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| 1 | An unusual emergency department case: ruptured ectopic pregnancy presenting as chest pain显示文摘INTRODUCTION Ectopic pregnancy occurs at a rate of 1%–2%of all pregnancies,and tends to occur at a higher rate(up to4%)in patients receiving fertility treatments.[1]Women with ectopic pregnancies are often asymptomatic or may complain of amenorrhea,vaginal spotting,and lower abdominal cramping pain.They may also report common symptoms of early pregnancy such as nausea,vomiting, | Eric Dichter James Espinosa James Baird Alan Lucerna | 2017 | World Journal of Emergency Medicine2017，8，1： | 4 |
| 2 | A case of exercise induced rhabdomyolysis from calf raises显示文摘Dear editor,A 27-year-old male presented to the emergency department with acute exercise induced rhabdomyolysis(EIR)following low intensity,high repetition physical activity.It is paramount for the clinician to consider this diagnosis in the differential of the patient presenting with a complaint of musculoskeletal pain.This case highlights the necessity of staying vigilant for a condition that can develop with seemingly minor,repetitive training of a single muscle group,such as in the exercise of calf raises. | Jeffrey Gardecki Henry Schuitema James Espinosa Alan Lucerna | 2017 | World Journal of Emergency Medicine2017，8，3： | 4 |
| 3 | Acute atraumatic pinna (auricular) perichondritis显示文摘Perichondritis of the external ear is referred to inthe literature as pinna perichondritis as well as auricularperichondritis. Pinna (auricular) perichondritis is aninfection involving cartilage and subcutaneous tissue.The resulting infection produces swelling which canbe severe, and can lead to focal ear necrosis. The termperichondritis may even be considered a misnomer"as the cartilage is almost always involved."[1] Pinna(auricular) perichondritis presents with signs andsymptoms that can include pain。 | Alan Lucerna James Espinosa | 2018 | World Journal of Emergency Medicine2018，9，2： | 3 |
| 4 | An unusual case of renal calculi leading to myocardial infarction and cardiogenic shock显示文摘INTRODUCTION The presentation of cardiogenic shock(CS)is usually straightforward,and includes hypotension,absence of hypovolemia,and clinical signs of poor tissue perfusion such as oliguria,cyanosis,cool extremities and altered mentation.^([1]) | Vanessa Santos James Espinosa Alan Lucerna Andrew Caravello | 2017 | World Journal of Emergency Medicine2017，8，2： | 3 |
| 5 | Intussusception in an infant with two non-diagnostic abdominal ultrasound studies显示文摘Dear editor,Intussusception is the invagination of one portion of the intestines into another, and is the most common form of intestinal obstruction in infants.^([1]) The vast majority of cases of intussusception are idiopathic, and are thought to be due to hyperplasia of the lymphoid tissue in the Peyer’s patches of the terminal ileum. The | Vanessa Santos James Espinosa Alan Lucerna | 2019 | World Journal of Emergency Medicine2019，10，1： | 1 |
| 6 | A Lazarus effect: A case report of Bupropion overdose mimicking brain death显示文摘Dear editor,We report a case of a 47-year-old female who presented with a toxic bupropion ingestion leading to cardiac arrest.She initially exhibited a loss of brainstem reflexes in conjunction with burst-suppression pattern on EEG.Burst suppression is an EEG waveform pattern of alternating isoelectric suppressions and high voltage bursts.^([1]) | Douglas Stranges Alan Lucerna James Espinosa Neveen Malik Marc Mongeau Kelly Schiers Syed Omar Shah Joan Wiley Philip Willsie | 2018 | World Journal of Emergency Medicine2018，9，1： | 0 |
| 7 | A case of phenibut withdrawal and treatment with baclofen显示文摘Phenibut(β-phenyl-γ-aminobutyric acid)is a psychoactive gamma-aminobutyric acid(GABA)analog marketed online as a nutritional and nootropic(cognition enhancing)supplement.Phenibut consumption poses a high risk of potential abuse.Withdrawal from phenibut mimics benzodiazepine and alcohol withdrawal and can be dangerous.A number of approaches have been described for phenibut withdrawal,including protocols that include baclofen,but for inpatient and outpatient use.Here we describe a 30-year-old male who presented to an emergency department(ED)with insomnia,anxiety and palpitations after he stopped taking phenibut. | Michael Morris James Espinosa Alan Lucerna Robin Lahr | 2023 | World Journal of Emergency Medicine2023，14，4： | 0 |
| 8 | Handheld bedside ultrasound in the diagnosis of myocarditis显示文摘Myocarditis is a disease process that every emergency physician fears missing.Its severity can be mild to life-threatening,and many cases are likely undetected because they are subclinical with nonspecifi c signs.[1]Subtle cardiac signs may be overshadowed by systemic symptoms of the underlying infectious process.Fever,myalgias,lethargy,symptoms commonly associated with viral syndrome,can mask the life-threatening myocarditis that may be present.In fact,in the United States Myocarditis Treatment Trial,almost 90%of patients reported symptoms consistent with a viral prodrome.[2]Ammirati et al[3]reported that 27%of patients with myocarditis had either reduced left ventricular ejection fraction,ventricular arrhythmias,or low cardiac output.Here,we present a case report,in which handheld point-of-care ultrasound was utilized at the bedside to aid in the critical diagnosis of myocarditis.With the additional information provided through this imaging modality,this patient was able to be transferred to the appropriate tertiary care facility in an expeditious manner and receive possible defi nitive treatment. | Frank Wheeler Robin Lahr James Espinosa Alan Lucerna Henry Schuitema | 2024 | World Journal of Emergency Medicine2024，15，1： | 0 |
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