Current Issue

Trapped in Transit Dilated Loops of Small Bowel LUQ. CT Sagital. Unannotated. JETem 2026

Trapped In Transit – A Case Report of a Pediatric Gastric Bezoar Causing Intermittent Small Bowel Obstruction

Jonah A Frueh, MD*, Arinzechukwu M Obegolu, MD^, Anil G Rao, MD† and Amanda E Mulcrone, MD**

DOI: https://doi.org/10.5070/M5.52259Issue 11:2[mrp_rating_result]
The CT scan identified a heterogenous, mass-like lesion extending from the gastric fundus to the antrum, along with a small bowel obstruction (SBO) and significant small bowel dilation. An additional smaller heterogenous mass-like lesion was seen in the small bowel, causing the SBO. Given the mass-like lesion’s mixed attenuation and presence of internal air, a gastric bezoar was strongly suspected.
Visual EMAbdominal/GastroenterologyCurrent Issue
Scurvy Linked to Food Insecurity. Photo B. Unannotated. JETem 2026

Overlooked and Undernourished: A Case Report of Scurvy Linked to Food Insecurity

Justin Kosley, BS*, Marshall Howell, MD^ and Zachary Grant, MD^

DOI: https://doi.org/10.5070/M5.52313 Issue 11:2[mrp_rating_result]
Images A and B of the lower extremities show what initially appeared to be a petechial rash with scattered ecchymoses bilaterally, primarily on the right lower leg. On closer examination, images C and D more clearly show these spots to be flat and non-blanching, indicative of follicular hyperkeratosis with perifollicular hemorrhages. The classic coiled or corkscrew hair findings are not seen in these images. Image E shows evidence of palatal ecchymosis, without evidence of gingival bleeding, likely due to loss of dentition. This constellation of exam findings reflects the production of weakened or dysfunctional collagen in connective tissue and vascular structures and is strongly suggestive of the clinical diagnosis of scurvy. Image F shows resolution of the patient’s dermatologic findings after three weeks of treatment.
Visual EMCurrent IssueRenal/Electrolytes

In Too Deep: A Point-of-Care Ultrasound (POCUS) Escape Room

Brandon M Wubben, MD*

DOI: https://doi.org/10.21980/J8.52100 Issue 10:4[mrp_rating_result]
By the end of this session, the participant will be able to: 1) evaluate and identify the nature of metallic foreign bodies using POCUS; 2) identify common emergency department fractures on X-Ray and identify relevant sonoanatomy for ultrasound-guided regional anesthesia applications relevant to those fractures; and 3) identify normal lower extremity venous POCUS sonoanatomy and demonstrate understanding of proximal versus distal anatomical location within the lower extremity venous system.
Current IssueSmall Group LearningUltrasound

Myopericarditis and Pulmonary Edema

Lubna Ahmad Saffarini, MBBS*^

DOI: https://doi.org/10.21980/J8.52187 Issue 10:4[mrp_rating_result]
At the end of this oral board session, learners will be able to: 1) Demonstrate the ability to evaluate and treat a somnolent and hypoxic patient, 2) Identify a critical airway situation and manage it with a holistic approach, 3) Interpret the history, physical examination, ECG, and chest x-ray findings and discuss the list of differential diagnoses, 4) Identify a state of cardiogenic shock induced by myopericarditis and treat it appropriately, 5) Assess the presence of pericardial effusion and cardiac tamponade utilizing bedside echocardiography.
Current IssueCardiology/VascularCertifying Exam Cases