Publications by authors named "J R McShannic"

Aortoiliac mycotic aneurysm is an uncommon and deadly condition associated with significant perioperative morbidity. We present a case of common iliac mycotic pseudoaneurysm managed with debridement, vessel ligation, and extra-anatomic reconstruction owing to systemic illness. Notably, the patient had an implanted ventriculoperitoneal shunt for a history of cerebral aneurysm and resulting hydrocephalus.

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Introduction: Lower extremity injuries are commonly evaluated and treated in the emergency department (ED). Pain management for these injuries often consists of acetaminophen, non-steroidal anti-inflammatories, and opioids. Despite this treatment regimen, adequate analgesia is not always achieved.

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Introduction: Carpal tunnel syndrome is an entrapment neuropathy that affects 3% of adults in the United States. The current techniques used for diagnosis have limited specificity/sensitivity, and the techniques used for treatment have limited efficacy.

Case Report: A 34-year-old female presented to the emergency department with two months of worsening painful paresthesias in her right thenar eminence.

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Background: Sacroiliac joint (SIJ) dysfunction is a common but underrecognized source of low back pain (LBP). With provocative testing, emergency physicians can diagnose SIJ dysfunction and begin appropriate treatment in the emergency department (ED).

Discussion: For patients with significant pain from SIJ dysfunction, ultrasound-guided SIJ injection of anesthetic and corticosteroid can reduce patients' pain considerably.

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Article Synopsis
  • * ATM is a rare neurological condition that affects the spinal cord, causing symptoms like numbness, paralysis, and sensory loss, and is typically treated with steroids and plasmapheresis.
  • * A unique case of a 43-year-old woman who developed ATM after COVID-19 led to rapid progression to quadriplegia, requiring intubation and ultimately resulting in no neurological recovery despite treatment.
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