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«The Clinical Practice of Emergency Medicine 3rd edition (January 15, 2001): by Ann Harwood-Nuss (Editor), Allan B., MD Wolfson (Editor), Christopher ...»

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The Clinical Practice of Emergency Medicine 3rd edition (January 15, 2001): by Ann Harwood-Nuss (Editor), Allan B., MD Wolfson (Editor), Christopher H., MD

Linden (Editor), Suzanne Moore, MD Shepherd (Editor), Phyllis Hendry, MD Stenklyft (Editor), Woffson By Lippincott Williams & Wilkins Publishers

By OkDoKeY

The Clinical Practice of Emergency Medicine

Contents

Editors

Dedication

Preface

Contributing Authors

Introduction

The Approach to the Emergency Department Patient

Robert L. Wears

SECTION I CHIEF COMPLAINT

Suzanne Moore Shepherd

1. Chest Pain Robert Zalenski and Rebecca R. Roberts

2. Abdominal Pain Beth Anne DeGennaro and Sheldon Jacobson

3. Cough Frank Birinyi and Douglas A. Rund

4. Dyspnea C. Keith Stone and D. Shannon Waters

5. Fever and Night Sweats Harold A. Thomas Jr. and James H. Bryan

6. Edema J. Stephan Stapczynski

7. Approach to Coma and Transient Loss of Consciousness Rebecca A. Seip and Marcus L. Martin

8. The Weak Patient Phillip G. Fairweather and Andy Jagoda

SECTION II SURGICAL EMERGENCIES

Ann Harwood-Nuss PART I. Emergency Aspects of Ophthalmology

9. The Ophthalmic Examination Geoffrey Broocker

10. Acute Eye Infections Robert S. Porter

11. Common Ophthalmic Medications Geoffrey Broocker

12. Acute Visual Disturbances Catherine A. Marco

13. Acute Angle-Closure Glaucoma William Bozeman

14. Orbital and Periorbital Infections in Children and Adults David A. Kramer and Ronald S. Benenson PART II. Emergency Aspects of Dental and Oral Surgery

