Publications by authors named "Todd Bolotin"

Background: Cannabinoid Hyperemesis Syndrome (CHS) is characterized by recurrent, paroxysmal episodes of nausea, vomiting, and abdominal discomfort in chronic cannabis users. Optimized CHS treatment data remain limited. Recent prospective evidence have demonstrated haloperidol superiority over ondansetron.

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Study Objective: The SARS-CoV-2 (COVID-19) pandemic significantly impacted emergency department volume and acuity. The Delta and Omicron variants contributed to additional surges. We describe the impact that the initial pandemic phase had on frequency and severity of typically non-life-threatening emergencies using upper extremity injuries as a model for other potentially emergent presentation as compared to pre-pandemic times.

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Introduction: Atypical presentations of high altitude cerebral edema may have a stuttering course that can be similar to more common and benign pathology at a lower altitude than typically causes high altitude cerebral edema.

Case Report: A healthy 27-year-old male presented to a medical clinic situated at an altitude of 2829 meters with a "migraine" headache and nausea. He reported several episodes of 'blurry vision' each lasting seconds to a minute over the previous day.

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A healthy 11-year-old boy presented with headache, nausea, and cough to a clinic at 2926 meters of altitude one day after ascending from his home altitude of 1578 meters. The patient had made multiple trips to the same altitude without any symptoms or sequelae throughout his childhood. Physical examination was significant for rales, tachycardia, and pulse oximetry level of 86% on room air.

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Article Synopsis
  • HAPE (High-Altitude Pulmonary Edema) is a serious illness mainly affecting those who travel quickly from low to high elevations without acclimatization; it can also impact residents who descend and return without proper adjustment.
  • A case in Ohio involved a patient experiencing severe respiratory issues after returning from a high-altitude location, ultimately diagnosed with HAPE and treated accordingly.
  • This case highlights the necessity for healthcare providers to consider altitude-related illnesses in patients, even in low-altitude regions, and to gather comprehensive travel histories to avoid misdiagnosing conditions.
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