Annals of emergency medicine
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The case of a 33-year-old woman who presented with abdominal pain referable to the lower abdomen is discussed. She had had an uncomplicated intrauterine abortive procedure two weeks earlier. It was determined that a ruptured ectopic pregnancy was the etiology of her abdominal pain. The rare phenomenon of combined intrauterine and extrauterine pregnancy is discussed.
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Auricular pain, redness, and swelling are usually the result of infectious cellulitis. However, relapsing polychondritis is another cause of this symptom complex and is the result of an autoimmune phenomenon. ⋯ We present a case of relapsing polychondritis initially mistaken for auricular cellulitis. The clinical manifestations and course of relapsing polychondritis are reviewed, along with the emergency department management.
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To compare a new 22-lead ECG with the 12-lead ECG for diagnosis of acute myocardial infarction (AMI). ⋯ When combined with clinical judgment, the 22-lead ECG could provide a 97.6% sensitivity for AMI diagnosis while reducing unnecessary admissions for "rule-out MI" by 69%.
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Comparative Study
Quality assurance in the emergency department: evaluation of the ECG review process.
To determine whether the review of emergency department ECGs by cardiologists contributes to the quality of patient care. ⋯ Review of ED ECGs by cardiologists did not affect patient care at our institution.