While proficient cardiac resuscitation has improved survival following cardiac arrest during road races in Japan, this accomplishment does not address…
Behind the Curve: Late-Onset Axial Spondyloarthritis
The patient’s diagnosis was more commonly associated with people in their teens and twenties. Yet, a 56-year-old woman met the…
Corticosteroids in the Management of Severe Coccidioidomycosis
There is limited data suggesting that recovery from severe pulmonary infection with Coccidioides may be hastened by the addition of…
Spinal Emergencies in Primary Care Practice
Atraumatic spinal emergencies often present a diagnostic and management dilemma for health care practitioners. Spinal epidural abscess, cauda equina syndrome,…
Inferior Vena Cava Filters in Patients with Recurrent Pulmonary Embolism
There are sparse data to support the recommendation for inferior vena cava (IVC) filters in patients with recurrent pulmonary embolism…
Without Warning: Scleroderma Renal Crisis
The patient’s disease had yet to be diagnosed when a complication emerged in dramatic fashion. A 44-year-old man of Indian…
Follow the Beads: Fibromuscular Dysplasia
Imaging provided a definitive diagnosis for a 58-year-old woman who presented to the emergency department with abdominal pain. The previous…
Variation in the Use of Warfarin and Direct Oral Anticoagulants in Atrial Fibrillation and Associated Cost Implications
Little is known about national patterns of anticoagulant use among patients with atrial fibrillation after the availability of direct oral…
Optimal Therapy for Unstable Pulmonary Embolism
There are no randomized controlled trials of thrombolytic therapy, pulmonary embolectomy, or inferior vena cava (IVC) filters in patients with…