Biomedical subjects

M Pelucio

Publications and source records attributed to M Pelucio.

4 recordsLinked to original sources

PubMed1998

Testicular infarction in a patient with epididymitis.

To the authors' knowledge, this case is unique to the emergency medicine literature. Although testicular infarction from epididymitis is rare, it should be considered as a complication of severe or unresolving epididymitis. These patients should be placed on broad spectrum antibiotics, i.e., quinolones; color flow Doppler of the testes should be obtained; and urologic consultation should be considered for possible admission and surgical exploration.

Adult↗

PubMed1997

Out-of-hospital experience with the syringe esophageal detector device.

OBJECTIVE: To determine the accuracy of a syringe esophageal detector device (EDD) for detecting esophageal intubations in an out-of-hospital setting. METHODS: Prospective, observational study of adult (age > or = 18 years) patients intubated by paramedics from October 1993 through May 1994 in an urban emergency medical services (EMS) system. Paramedics were instructed to record the EDD reading after endotracheal tube placement. However, paramedics were instructed not to modify their tube locations based on the EDD reading. Tube placement was evaluated by a physician upon patient arrival at a local ED. RESULTS: Paramedics performed 374 intubations during the study period, and in 213, the EDD was used. Of these 213 patients, 45 were excluded from analysis (32-tube placement not confirmed, 11-paramedic uncertain of EDD reading, 2-too young). In the remaining 168 intubations, the EDD correctly identified 5 of 10 esophageal intubations (sensitivity 50%; 95% CI: 19%, 81%). The EDD correctly identified 156 of 158 tracheal intubations (specificity 99%; 95% CI: 96%, 100%). CONCLUSIONS: In this paramedic field study, the EDD demonstrated poor sensitivity for esophageal intubations. Further EMS studies of the EDD are needed to clarify the value of the device in out-of-hospital emergent clinical intubations.

Adult↗

PubMed1995

The red eye.

The red eye is a clinical problem encountered on a daily basis in most emergency departments. A careful history and focused ophthalmologic examination will lead to a correct diagnosis and proper therapy. The red eye without photophobia, pain, or visual disturbance is most commonly a result of conjunctivitis. The presence of any of these symptoms indicates a need to investigate for a more serious cause. Infectious causes of conjunctivitis should always be investigated, but allergies and hypersensitivity also should be considered if the history is appropriate. Emergency department treatment of the red eye should only include corticosteroids when the diagnosis is certain and ophthalmologic consultation is obtained.

Acute Disease↗

PubMed1994

Midgut volvulus: an unusual case of adolescent abdominal pain.

Rotational gut abnormalities are generally considered a disease process of the neonatal and pediatric populations. However, they may first become manifest in teenagers and adults, often with disastrous outcomes. A case of a 15-year-old boy who presented in shock with an acute abdomen is presented. His symptoms had been mistaken for 1 week as gastroenteritis. At surgery, he was found to have a midgut volvulus. A differential diagnosis is discussed, as well as an anatomical review and typical symptomatology associated with midgut abnormalities.

Abdomen, Acute↗