diagnosis

12/2/2024 Bryan Knickerbocker Carnes, MD , Thomas Payton, MD, FACEP , Jason Burkett, DO, FACEP

A patient presenting with ophthalmic syphilis may have more health conditions at play. Would you include HIV on your differential diagnosis?

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