The West Virginia medical journal
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Review Case Reports
Cetacaine induced methemoglobinemia: overview of analysis and treatment strategies.
Methemoglobin is formed upon iron oxidation of the heme molecule from ferrous (Fe2+) to its ferric (Fe3+) state. Normal methemoglobin levels in the body vary between 1-2% of the total hemoglobin. ⋯ Herein, we present to you a case of methemoglobinemia after Cetacaine (a benzocaine based topical anesthetic) utilization during a transesophageal echocardiography. Some of the other common potential inciting agents are also discussed here along with an overview of treatment strategies.
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Rectus sheath hematoma (RSH) is uncommon and is often reported in the setting of anticoagulation or trauma. Typically RSH presents with localized or diffuse abdominal pain and a fixed abdominal wall mass, however, various presentations and complications have been reported depending on the setting and extent of the hematoma. We report a case of a rapidly expanding RSH causing obstructive anuria and hydronephrosis in addition to a review of literature on this rare presentation of RSH.
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Texting has become popular, particularly among young adults. Texting while driving has been identified as a factor in accidents. Literature is lacking about the overall attitudes and utilization of texting. ⋯ Texting is commonly used by young adults, though many believe texting while driving decreases concentration and is unsafe. A majority report to texting while driving. Injury prevention and awareness programs are needed to decrease this behavior.
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Marijuana induced hyperemesis is a syndrome manifested by intractable nausea, vomiting and abdominal pain in someone who chronically uses marijuana with relief obtained from excessive bathing. This case report documents the exhaustive and costly work-up that has been performed in the case of one patient presenting to our facility with these complaints. It will also discuss marijuana induced hyperemesis syndrome in an effort to increase awareness of this under-diagnosed condition allowing for a more thorough history-taking and reduce unnecessary testing and radiologic examinations.