15. Toothache and Common Periodontal Problems Alan Hodgdon

16. Postoperative Complications from Oral and Maxillofacial Surgery James T. Amsterdam

17. Temporomandibular Joint Disease Barry H. Hendler

18. Dental, Oral, and Salivary Gland Infections James T. Amsterdam PART III. Emergency Aspects of Otolaryngology

19. Adult Epiglottitis Michael F. Murphy and Blaine A. Kent

20. Acute Infections of the Adult Pharynx and Laryngitis William Levin and Gabriel R. Wilson

21. Sinusitis Eric T. Boie

22. Rhinitis Michael J. Foley and Gregory P. Moore

23. Mastoiditis James A. Pfaff

24. Nasal Hemorrhage Todd C. Rothenhaus and Ian D. Paul

25. Foreign Bodies in the Ear, Nose, and Throat in Children and Adults Raquel M. Schears

26. Acute Hearing Loss John Isaacs, Jr.

27. Vertigo and Labyrinthine Disorders Eileen M. Raynor and Robert D. Herr

28. Acute Otitis Media in Adults Harry W. Severance

29. Acute Otitis Externa Harry W. Severance

30. Nontraumatic Upper Airway Obstruction Joseph E. Clinton

31. The Neck Mass in Adults and Children Ted A. McMurry

32. Emergency Aspects of Head and Neck Neoplasms Eileen M. Raynor

–  –  –

33. Emergencies of Artificial Conduits Karen DeFazio and Brian Mongillo

34. Surgical Causes of Abdominal Pain Robert M. McNamara

35. Abdominal Mass David D. Cassidy

36. Abdominal Pain in the Elderly Diane M. Birnbaumer and Katherine Bakes

37. Breast Masses and Breast Infection John M. Howell and Ellen M. Dugan

38. Esophageal and Gastric Neoplasms Jonathan Glauser

39. Acute Diseases of the Gallbladder Lance D. Wilson

40. Surgical Causes of Jaundice Byron C. Scott and Jay L. Falk

41. Acute Appendicitis Brian K. Snyder

42. Bowel Obstruction Philip L. Henneman

43. Hernias Sharon Elizabeth Mace

44. Colonic Neoplasms Jonathan Glauser

45. Colonic Diverticular Disease Michael D. Witting and Annie T. Sadosty

46. Perianal, Rectal, and Anal Diseases Leonard Samuels

–  –  –

47. Nontraumatic Carotid Artery Emergencies James W. Dennis

48. Emergency Aspects of Peripheral Vascular Insufficiency Henry C. Veldenz

49. Septic Thrombophlebitis Timothy C. Flynn

50. Complications of Vascular Grafts Timothy C. Flynn

51. Aortic Dissection and Thoracic Aortic Aneurysms Shawna J. Perry

52. Abdominal Aortic Aneurysm Robert L. Wears

53. Mesenteric Ischemia and Infarction Kendall Ho and Ron M. Walls

–  –  –

54. Painful Syndromes of the Hand and Wrist Jeffrey B. Nemhauser and Michael I. Greenberg

55. Hand Infections Carl R. Chudnofsky

56. Low Back Pain David Della-Giustina

57. Common Foot Disorders Valerie Dobiesz Neylan and Louis G. Poulos

58. Bone and Soft-Tissue Neoplasms Joseph A. Buckwalter

–  –  –

61. Male Urologic Infections David S. Howes and Erica E. Remer

62. Urinary Tract Infections in Women Eric T. Boie, Deepi G. Goyal, and Annie T. Sadosty

63. Calculous Disease of the Kidney and Bladder James E. Lingeman, Jeffrey A. Moody, Christopher P. Steidle, and Mark C. Adams

