Clinical practice and cases in emergency medicine
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Clin Pract Cases Emerg Med · Nov 2019
Case ReportsPoint-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department.
Perineal and rectal pain are common presentations in the emergency department (ED). In the majority of cases, clinical examination is sufficient to detect local anorectal pathologies. ⋯ Recently, transperineal ultrasound has emerged as an optimal imaging modality for the diagnosis of perineal and perianal abscesses. We present a case in which point-of-care ultrasound accurately detected an intersphincteric abscess, and review the appropriate ultrasound technique to evaluate patients with suspected perianal and rectal abscesses.
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Clin Pract Cases Emerg Med · Nov 2019
Case ReportsFatal Tension Hemothorax Combined With Exanguination: A Rare Complication of Neurofibromatosis.
Neurofibromatosis (NF) is a common autosomal dominant disorder that can be subdivided into type 1, type 2, and schwannomatosis. Patients with NF1 typically develop café-au-lait spots, scoliosis, and benign neurofibromas. ⋯ Here, we report the case of an otherwise healthy 32-year-old man who developed a fatal tension hemothorax due to vertebral artery aneurysm rupture. Based on the available literature, we discuss the presentation, workup, and available therapeutic approaches to this complication of neurofibromatosis.