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Visual Journal of Emergency Medicine最新文献

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An unusual case of a calvarium Pott's Puffy tumor 一个不寻常的颅骨波氏肿块病例
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-14 DOI: 10.1016/j.visj.2026.102457
Giovanna Baye, Adriana Manikian
Pott's Puffy tumor is a subperiosteal abscess of the anterior wall of the frontal sinus associated with underlying frontal bone osteomyelitis. It most commonly occurs as a complication of frontal sinusitis and presents with a fluctuant area of swelling over the forehead, accompanied by fever, headache, and rhinorrhea. Early diagnosis and treatment are crucial, as more than 50 % of cases of Pott's Puffy Tumor progress to result in intracranial pathology. This is a case of an adolescent male who presented to the emergency department with a "growing bump" on the top of his head and associated nasal congestion. Point-of-care ultrasound demonstrated a subdermal collection with an associated calvarial bone defect and an underlying collection communicating with the intracranial space. The patient was ultimately diagnosed with a calvarial Pott's Puffy Tumor and was found to have multiple subgaleal and epidural abscesses with an associated superior sagittal sinus thrombus. He required a craniotomy and a prolonged course of parenteral antibiotics. He has since recovered and is doing well.
Pott's肿性肿瘤是一种额骨窦前壁骨膜下脓肿，伴有潜在的额骨骨髓炎。它最常作为额窦炎的并发症发生，表现为额头上下起伏的肿胀区域，伴有发烧、头痛和鼻溢。早期诊断和治疗是至关重要的，因为超过50%的Pott's肿性肿瘤进展导致颅内病理。这是一个青少年男性的病例，他以头顶“越来越大的肿块”和相关的鼻塞来到急诊室。即时超声显示真皮下收集有相关的头颅骨缺损和与颅内间隙相通的潜在收集。患者最终被诊断为颅波氏肿胀性肿瘤，并发现有多发galal下和硬膜外脓肿，并伴有上矢状窦血栓。他需要开颅手术和长时间的静脉注射抗生素。后来他恢复了健康，现在状态很好。
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引用次数: 0
Point-of-care-ultrasound (POCUS) in facilitating the diagnosis of gallstone ileus 即时超声（POCUS）在促进胆结石性肠梗阻诊断中的应用
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-14 DOI: 10.1016/j.visj.2026.102454
Nabil Mohammad Azmi , Mohd Firdaus Mohd Hayati , Diana Melissa Dualim , Zairul Azwan Mohd Azman
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引用次数: 0
‘Tension pneumoperitoneum: A visual challenge in emergency department’ 张力性气腹：急诊科的视觉挑战
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-13 DOI: 10.1016/j.visj.2026.102442
Rishu Kumar, Amith CK, Prakash Ranjan Mishra
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引用次数: 0
Atypical carpal fracture following cycling accident 自行车事故后非典型腕骨折
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-13 DOI: 10.1016/j.visj.2026.102452
Brian Quach , Andrew Eyre
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引用次数: 0
Rapid progression of skin necrosis from a Rivaroxaban related pretibial hematoma requiring skin grafting: A case report 利伐沙班相关胫前血肿导致皮肤坏死快速进展，需要植皮：一例报告
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-13 DOI: 10.1016/j.visj.2026.102459
Rosheen Kamal , Mark Gamadia , Mark Domanski
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引用次数: 0
Massive juvenile ovarian granulosa cell tumor causing hydronephrosis 引起肾积水的巨大幼年卵巢颗粒细胞瘤
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-12 DOI: 10.1016/j.visj.2026.102447
Michael Russ , Matthew Perdue
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引用次数: 0
Retrocecal internal hernia causing an acute bowel obstruction 引起急性肠梗阻的盲肠后疝
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-12 DOI: 10.1016/j.visj.2026.102451
Asmae Guennounni, Soukaina Bahha, Omar El Oufir
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引用次数: 0
Bullous corneal edema mimicking ferning in ocular herpes zoster: A case of suspected VZV trabeculitis 眼带状疱疹样大疱性角膜水肿一例疑似VZV型小梁炎
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-12 DOI: 10.1016/j.visj.2026.102443
Kevin T Malone, Andrew L Juergens II
55-year-old male with a prior diagnosis of shingles involving the V1 dermatome presented to the emergency department with acute ocular symptoms, including blurred vision, conjunctival injection, and scleral erythema. On evaluation, he had elevated intraocular pressure (IOP) and corneal bullae that was initially concerning for ferning. However, fluorescein staining revealed negatively staining bullae without dendritic patterns. Ophthalmology determined that the findings were due to suspected trabeculitis secondary to varicella-zoster virus (VZV). The patient was treated with IOP-lowering agents and antivirals, with full resolution at follow-up. This case highlights the need to distinguish VZV-associated trabeculitis from herpetic keratitis and the importance of correctly identifying non-epithelial corneal involvement in patients with elevated IOP.
55岁男性，既往诊断为带状疱疹累及V1皮节，因急性眼部症状就诊于急诊科，包括视力模糊、结膜注射和巩膜红斑。在评估时，他有升高的眼压（IOP）和角膜大泡，这最初是担心的。荧光素染色显示大泡呈阴性，无树突状。眼科诊断为疑似水痘带状疱疹病毒（VZV）继发小梁炎。患者接受降眼压药物和抗病毒药物治疗，随访时完全康复。本病例强调了区分vzv相关性小梁炎与疱疹性角膜炎的必要性，以及正确识别IOP升高患者非上皮性角膜病变的重要性。
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引用次数: 0
Multibacillary leprosy in a migrant worker 一名农民工的多菌性麻风病
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-12 DOI: 10.1016/j.visj.2026.102449
Magdalene Hui Min Lee , Jocelyn Zi Lin Ting
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引用次数: 0
Supraglottitis secondary to oesophageal fish bone impaction 声门上炎继发于食道鱼骨嵌塞
Q4 Medicine
Visual Journal of Emergency Medicine
Pub Date : 2026-02-12 DOI: 10.1016/j.visj.2026.102444
Linger Sim, Dayang Anis Asyikin Ahmad Nazari, Najla Raihan Md Zain, Khairudin Abdullah
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引用次数: 0
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