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  1. Article ; Online: Sulfur Mustard Exposure from Dredged Artillery Shell in a Commercial Clammer.

    Otter, Jenna / Dawood, Alveena / D'Orazio, Joseph

    Clinical practice and cases in emergency medicine

    2017  Volume 1, Issue 4, Page(s) 283–286

    Abstract: A 40-year-old commercial fisherman presented with a blistering second degree burn to the right arm after handling a dredged and undetonated World War I-era sulfur mustard artillery shell. He sustained isolated second degree cutaneous injury requiring ... ...

    Abstract A 40-year-old commercial fisherman presented with a blistering second degree burn to the right arm after handling a dredged and undetonated World War I-era sulfur mustard artillery shell. He sustained isolated second degree cutaneous injury requiring wound care and skin grafting. Sulfur mustard, or dichlorethylsulphide, is a vesicant chemical warfare agent that causes significant cutaneous chemical burn and is managed with burn wound care. Long-term effects include cosmetic disfigurement and increased risk of developing cancer. Sulfur mustard exposure is a rare but devastating injury when discarded artillery shells are encountered in coastal waters.
    Language English
    Publishing date 2017-09-29
    Publishing country United States
    Document type Case Reports
    ISSN 2474-252X
    ISSN (online) 2474-252X
    DOI 10.5811/cpcem.2017.5.34034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: An Unusual Case of Alternating Ventricular Morphology on the 12-Lead Electrocardiogram.

    Sammon, Maura / Dawood, Alveena / Beaudoin, Scott / Harrigan, Richard A

    The Journal of emergency medicine

    2017  Volume 52, Issue 3, Page(s) 348–353

    Abstract: Background: One of the principal tasks of an emergency physician is identifying potentially life-threatening conditions in the undifferentiated patient; cardiac dysrhythmia is an example of such a condition. A systematic approach to a patient with ... ...

    Abstract Background: One of the principal tasks of an emergency physician is identifying potentially life-threatening conditions in the undifferentiated patient; cardiac dysrhythmia is an example of such a condition. A systematic approach to a patient with atypical dysrhythmia enables proper identification of such-life threatening conditions.
    Case report: We describe a 31-year-old man presenting to the emergency department with an undifferentiated dysrhythmia after naloxone reversal of an opiate overdose. A systematic approach to the electrocardiogram led to the rare diagnosis of Wolff-Parkinson-White (WPW) alternans. We review the differential diagnosis of this dysrhythmia and the initial evaluation of a patient with the WPW pattern present on their electrocardiogram. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians should be prepared to use a systematic approach to an undifferentiated dysrhythmia to identify potentially life-threatening conditions.
    MeSH term(s) Adult ; Electrocardiography/classification ; Emergency Service, Hospital/organization & administration ; Heart Conduction System/abnormalities ; Heart Conduction System/physiopathology ; Heroin Dependence/complications ; Humans ; Male ; Naloxone/pharmacology ; Naloxone/therapeutic use ; Narcotic Antagonists/pharmacology ; Narcotic Antagonists/therapeutic use ; Wolff-Parkinson-White Syndrome/diagnosis ; Wolff-Parkinson-White Syndrome/physiopathology
    Chemical Substances Narcotic Antagonists ; Naloxone (36B82AMQ7N)
    Language English
    Publishing date 2017-03
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2016.08.027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1895: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Capgras delusion with violent behavior in Alzheimer dementia: case analysis with literature review.

    Kaufman, Kenneth R / Newman, Neil B / Dawood, Alveena

    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists

    2014  Volume 26, Issue 3, Page(s) 187–191

    Abstract: Background: Capgras delusion (CD) has multiple etiologies including neurodegenerative disorders and can be associated with violent behavior. CD is a common complication of Alzheimer dementia (AD); however, CD with violent behavior is uncommon in AD. We ... ...

    Abstract Background: Capgras delusion (CD) has multiple etiologies including neurodegenerative disorders and can be associated with violent behavior. CD is a common complication of Alzheimer dementia (AD); however, CD with violent behavior is uncommon in AD. We report escalating violent behavior by a patient with advanced AD and CD who presented to the emergency department (ED) and required admission to an academic medical center.
    Methods: Case analysis with PubMed literature review.
    Results: A 75-year-old male with a 13-year history of progressive AD, asymptomatic bipolar disorder, chronic kidney disease, hypertension, hyperlipidemia, and benign prostatic hypertrophy presented to the ED with recurrent/escalating violence toward his wife, whom he considered an impostor. His psychotropic regimen included potentially inappropriate medications (PIMs) for geriatric/AD patients-topiramate/amitriptyline/chlordiazepoxide/olanzapine-that are associated with delirium, cognitive decline, dementia, and mortality. Renal dosing for topiramate, reduction in PIMs/anticholinergic burden, and substituting haloperidol for olanzapine resolved his violent behavior and CD.
    Conclusions: CD in AD is a risk factor for violent behavior. As the geriatric population in the United States grows, CD in patients with AD may present more frequently in the ED, requiring proper treatment. Pharmacovigilance is necessary to minimize PIMs in geriatric/AD patients. Clinicians and other caregivers require further education to appropriately address CD in AD.
    MeSH term(s) Aged ; Aggression/psychology ; Alzheimer Disease/complications ; Alzheimer Disease/psychology ; Amitriptyline/adverse effects ; Anticonvulsants/adverse effects ; Antidepressive Agents, Tricyclic/adverse effects ; Antipsychotic Agents/adverse effects ; Antipsychotic Agents/therapeutic use ; Benzodiazepines/adverse effects ; Bipolar Disorder/complications ; Bipolar Disorder/drug therapy ; Bipolar Disorder/psychology ; Capgras Syndrome/chemically induced ; Capgras Syndrome/complications ; Capgras Syndrome/psychology ; Chlordiazepoxide/adverse effects ; Fructose/adverse effects ; Fructose/analogs & derivatives ; Haloperidol/therapeutic use ; Humans ; Hypnotics and Sedatives/adverse effects ; Male ; Potentially Inappropriate Medication List ; Renal Insufficiency, Chronic/complications ; Violence/psychology
    Chemical Substances Anticonvulsants ; Antidepressive Agents, Tricyclic ; Antipsychotic Agents ; Hypnotics and Sedatives ; topiramate (0H73WJJ391) ; Benzodiazepines (12794-10-4) ; Amitriptyline (1806D8D52K) ; Fructose (30237-26-4) ; Chlordiazepoxide (6RZ6XEZ3CR) ; Haloperidol (J6292F8L3D) ; olanzapine (N7U69T4SZR)
    Language English
    Publishing date 2014-08
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1025337-3
    ISSN 1547-3325 ; 1040-1237
    ISSN (online) 1547-3325
    ISSN 1040-1237
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2779: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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