Acute Medicine

 

Recent Submissions

  • Misplaced attribution for malpractice claims further frays the safety net provided by emergency departments.
    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. (BMJ Publishing Group, 2023-07-05)
    No Abstract Available

  • Pyruvate Kinase Deficiency
    Enegela, Ogboche; Anjum, Fatima; Enegela, Ogboche; Emergency Medicine; Medical and Dental (StatPearls Publishing, 2023-04)
    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.

  • Fatigue: It Is Not Always in the Head.
    Zeb, Jehan; Zafar, Sana; Irshad, Zehra; Zeb, Jehan; Zafar, Sana; Irshad, Zehra; Emergency Medicine; Medical; Medical and Dental (Springer, 2023-06-04)
    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.

  • A woman with syncope and acidosis
    Malik, Adnan Ather; Nanthakumar, Aran; Mahdi, Dana; Alluri, Sai Venkatesh; Dhungana, Salonee; Bleehen, Laura; Maynard, Charlsea; Butt, Umar; Chacko, Jerry; Ali, M. Adam; et al. (Wiley Open Access, 2022-11)
    Case report on a woman with syncope and acidosis