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JEM_Journal

@jem_journal

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Official twitter account for the Journal of Emergency Medicine. Our goal is to collaborate and to bring more clinical pearls and EBM to the social media world

Joined May 2015
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@jem_journal
JEM_Journal
2 days
JEM Case of the Week Answer: RUQ #POCUS shows signs of SBO. Subsequent CT confirmed it, but bowel was trapped btw liver and diaphragm. Read the full case of Chilaiditi Syndrome caused by Fitz-Hugh-Curtis presented by @BKMethodistEM here: https://t.co/Io7G9uQlSb @aaeminfo
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@jem_journal
JEM_Journal
4 days
JEM Case of the Week: A previously healthy 50 yo F present with 3 days of RUQ abdominal pain. Labs and CT A/p 2 days ago were negative. She got a RUQ #POCUS at this ED presentation. What are the findings? Next steps? Answer posted Friday. #medtwitter @aaeminfo @BKMethodistEM
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@jem_journal
JEM_Journal
10 days
JEM Case of the Week Answer: CXR shows unilateral pulmonary edema. Bedside #POCUS showed eccentric mitral regurgitation directed towards the pulmonary vein. Read the full case here: #medtwitter @aaeminfo https://t.co/mXzhl9OT6F
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@jem_journal
JEM_Journal
12 days
JEM Case of the Week: 51 yo F with history of Rheumatoid Heart Disease presents with dyspnea and bilateral pedal edema. RR 30, O2 92% RA. What is the finding on her CXR? Next Steps? Answer posted Thurs #medtwitter @aaeminfo
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@jem_journal
JEM_Journal
17 days
Which method do you prefer for resuscitation of a hypotensive pt prior to intubation? Respond then check out this article on push dose epi utilization.
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@jem_journal
JEM_Journal
23 days
JEM Case of the Week Answer: The CT shows the neuromodulation device lead migrated and perforated the rectum. Rare, but something to keep in the DDx. Read the full case here https://t.co/2pEzBeHFjs @aaeminfo #medtwitter
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@jem_journal
JEM_Journal
25 days
JEM Case of the Week: 43 yo M presents with history of recurrent interstitial cystitis, s/p InterStim® device placement 20 years ago who presents with rectal pain after a colonoscopy. What are the CT findings? Next Steps? Answer posted Fri #medtwitter @aaeminfo
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@jem_journal
JEM_Journal
1 month
JEM #POCUS Case of the Week Answer: Arrow points to choroidal mass. Differential Dx includes Melanoma. Pt needs urgent Ophthalmology follow up. See the full case here. @IUSM_EM #medtwitter https://t.co/2Q25wnrBMn
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@jem_journal
JEM_Journal
1 month
JEM #POCUS Case of the week: 30 yo F presents with 1 month of monocular vision loss in the left temporal visual field with associated flashers and floaters. Ocular POCUS shows the following. Dx? Next Steps? Answer posted Friday @aaeminfo #medtwitter
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@jem_journal
JEM_Journal
1 month
JEM Case of the Week Answer: X ray shows mass (1) and free air (2). Subsequent CT shows Gastrointestinal Trichobezoar that was surgically managed. Read the full case here. @aaeminfo #MedTwitter https://t.co/vO3wodASZs
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@jem_journal
JEM_Journal
1 month
JEM Case of the week: 11 yo F w/ developmental delay presents with 3 days of abd pain and non-bloody vomiting. Vitals normal. Exam notable for a palpable mass. What are the findings in the L lateral decubitus X ray? Ddx? Next Steps? Answer posted Thurs @aaeminfo #MedTwitter
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@jem_journal
JEM_Journal
2 months
JEM Case of the Week: 50 yo F w/ h/o DM on metformin, sitagliptin, and empagliflozin presents with fatigue, SOB, and decreased PO. In ED hypotensive, hypothermic and hypoglycemic and lactate of 19. Check out her unique diagnosis here #FOAMed @aaeminfo
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jem-journal.com
Combination therapy with metformin and sodium–glucose cotransporter 2 (SGLT2) inhibitors is strongly recommended for adults with type 2 diabetes mellitus who have inadequate glycemic control. These...
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@jem_journal
JEM_Journal
2 months
JEM Case of the Week Answer: Pt's CTA showed extravasation from the thoracodorsal branch of the subscapular artery. Pt had emergent embolization. Complications of axillary artery aneurysms include rupture and limb ischemia. Full case here @aaeminfo https://t.co/DGlZV5skJQ
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@jem_journal
JEM_Journal
2 months
JEM Case of the Week: 62 yo M presents with atraumatic L axilla swelling x 1 day. Vitals normal, labs normal. Ddx? Next steps? Answer posted Thursday. #medtwitter @aaeminfo
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@jem_journal
JEM_Journal
2 months
JEM Case of the Week Answer: Stars on CT show multiple hepatic infarcts. Labs consistent with HEELP syndrome. Patient was ultimately diagnosed with Antiphospholipid syndrome. Check out her full near catastrophic course here! @BKMethodistEM @aaeminfo https://t.co/GSk5YbeWWl
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@jem_journal
JEM_Journal
2 months
JEM Case of the Week: 23 yo F 1 week s/p delivery of a 34 week premie due to pre-eclampsia presents with abdominal pain & emesis. She is febrile and hypertensive and just started abx for PNA. What findings are on CT scan? What labs are you concerned for? Answer Thurs @aaeminfo
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@jem_journal
JEM_Journal
2 months
JEM Case of the Week Answer: CT shows focal inflammatory changes in the anterior peritoneal fat along the falciform ligament, compatible with perigastric appendagitis. Tx is supportive but it can mimic a surgical abdomen. Read about it here @CooperEMed
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@jem_journal
JEM_Journal
2 months
JEM Case of the Week: 47 yo F with PMH of ovarian cysts and renal stones presents with RUQ abd pain x 3 days. Labs negative. RUQ US negative. What finding and diagnosis is seen on her CT. Tx? Answer posted Friday #medtwitter @aaeminfo
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@jem_journal
JEM_Journal
2 months
JEM Case of the Week: Hi Peds EM docs! What is your choice for minimal sedation / anxiolysis in a pediatric patient who needs a simple laceration repair? Check out this comparison study. @BCMEmergencyMed @aaeminfo
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@jem_journal
JEM_Journal
3 months
JEM Case of the Week: How things started vs how they are going. Check out this amazing case report of a patient's recovery from a bear attack and review of managing of wild mammalian attacks #medtwitter #wildernessmedicine @aaeminfo @WVUEmergencyMed https://t.co/qfJlUecEM9
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