Emergency Medicine: Expert Consult -- Online

Front Cover
Elsevier Health Sciences, Jul 17, 2008 - Medical - 2312 pages
Announcing a better source for dependable answers in your fast-paced field! This new reference, edited by James G. Adams, MD, presents the right kind of know-how - the right way - so you can get what you need and move on. You'll have just enough background to understand each problem without getting bogged down ... expert decision-making assistance, with evidence where available ... and a user-friendly format that delivers high-yield guidance in instants, both in print and online!
  • Features chapters on Complication of Gynecologic Procedures in Abortion, and Assisted Reproductive Technology and Complications of Bariatric Surgery to address the increasing number of patients you see with these complications.
  • Basic science coverage is just detailed enough so you can understand every problem quickly, without being overwhelmed.
  • A focus on the most common differential diagnoses helps you to "think horses, not zebras."
  • Clinical recommendations are founded upon sound evidentiary guidelines, wherever available, to assist you in implementing evidence-based practices.
  • Brief, clear chapters, written to consistent, highly practical templates, enable you to get the knowledge you need as efficiently as you need it.
  • Prominent text boxes emphasize priority actions, facts and formulas, documentation, patient teaching, and tips and tricks, so you can apply actionable information easily.
  • More than 500 full-color clinical photographs let you see emergent conditions as they present in real life.
  • Full-text online access allows you to perform quick searches, tap into regular updates, and download illustrations. It's a perfect way to get instant answers in your busy emergency department.
 

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Contents

Airway Assessment
Emergency Airway Algorithms
Critical Airway Anatomy
Pertinent AirwayRelated Physiology
Oxygenation Techniques
Physiologic Responses to Laryngoscopy and Pharyngeal Stimulation
Dosage
Scope
Treatment and Disposition
Anatomy of the Genitourinary Tract
Anatomy of the Kidneys
RENAL DISORDERS
Scope
Anatomy and Physiology
LargeVessel
Systemic Disease

The Anticipated Difficult Airway
Nasal Anesthesia and Vasoconstriction
Sedation
Scope
Techniques and Methods of Mechanical Ventilation
Selection of a Ventilation Technique and Ventilator Mode
Monitoring Dynamic Pressures during Invasive Ventilation
LungProtective Ventilator Strategies
Scope
Anatomy
Presenting Signs and Symptoms
Failure to Use Appropriately Sized Blood Pressure Cuff
Hypotensive States
Sites of Insertion
Complications
Clinical Signs
Step 1Set the Rate
Background
Approach
Central Venous Access
Peripheral Venous Access
Limitations
General Management
Electrical Therapy
Pharmacologic Therapy
Ventricular Fibrillation and Pulseless Ventricular Tachycardia
Pulseless Electrical Activity
Asystole
Special Arrest Populations and Scenarios
Perspective
Pathophysiology
Causes of Traumatic AirwayRespiratory Compromise
Physiologic Criteria
Mechanism of Injury
Background
Indication
Anatomy and Approach
Interpretation and Limitations of the FAST
Scope
Pathophysiology
Presenting Signs and Symptoms
Diagnostic Testing
Treatment and Disposition
System Design
System Organization Training and Transport Types
Vehicles Equipment and Types of Transport
Current Controversies
Disaster Medicine
Definitions
Indications for Procedural Sedation and Analgesia in the ED
Patient Monitoring
Preprocedural Considerations and Risk Assessment
Difficult BagMask Ventilation
Naloxone Narcan
Flumazenil
Scope
Selection of Anesthetic Agents
Regional Nerve Blocks
Scope
Differential Diagnosis
Diagnostic Testing
Category B
Category C
Category D
PEDIATRIC CARDIOPULMONARY RESUSCITATION
NEONATAL CARDIOPULMONARY RESUSCITATION
Airway Management
RapidSequence Intubation in Children
Vascular Access
Basic Principles of Cardiopulmonary Resuscitation
