Introduction Syndromic surveillance system has been developed and implemented all over the world, and many studies showed that syndromic data sources had improved timeliness towards traditional surveillance method in the early warning of some infectious disease epidemics. However, owing to the uncertainties of disease epidemic features, clinical manifestations and population behaviors, the earl...

CONTEXT Hypertension is a common incidental finding in the emergency department (ED). However, the authors noticed a segment of patients who present to the ED specifically because their blood pressure is found to be elevated outside of the hospital. Emergency medicine physicians are often unsure of the level of intervention that is required for these patients. OBJECTIVE To determine if these ...

PURPOSE Short stature is a very common reason for visits to pediatric endocrine clinics. It could be the first sign of an underlying disease. The purpose of this study is to investigate the etiologies and general characteristics of subjects who visited an outpatient clinic due to short stature. METHODS We retrospectively reviewed the medical records of 3,371 patients who visited Severance Chi...

A 68-year-old woman was admitted to our hospital complaining of hoarseness. A chest X-ray detected an abnormal shadow on the upper right lung. Bronchoscopic examination revealed that the left vocal cord was fixed in the paramedian position, and therefore left recurrent nerve paralysis was suspected. Lymphadenopathy was found in the left supraclavicular area. Chest computed tomography showed tha...

BACKGROUND Prospective syndromic surveillance of emergency department visits has been used for near-real time tracking of communicable diseases to detect outbreaks or other unexpected disease clusters. The utility of syndromic surveillance for tracking cardiovascular events, which may be influenced by environmental factors and influenza, has not been evaluated. We developed and evaluated a meth...

Sexual assault victims (1,059) under the age of 17 were evaluated over a period of 44 months in a teaching, metropolitan county emergency room. The cases were recorded and reviewed by use of a protocol. The children ranged in age from 3 months to 16 years of age. Most were female (89%). The average age for all children was 8.3 years. There was no mean age difference between male and female vict...

Introduction The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) receives daily ED data from 49 of NYC’s 52 hospitals, representing approximately 95% of ED visits citywide. Chief complaint (CC) is categorized into syndrome groupings using text recognition of symptom key-words and phrases. Hospitals are not required to notify the DOHMH of any changes to procedures or health i...

A 56-year-old man was admitted to our department with a chief complaint of lower extremity dysesthesia. He described a dull numbness below the ankle and a dull pain in the nates for the past two years. Although the numbness extended to the thigh, he did not notice any muscular weakness or atrophy. Neurological examination revealed weakness and atrophy in the face, tongue and the proximal portio...

We report a patient with traumatic atlanto-occipital dislocation who presented with dysphagia as the chief complaint. A 59-year-old man complained of swallowing difficulty for 2 months after trauma to the neck. On physical examination, there was atrophy of the right sternocleidomastoid and upper trapezius muscles, and the tongue was deviated to the right. In a videofluoroscopic swallowing study...

this report presents a rare case of bi-rooted primary maxillary canines. a 6-year-old girl presented at the department of pediatric dentistry, faculty of dentistry, mashhad university of medical sciences, iran, with the chief complaint of pain in the lower right quadrant of her dentition. radiographic examination revealed bifurcation of primary maxillary canine roots. this report discusses the ...