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Emergency Medicine Reports

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Articles

  • Stroke: The Subtle, Atypical, and Enigmatic

    This article will explore the subtle and enigmatic presentations of stroke. These patients often will present with nonspecific symptoms, such as vision problems, headache, a subtle language deficit, dizziness, or amnesia.

  • Evaluation and Treatment of Adrenal Insufficiency in the Emergency Department

    This article addresses the pathophysiology, discusses various clinical presentations, and reviews current evidence-based practices for managing adrenal insufficiency and crisis in the emergency department.

  • Transient Ischemic Attack

    Recent research on transient ischemic attacks (TIA) has changed how emergency medicine providers evaluate and manage this sometimes difficult diagnosis. This article provides readers with current information and relevant studies pertaining to TIAs.

  • Making Sense of Delirium in the Emergency Department

    Delirium is a complex disorder marked by the acute onset of mental status change with an associated fluctuating course. Despite the fact that delirium is a common clinical entity in elderly hospitalized patients, the condition may present in any patient regardless of medical comorbidities. Recognition within the emergency setting is becoming increasingly important, as the diagnosis frequently is missed.

  • Code Melancholia: A Review of Depression for Emergency Physicians

    Although the formal diagnosis of depression seldom is made in the emergency department (ED), emergency clinicians must understand the nature of depression and be prepared to deal with its complications, including suicidality and the toxicity of many antidepressant medications.

  • Suicide Assessment and Disposition

    During the past 20 years, suicide has become recognized as a major public health concern. Focused medical assessment and suicide risk assessment in the emergency department can help determine whether a mental health consultation is required and whether patients need hospitalization.

  • High Altitude Medicine: A Review for the Practicing Emergency Physician

    The recognition and treatment of high altitude illness is within the core content of emergency medicine practice. High altitude illness represents a spectrum of clinical entities, ranging from common and benign acute mountain sickness to life-threatening high altitude pulmonary edema and rare but potentially lethal high altitude cerebral edema.

  • The Influenza Virus: Winter Is Coming

    Influenza is an acute respiratory illness responsible for significant seasonal epidemics each year. Despite commonly being a self-limited illness, the virus causes significant morbidity and mortality. During the winter months, emergency physicians should maintain a high suspicion for influenza in patients presenting with an acute febrile respiratory illness.

  • Limb Ischemia and Gangrene

    Although many cases of extremity pain are the result of mild, self-limited issues, ischemia and gangrene are catastrophic causes of pain that initially can present with nondescript findings. To limit tissue loss and optimize patient outcomes, emergency physicians must be able to distinguish benign limb pain from the earliest stages of high-risk, life- and limb-threatening disease.

  • Not All Round Rashes Are Ringworm: A Differential Diagnosis of Annular and Nummular Lesions

    Although rashes are not usually an emergency, it is common for emergency physicians to see patients come in with a rash. Sometimes the rash is new onset, and sometimes it has been present for a while and refractory to treatment.