Publications by authors named "J H Kashani"
Article Synopsis
- Hypothermic patients in the emergency department are rare but require immediate diagnosis and treatment, as they may be in a critical condition.
- Myxedema coma, a serious complication from severe hypothyroidism, can present with symptoms like profound hypothermia, weakness, and altered mental status, sometimes even in patients with no prior thyroid issues.
- Rapid diagnosis and treatment, including thyroxine and glucocorticoid administration, led to a successful recovery in a 77-year-old female, highlighting the importance of considering myxedema coma in hypothermic patients regardless of prior medical history.
Introduction In the United States (US), appendicitis is the most common acute abdominal emergency requiring surgery. Patients with appendicitis continue to display a complex and atypical range of clinical manifestations, providing a subsequent high risk for emergency physicians to miss acute abdominal pathology on a patient's initial visits. Due to the risk of potential perforation, the proper and timely clinical identification of acute appendicitis is vital.
View Article and Find Full Text PDFBackground: Significant morbidity and mortality is attributed to infection with the influenza virus annually and care is often sought in Emergency Departments (ED). The exposure of Emergency Department healthcare personnel and subsequent illness is speculated to be high but has not been quantified.
Methods: All physicians and mid-level providers in a large tertiary care ED who cared for an Influenza-positive patient were identified and surveyed.
Objective: To evaluate the occurrence of renal injury in hospitalized patients with the diagnosis of rhabdomyolysis among a series of patients presenting to an urban emergency department.
Methods: A retrospective chart review between January 2006 and February 2017 was conducted on patients aged 21-65 years old that were admitted with a diagnosis of Rhabdomyolysis. We included patients with an initial serum creatinine (Cr) level < 1.
Nitric acid (HNO) is a strong acid and oxidizing agent used for various applications including production of ammonium nitrate in the fertilizer industry. Nitrogen oxides formed when nitric acid interacts with the environment have been implicated in inhalation injuries. This describes a case of a 49-year-old male who presented to the emergency department complaining of an acute onset of shortness of breath approximately 12 hours after being exposed to nitric acid fumes.
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