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{
    "pk": 486,
    "title": "The “Black-and-White Cookie” Sign – A Case Series of a Novel Ultrasonographic Sign in Gastric Outlet Obstruction",
    "subtitle": null,
    "abstract": "Gastric outlet obstruction (GOO) is a rare condition occurring as a consequence of numerous processesthat prevent gastric emptying. Presenting symptoms of GOO are non-specific and include nausea, vomiting, epigastric discomfort and decreased appetite. The diagnosis of GOO is often challenging. Emergency physicians must have a heightened awareness of GOO to ensure proper diagnosis and rapid treatment. Although the gold standard for diagnoses of GOO is endoscopy, many patients are identified by computerized tomography imaging. Point-of-care ultrasound (POCUS) is a rapid and non-invasive technique for evaluating patients in the emergency department. Previous literature has validated the use of ultrasound in diagnosing various intra-abdominal pathologies including bowel obstructions and appendicitis; however, there is limited research on evaluating gastric disease.1 We report three cases of GOO diagnosed with the “black-and-white cookie” sign on POCUS.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8sw7m3p9",
    "frozenauthors": [
        {
            "first_name": "Allison",
            "middle_name": "",
            "last_name": "Cohen",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        },
        {
            "first_name": "Mark",
            "middle_name": "",
            "last_name": "Foster",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        },
        {
            "first_name": "Brendon",
            "middle_name": "",
            "last_name": "Stankard",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        },
        {
            "first_name": "Maxine",
            "middle_name": "",
            "last_name": "Owusu",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        },
        {
            "first_name": "Mathew",
            "middle_name": "",
            "last_name": "Nelson",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2018-01-05T22:47:12+05:30",
    "date_accepted": "2018-01-05T22:47:12+05:30",
    "date_published": "2018-01-10T01:30:13+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/486/galley/250/download/"
        }
    ]
}