Emergency Medicine

  • Wolff-Parkinson-White pattern unmasked by severe musculoskeletal pain
    Rishi Raj, MD, Leon O’Neill, MD and Nasreen Shaikh, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 507-509; DOI: https://doi.org/10.3949/ccjm.85a.17131

    WPW pattern can be asymptomatic, whereas the syndrome is characterized by symptomatic arrhythmias.

  • ‘Dry drowning’ and other myths
    David Szpilman, MD, Justin Sempsrott, MD, Jonathon Webber, RN, Seth C. Hawkins, MD, Roberto Barcala-Furelos, PhD, Andrew Schmidt, DO, MPH and Ana Catarina Queiroga, PhD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 529-535; DOI: https://doi.org/10.3949/ccjm.85a.17070

    Drowning is a common and often preventable cause of death, especially in children. But dry drowning is a myth.

  • Aortic dissection presenting as ischemic limb
    Faiza Khalid, MD and Shikha Gupta, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 438-440; DOI: https://doi.org/10.3949/ccjm.85a.17122

    With surgical repair and blood pressure control, the patient recovered and left the hospital 1 week later.

  • The algorithm less traveled
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 346-347; DOI: https://doi.org/10.3949/ccjm.85b.05018

    At Bellevue, the RPR was a routine test; at the University of Pennsylvania not so much—it all depends on context.

  • Eyes of the mimicker
    Tamara A. Sussman, MD, Nabin K. Shrestha, MD and Maria Miklowski, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 356-357; DOI: https://doi.org/10.3949/ccjm.85a.17074

    A 42-year-old man presented with intermittent fevers, rigors, headache, and myalgia, and now, one-sided vision loss.

  • Cardiorenal syndrome, March 2018
    Benjamin J. Freda, DO
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 360; DOI: https://doi.org/10.3949/ccjm.85c.05001

    A reader comments on acute cardiorenal syndrome (March 2018).

  • In reply: Cardiorenal syndrome
    Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 361; DOI: https://doi.org/10.3949/ccjm.85c.05002
  • How soon should patients with infective endocarditis be referred for valve surgery?
    Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 362-364; DOI: https://doi.org/10.3949/ccjm.85a.17052

    Refer sooner rather than later if the patient has heart failure, uncontrolled infection, or embolic risk.

  • Infective endocarditis: Refer for expert team care as soon as possible
    Gösta B. Pettersson, MD, PhD, Brian Griffin, MD, Steven M. Gordon, MD and Eugene H. Blackstone, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 365-366; DOI: https://doi.org/10.3949/ccjm.85a.18019

    Infectious endocarditis needs multidisciplinary care. if surgery is indicated, it is best done sooner.

  • Are serum troponin levels elevated in conditions other than acute coronary syndrome?
    Kiran Sebastian, MD, Alexander Wester, BS, Anupama Kottam, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 274-277; DOI: https://doi.org/10.3949/ccjm.85a.17011

    Yes. Troponin elevation is a nonspecific sign.

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