The American journal of emergency medicine
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Healthcare discharge instructions are important for patients who are discharged from the emergency department (ED). ⋯ Patient who received SMS-based health discharge instructions improved knowledge, care confidence, and satisfaction after ED visits. Future research should explore the application of the system across a broader range of emergency medical conditions.
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Case Reports
Cholinergic crisis in Lycoris radiata poisoning: A case of delayed onset and prolonged symptoms.
Lycoris radiata, commonly known to contain alkaloids such as lycorine and galanthamine, is toxic and is easily accessible in East Asian countries, including Japan. Lycorine is a central nervous system and gastrointestinal irritant, whereas galanthamine, a carbamate, exhibits reversible acetylcholinesterase inhibition. Symptoms of Lycoris radiata poisoning are generally acute and resolve quickly. ⋯ The patient disclosed ingestion of Lycoris radiata, and an analysis of her garden plants revealed lycorine and galanthamine, confirming the diagnosis. Acute Lycoris radiata poisoning can result in a severe clinical course. Furthermore, the onset of a cholinergic toxidrome may be delayed following ingestion, and the toxidrome may persist for a prolonged period.
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Incarcerated gravid uterus (IGU) is a rare disease process where the retroflexed uterus becomes trapped within the pelvis preventing normal pregnancy development. IGU's presenting chief complaints are common complaints that can occur in a normal pregnancy. It has a high delayed diagnosis rate, and a high morbidity and mortality to the pregnancy and to the pregnant patient. It is important for emergency medicine physicians to recognize this diagnosis, appropriately treat the acute complications and ensure follow up with our obstetrics colleagues.