Scope and Outline
Diagnostic Testing
PEDIATRIC HEAD TRAUMA
CERVICAL SPINE INJURY
PEDIATRIC THORACIC TRAUMA
Most Common
Most Lethal
PEDIATRIC ABDOMINAL TRAUMA
General Approach
The Family
Growth and Development
The Normal Neonate
Apnea and Apparent LifeThreatening Event
Excessive Crying and Irritability
Cyanosis
Difficulty Breathing
Respiratory system
Metabolic
Vomiting
Rehydration Phase
Anatomy
Glaucoma
Central Retinal Artery Occlusion
Central Retinal Vein Occlusion
Optic Neuritis
Retinal Detachment
Temporal Arteritis
Orbital Cellulitis and Periorbital Cellulitis
The Red Eye
Corneal Abrasions
Corneal Ulcers
Ocular Foreign Bodies
Intraocular Foreign Body
Ocular Burns
Retrobulbar Hematoma
Hyphema
Orbital Wall or Blowout Fractures
Ruptured Globe
Traumatic Iritis
Ear Pain
Trauma
Foreign Body
Sudden Hearing Loss
Scope and Outline
Structure and Function
Presenting Signs and Symptoms
Differential Diagnosis
Interventions and Procedures
Treatment and Disposition
Pharynx Emergencies
Anatomy
Peritonsillar Abscess and Cellulitis
Epiglottitis and Supraglottitis
Ludwigs Angina
Lemierres Syndrome
Retropharyngeal Abscess
Temporomandibular Joint Disease
Epistaxis
Vasoconstrictors
Major Criteria
Minor Criteria
Scope
Anatomy
Pathophysiology of Abdominal Pain
History
Alleviating and Aggravating Factors
Associated Symptoms
Additional Questions
Anatomy
Most Threatening
Most Common
Most Threatening
Most Common
In Children
In Adults
Scope
Pathophysiology
Treatment
Sequelae of Peptic Ulcer Disease
Scope
Pathophysiology
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Procedures
Disposition
Scope
Pathophysiology
Anatomy
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Laboratory Studies
Treatment
Disposition
Definitions
Scope
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
CT Features of Acute Diverticulitis
Complications of Diverticulitis Found on CT
Scope
Pathophysiology
Diagnostic Testing
Treatment
Disposition
Typical Patient Settings of Constipation and Underlying Causes
Structure and Function
Presenting Signs and Symptoms
Definitions
Scope
Nomenclature
Pathophysiology
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Pediatric Considerations
Treatment
Disposition
Scope
Anatomy
Clinical Presentations
Differential Diagnosis
Diagnostic Testing
Imaging Studies
Scope
Pathophysiology
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Treatment
Disposition
Anatomy
Examination
Cryptitis
Hemorrhoids
Anal Fissure
Anorectal Abscess
Anal Fistula
Proctitis
Anorectal Foreign Bodies
Pruritus Ani
Proctalgia Fugax
Hidradenitis Suppurativa
Pilonidal Disease
Scope
Common Signs and Symptoms of Liver Disease
Signs and Symptoms of Advanced Liver Disease
Infectious Causes of Liver Disease
Noninfectious Liver Disorders
Care of the Patient with Liver Transplantation
Liver Function Tests
Scope
Pathophysiology
Presenting Signs and Symptoms
Diagnostic Testing
Criteria
Score
Cholelithiasis
Cholecystitis
Cholangitis
Tumors of the Biliary Tree and Gallbladder
Primary Biliary Cirrhosis
Background
Indication
Interpretation and Limitations
Abdominal Masses
Gastrointestinal Bleeding
Meckels Diverticulum
Intussusception
HenochSchönlein Purpura
Gastroesophageal Reflux
Pyloric Stenosis
Malrotation with Volvulus
Necrotizing Enterocolitis
Hirschsprungs Disease
Biliary Tract Disease
Milk Protein Allergy
Scope
Nasogastric Tubes
Indications
Major Complications
Minor Complications
Scope
RouxenY and Gastric Banding
Complications of Bariatric Surgery
Disposition
ASTHMA
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Scope
Risks
Presenting Signs and Symptoms
Pathogens
Special Populations
Evaluation and Diagnostic Testing
Treatment
Outpatient Treatment
Inpatients ICU Treatment
Step 1
Assign to risk class I
Step 3
Scope
Pathophysiology
Presenting Signs and Symptoms
Diagnostic Testing
Treatment
Prevention of Recurrence
Disposition
Scope
Pathophysiology
Presenting Signs and Symptoms
Diagnostic Testing
Interventions and Procedures
Adverse Outcomes
Treatment and Disposition
Scope
