Casey A. Grover

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INTRODUCTION Drug-seeking behavior (DSB) in the emergency department (ED) is a very common problem, yet there has been little quantitative study to date of such behavior. The goal of this study was to assess the frequency with which drug seeking patients in the ED use classic drug seeking behaviors to obtain prescription medication. METHODS We performed a(More)
Frequent users of the emergency department (ED), recently defined as having four or more visits per year, are a diverse group of patients that provide a challenge to emergency physicians (EPs). These so-called " frequent flyers " have been shown to have more psychiatric, psychosocial, and substance abuse issues than the general population and tend to be(More)
OBJECTIVE Emergency department (ED) frequent users account for a large number of annual ED visits and often receive radiological studies as a part of their evaluation. We report a pilot study of a case management program for ED frequent users to reduce ED usage and radiation exposure. METHODS This observational retrospective study was performed at a(More)
CONTEXT Narcotics are frequently prescribed in the Emergency Department (ED) and are increasingly abused. Prescription monitoring programs affect prescribing by Emergency Physicians (EPs), yet little is known on how EPs interpret prescription records. OBJECTIVE To assess how EPs interpret prescription narcotic history for patients in the ED with painful(More)
BACKGROUND Anorexia nervosa is a disease with high prevalence in adolescents and carries the highest mortality of any psychiatric disorder. CASE We present a case of a 17-year-old female presenting to the emergency department with bradycardia that was subsequently diagnosed with anorexia nervosa. We also review the clinical features, diagnosis,(More)
BACKGROUND Drug-seeking behavior (DSB) is common in the Emergency Department (ED), yet the literature describing DSB in the ED consists predominantly of anecdotal evidence. STUDY OBJECTIVES To perform a case-control study examining the relative frequency of DSB in suspected drug-seeking patients as compared to all ED patients. METHODS We performed a(More)
BACKGROUND Giant hydronephrosis is a relatively rare condition caused by obstruction of the renal collecting system that can present with a great number of different types of abdominal signs and symptoms. CASE REPORT A 40-year-old man without past medical history presented to the Emergency Department with diffuse abdominal pain, nausea, and vomiting. On(More)
Charles McBurney published a treatise on appendicitis in 1891, in which he described the exact point on the abdomen at which tenderness was maximal in cases of acute appendicitis--the point now known as "McBurney's point." He also described his approach to both the diagnosis and management of appendicitis, which at the time consisted of careful observation,(More)
BACKGROUND Tricyclic antidepressant (TCA) ingestions are a relatively common pediatric ingestion, with significant potential for both cardiac and neurological toxicity. Previous studies on pediatric TCA ingestions have found the threshold of toxicity to be 5 mg/kg. CASE We report a case of an 8-year-old girl who presented to the emergency department with(More)