The American journal of emergency medicine
-
Letter Case Reports
Nonconvulsive status epilepticus from accidental lithium ingestion.
-
Comparative Study
Colonic diverticulitis diagnosed by computed tomography in the ED.
The purpose of this study is to evaluate the application of computed tomography (CT) in the diagnosis of colonic diverticulitis in the emergency department (ED). Clinical information and CT images of 38 proved cases of colonic diverticulitis were reviewed retrospectively. ⋯ The CT findings were correlated with clinical prognosis and 3 parameters were found to be indicators for poor prognosis: older age, abscess formation, and presence of free air. The patients with diverticulitis on right side colon were found to be younger in age and the lesions were shorter in involved length with higher incidence of muscular hypertrophy and less incidence of perforation, as compared with the left side group.
-
Supracondylar humerus fractures are the most common fracture around the elbow in the pediatric population. They are the result of a fall on an outstretched arm and are seen primarily in the first decade of life. ⋯ The emergency physician needs to remain vigilant for this diagnosis to avoid this orthopedic pitfall. This review article examines the clinical presentation, diagnostic technique, and management options applicable to the emergency physician in the treatment of supracondylar humerus fractures.