TransplantationThe Procedure
ED Presentation
Diagnostic Testing
Treatment and Disposition
Background and Scope
Echocardiography
Myocardial Perfusion Imaging
Exercise Testing
Classic Examples of Accepted Protocols That Utilize Cardiac Imaging and Echocardiography
Magnetic Resonance Imaging
Pitfalls
Summary
Scope and Outline
Pathophysiology
Prehospital Care
Emergency Department Evaluation
Diagnostic Studies
Treatment
Special Circumstances
Disposition
Scope and Outline
Specific Bradyarrhythmias
Bradycardia and Acute Myocardial Infarction
Bradycardia Associated with a Wide QRS Complex
Scope
Presenting Signs and Symptoms
Differential Diagnosis
Treatment
Specific Tachycardias
Physiologic
Electrical Treatment
Past Medical History
Electrocardiographic Findings
Scope
Pericarditis
Pericardial Tamponade
Myocarditis
Scope
Presenting Signs and Symptoms
Pathophysiology
Clinical Evaluation and Diagnostic Testing
Differential Diagnosis
Specific Valvular Disorders
Endocarditis Prophylaxis Recommended
Endocarditis Prophylaxis Not Recommended
Scope
Pathophysiology
Microbiology of Infective Endocarditis
Most Common
Stratification of Patients
Major Criteria
Minor Criteria
Dental Procedures
Scope
Anatomy and Pathophysiology
RighttoLeft Shunting Critical for Relief of LeftSided Obstruction
LefttoRight Shunting Critical for Relief of RightSided Obstruction
Congenital Lesions Causing Increased Pulmonary Blood Flow or LefttoRight Shunting
Congenital Lesions Causing Decreased Pulmonary Blood Flow or RighttoLeft Shunting
Chest Pain
Initial Assessment 10 minutes
Left Ventricular Assist Devices
Implantable CardioverterDefibrillators
Pacemakers
Perspective and Epidemiology
Definitions
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostic Testing
Treatment
Disposition
Scope
Classification
Clinical Presentation
Differential Diagnosis
Diagnosis
Management
Disposition
Perspective
Risk Factors
Principles of Disease
Clinical Features
Diagnostic Strategies
Management
Future Therapy
Complications
Disposition
Background
Interpretation
Limitations
Scope
Risk Factors
Progression of Disease
Presenting Signs and Symptoms
Diagnostic Testing
Treatments
Disposition
Scope
Structure and Function
Secondary
Neurologic
Cardiovascular
Uncomplicated Hypertension
Isolated Systolic Hypertension Older Person
Scope and Outline
Structure and Function
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Treatment of Pulmonary Embolism without Shock
Risk Stratification
Treatment of Patients with Confirmed Pulmonary Embolism and Shock
Disposition
Scope and Outline
Perspective
Epidemiology
Anatomy
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Treatment and Disposition
Background
Interpretation and Limitations
Scope
Pathophysiology
Clinical Evaluation
Treatment
Disposition
Basic Principles of CT
Appearance
Important Densities
Scope
Anatomy
Vertebral Column Fractures
Cervical Spine Injuries
ThoracicLumbar Spine Injuries
Spinal Cord Injuries
Scope
Approach to the Multitrauma Patient with Facial Injuries
Frontal Skull Injuries
Blunt Ophthalmic and Orbital Trauma
Zygoma Injury
MaxillaryMidface Contusions
Nasal Contusions
Lower Face Injuries
Perspective
Pathophysiology
Anatomy
Presenting Signs and Symptoms
Diagnostic Testing
Interventions and Procedures
Treatment
Disposition
Scope
Initial Assessment and Management
Initial Laboratory and Imaging Studies
Mechanisms of Injury
Penetrating Injury
Blunt Trauma
Scope and Outline
Structure and Function
Grade I
Grade V
Grade III
Scope and Outline
Structure and Function
Presenting Signs and Symptoms
Interventions and Procedures
Diagnostic Testing
Admission
Epidemiology
Structure and Function
Pathophysiology
Most Common
Scope
Lower Genitourinary Tract Injuries
Upper Genitourinary Tract Injuries
Pediatric Considerations
Disposition
Scope
Anatomy
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Scope
Evaluation
Physical Examination
Scope and Outline
Structure and Function
Presenting Signs and Symptoms
History and Physical Examination
Ankle Sprains and Fractures and Other Related Injuries
