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.

Cardiology , Ultrasound , Pediatric EM

"Nausea, Vomiting, and Tachycardia. Oh My!": Noncompaction Cardiomyopathy

12/2/2024 James C. Roberson III, MD , Veronica Miles, MD

In this case report, a common, very non-specific complaint of nausea/vomiting leads to a rare diagnosis of noncompaction cardiomyopathy in a young adult. Learn how to catch this condition, despite its

Neurology

Bilateral Thalamic Infarct: A Diagnosis Not to Sleep On

12/2/2024 Benjamin Kartub, MD , Abby Cosgrove, MD , Khalid Alsherbini, MD, FNCS

Occlusion of the Artery of Percheron leading to isolated bilateral thalamic infarcts is a rare and difficult diagnosis in emergency medicine. Learn the symptoms that can help keep it top of mind.

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?

Toxicology

Now That’s What I Call Tox!

12/2/2024 Brittany (Ladson) Garza, DO, MPH , E. Mason Jackson, MD , Katherine M. Markin, MD , John Michael Sherman, MD , Laura Szczesniak, MD, PhD

EMRA’s Toxicology Committee summarizes noteworthy toxicology papers. These were some of our favorites from 2024!

POCUS For the Win

POCUS for the Win: Post-Myocardial Infarction Septal Rupture

12/2/2024 Erik Moyer, MD

Post-MI ventricular septal rupture is a rare but life-threatening complication. Prompt diagnosis and surgical intervention are crucial for improving outcomes. This case highlights the speed, sensitivi

Ultrasound , Social EM

Case Report: A Unique Role for Bedside Ultrasound in a Patient with Progressive Unilateral Leg Swelling

12/2/2024 Michaela Banks, MD, MBA , George Alexander Knight, MD , Heather Murphy-Lavoie, MD

See how a case of unexplained, worsening pain and swelling in a bounceback patient was solved with bedside ultrasound and a thorough history that revealed social determinant red flags.

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