Mycotic Aneurysm: A Rare Etiology of a Common Presentation.

Mycotic aneurysms are a rare complication of systemic infections, where the arterial vessel wall becomes dilated secondary to bacterial, fungal, or viral infection. The incidence of mycotic aneurysms is rare but carries a significant mortality risk. Patients with mycotic aneurysms can have wide-ranging clinical presentations depending on the site of the aneurysm.

Recognition of Sympathetic Crashing Acute Pulmonary Edema (SCAPE) and use of high-dose nitroglycerin infusion.

Sympathetic Crashing Acute Pulmonary Edema (SCAPE), or flash pulmonary edema, is the extreme end of the acute pulmonary edema spectrum. A sympathetic surge occurs as a result of decreased systemic perfusion resulting in further increases in afterload, causing the patient to decompensate. Patients can decompensate quickly, therefore patients require rapid interventions.

Intravenous Lidocaine for Intractable Renal Colic Unresponsive to Standard Therapy.

Clinical Features: Renal colic is defined as a flank pain radiating to the groin caused by kidney stones in the ureter (urolithiasis). Renal colic is a frequent cause of Emergency Department visits. Most renal colic cases present as acute distress and severe back and/or abdominal pain that require prompt treatment with analgesics.