Accessing up-to-date knowledge in emergency medicine: Internet

The rapid progress of medicine, emergence of new information every day, and constant update of knowledge increases the importance of accessing to knowledge. Effective use of internet will bring great convenience for the profession emergency physicians who need to access the information quickly and within shorter time frame

Rectal foreign bodies in the emergency department: a case report

Patients who applied to the emergency department with anorectal foreign bodies has a wide range of diversity. 28 year-old woman who had anal pain and rectal fullness after a sexual intercourse was applied to the emergency department. Physical examination showed no abdominal discomfort, defence, and rebound tenderness. Foreign body was identified by radiologic methods and removed by straining of the patient. In this article we discussed the emergency department modalities of these kind of patients in the view of recent literature

Presentation of a rendu-osler-weber patient to emergency department

Rendu-Osler-Weber disease (hereditary hemorrhagic telangiectasia) is an autosomal dominant familial angiogenesis disorder which presents with the clinical consequences of vascular malformations in mucocutaneous tissues, visceral organs and central nervous system. The disorder is characterized with multiple dermal, mucosal, visceral telengiectasies and accompanying bleeding. Bleeding mostly presents with epistaxis but gastroenteric, urinary or airway bleeding may also occur. Arteriovenous malformations which cause capillary bypass are quite frequent (gastrointestinal, pulmonary, neurologic). Classical triad is telengiectasy, recurrent epistaxis and family history. Patients may present in many different forms such as recurrent epistaxis, cerebrovascular events, gastrointestinal bleeding, pericardial effusion or tamponade, myocardial ischemia, haemoptysis, haemothorax, paradoxical emboli, and syncope. We report a case of uncommon clinical manifestation and management of Rendu-Osler-Weber patient who was admitted to emergency department

Airplane travel headache: a case report and review of the literature

Although the patients who admit to the emergency departments because of headache constitute approximately 22.5% of the admissions to emergency departments and emergency physicians are familiar with this group of patients. Although most of the headache problems encountered in emergency services are usually primary headache syndromes, life threatening causes should always be considered and proper diagnostic modalities should be used. In the present case report, we report a headache secondary to the altitude and pressure changes during a flight which is a rare cause of secondary headache

Locked Leg

Abstract Not Availabl

Do Munchausen syndrome or malingering

Malingering and Munchausen Syndrome (a subgroup of factitious disorder) were difficult conditions for emergency physicians to deal with. Munchausen Syndrome was characterized with intentional production or feigning of physical or psychological signs or symptoms. Malingering is fabricating or exaggerating the symptoms of mental or physical disorders for a variety of "secondary gain" motives, which may include financial compensation, avoiding punishment or obligations like school, work or military service. In this report we presented a case of malingering, who fabricated symptoms of severe pain for obtaining opiates from emergency department

Syncope: The forgotten sign of pulmonary embolism

The diagnosis of pulmonary embolism continues to be elusive, primarily because of its notorious vagaries of symptoms and signs. Syncope as an initial presentation of pulmonary embolism occurs in 10% of patients. It is as a presenting symptom of pulmonary embolism is difficult to diagnose. Pulmonary embolism should be considered in the differential diagnosis of every syncopal event that present to the Emergency department. We present two cases of pulmonary embolism included syncope and review the pathophysiology and diagnostic considerations in these settings