A Surprising Lead Point in an Ileocolic Intussusception.

ABSTRACT: Appendicitis and intussusception are 2 of the most common abdominal emergencies in children and have high rates of morbidity if not treated promptly. However, only rarely do they occur together. We present a case in which clinical suspicion for intussusception was not high. Point-of-care ultrasound (POCUS) was performed in the pediatric emergency department, revealing both ileocolic intussusception and appendicitis. This case reinforces the importance of maintaining a broad differential diagnosis in unclear clinical scenarios and of the potential utility of POCUS. In our case, identification of intussusception on POCUS facilitated expeditious treatment, identification of the lead point, and allowed the treating physicians to prepare for the possibility of surgical management.

Hypoxia and Polycythemia: A Pediatric Emergency Department Point of Care Ultrasound Diagnosis of Pulmonary Arteriovenous Malformation.

ABSTRACT: Point of care ultrasound (POCUS) can be useful in the differentiation between cardiac and pulmonary etiologies of hypoxia. Here, we present a child with signs of chronic hypoxia, found on POCUS to have multiple pulmonary arteriovenous malformations. A combination of POCUS and history supported a presumptive pediatric emergency department diagnosis of hereditary hemorrhagic telangiectasia. This case is the first case of a pulmonary arteriovenous malformation found on POCUS and reinforces the importance of POCUS as a first-line examination in the evaluation of chronic hypoxia in the pediatric emergency department.

Pure hypertriglyceridemia might be associated with erectile dysfunction: a pilot study.

INTRODUCTION: Unlike the association between erectile dysfunction (ED) and high levels of low-density lipoprotein (LDL) cholesterol, the association between ED and hypertriglyceridemia is still debatable. Aim. To study prevalence and severity of ED in young men with very high levels of triglycerides. MAIN OUTCOME MEASURES: Prevalence of ED, ED severity, total cholesterol levels, LDL cholesterol levels, and triglycerides levels. METHODS: Men who were enrolled went through routine health checks including full lipid profiling and completion of the Sexual Health Inventory for Men (SHIM) questionnaire. Very high levels of triglycerides were defined as >or=500 mg/dL. Very high levels of LDL cholesterol were defined as >or=190 mg/dL. Men with diabetes, ischemic heart disease, high-density lipoprotein (HDL) cholesterol >or=60 mg/dL, and mixed hyperlipidemias were excluded. RESULTS: Included were 88 men, aged 35.9 +/- 7.1 years (range: 25-51 years): 21 men with "pure" severe hypertriglyceridemia (triglyceride levels >or=500 mg/dL and non-HDL cholesterol or=190 mg/dL and triglycerides

The prevalence of erectile dysfunction among hypertensive and prehypertensive men aged 25-40 years.

INTRODUCTION: Erectile dysfunction (ED) and hypertension (HTN) are common and associated among men aged 40-70 years. Data on the prevalence of ED among younger hypertensive and prehypertensive men are limited. AIM: To study the prevalence of ED in a large-scale population of hypertensive and prehypertensive men aged 25-40 years. MAIN OUTCOME MEASURES: ED severity, systolic blood pressures (SBPs), diastolic blood pressures (DBPs), and mean arterial blood pressures (MAPs). METHODS: Israel Defense Force personnel, aged 25 years and older, go through routine health checks at the Staff Periodic Health Examination Center (SPEC) every 3-5 years, including measuring blood pressure and completing the Sexual Health Inventory for Men (SHIM) questionnaire in order to detect HTN and ED, respectively, and assess its severity. Pre-HTN was defined as SBP 120-139 mm Hg or DBP 80-89 mm Hg. HTN was defined as SBP >/or140 mm Hg and/or DBP >or=90 mm Hg. RESULTS: During 2001-2004, an overall of 11,252 men, aged 25-40 years, reported to the SPEC, and 5,860 (52.1%) men filled out the SHIM questionnaire. Among responders to the SHIM questionnaire, 1,278 (21.8%) men had low scores (