Biomedical subjects
Publications and source records attributed to C Boyar.
Epistaxis and otorrhagia is seen in a variety of settings in the emergency department. We present a case of spontaneous bilateral epistaxis and bilateral otorrhagia in a five-year-old patient with tympanostomy tubes.
In ophthalmologic emergencies, the ocular examination should proceed as any other organ system might, namely, as an orderly evaluation of that system. The history and subsequent examination can be conducted in simple phrases, with the patient telling his or her story. The nonspecialist need not fear an ocular injury or emergency any more than any other in the Emergency Department.
Three cases of spontaneous rupture of the distal esophagus are presented. All three patients presented in acute distress, exhibiting epigastric pain and signs of cardiovascular collapse. They all underwent surgery for repair of the lesion. One died postoperatively, and the other two patients recovered after a complicated postoperative period. Because Boerhaave syndrome has a high mortality rate and its diagnosis can be elusive, a high index of suspicion should be maintained by the attending physician.