64. Genitourinary Neoplasms Romano DeMarco and Michael O. Koch

65. Urinary Incontinence and Retention Norman E. Peterson

66. Cutaneous Lesions of the Male Genitalia Stephen W. Bretz

67. Acute Scrotal Mass Robert E. Schneider

68. Miscellaneous Urologic Conditions Douglas McGee

–  –  –

69. Complications of Fertility Regulation Methods Andrew M. Kaunitz





70. Pregnancy Testing Howard A. Werman

71. Drugs in Pregnancy Mary H. Stewart

72. Complications of Induced Abortions James L. Jones and Andrew M. Kaunitz

73. Vaginal Bleeding in Early Pregnancy Edward Newton and Sean O. Henderson

74. Ectopic Pregnancy G. Richard Braen and Richard S. Krause

75. Common Medical Diseases in Pregnancy John F. Huddleston and Donald C. Willis

76. Infections in Pregnancy Carol C. Coulson

77. Hypertensive Disorders of Pregnancy Sean O. Henderson and Edward Newton

78. Emergencies of Late Pregnancy Moss H. Mendelson

79. Emergency Delivery and Related Topics Lynnette Doan-Wiggins

80. Postpartum Emergencies Moss H. Mendelson

–  –  –

81. Gynecologic Causes of Abdominal Pain Patrice M. Ringo

82. Pelvic Inflammatory Disease Alfred Sacchetti

83. Non–Pregnancy-Related Vaginal Bleeding Eric Anderson and H. Trent MacKay

84. Amenorrhea Stuart P. Swadron and William K. Mallon

85. Vaginitis Constance S. Greene

86. Gynecologic Cancers Guy I. Benrubi, Robert C. Nuss, and Ann Harwood-Nuss

87. The Adnexal Mass Robert C. Nuss

88. Sexual Assault Gwendolyn L. Hoffman

–  –  –

89. General Principles of Trauma Peter Rosen

90. Trauma Scoring Systems Charles L. Emerman and Thomas E. Collins

91. Injury Prevention B. Tilman Jolly

92. Out-of-Hospital Care and Transport of the Trauma Patient Juan A. March and C. Crawford Mechem

93. Trauma Airway Management Kevin R. Ward

94. Traumatic Shock James Manning and Samir M. Fakhry

–  –  –

96. Head Injuries Pierre Borczuk and Stephen H. Thomas

97. Maxillofacial Injuries Suzanne Moore Shepherd and Iris M. Reyes

98. Dental Injuries Brigitte M. Baumann and Laura B. Thomas

99. Eye Trauma William H. Shoff and Suzanne Moore Shepherd

100. Neck Injuries Gerard R. Cox and Brigitte M. Baumann

101. Spinal Cord Injuries Brian D. Mahoney

102. Pulmonary and Pleural Injuries C. Keith Stone and Ron Forrest Koury

103. Blunt and Penetrating Cardiac Injuries Lee W. Shockley

104. Great Vessel Injuries Daniel S. Gabbay and Patrick M. Reilly

105. Bony Thorax and Diaphragm Injuries Vincent J. Markovchick and Joanne Edney

106. Thoracic Esophageal Injuries Brian Tiffany and Robert C. Jorden

107. Blunt Abdominal Trauma Kevin M. Curtis and Vicente H. Gracias

108. Penetrating Abdominal Trauma Vicente H. Gracias and Kevin M. Curtis

109. Genitourinary Trauma B. Tilman Jolly and Scott D. Weir

110. Peripheral Vascular Injuries Peter T. Pons

–  –  –

111. Approach to Musculoskeletal Injuries David F. Gaieski and Joseph Bernstein

112. Shoulder Injuries Jeffrey Schaider and Robert Simon

113. Elbow Injuries Jefferson D. Bracey and Alok Saxena

114. Hand, Wrist, and Elbow Injuries Suzanne Moore Shepherd, Jeffrey Desmond, Carl R. Chudnofsky, and William H. Shoff

115. Back Pain and Injury Robert S. Hockberger and Martin O’Bryan

116. Pelvic Fractures Paula S. Wadbrook and Charles V. Pollack, Jr.

117. Hip Injuries Norberto Adame, Jr. and Timothy Seay

118. Knee Injuries John E. Gough and Nicholas H. Benson

119. Injuries of the Ankle and Foot Daniel R. Martin and Wenzel Tirheimer

–  –  –

120. Replantation Steven C. Larson and Iris M. Reyes

121. High-Pressure Injection Injuries of the Hand Paul Blackburn

122. Acute Compartment Syndrome Steven C. Larson

123. Blast Injuries J. Stephan Stapczynski

124. Trauma in Pregnancy Andy Jagoda and Stuart G. Kessler

125. Burns Janet Talbot-Stern

126. Hanging and Strangulation Injuries Yevgeniy Gincherman and Edward T. Dickinson

127. Trauma in the Elderly Suzanne Moore Shepherd and William H. Shoff

–  –  –

130. Acute Respiratory Insufficiency Paul E. Pepe

131. Ischemic Heart Disease, Angina Pectoris, and Myocardial Infarction James T. Nieman

132. Cardiogenic Shock Brian R. Tiffany and Robert C. Jorden

133. Congestive Heart Failure and Cor Pulmonale James T. Nieman

134. Bradyarrhythmias Mary B. Staten-McCormick and David Overton

135. Tachyarrhythmias Scott R. Votey, Mel Herbert, and Jerome R. Hoffman

