Emergency department management of acute agitation in the reproductive age female and pregnancy.

Background: Agitation is a common presentation within emergent departments (EDs). Agitation during pregnancy should be treated as an obstetric emergency, as the distress may jeopardize both the patient and fetus. The safety of psychotropic medications in the reproductive age female has not been well established.

Mixed connective tissue disease-myositis overlap syndrome presenting as an allergic disease process to the emergency department: A case report.

The "allergy epidemic" of the Western World, has led to an overwhelming number of emergency department presentations with allergic rhinitis, allergic conjunctivitis, atopic eczema, and asthma. Careful consideration should be given to screening for the typical signs and symptoms of Mixed connective tissue disease (MCTD) in patients presenting to the ED with what appears to be a simple allergic process. MCTD is a rare systemic rheumatic disease characterized by high levels of anti-U1RNP antibodies and various clinical signs and symptoms.

Spontaneous tumor lysis syndrome in a patient with chronic myeloid leukemia treated successfully with allopurinol.

Tumor Lysis Syndrome (TLS) is an oncologic emergency that may occur in any patient with a hematologic malignancy, even prior to initiation of chemotherapy. Spontaneous TLS massive tumor cell destruction with intracellular electrolyte release prior to the initiation of chemotherapy. Spontaneous tumor lysis syndrome is a rare presentation, mainly occurring in Acute Leukemia and non-Hodgkin Lymphoma.

Acute Cholecystitis: An Emerging Complication in Spinal Cord Injury Patients in the United States.

Background:  Spinal cord injury (SCI) is a significant medical condition associated with various secondary complications, including cholelithiasis. Cholelithiasis can cause biliary duct obstruction and result in acute cholecystitis. The development of acute cholecystitis in SCI patients has been well studied in the Taiwanese population, showing an increased risk of acute cholecystitis in patients with SCI.

Racial Differences in Iliac Crest Cancellous Bone Composition: Implications for Preoperative Planning in Spinal Fusion Procedures.

Study Design: This was a retrospective cohort study.

Objective: The objective of this study was to determine whether race, specifically American white and American black, correlates with the ratio of cancellous to total bone at the iliac crest.

Summary Of Background Data: Studies have demonstrated higher proximal femur bone density in American blacks than American whites.

Investigational Therapies for Gunshot Wounds to the Spine: A Narrative Review.

Study Design: This was a narrative review.

Objective: The objective of this study was to review the standards of care and triage protocol for gunshot wounds to the spine, highlighting innovative future treatment options that may be implemented in patients with spinal cord injury (SCI).

Summary Of Background Data: With the increased availability of firearms among the United States population, gunshot wounds to the spine are becoming a clinically relevant and devastating issue.

Sacroiliac joint dysfunction: pathophysiology, diagnosis, and treatment.

Purpose: To review the anatomy and function of the sacroiliac joint (SIJ), as well as the pathophysiology, clinical presentation, diagnostic criteria, and treatment options for SIJ dysfunction.

Methods: The SIJ serves an extremely crucial function in mobility, stability, and resistance against shear forces. Joint mobility becomes increasingly limited with age-related cartilaginous changes that begin in puberty and continue throughout life.

Pelvic obliquity associated with neuromuscular scoliosis in cerebral palsy: cause and treatment.

Study Design: Literature Review.

Objective: Review the etiology, clinical manifestations, diagnosis, and treatment of pelvic obliquity in cerebral palsy patients with neuromuscular scoliosis. Neuromuscular scoliosis (NMS) in cerebral palsy (CP) patients is rapidly progressive and often leads to an imbalance in musculoskeletal mechanics that extends to the pelvis.