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Hyperthermia in Methamphetamine Toxicity

In Medical Concepts by Amar ChakrabortyLeave a Comment

Paramedics roll in with an agitated young man, “John”. He is combative, rambling, sweaty and scared. The crew mention they found needles and a bag containing a crystalline white substance in his pockets: methamphetamine. Right away, you start thinking about your initial approach to a patient with excited delirium. In the room, four security guards are needed to restrain him.  On inspection, you observe no signs of head trauma, and symmetrical movement of …

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Clinical Question: What is the Role of Contrast in Abdominal CT for Adult Patients presenting with Acute Abdominal Pain?

In Clinical Questions by Shankar SethuramanLeave a Comment

Clinical Question: Role of Contrast in Abdominal CT for Adult Patients presenting with Acute Abdominal Pain A 73-year-old male presents to your Emergency Department with vague LLQ abdominal pain. Your differential includes stones/pyelonephritis, diverticulitis, obstruction, and neoplasm. You want a CT scan to assist in diagnosis. A colleague mentions you need oral contrast to diagnose obstructions, and intravenous contrast to diagnose diverticulitis but intravenous contrast hinders the diagnoses of stones. What is the …

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CJEM Visual Abstract: Evaluating the diagnostic accuracy of point-of-care ultrasound for cholelithiasis and cholecystitis in a Canadian emergency department

In Infographics by Rebecca SeligaLeave a Comment

In this issue, we collaborated with the CJEM team to create a visual abstract on the article ‘Evaluating the diagnostic accuracy of point-of-care ultrasound for cholelithiasis”.​1​ Cholelithiasis and cholecystitis are conditions that are frequently encountered in the emergency department. The gold standard in their diagnosis is via comprehensive ultrasound by radiology. However, there are many barriers to quickly obtaining this diagnostic imaging. In this study, Sharif et al. sought to evaluate the diagnostic …