J Emerg Med
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Case Reports
A severe sore throat in a middle-aged man: calcific tendonitis of the longus colli tendon.
Neck pain is a common presentation to the Emergency Department (ED), requiring appropriate evaluation to exclude serious pathology. ⋯ Acute calcific retropharyngeal tendinitis is a rare, benign etiology of non-traumatic neck pain that is poorly recognized and often mistaken for other conditions secondary to infection or trauma. The importance of this disorder, as well as a review of the literature on the subject, is presented.
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In 2004, we examined the number of endowed faculty positions (both chair and professorship) in Academic Departments of Emergency Medicine (ADEMs) in the United States (US). ⋯ Twenty-six percent of all US ADEMs now have an endowed faculty position. There has been a nearly threefold increase in the number of endowed faculty positions over the past 5 years.
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There is a rising prevalence of both hospital-acquired and community-associated strains of methicillin-resistant Staphylococcus aureus (MRSA) infections. Both strains are found in patients presenting to emergency departments (EDs). ⋯ MRSA does not seem to thrive on inanimate objects found in the ED. Routine cleaning measures in an urban ED must include all areas of medical personnel use, including areas outside of the department utilized by non-ED workers.
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Case Reports
A neglected posterior fracture dislocation of the shoulder with ipsilateral distal humeral shaft fracture.
Cases of posterior dislocation or fracture-dislocation of the shoulder are rare. A combination of posterior dislocation and ipsilateral humeral shaft fracture, especially a distal third one, is even rarer. In such injuries, the diagnosis of shoulder dislocation may be missed because great attention is usually given to the fractured humerus. ⋯ Consideration of this condition, coupled with thorough and appropriate physical and radiological examinations, could lead to improved recognition of such cases.