ABSTRACT
It is important to rapidly diagnosis and treat rhabdomyolysis in order to decrease morbidity and mortality. To date there are no reports in the emergency medicine literature on the use of point-of-care ultrasound in the diagnosis of rhabdomyolysis. This unique case describes how ultrasound was used in the emergency department (ED) to quickly diagnose and treat rhabdomyolysis prior to confirmation with an elevated serum creatine kinase. When coupled with a high index of suspicion, ultrasound can be one of the most portable, readily available, low cost, and minimally invasive techniques for making a rapid diagnosis of rhabdomyolysis in the ED.
Subject(s)
Point-of-Care Systems , Rhabdomyolysis/diagnosis , Ultrasonography , Arm , Creatine Kinase/blood , Emergency Service, Hospital , Humans , Male , Muscle, Skeletal/drug effects , Pain/etiology , Psychotic Disorders , Rhabdomyolysis/chemically induced , Rhabdomyolysis/mortality , Young AdultABSTRACT
Adenoid cystic carcinoma (ACC) accounts for only 1% of all malignant head and neck tumors, and rarely affects children or adolescents. We present a 16-year-old female patient who was diagnosed with ACC at 12 years of age. The primary tumor was located in the left parotid gland. Initial treatment consisted of surgical resection and radiation therapy. Less than two years later, she developed recurrent disease in the right cavernous sinus with pulmonary metastases. At the time of this report, she is alive with disease. Both the patient's age and pattern of metastasis are rarely reported in the literature.
