Acute Medicine

Browse

Recent Submissions

  • Publication
    Misplaced attribution for malpractice claims further frays the safety net provided by emergency departments.
    (BMJ Publishing Group, 2023-07-05) Weber, Ellen J; Leech, Caroline; Ellen J Weber 1, Caroline Leech 2 3, 1 Emergency Medicine, University of California San Francisco, San Francisco, California, USA ellen.weber@ucsf.edu. 2 Emergency Department, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK. 3 HEMS, The Air Ambulance Service, Rugby, UK.
    No Abstract Available
  • Publication
    Pyruvate Kinase Deficiency
    (StatPearls Publishing, 2023-04) Enegela, Ogboche; Anjum, Fatima; Emergency Medicine; Medical and Dental; Enegela, Ogboche
    Pyruvate kinase deficiency (PKD) is the most common enzyme-related glycolytic defect that results in red cell hemolysis. This disorder is characterized by clinical heterogeneity. Heterogeneity results in a variable degree of hemolysis, causing irreversible cellular disruption. Invariably, PKD results in hereditary non-spherocytic anemia. Manifestations occur from the neonatal period through adult life. A myriad of complications could arise from hemolytic anemia.
  • Publication
    Fatigue: It Is Not Always in the Head.
    (Springer, 2023-06-04) Zeb, Jehan; Zafar, Sana; Irshad, Zehra; Emergency Medicine; Medical; Medical and Dental; Zeb, Jehan; Zafar, Sana; Irshad, Zehra
    Fatigue is a common presenting complaint in patients seen in clinics and same-day emergency care. Although it has a simple presentation, it can be challenging to diagnose and manage, particularly when an underlying medical condition presents atypically as fatigue. Here we present an interesting case of giant cell arteritis (GCA) with only fatigue as the presenting complaint. GCA is the inflammation of medium and large vessels in the body, including the aortic arch and its branches. It typically manifests above the age of 50 with headaches, jaw claudication, temporal tenderness, arthralgia, night sweats, and unintentional weight loss. Early diagnosis and treatment are of paramount importance to prevent complications, particularly permanent blindness.
  • Publication
    A woman with syncope and acidosis
    (Wiley Open Access, 2022-11) Malik, Adnan Ather; Nanthakumar, Aran; Mahdi, Dana; Alluri, Sai Venkatesh; Dhungana, Salonee; Bleehen, Laura; Maynard, Charlsea; Butt, Umar; Chacko, Jerry; Ali, M. Adam; George Eliot Hospital NHS Trust; University Hospitals Coventry and Warwickshire NHS Trust; East Kent Hospitals University NHS Foundation Trusts; Barking Havering and Redbridge University Hospitals NHS Trust; South Warwickshire University NHS Foundation Trust; Royal College of Surgeons in Ireland; University Hospitals of Leciester NHS Trust; Royal Free London NHS Foundation Trust; Emergency Medicine; Surgical Services; Medical and Dental; Bleehen, Laura; Malik, Adnan Ather
    Case report on a woman with syncope and acidosis