Clitoral priapism is a rare condition that is associated with an extended duration of clitoral erection due to local engorgement of clitoral tissue resulting in pain. Although the pathophysiology is not completely understood, it has been associated with specific classes of medications, diseases that alter clitoral blood flow or others associated with small to large vessel disease. We present a case report of a 26-year-old patient who developed clitoral priapism without a clear medication or disease related etiology. The patient was treated with opiates, imipramine, non-steroidal anti-inflammatory medication, and local ice packs. She recovered uneventfully. [WestJEM. 2008;9:235-237.]

[West J Emerg Med. 2011;12(1):139-140.]

This case report describes two pediatric cases of immediate oxygen desaturation from methemoglobinemia and sulfhemoglobinemia after one sip from a plastic water bottle containing hydroxylamine sulfate used by a relative to clean shoes. Supplemental oxygen and two separate doses of methylene blue given to one of the patients had no effect on clinical symptoms or pulse oximetry. The patients were admitted to the pediatric Intensive Care Unit (ICU) with subsequent improvement after exchange transfusion. Endoscopy showed ulcer formation in one case and sucralafate was initiated; both patients were discharged after a one-week hospital stay. [WestJEM. 2009;10:197-201.]

[West J Emerg Med. 2011;12(1):116-117.]

Traumatic injuries to the knee are common in Emeregncy Medicine.

Bedside ultrasound has benefits in the rapid initial detection of injuries to the patella. In addition, ultrasound can quickly detect injuries to the entire knee extensor mechanism, including the quadriceps tenson and inferior patellar ligament in addition to the patella, that can be difficult to diagnose with plain radiographs. While MRI remains the gold standard for diagnostic evaluation of the knee extensor mechanism, this can be difficult to obtain from the Emergency Department. Clinicans caring for patients with orthopedic injuries of the knee will benefit from incorporating of musculoskeletal bedside ultrasound into their clinical skills set.