Asunto(s)
Dolor Abdominal/etiología , Apendicitis/diagnóstico , Hematuria/etiología , Apendicectomía , Apendicitis/complicaciones , Apendicitis/cirugía , Apendicitis/orina , Niño , Diagnóstico Diferencial , Eritrocitos/metabolismo , Femenino , Humanos , Leucocitos/metabolismo , Examen Físico , Recurrencia , Ureterolitiasis/diagnósticoRESUMEN
An 18-year-old man presented to a community emergency department with increasing shortness of breath and fever. His condition was diagnosed, and he was treated as an inpatient for bilateral pneumonia associated with hypoxemia. When his condition became worse, he acknowledged to deliberate inhalation of keyboard cleaner and to having hemoptysis. Before his death on hospital day 11, known causes of alveolar hemorrhage were excluded. We postulated a cause-and-effect relationship, adding alveolar hemorrhage to the known complications of inhalant abuse.
Asunto(s)
Hemoptisis/inducido químicamente , Hidrocarburos Halogenados/envenenamiento , Trastornos Relacionados con Sustancias/complicaciones , Administración por Inhalación , Adolescente , Biopsia , Resultado Fatal , Hemoptisis/diagnóstico , Humanos , Hidrocarburos Halogenados/administración & dosificación , Pulmón/patología , Masculino , Radiografía Torácica , Trastornos Relacionados con Sustancias/diagnóstico , Tomografía Computarizada por Rayos XAsunto(s)
Infecciones Meningocócicas/complicaciones , Ruidos Respiratorios/etiología , Diagnóstico Diferencial , Femenino , Estudios de Seguimiento , Humanos , Lactante , Infecciones Meningocócicas/diagnóstico , Infecciones Meningocócicas/microbiología , Neisseria meningitidis/aislamiento & purificación , Ruidos Respiratorios/diagnósticoRESUMEN
Young athletes with exercise-associated, acute low back pain are likely to be symptomatic from musculoskeletal trauma. Those who experience more insidious pain or pain not associated with physical activity must be assessed for infectious, inflammatory, or mass lesions. We present an adolescent athlete who was suspected of an overuse syndrome as the cause for low back pain. The case illustrates the potential hazard of such a presumptive diagnosis. The patient was found to have a myxopapillary ependymoma of the lumbar spine. This case emphasizes the importance of follow-up care.
Asunto(s)
Traumatismos en Atletas/diagnóstico , Trastornos de Traumas Acumulados/diagnóstico , Errores Diagnósticos , Ependimoma/diagnóstico , Dolor de la Región Lumbar/etiología , Imagen por Resonancia Magnética , Neoplasias de la Médula Espinal/diagnóstico , Adolescente , Ependimoma/complicaciones , Ependimoma/cirugía , Fútbol Americano , Humanos , Vértebras Lumbares , Masculino , Sacro , Compresión de la Médula Espinal/etiología , Neoplasias de la Médula Espinal/complicaciones , Neoplasias de la Médula Espinal/cirugía , LuchaAsunto(s)
Edema/fisiopatología , Enfermedades de la Vesícula Biliar/fisiopatología , Preescolar , Diagnóstico Diferencial , Edema/diagnóstico , Edema/diagnóstico por imagen , Enfermedades de la Vesícula Biliar/diagnóstico , Enfermedades de la Vesícula Biliar/diagnóstico por imagen , Hospitales Pediátricos , Humanos , Masculino , UltrasonografíaRESUMEN
The emergency department intershift transfer of patient care is a universal event. Despite the frequency of its occurrence and complexity of issues surrounding the exchange, emergency department patient handover is insufficiently explored in our literature. This article reviews the effectiveness and efficiencies of the handover practice. The authors provide personal opinion regarding favorable parameters for the prehandover, intershift meeting, and posthandover activities.