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CP is an extremely vascular tumor that mostly obtains its blood supply from the coronary circulation (right coronary artery > left circumflex artery > left coronary artery > left anterior descending artery).Penile injection and aspiration is a bedside procedure used to treat priapism. Priapism is defined as an erection of extended duration (greater than 4 hours) without sexual activity. There are three types of priapism, ischemic, which involves low flow of blood into the penis, non-ischemic, or high flow priapism, which is caused by increased blood flow into the penis, and stuttering, which is recurrent episodes of ischemic priapism and can be treated as such. Ischemic priapism is an emergency, while non-ischemic is not, due to continued arterial blood flow. Causes of ischemic priapism include medications, recreational drug use, blood dyscrasia, malignancy, fat embolism due, intravenous contrast, neurogenic, hormonal, metabolic disease, and toxin-mediated. Due to the emergent nature of ischemic priapism, prompt diagnosis and reversal are required. The cause of non-ischemic priapism includes trauma, causing unrestricted arterial flow within the corpora. Because of the continued blood flow to the penis, prompt reversal is not necessary.Simulation has become a mainstay in the education of not only healthcare professionals but many different professions the world over. As our global medical knowledge continues to expand, and our societal, technological advancements continue to broaden, the idea of learning on a live patient is becoming a less preferred method of teaching medical professionals. Patient safety is a commonly cited reason simulation is a preferred teaching modality. Moreover, research has demonstrated that appropriately constructed simulation learning objectives and scenarios are as effective, and in many cases, more effective than traditional teaching methods used in the education of healthcare providers. As a professional medical specialty, Emergency Medicine is uniquely suited to learning through simulation as Emergency Medicine encompasses the entire breadth of medical specialties and the whole spectrum of patient populations and disease pathology. Also, Emergency Medicine is a quite procedurally oriented specialty, which agaproficiency without having to evaluate patients with specific, often rare pathology or scenarios that are infrequently encountered. Additionally, simulation is an adequate avenue for the maintenance of procedural, clinical, and non-clinical skills and can be used throughout one's professional career. This article is intended to be a basic overview and should serve as a starting point for the introduction to the field of simulation education.Recreational scuba diving is becoming an increasingly popular sport throughout the world, with approximately 1.2 million divers worldwide. Originally, divers concentrated most of their dives in warmer coastal regions. However, recently they have been extending their dives in other bodies of water, including local lakes, quarries, etc. This means that diving-related disorders can present to any hospital, whether inland or coastal, and all clinicians should be aware of signs and symptoms of decompression sickness. The inner ear consists of the vestibulocochlear organ, which is involved in hearing and one's sense of position and balance. This organ is surrounded by a bony exterior and contains a fluid called endolymph, which is responsible for the conduction of sound and changes in position. The cochlea is the portion responsible for the conversion of mechanical sound waves into action potentials in neurons, while the vestibular system modulates the sense of position and balance. Inner ear decompression sickness (IEDCS) is an incompletely understood condition observed in compressed-gas divers likely resulting from precipitation of gas bubbles in the endolymphatic and perilymphatic spaces during a quick ascent. Another suggested mechanism of IEDCS is that patients may also have a right-to-left shunt, suggesting arterial gas embolism (AGE) as a contributing factor if it enters the labyrinthine artery. The classic common presenting symptom of inner ear DCS is a sudden onset of vertigo. However, tinnitus and acute sensorineural hearing loss may also be present alone or in any combination.Digestion in the gastrointestinal tract is a highly complex process involving both mechanical forces and chemical reactions to disintegrate and metabolize food material. A low residue diet is a diet that restricts the ingestion of indigestible material. The term residue refers to the indigestible content of food material that remains in the gastrointestinal tract and ultimately contributes to fecal bulking. In theory, a low residue diet would result in a reduction of stool quantity and frequency. This diet includes eggs, refined grains, white rice, seafood, and poultry. Dairy intake is limited, and high fiber-containing food and whole grains are typically entirely avoided.Eastern equine encephalitis (EEE) is one of the most severe arboviral encephalitis affecting America. Currently considered an emerging disease showing consistently increase incidence across a wider population. In the United States, between six to eight cases are annually reported, predominantly between May through October, mostly in Florida, Georgia, Maryland, Wisconsin, and New Jersey. This virus has also been considered a potential bioterrorism weapon, given its airborne transmission. The case-fatality rate described is 30%, with neurologic sequelae seen in 50% of survivors.Genetic disorders traditionally fall into three main categories single-gene defects, chromosomal abnormalities, and multifactorial conditions. A chromosomal abnormality, or chromosomal aberration, is a disorder characterized by a morphological or numerical alteration in single or multiple chromosomes, affecting autosomes, sex chromosomes, or both. The normal human karyotype contains approximately two meters of DNA organized into 46 chromosomes 22 pairs of homologous autosomal chromosomes and a set of sex chromosomes that compromise two X chromosomes in females or an X and a Y chromosome in males. All the genetic necessary for growth and development derive from chromosomes (around 20 to 25 thousand genes). Chromosome abnormalities usually involve an error in cell division (mitosis or meiosis), which may occur in the prenatal, postnatal, or preimplantation periods. Tamoxifen These alterations have significant clinical consequences, i.e., spontaneous abortions, stillbirths, neonatal death/hospitalization, malformations, intellectual disability, or an identifiable syndrome.