Harwood-Nuss’ Clinical Practice of Emergency Medicine

 

Description:

Clinically focused and evidence-based, Harwood-Nuss’ Clinical Practice of Emergency Medicine, Seventh Edition, is a comprehensive, easy-to-use reference for practitioners and residents in today’s Emergency Department (ED). Templated chapters rapidly guide you to up to date information on clinical presentation, differential diagnosis, evaluation, management, and disposition, including highlighted critical interventions and common pitfalls. This concise text covers the full range of conditions you’re likely to see in the ED, with unmatched readability for quick study and reference. 

 

 

 

 

Table of Contents:

 

 

Multiple Choice Questions

 

Chapter 1 The Approach to the Patient in the Emergency Department

THE PRACTICE OF EMERGENCY MEDICINE

Time and Volume Pressure

Variety of Conditions

Paucity of Information

Limited Therapeutic Options

Constraint of Disposition

A FRAMEWORK FOR APPROACHING THE ED PATIENT

Bedside Evaluation

Disposition

A FRAMEWORK FOR DECISION MAKING IN EMERGENCY MEDICINE

Management, Not Diagnosis

Decision Thresholds

ACKNOWLEDGMENTS

Chapter 2 Evidence, Experience, and the Path to Clinical Excellence

HOW DOCTORS THINK

THE ROLE OF EXPERIENCE

THE ROLE OF EBM

LIFELONG LEARNING AND CLINICAL EXPERTISE

Section I: Resuscitation

Chapter 3 Airway Management

THE DECISION TO INTUBATE

EVALUATION OF THE PATIENT

EVALUATION OF THE AIRWAY

Difficult Bag–Mask Ventilation

Difficult Extraglottic Devices

Difficult Laryngoscopy and Intubation

Difficult Cricothyrotomy

RAPID SEQUENCE INTUBATION

APPROACH TO THE AIRWAY: HOW TO PROCEED

Crash Airway Algorithm

Difficult Airway Algorithm

Failed Airway Algorithm

RESCUE DEVICES

SELLICK MANEUVER

CONFIRMATION TECHNIQUES

SUMMARY

ACKNOWLEDGMENTS

Chapter 3: Multiple Choice Questions

Chapter 4 Airway Procedures

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

Basic Airway Management

Intubation

Supraglottic Airway Devices

Advanced Airway Devices

Surgical Airways

Tracheal Confirmation Devices

DISPOSITION

Chapter 5 Cardiopulmonary Arrest

CLINICAL PRESENTATION

Phases of Resuscitation

ED EVALUATION AND MANAGEMENT

Basic Cardiopulmonary Resuscitation

Advanced Life Support

Pharmacologic Therapy

Guidelines for Cardiac Arrest

Therapeutic Mild Hypothermia

Initiating and Discontinuing Resuscitation Efforts

Invasive Cardiopulmonary Resuscitation

Quality of Resuscitation Efforts

Postresuscitation Care

DISPOSITION

Chapter 5: Multiple Choice Questions

Chapter 6 Shock

PHYSIOLOGY

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Establishing an Airway

Controlling the Work of Breathing

Optimizing the Circulation

Assuring Adequate Oxygen Delivery

Achieving End-Points of Resuscitation

Bicarbonate Use in Shock

DISPOSITION AND PROGNOSIS

Chapter 6: Multiple Choice Questions

Chapter 7 Vascular Access

GENERAL PRINCIPLES FOR INTRAVENOUS ACCESS

Fluid Flow Considerations

Venous Cannulation

VENIPUNCTURE AND PERIPHERAL INTRAVENOUS ACCESS

Peripheral Venipuncture

Peripheral Intravenous Cannulation

Pediatric Considerations

Assessment

Complications

CENTRAL VENOUS ACCESS

Internal Jugular Vein

Subclavian Vein

Femoral Vein Catheterization

Seldinger Technique

Pediatric Considerations

Assessment

Removal of the Central Venous Catheter

Complications

ULTRASOUND GUIDANCE FOR VASCULAR ACCESS

