Emergency Medicine

  • A 71-year-old woman with shock and a high INR
    Raja Y. Zaghlol, MD, Michael E. Tierney, MD, BMedSc, Louay Y. Zaghlol and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 303-312; DOI: https://doi.org/10.3949/ccjm.85a.17031

    She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.

  • Gas under the right diagphragm (February 2018)
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

    Errors occurred in Matsuura H, Hata H. Gas under the right diaphragm. Cleve Clin J Med 2018; 85(2):98–100.

  • Physical examination in dyspnea (December 2017)
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

    Errors occurred in Shellenberger RA, Balakrishnan B, Avula S, Ebel A, Shaik S. Diagnostic value of the physical examination in patients with dyspnea. Cleve Clin J Med 2017; 84(12):943–950.

  • A 67-year-old woman with bilateral hand numbness
    Sohab S. Radwan, MD, Khair M. Hamo and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 200-208; DOI: https://doi.org/10.3949/ccjm.85a.17026

    Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.

  • A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg
    Maya Serhal, MD, Natalie Evans, MD, RPVI and Heather L. Gornik, MD, RVT, RPVI
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 145-154; DOI: https://doi.org/10.3949/ccjm.85a.16069

    Workup revealed the patient had both arterial and venous thrombosis. What was the cause?

  • Gas under the right diaphragm
    Hiroki Matsuura, MD and Hidenori Hata, MD, PhD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 98-100; DOI: https://doi.org/10.3949/ccjm.85a.16139

    The patient was found to have volvulus and obstruction of the bowel.

  • Hypothermia and severe first-degree heart block
    Kevin Bryan Uy Lo, MD and Alison Nelson, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 10-11; DOI: https://doi.org/10.3949/ccjm.85a.17003

    A 96-year-old woman with hypertension, diabetes, and dementia was found unresponsive and was transferred to the hospital.

  • High users of healthcare: Strategies to improve care, reduce costs
    Neil Siekman, MD and Rick Hilger, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 25-31; DOI: https://doi.org/10.3949/ccjm.85a.16082

    A minority of patients called “high users” consume a lot of healthcare, especially in the emergency department. But therein lies an opportunity.

  • A 50-year-old woman with new-onset seizure
    John R. Queen, MD and Samantha Bogner, CNP, RN
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 41-46; DOI: https://doi.org/10.3949/ccjm.85a.16050

    After prodromal symptoms, she lost consciousness for about 1 minute, with jerking.

  • Osborn waves of hypothermia
    Paurush Ambesh, MD, Gerald Hollander, MD and Jacob Shani, MD
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 746-747; DOI: https://doi.org/10.3949/ccjm.84a.16134

    The differential diagnosis includes Brugada syndrome, hypercalcemia, and early repolarization syndrome.

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