Direct Mechanism
Scope
Presentation
Bursitis Table 818
Diagnostic Studies
Treatment and Disposition
Scope
Anatomy
Sternoclavicular Dislocation
Acromioclavicular Dislocation or Separation
Clavicle Fractures
Scapular Fractures
Glenohumeral Dislocations
Proximal Humerus Fractures
Humerus Shaft Fractures
Distal Humerus Supracondylar Fractures
Rotator Cuff Tendinitis and Tears and Impingement Syndromes Subacromial Bursitis
Tenosynovitis and Rupture of the Long Head of the Biceps Tendon
Adhesive Capsulitis
Scope
Anatomy
Clinical Presentation
FractureDislocation
Traumatic
Arthritis
Scope
History
Related Anatomy
General
Musculoskeletal
Scope and Outline
Anatomy
Presenting Signs and Symptoms Box 851
Differential Diagnosis
Interventions and Procedures
Diagnostic Testing
Treatment and Disposition
Scope and Outline
Pathophysiology
Internally Applied Force
Externally Applied Force
WellLimb Etiologies
Scope
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Interventions and Procedures
Treatment
Disposition
Radial Head Subluxation
Fractures
Slipped Capital Femoral Epiphysis
LeggCalvéPerthes Disease
Septic Arthritis
Toxic Synovitis
Scope
Pathophysiology
Presenting Signs and Symptoms
Infant
Trauma
Stroke Syndromes
Infection
Glucose Disorders
Metabolic Cofactor Deficiency
ElectrolytepH Disturbances
Exogenous Toxins
Disorders of Temperature RegulationEnvironmental
Primary Glial or Neuronal Disorders
Scope
Cranial Nerve II Optic Nerve
Cranial Nerve III Oculomotor Nerve
Cranial Nerve IV Trochlear Nerve
Cranial Nerve V Trigeminal Nerve
Cranial Nerve VI Abducens Nerve
Cranial Nerve VII Facial NerveBells Palsy
Cranial Nerve VIII Vestibulocochlear Nerve
Cranial Nerve IX Glossopharyngeal Nerve
Cranial Nerve X Vagus Nerve
Cranial Nerve XI Accessory Nerve
Cranial Nerve XII Hypoglossal Nerve
Scope
Pathophysiology
Presenting Signs and Symptoms
Past Medical History
General
Symptoms
Peripheral Vertigo
Central Vertigo
PERIPHERAL VERTIGO
CENTRAL VERTIGO
Scope
Central Nervous System
Demyelination
Human Immunodeficiency Virus HIV Neuropathy
Cardiovascular Drugs
Other Drugs
Scope and Outline
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Treatment
Disposition
Scope and Outline
Partial Seizures
Secondary Seizures
TRANSIENT ISCHEMIC ATTACK
ACUTE ISCHEMIC STROKE
Scope and Outline
Presenting Signs and Symptoms
Medical and Family History
Location
Family History
Head
Neck
History
Physical Examination
History
Triptans
Ergot Alkaloids and Derivatives
ButalbitalContaining Agents
Scope
Neuroimaging and Neuropathology
Clinical Presentation
Primary Central Nervous System Lymphoma
Secondary Central Nervous System Lymphoma
Ependymoma
Meningioma
Oligodendroglioma
Medulloblastoma
Hemangioblastoma
Schwannoma
Neurocysticercosis
Toxoplasmosis
Tuberculoma
Tuberous Sclerosis
Arteriovenous Malformations
Scope
Pathophysiology and Definitions
Anatomy
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
ED Interventions and Procedures
Treatment
Disposition
Scope and Outline
Pathophysiology
Classification of Syncope
Recommended Diagnostic Tests
Prognosis
Improved Diagnostic Strategies in the ED
Guidelines for Admission and Disposition
Scope and Outline
Delirium
Infections
Metabolic and Fluid Disorders
Cerebrovascular
Vitamin Deficiency
Anticholinergics
Antiinflammatory Agents
Plants and Mushrooms
Insects and Animals
Scope
Lumbar Puncture
Cerebrospinal Fluid Analysis
Intracranial Pressure Monitoring
Aspiration of a Ventriculoperitoneal Shunt
Scope
Epidemiology
Allergic Rhinitis
NonAllergic Rhinitis with Eosinophilia Syndrome
Systemic Disease
FoodsAdditives
Medications
Inhalants
Type I Hypersensitivity
Flush Syndromes
InfectionsRespiratory Syndromes
SomatoformPsychogenic
Epinephrine
Aerosolized BetaAgonists and Others
Transcutaneous Pacing for Bradycardia
Scope
Mechanical
Inflammatory
Monarticular
Periarticular
Patient Education
Occupational Therapy
Acupuncture
Indications
Contraindications Relative
Scope
Pathophysiology
Differential Diagnosis and Diagnostic Testing
