Emergency Medicine

  • Does early repolarization on ECG increase the risk of cardiac death in healthy people?
    Ziad Sayedahmad, MD, Fahed Darmoch, MD, Yasser Al-Khadra, MD, Amjad Kabach, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 165-166; DOI: https://doi.org/10.3949/ccjm.86a.17032

    No. In patients without symptoms, early repolarization is nearly always a benign incidental finding.

  • Heart failure guidelines: What you need to know about the 2017 focused update
    Lee Rodney Haselhuhn, MD, Daniel J. Brotman, MD and Ilan Shor Wittstein, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 123-139; DOI: https://doi.org/10.3949/ccjm.86a.18022

    Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.

  • Emphysematous cystitis
    Waiel Abusnina, MD, Mena Shehata, MD, Sammy Nassri, MD and Fuad Zeid, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 10-11; DOI: https://doi.org/10.3949/ccjm.86a.18063

    The patient had fallen in her home and remained on the floor for 2 days until neighbors heard her cries and called 911.

  • Who needs to carry an epinephrine autoinjector?
    T. Ted Song, DO, FAAAI, FACP and Phil Lieberman, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 66-72; DOI: https://doi.org/10.3949/ccjm.86a.17123

    Patients who have had anaphylaxis or who are at risk of it should carry an epinephrine autoinjector with them at all times.

  • Acute-onset quadriplegia with hyperreflexia
    Nasreen Shaikh, MD, Muhammad Sardar, MD, Wahab Khan, MD and Wael Ghali, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 7-8; DOI: https://doi.org/10.3949/ccjm.86a.18049

    MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.

  • Which patients with pulmonary embolism need echocardiography?
    Rama Hritani, MD, Abdulah Alrifai, MD, Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 826-828; DOI: https://doi.org/10.3949/ccjm.85a.17094

    The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.

  • Renal vein thrombosis and pulmonary embolism
    Alice Chedid, MD, Mohamad Hanouneh, MD and C. John Sperati, MD, MHS
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 833-834; DOI: https://doi.org/10.3949/ccjm.85a.18064

    A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.

  • Pulmonary infarction due to pulmonary embolism
    Melda Sonmez, MD, Loutfi S. Aboussouan, MD, Carol Farver, MD, Sudish C. Murthy, MD, PhD and Roop Kaw, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 848-852; DOI: https://doi.org/10.3949/ccjm.85a.17132

    A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.

  • Fournier gangrene
    Hiroki Matsuura, MD and Kazuki Iwasa, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 664-665; DOI: https://doi.org/10.3949/ccjm.85a.18036

    The patient died of rapidly progressive necrotizing fasciitis of the perineum 2 hours after hospital admission.

  • Calcific uremic arteriolopathy
    Mrinali Shetty, MD, Yuvraj Chowdhury, MD and Balaji Yegneswaran, MD, FACP
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 584-585; DOI: https://doi.org/10.3949/ccjm.85a.18009

    A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.

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