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
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 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 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 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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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 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 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 #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 #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 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 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 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
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 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 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 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 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 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 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 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 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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