Items tagged “emergencymedicine”

258 results found
Case

Isolated distal ulna fracture

 Diagnosis certain
Dr Henry Knipe
Published 17 May 2013
91% complete
X-ray
Article

Carpometacarpal joint dislocation

Carpometacarpal (CMC) joint dislocations are uncommon dislocations of the hand. Epidemiology There is a strong younger male predominance. These injuries account for less than 1% of hand injuries 4 and are more common in the dominant hand. Associated injuries The following injuries should rai...
Case

5th carpometacarpal joint dislocation

 Diagnosis certain
Dr Henry Knipe
Published 29 Jun 2016
82% complete
X-ray
Article

Psoas hematoma

Psoas hematomas are located in the retrofascial space, rather than in the retroperitoneum, because the psoas muscles are located in the iliopsoas compartment posterior to the transversalis fascia, which is the posterior boundary of the retroperitoneum. Clinical presentation Presentation is oft...
Article

Renal trauma

Renal trauma can result from direct, blunt, penetrating, and iatrogenic injury. Epidemiology Renal injuries account for ~10% of abdominal trauma, and thus the demographic of affected individuals reflect that population. The incidence of renal injuries increases in pre-existing congenital or ac...
Article

Retroperitoneal hemorrhage

Retroperitoneal hemorrhage can be a source of significant yet occult blood loss. Terminology Some articles conflate and/or confuse retroperitoneal hemorrhage and Wunderlich syndrome 5. However Wunderlich syndrome refers primarily to bleeding around the kidney, not the retroperitoneum in genera...
Article

Abdominal aortic aneurysm rupture

Abdominal aortic aneurysm (AAA) rupture is a feared complication of abdominal aortic aneurysm and is a surgical emergency. It is part of the acute aortic syndrome spectrum. Epidemiology Abdominal aortic aneurysms are common and affect ~7.5% of patients aged over 65 years 6. Clinical presentat...
Article

Esophageal perforation

Esophageal perforation is a rare but serious medical emergency with a very high mortality rate, especially if the diagnosis is delayed. Epidemiology Most patients are in their sixties with a slight male predominance 5.  Clinical presentation If a perforation is not detected during the proced...
Case

Acute appendicitis

 Diagnosis certain
RMH Core Conditions
Published 05 Dec 2013
88% complete
Ultrasound
Article

Dental abscess

Dental (periapical) abscesses are an acute infection of the periapical tissue around the root of the tooth. Clinical presentation Patients may present with pain, edema, and purulent discharge localized to the site of pathology with or without fever and tender cervical lymphadenopathy 1. Patho...
Article

Trauma in pregnancy

Trauma is a leading cause of mortality in pregnancy. Pregnancy increases the incidence and severity of abdominal trauma in females.  Epidemiology Trauma affects up to 7% of pregnancies, and the incidence of pregnancy in level 1 trauma patients is estimated to be ~2% 1.  Pathology Etiology 9...
Case

Esophageal laceration from penetrating trauma

 Diagnosis certain
RMH Core Conditions
Published 12 Dec 2013
92% complete
FluoroscopyCT
Article

Liver trauma

The liver is one of the most frequently damaged organs in blunt trauma, and liver trauma is associated with a significant mortality rate. Epidemiology In blunt abdominal trauma, the liver is injured ~5% (range 1-10%) of the time 1,3. Clinical presentation Patients can present with right uppe...
Case

Traumatic bowel injury

 Diagnosis almost certain
RMH Core Conditions
Published 13 Dec 2013
71% complete
CT
Case

Renal and colon trauma from gunshot

 Diagnosis certain
RMH Core Conditions
Published 13 Dec 2013
95% complete
CT
Case

Thoracic and abdominopelvic multitrauma

 Diagnosis certain
RMH Core Conditions
Published 13 Dec 2013
98% complete
CTX-ray
Article

Splenic trauma

Splenic trauma can occur after blunt or penetrating trauma or secondary to medical intervention (i.e. iatrogenic). The spleen is the most frequently injured internal organ after blunt trauma. Epidemiology In blunt trauma, the spleen can account for up to 49% of abdominal organ injuries 2. Cli...
Article

Bowel and mesenteric trauma

Bowel and mesenteric trauma can result from blunt force, penetrating and iatrogenic trauma. Epidemiology The bowel and mesentery are injured in ~2.5% (range 0.3-5%) of blunt force abdominal trauma 1,3,5,8. However not surprisingly, bowel and mesenteric injuries are more frequent after penetrat...
Article

Isolated free fluid in trauma

Isolated free fluid in trauma may or may not represent a significant injury, and this creates a diagnostic dilemma in determining appropriate treatment for these patients.  Epidemiology The presence of isolated free fluid in trauma occurs in 3-5% of blunt trauma patients 1-4. Pathology The c...
Article

Body packing

Body packing refers to the internal concealment of drugs within the gastrointestinal tract or other orifices. People who do this may be called body packers, (drug) mules, stuffers, couriers or swallowers. Drugs may be concealed within condoms, foil, latex or cellophane.  Epidemiology There is ...