Malar rash
Renal Disorder
Immunologic Disorder
SJÖGRENS SYNDROME
Most Common
Most Threatening
SYSTEMIC SCLEROSIS scleroderma
Most Common
Most Threatening
SARCOIDOSIS
Most Common
Most Threatening
PRIMARY RAYNAUDS PHENOMENON
Most Common
Most Threatening
Scope
Medium Vessel
Pathogenic Immune Complex Formation
Anatomy and Pathophysiology
Medications
Hematologic Disorders
Scope and Outline
Anatomy
Clinical Presentation
Differential Diagnosis
Vascular
Genitourinary
Musculoskeletal
Indications for Admission
Indications for Consultation with a Urologist
Scope and Definitions
Pathophysiology
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Primary Renal Disease
Hereditary
Intrarenal and Ureteral
Volume Loss
Decreased Perfusion
Cardiovascular
Metabolic
Immune System
Hematologic
Skin
Intravenous Access
Radiographic Contrast Agents
Background
Examination Interpretation and Limitations
Scope
Peritoneal Dialysis
Scope
Complications
First Month Posttransplant
Cyclosporine
Azathioprine
Scope
HematologicImmunologic System
Dermatologic System
Endocrine System
SPONTANEOUS ABORTION
ECTOPIC PREGNANCY
High Risk
GESTATIONAL TROPHOBLASTIC DISEASE GTD
HYPEREMESIS GRAVIDARUM
Gastrointestinal
Scope
Indications
Clinical Questions and Examination Interpretation
Limitations
PREECLAMPSIA AND ECLAMPSIA
Cardiovascular
Obstetric
Hepatic
Chronic Hypertension
THIRD TRIMESTER BLEEDING
Postpartum Hemorrhage
Uterine Inversion
Uterine Rupture
Surgery or Procedure
Trauma or Environmental
Cardiovascular CollapseHypotension
Coagulopathy
Scope
Puerperal Fever and Infections
Uterine Infections Metritis
Complications of Infections
Hemorrhagic Complications
Thromboembolic Complications
Cardiac Complications
Endocrine Disorders
Gastrointestinal and Abdominal Pain
Genitourinary Complications
Lactation and Breast Dysfunction
Neurologic Complications
Psychiatric Complications
Scope
Structure and Function
Clinical Presentation
Presenting Signs and Symptoms
Differential Diagnosis
Malignancy
COMPLICATIONS OF GYNECOLOGIC PROCEDURES
Most Threatening
Most Threatening
Most Common
Most Threatening
Most Common
POSTABORTION COMPLICATIONS
Most Threatening
Most Common
Immediate Complications 24 hours
LongTerm Complications
COMPLICATIONS OF ASSISTED REPRODUCTIVE TECHNOLOGY
Most Threatening
Scope
Vulvar Infections
Vaginal Infections
Cervical Infections
Definition
Treatment
Scope
Normal Anatomy and Physiology of the Adult Breast
Traumatic Injuries to the Breast
Breast Pain
Breast Mass
Treatment of Breast Cancer and Associated Complications
Dermatologic Conditions of the Breast and Nipple
Nipple Discharge
Lactation and Its Complications
Breast Disease in Men
Scope
Genital Examination
Anatomic Problems
Gynecologic Problems
Bleeding
Scope
Identification and Assessment
Injury Patterns
Partner
Physical
Socioeconomic
Scope
Presenting Signs and Symptoms
Consent
Physical Examination
Diagnostic Testing
Treatment and Disposition
Scope and Outline
Methods of Emergency Contraception
Mechanism of Action of EC Agents
Timing of EC Administration
Side Effects
Scope
Physiology
Pathophysiology of Heat Stroke
Presenting Signs and Symptoms
Differential Diagnosis
Interventions and Procedures
Diagnostic Testing
Treatment and Disposition
Hypothermia
Frostbite
Disposition
Scope and Outline
Pathophysiology
Anatomy
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Treatment
Disposition
Perspective
Signs
Musculoskeletal Pain Limb Bends
Lymphatic EffectsEdema
Pulmonary DCS Chokes
Vestibular DCS Staggers
Definitive Treatment
Laboratory Tests
Imaging
ABCsFirst Priority
Immediate Administration of HighFlow Oxygen 100
History and Physical Examination
Scope
Pathophysiology
Risk Factors
Signs and Symptoms
Differential Diagnosis
Prognostic Factors
Treatment
Management of Hypothermia
Mild Hypothermia 3235C
Passive Rewarming
Readings
Common Dangerous Consequences of Smoke Inhalation
Differential Diagnosis
Diagnosis
Treatment
Scope and Outline
Chemical Weapons
Radiologic Materials
Conventional Explosives
Scope
Clinical Presentation
Why?
