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Latest Articles

CSpine Fracture CT Axial Unannotated. JETem 2025
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A Case Report of an Unstable C-spine Fracture in the Emergency Department

Jinho Jung, BS*, Tyler Rigdon, MD^, Alisa Wray, MD, MAEd^ and Danielle Matonis, MD^

DOI: https://doi.org/10.21980/J8SK90 Issue 10:2 No ratings yet.
The initial workup in the ED showed an acute displaced fracture of the left occipital condyle (CT-coronal, fracture of the left occipital condyle, red arrow; displacement, orange line), a shattered left lateral mass with involvement of the vertebral canal (CT-axial, red arrow), and malalignment of the craniocervical junction (CT-sagittal, red outline). The CT angiogram head and neck showed a possible irregularity in the left vertebral artery. The CT head without contrast had no significant findings.
Visual EMCurrent Issue
Myasthenia Gravis Eyes Taped Open. JETem 2025
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Eye-Opener: A Case Report of Eyelid Taping as Presenting Symptom of Myasthenia Gravis

Mary G McGoldrick, MD* and Chirag N Shah, MD^

DOI: https://doi.org/10.21980/J8NW8G Issue 10:2 No ratings yet.
Physical exam was significant for a very pleasant, well-appearing female in no acute distress, noted to have clear plastic tape attached to her bilateral eyelids and brows (Image 1). When the tape was removed, she had bilateral ptosis, more significantly in the left eye (Image 2). She had no conjunctival injection or pallor. Her airway was patent and protected. She had no neck masses or carotid bruits. Her heart and lung exams were normal, with no evident respiratory distress. Her neurologic exam was further significant for limited extra-ocular movement (EOM). Her most notable deficits were with lateral and upward gaze (Video 1) indicative of weakness at the muscles innervated by cranial nerves III and VI. Her pupillary response was symmetric and brisk bilaterally. She had no additional cranial nerve deficits, slurred speech, or asymmetry in her strength or sensation throughout.
Visual EMCurrent IssueNeurology
Inferior Rectus Abscess CT Coronal Unannotated. JETem 2025
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A Case Report of Inferior Rectus Abscess

Luke Chi*, Adam Sauer, MD ^ and Danielle Matonis, MD^

DOI: https://doi.org/10.21980/J8J35G Issue 10:2 No ratings yet.
Non-contrast computed tomography (CT) imaging of the head in coronal, sagittal, and axial planes revealed a distinct 1.7 x 2.2 x 1.4 cm peripherally enhancing fluid collection within the left inferior orbit, involving the inferior rectus (yellow circle). This lesion resulted in restricted extraocular motility due to structural compression of the left globe. Laboratory results showed a mildly elevated white blood cell count of 11.5/mm3 and otherwise normal results including C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR).
Visual EMCurrent IssueInfectious DiseaseOphthalmology
Hydropic Gallbladder. CT Coronal Unannotatd. JETem 2025
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A Case Report of Hydropic Gallbladder Presenting as Right Lower Quadrant Abdominal Pain

Savannah Tan, MD*, Zoe Adams, BA^, Scott Rudkin, MD, MBA* and Danielle Matonis, MD*

DOI: https://doi.org/10.21980/J8DD26 Issue 10:2 No ratings yet.
Computed tomography (CT) of the abdomen and pelvis with contrast was ordered, and general surgery was consulted for the initial working diagnosis of acute appendicitis. However, the CT scan resulted with findings of a markedly distended gallbladder measuring approximately 14.5 x 4 centimeters (cm) with marked gallbladder wall thickening (magenta) and pericholecystic fat stranding (cyan). The appendix was not dilated and had no inflammatory changes or edema. Follow-up right upper quadrant ultrasound confirmed the diagnosis of acute cholecystitis.
Visual EMAbdominal/GastroenterologyCurrent IssueInfectious Disease
lecture icon

Do’s and Don’ts of Taking Care of Deaf Patients

Luke Johnson, MD*, Sarah Smetana, MD*, Wyatte Hall, PhD^, Aaron D Weaver, MD* and Jason Rotoli, MD*

DOI: https://doi.org/10.21980/J8336T Issue 10:1 No ratings yet.
By the end of this didactic, the learner will demonstrate increased comfort with communication with DHH patients via improved awareness of communication pitfalls and through approaches to communicating with DHH patients in a limited capacity, such as without timely access to interpreters or in an environment where staff are unfamiliar with DHH patients. An in-depth assessment of cultural awareness and description of proper communication techniques, necessary equipment, or interpreter working relationships is beyond the scope of this project.
Miscellaneous (stats, etc)
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Medical Simulation Anywhere and Anytime: Simulation in a Backpack

Janice Shin-Kim, MD* and Adam Blumenberg, MD*

DOI: https://doi.org/10.21980/J8Z94WIssue 10:1 No ratings yet.
By the end of this simulation experience learners will be able to: 1) Recognize and manage emergencies through immersive simulation experiences with an inflatable manikin and pre-programmed free software system; 2) demonstrate knowledge and skills to resuscitate patients with medical emergencies; 3) enhance confidence and competence in responding to medical emergencies using portable, low-tech resources; and 4) foster interdisciplinary collaboration and effective communication during scenarios.
InnovationsSimulation
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