J Emerg Med
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Review Case Reports
Omental infarction: case series and review of the literature.
Omental infarction is a rare disease entity that can cause acute or subacute abdominal pain. In the past, it was thought that omental infarction mainly occurred on the right side because it was detected when surgery was performed on patients who complained of abdominal pain on the right side. ⋯ Omental infarction should be included in the differential diagnosis list of acute abdominal pain because it can occur at any site. In addition, because this disease runs a self-limited course, conservative care is recommended. Thus, unnecessary operations can be avoided in cases where omental infarction is diagnosed by imaging studies.
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Review Case Reports
Spontaneous spinal epidural hematoma: a case report and literature review.
Spontaneous spinal epidural hematoma (SSEH) is a rare cause of spinal cord compression that requires emergency investigation and treatment. Prompt diagnosis is essential to prevent morbidity and mortality. ⋯ SSEH is a rare cause of spinal cord compression that requires prompt diagnosis and surgical intervention to prevent morbidity. Neurological outcome after surgical decompression depends on the severity of preoperative neurological deficits as well as the time between symptom onset and surgery.
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The management of emergency department (ED) patients with presumed recent-onset atrial fibrillation or flutter≤48h in duration varies widely. ⋯ Our approach to ED patients with presumed recent-onset atrial fibrillation or flutter seems to be safe and effective, with a high rate of cardioversion and discharge to home coupled with a low ED adverse event and 30-day thromboembolic event rate.
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There is no short screening tool for perpetrators of intimate partner violence (IPV), although one is needed. ⋯ We successfully derived and validated a three-question perpetrator of IPV scale that can be used in a busy ED or office setting.
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Internet access and online pharmacies are a resource for purchasing medications. It is unclear if this venue is being used by emergency department (ED) patients to obtain medications. ⋯ Approximately 5% of ED patients used the Internet to obtain medications. Contrary to our hypothesis, younger patients were not more likely to use the Internet for medications. Patients on multiple medications and those with prescription plans used online pharmacies more frequently.