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By Jason Naylor PA-C Doppler ultrasound (DUS) is the study of choice for evaluating testicular torsion. Various studies demonstrated a range of sensitivity from 80 – 98%, while specificity consistently remained between 97 – 100%1-3. DUS findings specific for testicular torsion are twisting of the spermatic cord, no central arterial flow of the affected testis, […]

By Joel A. Miller, MD, FAAEM, FACEP Recently, we reviewed a landmark study published in the New England Journal of Medicine (NEJM Missed diagnosis of ACS in the ED_2000) that formed much of the foundation and justification of the AHA guidelines that currently guide our practice in caring for patients with chest pain.  In looking […]

Anthony J. Hackett, DO Brugada syndrome was originally described by the Spanish cardiologists Pedro and Josep Brugada in 1992. It is a sodium channelopathy (SCNA5 gene) that has a high association with sudden cardiac death (SCD) and is found mainly in adult men. The defect leads to a slowed influx of sodium that interferes with […]

by Meghan E. Swartz, MD A 23 year-old male presented for a pruritic, generalized, maculopapular and scaly rash for 1 month.  The rash was most prominent on the trunk, face, and scalp.  There was minimal proximal extremity distribution, though palms and soles were unaffected. He reported no relief with oral diphenhydramine and topical hydrocortisone 1%.  […]