Medical Causes
Drugs Detected
Substances Poorly Adsorbed by Activated Charcoal
Contraindications to Use of Activated Charcoal
Drugs with Enterohepatic Circulation
Scope
Clinical Presentation
Diagnostic Testing
Management and Treatment
Disposition
ASPIRIN SALICYLATES
NONSTEROIDAL ANTIINFLAMMATORY DRUGS
Scope
Pathophysiology and Pharmacology
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Treatment
Disposition
INSECTICIDES
Type I
HERBICIDES
RODENTICIDES
Scope
Pathophysiology
Presenting Signs and Symptoms
Differential Diagnosis
Medical Illnesses
Poisonings
Calcium Channel Antagonists
Betareceptor Antagonists
Digoxin
Adult
Pediatric
Scope
Cardiovascular
Metabolic
ToxicMetabolic Problems
Neurologic Problems
Scope
Pathophysiology
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Treatment and Disposition
Disposition
Scope
Pathophysiology
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Treatment
Disposition
Perspective
Structure and Function
Mechanisms of Toxicity
Pathophysiology
Clinical Presentation
Variations
Distinguishing Features and Clinical Presentations
Diagnostic Testing
Disposition
Cyanide
Medical Conditions Mimicking Cyanide and Hydrogen Sulfide Poisoning
Toxins Mimicking Cyanide and Hydrogen Sulfide Poisoning
Ethanol
Central Nervous System
Cardiovascular
Fluids Electrolytes and Nutrition
Trauma
Intoxication
Withdrawal
High Tolerance
Opioid Overdose
Opioid Withdrawal
Scope
Short Duration a few hours
Long Duration over a day
Imidazopyridines
Most Threatening
Dose
Anticonvulsant Hypersensitivity Syndrome
Carbamazepine
Drugs that Raise Carbamazepine Levels
Antibacterial Agents
Antifungal Agents
Antiviral Agents
Pregnancy Categories for Pharmaceutical Agents
Scope
Pathophysiology
Clinical Presentation
Hyperadrenergic Symptoms
Neuroglycopenic Symptoms
Antihistamines
Dextromethorphan
Pseudoephedrine Ephedrine Phenylephrine Oxymetazoline and Tetrahydrozoline
Loperamide and Diphenoxylate
Dietary Supplements
Vitamins
Scope
OvertheCounter Medications Table 1541
Household Items
Prescription Medications Table 1546
Scope
Evaluation
Treatment Table 1552
Disposition
Scope
Pathophysiology
Anatomy
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Interventions and Procedures
Treatment and Disposition
CroFab
Antivenin Crotalidae Polyvalent ACP
Scope and Outline
Anatomy and Pathophysiology
Hymenoptera
Caterpillars
Insects
Scope
Gila Monster and Mexican Beaded Lizard
Komodo Dragon
Green Iguana
Snapping Turtle
Scope and Outline
Traumatic Injuries
Contact Envenomations Bites and Stings
Toxic Marine Ingestion
Scope
Pathophysiology
Clinical Presentation
Skin
Respiratory
Pathophysiology
Diagnostic Testing
Increased Anion Gap
Case 1
Case 2
Case 3
Determine the pH status alkalemia or acidemia 744 or 740
Determine whether the primary process is respiratory metabolic or both
Determine whether there is a 1 1 relationship between the change in the anion gap and the change in the serum bicarbonate
Scope
Presenting Signs and Symptoms
Differential Diagnosis
Treatment
Diabetes Mellitis
Hyperglycemia
NewOnset Type 2 Diabetes
Diabetic Ketoacidosis
Intravenous Fluids
Electrolytes
Insulin
Intravenous Fluids
Scope
Epidemiology
Causes of Hypoglycemia
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Treatment
Disposition
Accidental Pediatric Sulfonylurea Ingestions
Scope
Pathophysiology
Clinical Presentation
Differential Diagnosis and Classification
