eScholarship Publishing Article Feed

Unilateral Upper Extremity Paralysis Secondary to Hypokalemia and Fasting: A Case Report

Tue, 16 Sep 2025 04:45:00 +0000

Introduction: Paralysis from hypokalemia commonly presents with generalized weakness; however, in rare cases it may present with unilateral or focal symptoms. Unilateral paralysis in hypokalemia is particularly challenging due to its mimicry of central nervous system (CNS) disorders such as ischemic stroke. Patients often undergo extensive and costly neuroimaging before a [...]

Projection inferences: On the relation between prior beliefs, at-issueness, and lexical meaning

Thu, 11 Sep 2025 13:15:00 +0000

Interpreters frequently draw projection inferences, that is, inferences that the speaker believes utterance content contributed in the scope of an entailment-canceling operator. These inferences are modulated by a number of factors, including interpreters’ prior beliefs about the content, the extent to which the content is at-issue with respect to the Question Under [...]

Online processing of subject-initial non-canonical sentences: Interaction of syntax with information structure

Thu, 11 Sep 2025 13:15:00 +0000

Many languages allow flexible word orders, and how humans parse and comprehend them has been one of the central questions in psycholinguistics. Mounting evidence has suggested that not only syntactic factors (e.g., the formation of a filler–gap dependency) but also discourse-related factors (e.g., the discourse status of phrases) influence the processing of non-canonical word orders. However, [...]

Managing Foreign Body Airway Obstruction with Magill Forceps: A Case Report

Wed, 10 Sep 2025 21:38:00 +0000

Introduction: Foreign body airway obstruction is a high-stakes airway emergency that can rapidly become fatal without timely intervention.

Case Report: We present a case of a 65-year-old male in respiratory extremis due to aspiration of a chicken bone. Following double setup for rapid sequence intubation and cricothyrotomy, the foreign body was [...]

Medical Malpractice in the Waiting Room: Who Is at Risk?

Wed, 10 Sep 2025 21:26:00 +0000

Introduction: Prolonged emergency department (ED) wait times pose problems for both patients and ED staff. Poor patient outcomes can result in litigation that could have been prevented by faster access to care.

Case Series: We present 10 lawsuits involving patients who experienced poor outcomes allegedly due to inappropriate management in the waiting [...]

Emergent Cantholysis Post Blepharoplasty: a Case Report

Wed, 10 Sep 2025 21:13:00 +0000

Introduction: Acute vision loss constitutes a true medical emergency, as a delay in diagnosis and treatment may lead to permanent visual impairment. Orbital compartment syndrome is most
commonly associated with blunt trauma causing a retro-orbital hematoma and resulting compromise of the optic nerve. Orbital compartment syndrome, however, can occur in other scenarios [...]

Suspected Fat Embolism Syndrome in the Setting of Ballistic Long Bone Fractures: A Case Report

Fri, 05 Sep 2025 19:50:00 +0000

Introduction: Fat embolism syndrome (FES) is a rare, life-threatening condition most seen in traumatic orthopedic injuries, especially long bone fractures. Classically, FES presents with
hypoxemia, neurological abnormalities, or a petechial rash; however, clinical findings can extend beyond this classic triad. Since FES is a clinical diagnosis, emergency physicians must [...]

Primary Choroidal Melanoma in a 30-year-old Woman with Monocular Flashers

Fri, 05 Sep 2025 18:45:00 +0000

Case Presentation: An otherwise healthy, 30-year-old female was referred to the emergency department by a local optometrist after having flashers and blurry vision for two weeks. Point-of-
care ultrasound revealed partial retinal detachment with underlying mass, and dilated fundoscopic examination suggested hyperpigmented lesions. Ophthalmology was consulted, and the [...]

Jaundice in a Returning Traveler—A Rare Manifestation of Mycoplasma pneumoniae Infection: Case Report

Wed, 27 Aug 2025 05:40:00 +0000

Introduction: Cold agglutinin hemolytic anemia is a rare but serious complication of infections, including Mycoplasma pneumoniae. This case highlights the importance of considering infectious causes in patients with unexplained hemolysis.

Case Report: A 62-year-old previously healthy male developed jaundice, dyspnea, and fatigue three weeks after returning from South America. [...]

A Diagnostic Dilemma—Severe Hyperthermia and Rigidity in a Young Man with Polysubstance Use: A Case Report

Wed, 27 Aug 2025 05:30:00 +0000

Introduction: Neuroleptic malignant syndrome (NMS) is a rare but life-threatening condition often associated with dopamine antagonist use. However, its overlap with other hyperthermic and toxidromic syndromes presents significant diagnostic challenges. We present the case of a 27-year-old man with severe hyperthermia, altered mental status, and diffuse rigidity, ultimately [...]