Adolescent Female With Abdominal Pain
A 19-year-old woman presented to the emergency department with a 9-day history of abdominal pain and emesis, with no bowel movements for several days. Her abdomen was distended on examination,…
X Marks the Spot (or Does It?): Ultrasonography-Assisted Site Marking for Lumbar Puncture in Children
Discussion Points 1. Neal et al performed a randomized clinical trial comparing ultrasonography-assisted site marking with traditional lumbar puncture in infants aged 6 months or younger who presented to a single,…
Woman With Severe Headache
A 42-year-old woman presented to the emergency department with a 2-day history of severe postural headache. It was gradual onset, diffuse, and consistently relieved when she lay down and provoked…
Elderly Male With Neck Stiffness and Fever
An 82-year-old white man with a medical history of calcium pyrophosphate crystal arthritis (pseudogout) and nephrolithiasis presented to the emergency department with a 2-day history of acute, sharp neck pain,…
Adolescent Female With Headache and Nausea
A 16-year-old female adolescent presented to the emergency department (ED) for a 3-week history of progressively worsening headaches associated with nausea and vomiting. She denied vision changes, photophobia, trauma, congestion,…
Earlobe Crease in Patient With Chest Pain
A 69-year-old man with a history of coronary artery disease was admitted to the emergency department for acute chest pain. A few minutes after admission, cardiac arrest occurred. Return of…
American Board of Emergency Medicine Report on Residency and Fellowship Training Information (2016-2017)
The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine residency programs and the residents training in those programs. We present the 2017 annual report on…
Postural Headache? It’s Not a Tumor!
SEE RELATED ARTICLE, P. 660 . Annals Case A 42 year old woman presents with 2 days of positional, gradual-onset, diffuse headache associated with vomiting. Her headache improves with lying…
On Resolution 22
The New York Times headline would read “Three Enemas Later, and Still No Drugs.” The backstory, in a nutshell, was that the police had come to my emergency department with…
I Recently Went to a Funeral
I recently went to a funeral. The deceased was a young man, only 29 years old. I had only met him once (more on this later). But I knew his…