Diagnostic Testing
Treatment
Acute Cerebral Edema
Osmotic Demyelination Syndrome
Scope
Hypokalemia
Inadequate Potassium Intake
Renal Losses
Medications
Gastrointestinal
Cardiac
Renal
Highest Content 1000 mg100 g
High Content 250 mg100 g
Exogenous Potassium
Transcellular Shifts
Pseudohyperkalemia
Mild Hyperkalemia
Scope
CALCIUM
Central Nervous System
Cardiac
Neuromuscular
Psychiatric
Primary Hyperparathyroidism
Other
Parathyroid Hormone Deficiency
Vitamin D Deficiency
MAGNESIUM
Hypomagnesemia
Hypermagnesemia
PHOSPHORUS
Central Nervous System
Cardiac
Dermatologic
Central Nervous System
Cardiac
Hypophosphatemia
Hyperphosphatemia
Scope
Physiology
Goiter
Thyrotoxicosis
Scope
Anatomy
Feedback Loops
Presenting Signs and Symptoms
Types of Adrenal Insufficiency
Differential Diagnosis
Weakness and Fatigue
Scope
Pathophysiology
Causes of Rhabdomyolysis
Ischemic injury
Drugs of Abuse
Medications
Metabolic Disorders
Immunologic Diseases
Infection
TemperatureRelated
Toxins
Potassium
Sodium
Creatinine
Prothrombin timepartial thromboplastin timeDdimer
Scope
Anatomy and Pathophysiology
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Testing
Management
Disposition
Scope
Rochester Criteria
Vital Signs
Respiratory System
Skin
Common Viral Infections
Respiratory System
Genitourinary System
Rheumatologic Disorders
Miscellaneous Disorders
Clinical Criteria
Goals for Care at Home
Meningitis
Encephalitis
Brain Abscess
Background
Definitions of Sepsis
Pathophysiology
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Specific Therapies
Disposition
Scope
Bacteria
Oral Therapyb
History of Immunoglobulin EMediated BetaLactam Allergy
Pathophysiology
Influenza
Mononucleosis
Severe Acute Respiratory Syndrome
West Nile Virus
Testing
Monitoring Infection and Treatment
Classification of Infection
Opportunistic Infections
Highly Active Antiretroviral Therapy
Nonnucleoside Reverse Transcriptase Inhibitors
Fusion Inhibitor
High Risk Exposure
Low Risk Exposure
Basic TwoDrug Regimen
Negligible Risk
General Epidemiology
Presenting Signs and Symptoms
Diagnostic Testing
Specific Fungal Infections
Medication
Modes of Transmission
Taenia
Trematodes Flukes
Ectoparasites
Perspective
Anatomy
Pathophysiology
Clinical Presentation
Diagnostic Testing
Management
Disposition
Perspective
Pathophysiology
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Rabies Transmission
Wound Treatment and Rabies Prevention
Treatment
Disposition
Scope
Pathophysiology and Tick Anatomy
Presenting Signs and Symptoms
Diagnostic Testing
Interventions and Procedures
Pathophysiology
Classic Presentation
Differential Diagnosis
Diagnostic Testing
Procedures
Treatment and Disposition
Disposition
Scope
Anthrax
Smallpox
Plague
Botulism
Tularemia
Viral Hemorrhagic Fevers
Structure and Function
Presenting Signs and Symptoms
Frequently
Rarely
Superficial Skin Infections
Cellulitis
Purulent Skin Infections
CommunityAssociated MethicillinResistant Staphylococcus aureus
Diabetic Foot Infections
Necrotizing Infections
Scope
Pathophysiology
Clinical Presentation
Differential Diagnosis
Treatment
Wound Aftercare
RETAINED FOREIGN BODY
Inert Foreign Bodies
Radiopaque Foreign Bodies
TENDON AND NERVE LACERATIONS
Perspective
Structure and Function
Clinical Presentation
Diagnostic Testing
Treatment
Disposition
Perspective
Clinical Presentation
Hazardous Materials
Diagnostic Testing
Treatment
Disposition
Scope
Pathophysiology
