Man With Painless Oral Lesions
A 50-year-old healthy man presented to the emergency department with painless palatal lesions that developed 3 weeks before, after a dental procedure ( Figure ). The lesions were initially tender,…
Ketamine Causing Apnea?
After reading the article by Driver and Reardon in the January 2017 edition of Annals , I have several questions for the authors, as well as a few comments from…
Are You Paying Attention? Related Guidance on How Concepts of Attention May Inform Effective Time Sharing of Tasks in Emergency Medicine
We read with interest “Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine” and we found it to be an important overview relevant to the…
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,…
