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《The American journal of emergency medicine》2019,37(9):1807.e1-1807.e3
BackgroundSweet's syndrome (SS), also known as acute febrile neutrophilic dermatosis, is a rare condition characterized by recurrent erythematous skin lesions. Skin lesions appear as papules, nodules and plaques located on the upper extremity, trunk, neck and face.Case reportA 72-year-old male patient presented to the emergency department with a 10-day history of generalized rash, generalized muscle and joint pain and high fever. He had a history of upper respiratory tract infection. He presented with painful erythematous plaques on both lower and upper extremities and the trunk as well as serohemorrhagic bullous lesions on the feet. The laboratory results revealed WBC count of 20.6 × 103/mm3 (76.9% neutrophils), CRP (c-reactive protein) of 33 mg/L and erythrocyte sedimentation of 110/h. The patient was referred to a dermatologist with prediagnosis of SS due to the presence of typical painful skin lesions, high fever and neutrophilic leukocytosis. A systemic corticosteroid therapy was initiated. The diagnosis for SS was confirmed after the skin biopsy revealed the presence of dense dermal infiltrate of neutrophils and leukocytoclasis in the upper dermis. The patient responded rapidly to corticosteroids and the skin lesions improved.ConclusionWe reported this case as it was a rare life-threatening dermatosis diagnosed in the emergency department, which is generally difficult to diagnose therein, and the skin lesions appeared on the lower extremities. 相似文献
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Reforming emergency care; for patients 总被引:2,自引:2,他引:0
Lammy D 《Emergency medicine journal : EMJ》2003,20(2):112
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R J Pearson 《Nursing times》1967,63(24):796-798
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EVERS HH 《The Practitioner》1957,178(1066):470-472
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End‐of‐life issues: Withdrawal and withholding of life‐sustaining healthcare in the emergency department: A comparison between emergency physicians and emergency registrars: A sub‐study
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Philip G Richardson Jaimi Greenslade Jonathon Isoardi Michael Davey Mark Gillett Alicia Tucker Sharon Klim Anne‐Maree Kelly Ibrahim Abdelmahmoud 《Emergency medicine Australasia : EMA》2016,28(6):684-690
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Jacqueline Pich
rn bnurs Michael Hazelton
rn ba ma facmhn Deborah Sundin
rn 《Nursing & health sciences》2010,12(2):268-274
In a finding that reflects international experiences, nurses in Australia have been identified as the occupation at most risk of patient‐related violence in the health‐care sector. A search of the literature was undertaken to explore this concept, with a focus on the emergency department and triage nurses. Significant findings included the fact that nurses are subjected to verbal and physical abuse so frequently that, in many instances, it has become an accepted part of the job. This attitude, combined with the chronic under‐reporting of violent incidents, perpetuates the normalization of violence, which then becomes embedded in the workplace culture and inhibits the development of preventative strategies and the provision of a safe working environment. Nurses are entitled to a safe workplace that is free from violence under both the occupational health and safety legislation and the zero‐tolerance policies that have been adopted in many countries including Australia, the UK, Europe, and the USA. Therefore, policy‐makers and administrators should recognize this issue as a priority for preventative action. 相似文献
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Complexities of emergency communication: clinicians’ perceptions of communication challenges in a trilingual emergency department
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Jack KH Pun PhD MA BSc Engle Angela Chan PhD MA BScN Kristen A Murray PhD Diana Slade PhD MA Grad Dip of Ed BA Christian MIM Matthiessen PhD MA BA 《Journal of clinical nursing》2017,26(21-22):3396-3407
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