Physical Examination
Skin Manifestations
Differential Diagnosis
Approach to the Acutely Ill Patient with Rash
Disposition
Pathophysiology
Presenting Signs and Symptoms
Differential Diagnosis
Diagnostic Studies
Treatment
Disposition
Scope
Clinical Presentation
Differential Diagnosis
Assessment Methods
Treatment
Disposition
Scope
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Treatment
Scope and Epidemiology
How to Predict Violence
Violent Behavior
Scope
Pathophysiology
Clinical Presentation
Differential Diagnosis
Most Threatening
Most Common
Scope
Clinical Presentation
Cognitive Symptoms
Physical Signs
Routinely Considered
Scope
Pathophysiology
Differential Diagnosis and Testing
Treatment
Scope
Definitions
Pathophysiology and Anatomy
Clinical Presentation
Differential Diagnosis
Diagnostic Testing
Disposition
Definitions
Anorexia Nervosa
Bulimia Nervosa
Excessive Caloric Consumption
Medicine
Telemetry
Scope
Isolation and Infectious Control Issues
Oncologic History
Fever
Electrolyte Disturbances in the Oncology Patient
Myocardial Dysfunction Secondary to Chemotherapy
Dyspnea and Airway Issues in the Oncology Patient
Emergency Side Effects of Oncology Treatment
Global Issues
Cardiovascular Emergencies
Neurologic Emergencies
Scope
Epidemiology
Presenting Signs and Symptoms
Fever Nonlocalizing
Dyspnea
Malaise and Body Pains
ANEMIA
SICKLE CELL ANEMIA
POLYCYTHEMIA VERA
Perspective
Scope
Group Size and Leadership
Character
Communication
Fairness and Justice
Learning and Knowledge in Leadership
Effective Leadership
Leadership in Emergency Medicine
Quality Is Not Optimal in Health Care
Quality Is Not Optimal in Emergency Medicine
History of the Quality Movement in Health Care
Future of the Quality Movement in Emergency Medicine
Heart Attack Care Quality Measures
Pneumonia Care Quality Measures
Agency for Healthcare Research and Quality
The Joint Commission
Scope
Perspective
Anatomy of an Error
Error Analysis
Integration of Knowledge from Other Disciplines
Integration of Knowledge from Other Industries
Design of Health Care Processes for Safety
Disclosure
Conclusion
Examples of Conflict
Costs of Conflict
Conflict Resolution
Challenges to Conflict Resolution
Relationships in the Emergency Department
Failure of RealTime Conflict Resolution
Benefits of Conflict Resolution
Red Flags Associated with Conflict and Inadequate Conflict Management
Summary
Acknowledgments
Informed Consent
DecisionMaking Capacity
Conclusion
Background
The Joint Commission
Emergency Medical Treatment and Active Labor Act
Health Insurance Portability and Accountability Act
Special Populations
Scope
Be Service Oriented
Small Things Count
Barriers to Proper Care
Establishing the Relationship
MedicalLegal System Organization and Problems
Pearls
Specific Medical Problems
Scope
Current Procedural Terminology Codes
Evaluation and Management Codes
Hospital Billing and Capturable Revenue
Billing Compliance
What is Emergency Ultrasound?
How Does Ultrasound Actually Work?
Why Is Air Ultrasounds Enemy?
Obtaining the Best Images
Avoiding Dizziness and Disorientation
Ultrasound Safety
Background
Indication
Limitations
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
Odontogenic Infections
Otitis Externa
PostoperativeTrauma
Cholecystitis
Diarrhea Dysentery
Sepsis
Mammalian Bites
Sexually Transmitted Diseases
EpididymitisProstatitis
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