检索结果-南通市图书馆

A case of phenibut withdrawal and treatment with baclofen

在线全文

学校读者我要写书评

暂无评论

World Journal of Emergency Medicine 2023年第4期14卷 338-340页

作者： Michael Morris James Espinosa alan lucerna Robin Lahr Department of Emergency Medicine Rowan University SOM/Jefferson StratfordNJ 08084USA Emergency Medicine Residency Program Director Rowan University SOM/Jefferson StratfordNJ 08084USA

Phenibut(β-phenyl-γ-aminobutyric acid)is a psychoactive gamma-aminobutyric acid(GABA)analog marketed online as a nutritional and nootropic(cognition enhancing)*** consumption poses a high risk of potential *** from phenibut mimics benzodiazepine and alcohol withdrawal and can be dangerous.A number of approaches have been described for phenibut withdrawal,including protocols that include baclofen,but for inpatient and outpatient *** we describe a 30-year-old male who presented to an emergency department(ED)with insomnia,anxiety and palpitations after he stopped taking phenibut.

关键词： treatment withdrawal alcohol

Acute atraumatic pinna (auricular) perichondritis

在线全文

学校读者我要写书评

暂无评论

World Journal of Emergency Medicine 2018年第2期9卷 152-153页

作者： alan lucerna James Espinosa Combined Emergency Medicine/Internal Medicine Rowan University SOM/Kennedy UniversityHospital Stratford NJ USA Department of Emergency Medicine Rowan University SOM/Kennedy University Hospital Stratford NJ USA

Perichondritis of the external ear is referred to inthe literature as pinna perichondritis as well as auricularperichondritis. Pinna （auricular） perichondritis is aninfection involving cartilage and subcutaneous *** resulting infection produces swelling which canbe severe, and can lead to focal ear necrosis. The termperichondritis may even be considered a misnomer＂as the cartilage is almost always involved.＂[1] Pinna（auricular） perichondritis presents with signs andsymptoms that can include pain。

关键词： Acute atraumatic pinna auricular perichondritis

Intussusception in an infant with two non-diagnostic abdominal ultrasound studies

在线全文

学校读者我要写书评

暂无评论

World Journal of Emergency Medicine 2019年第1期10卷 51-54页

作者： Vanessa Santos James Espinosa alan lucerna Emergency Medicine Department Orange Regional Medical Center Emergency Medicine Department Rowan University School of Osteopathic Medicine

Dear editor,Intussusception is the invagination of one portion of the intestines into another, and is the most common form of intestinal obstruction in infants.^([1]) The vast majority of cases of intussusception are idiopathic, and are thought to be due to hyperplasia of the lymphoid tissue in the Peyer’s patches of the terminal ileum. The

关键词：小学英语课外阅读阅读材料

An unusual case of renal calculi leading to myocardial infarction and cardiogenic shock

在线全文

学校读者我要写书评

暂无评论

World Journal of Emergency Medicine 2017年第2期8卷 148-150页

作者： Vanessa Santos James Espinosa alan lucerna Andrew Caravello Department of Emergency Medicine Rowan University SOM Kennedy University Hospital Stratford NJ USA

INTRODUCTION The presentation of cardiogenic shock （CS） is usually straightforward, and includes hypotension, absence of hypovolemia, and clinical signs of poor tissue perfusion such as oliguria, cyanosis, cool extremities and altered mentation. The most common etiology of CS is acute myocardial infarction, Here, we report a case of a 42-year-old male who presented with right flank pain, nausea and vomiting initially thought to be nephrolithiasis, which he had a history of but was ultimately diagnosed with CS due to a type II myocardial infarction. This case illustrates the importance of having a broad differential diagnosis especially when a patient＇s vital signs take a drastic turn since this patient initially resembled someone with nephrolithiasis.

关键词： myocardial infarction cardiogenic shock

An unusual emergency department case： ruptured ectopic pregnancy presenting as chest pain

在线全文

学校读者我要写书评

暂无评论

World Journal of Emergency Medicine 2017年第1期8卷 71-73页

作者： Eric Dichter James Espinosa James Baird alan lucerna Department of Emergency Medicine Rowan University SOM Kennedy University Hospital Stratford New Jersey USA

INTRODUCTIONEctopic pregnancy occurs at a rate of 1%-2% of all pregnancies, and tends to occur at a higher rate （up to 4%） in patients receiving fertility treatments. Women with ectopic pregnancies are often asympto... 详细信息

关键词： emergency department case presenting as chest pain

A case of exercise induced rhabdomyolysis from calf raises

在线全文

学校读者我要写书评

暂无评论

World Journal of Emergency Medicine 2017年第3期8卷 228-230页

作者： Jeffrey Gardecki Henry Schuitema James Espinosa alan lucerna Department of Emergency Medicine Rowan University SOM Kennedy University Hospital

A 27-year-old male presented to the emergency department with acute exercise induced rhabdomyolysis （EIR） following low intensity, high repetition physical activity. It is paramount for the clinician to consider this diagnosis in the differential of the patient presenting with a complaint of musculoskeletal pain. This case highlights the necessity of staying vigilant for a condition that can develop with seemingly minor, repetitive training of a single muscle group, such as in the exercise of calf raises.

关键词： rhabdomyolysis calf raises

A Lazarus effect： A case report of Bupropion overdose mimicking brain death

在线全文

学校读者我要写书评

暂无评论

World Journal of Emergency Medicine 2018年第1期9卷 67-69页

作者： Douglas Stranges alan lucerna James Espinosa Neveen Malik Marc Mongeau Kelly Schiers Syed Omar Shah Joan Wiley Philip Willsie Department of Emergency Medicine Department of Internal Medicine Rowan University SOM Kennedy University Hospital Washington Twp N J USA Department of Emergency Medicine Rowan University SOM Kennedy University Hospital Stratford NJ USA Department of Pulmonaryy/Critical Care/Sleep Medicine Kennedy Health Alliance Kennedy University Hospital Washington Twp N J USA Department of Pulmonary and Critical Care Medicine Rowan University SOM Kennedy University Hospital Washington Twp N J USA Department of Neurocritical Care Thomas Jefferson University Hospital Philadelphia PA USA

Dear editor, We report a case of a 47-year-old female who presented with a toxic bupropion ingestion leading to cardiac arrest. She initially exhibited a loss of brainstem reflexes in conjunction with burst-suppression pattern on EEG. Burst suppression is an EEG waveform pattern of alternating isoelectric suppressions and high voltage bursts, Our patient ultimately made a full neurologic recovery a few days later. While there are two other cases in the literature of bupropion overdose resulting in EEG burst-suppression and loss of brainstem reflexes, we believe this is the only reported adult case complicated by cardiac arrest.

关键词： A Lazarus effect A case report of Bupropion overdose mimicking brain death