Emergency Medicine

  • Phrenic nerve paralysis induced by brachial plexus block
    Aaron C. Hamilton, MD, MBA and Christopher Pleyer, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 250-251; DOI: https://doi.org/10.3949/ccjm.83a.15032

    The patient developed shortness of breath 1 day after undergoing arthroscopic repair of a rotator cuff.

  • Cocaine-induced ecchymotic rash
    Naveen K. Voore, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 252-253; DOI: https://doi.org/10.3949/ccjm.83a.15125

    Levamisole-adulterated cocaine can induce an ANCA-associated vasculitic rash within hours or days.

  • Treating and preventing acute exacerbations of COPD
    Umur S. Hatipoglu, MD and Loutfi S. Aboussouan, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 289-300; DOI: https://doi.org/10.3949/ccjm.83a.14188

    Corticosteroids, antibiotics, and bronchodilators are the cornerstones of prevention and treatment.

  • A tale of two sisters with liver disease
    Mohamad A. Hanouneh, MD, Ari Garber, MD, EdD, Anthony S. Tavill, MD, FAASLD, Nizar N. Zein, MD, FAASLD and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 109-115; DOI: https://doi.org/10.3949/ccjm.83a.15048

    A young woman presents with acute liver failure. What is the cause? Is her sister at risk?

  • Common neurologic emergencies for nonneurologists: When minutes count
    Mohan Kottapally, MD and S. Andrew Josephson, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 116-126; DOI: https://doi.org/10.3949/ccjm.83a.14121

    Recognizing and treating acute stroke, status epilepticus, subarachnoid hemorrhage, and others.

  • A 60-year-old man with forehead swelling
    Brandon Miller, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 95-96; DOI: https://doi.org/10.3949/ccjm.83a.15011

    CT and MRI revealed infection in close proximity to the brain. The patient recovered with antibiotics and surgery.

  • Eventration of the diaphragm presenting as spontaneous pneumothorax
    Pauline Go, MD and Zane Hammoud, MD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 19-20; DOI: https://doi.org/10.3949/ccjm.83a.14175

    A 25-year-old man presents with sudden onset of right-sided back and chest pain and shortness of breath.

  • Autoantibody-mediated encephalitis: Not just paraneoplastic, not just limbic, and not untreatable
    Autoantibody-mediated encephalitis: Not just paraneoplastic, not just limbic, and not untreatable
    Adham Jammoul, MD, Yuebing Li, MD, PhD and Alexander Rae-Grant, MD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 43-53; DOI: https://doi.org/10.3949/ccjm.83a.14112

    Suspect these syndromes in cases of unexplained seizure, encephalitis, or acute-onset psychiatric syndromes.

  • Alcohol withdrawal syndrome in medical patients
    Justine S. Gortney, PharmD, BCPS, Joshua N. Raub, PharmD, BCPS, Pragnesh Patel, MD, Lianne Kokoska, PharmD, Mae Hannawa, PharmD and Amy Argyris, PharmD, BCPS
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 67-79; DOI: https://doi.org/10.3949/ccjm.83a.14061

    Deprived of alcohol while in the hospital, many alcoholic patients go into withdrawal. Clinicians should be ready.

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