136. The Patient with a Pacemaker or Implantable Cardioverter–Defibrillator Robert M. Rodriguez

137. Valvular Heart Disease Joseph P. Ornato

138. Acute Pericarditis and Cardiac Tamponade Franklin D. Pratt and Howard A. Bessen

139. Deep Venous Thrombosis and Thrombophlebitis Edward A. Panacek and J. Douglas Kirk

140. Infectious Endocarditis Corey M. Slovis and Rebecca R. Roberts

141. Syncope Jay M. Goldman and Thomas P. Martin

142. Hypertension Katerina T. Parmele and Alison J. McDonald

–  –  –

143. Adult Respiratory Distress Syndrome Darryl J. Macias and Joe Alcock

144. Pneumonia Gregory J. Moran and David A. Talan

145. Pleural Effusion Robert Sigillito and Peter M. C. DeBlieux

146. Asthma Rita K. Cydulka and Michael A. Kaufman

147. Chronic Obstructive Pulmonary Disease Erica E. Remer and David S. Howes

148. Lung Cancer Marc Borenstein

149. Spontaneous Pneumothorax and Pneumomediastinum Susan M. Dunmire

150. Pulmonary Embolism Susan M. Dunmire

151. Hemoptysis Steven J. Parrillo

152. Sarcoidosis Steven J. Parrillo and Christopher C. Rose

–  –  –

153. Esophageal Disease Charles M. Seamens and Allan B. Wolfson

154. Upper Gastrointestinal Bleeding Edward A. Panacek

155. Peptic Ulcer Disease Dale S. Birenbaum and David J. Vukich

156. Gastrointestinal Foreign Bodies Valerie C. Norton

157. Pancreatitis and Pancreatic Cancer David C. Seaberg and Allan B. Wolfson

158. Hepatitis Joel M. Geiderman and Mark J. Ault

159. Hepatic Failure and Cirrhosis David M. Cline and E. Jackson Allison, Jr.

160. The Patient with a Liver Transplant Eric Savitsky, Scott R. Votey, and Don Mebust

161. Nonsurgical Causes of Abdominal Pain Darrell C. Sandel and Sheldon Jacobson

162. Inflammatory Bowel Disease Howard A. Werman

163. Diarrhea and Proctitis Philip N. Salen and Michael B. Heller

164. Lower Gastrointestinal Bleeding Daniel T. Schelble and David J. Peter PART IV. Renal, Metabolic, and Endocrine Disease

165. Acid–Base Disturbances Robert Shesser

166. Diabetic Ketoacidosis Micheal D. Rush and Robert A. Schwab

167. Hyperosmolar Hyperglycemic Nonketotic Coma Dana Pope and Leslie S. Zun

168. Diabetes Mellitus Scott R. Votey and Anne L. Peters

169. Hypoglycemia Scott R. Votey and Anne L. Peters

170. Alcoholic Ketoacidosis Stephen L. Adams and Laura J. Bontempo

171. Thyroid Emergencies T. Eugene Ragland and Robert C. Urbanic

172. Adrenal and Pituitary Disorders Clare T. Sercombe and Louis J. Ling

173. Disorders of Sodium and Water Metabolism Sandra A. Craig and John A. Marx

174. Disorders of Potassium Metabolism Frank G. Walter and Elisabeth F. Bilden

175. Disorders of Calcium, Magnesium, and Phosphorus Daniel R. Martin and Marc B. Schnapper

176. Azotemia and Acute Renal Failure Todd C. Rothenhaus and Samuel A. McLean

177. Chronic Renal Failure and Dialysis-Related Emergencies Allan B. Wolfson

178. The Patient with a Renal Transplant Louis G. Graff

179. Rhabdomyolysis Mark T. Steele

180. Hematuria James P. d’Etienne and Steven A. Godwin

–  –  –

181. Skin and Soft-Tissue Infections Alexander T. Trott

182. Tetanus James J. Mathews and Kaveh Ilkhanipour

183. Meningitis and Encephalitis Raymond J. Roberge and Richard Mark Kaplan

184. Central Nervous System Abscess Ralph J. Riviello and Douglas A. Rund

185. Gonorrhea Rodney Smith

186. Syphilis Richard Wolfe

187. Lyme Disease Edward B. Bolgiano and Robert A. Barish

188. Rocky Mountain Spotted Fever Michael A. Gibbs

189. Tuberculosis Gregory J. Moran and David A. Talan

190. Infectious Mononucleosis David Anthony Jerrard

191. Influenza Jonathan S. Olshaker

192. Human Immunodeficiency Virus Infection and Related Disorders Richard E. Rothman, Catherine A. Marco, and Gabor D. Kelen

193. Spinal Infections Ellen H. Taliaferro and Allan B. Wolfson

194. Toxic Shock Syndromes Frederick M. Schiavone

195. Bacteremia and Septic Shock J. Stephan Stapczynski

196. Infections in the Compromised Host Judith C. Brillman and Sarah A. Stahmer

197. Parasitic Disease Richard J. Ryan

198. Blood and Body Fluid Exposures in the Health-Care Worker Peter E. Sokolove

–  –  –

199. Altered Mental Status and Coma Gregory L. Henry

200. Organic Brain Syndrome Sandra M. Schneider



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