Basic Principles of Ultrasound Guidance

SPECIAL CONSIDERATIONS FOR PERIPHERAL VENIPUNCTURE

External Jugular Vein Cannulation

Deep Brachial Vein Cannulation

ACCESSING INDWELLING CENTRAL VENOUS LINES

PERIPHERAL VENOUS CUTDOWN

Greater Saphenous Vein Isolation at the Ankle

Greater Saphenous Vein Isolation at the Groin

Basilic Vein Isolation at the Elbow

Techniques for Cannulation of the Vein

INTRAOSSEOUS INFUSION

UMBILICAL VESSEL CATHETERIZATION

ARTERIAL PUNCTURE AND CANNULATION

Chapter 7: Multiple Choice Questions

Section II: High-Risk Chief Complaints

Chapter 8 Chest Pain

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Diagnostic Approach

DISPOSITION

Chapter 8: Multiple Choice Questions

Chapter 9: Abdominal Pain

CLINICAL PRESENTATION

History

Physical Examination

DIFFERENTIAL DIAGNOSIS

Abdominal Pain in the Elderly

Abdominal Pain in Patients With HIV

Women of Childbearing Age

Porphyria

Abdominal Vasculitis

Angioedema

Sickle Cell Disease

Chronic Lead Intoxication

Addison Disease

Opioid Withdrawal

Psychogenic Abdominal Pain

DIAGNOSTIC APPROACH

Laboratory Testing

Radiographic Studies

DISPOSITION

Chapter 9: Multiple Choice Questions

Chapter 10: Shortness of Breath

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Anaphylaxis

Upper Airway Obstruction

Pulmonary Embolism

Myocardial Ischemia

Congestive Heart Failure

Chronic Obstructive Pulmonary Disease

Asthma

Pneumonia

Pneumothorax

DIAGNOSTIC APPROACH

DISPOSITION

ACKNOWLEDGMENTS

Chapter 10: Multiple Choice Questions

Chapter 11 Syncope

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 11: Multiple Choice Questions

Chapter 12 Fever

CLINICAL PRESENTATION

History

Physical Examination

DIFFERENTIAL DIAGNOSIS

Infection

Drug-Induced Hyperthermia Syndromes

Other Drug-Related Causes

Venous Thromboembolism

Central Nervous System Lesions

Rheumatologic and Connective Tissue Disorders

Neoplastic Diseases

Inherited Diseases

Endocrine Disorders

DIAGNOSTIC APPROACH

Laboratory Evaluation

Radiologic Studies

DISPOSITION

Chapter 12: Multiple Choice Questions

Chapter 13 Altered Mental Status and Coma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Metabolic Encephalopathies

Hypoxia and Hypoglycemia

Hyperglycemia

Uremic and Hepatic Encephalopathies

Adrenal and Thyroid Emergencies

Hypertension

Infectious Causes

Toxic Causes

Seizures

Vascular and Structural Causes

DIAGNOSTIC APPROACH

Prehospital Interventions

History and Physical Examination

Neuroimaging

Other Diagnostic Tests

DISPOSITION

ACKNOWLEDGMENTS

Chapter 13: Multiple Choice Questions

Chapter 14 Headache

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 14: Multiple Choice Questions

Chapter 15 Weakness

CLINICAL PRESENTATION

Focal Weakness

Global Weakness

History

Physical Examination

DIFFERENTIAL DIAGNOSIS

Metabolic

Cardiovascular

Central Nervous System Lesions

Specific Neuromuscular Diseases

Infections

Medications and Toxins

Endocrine

Rheumatologic

Psychogenic Weakness

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 15: Multiple Choice Questions

Chapter 16 Dizziness

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

DIAGNOSTIC APPROACH

History

Physical Examination

Diagnostic Tests

DISPOSITION

Chapter 16: Multiple Choice Questions

Section III: Pain Management and Procedural Sedation

Chapter 17 Acute Pain Management

PAIN ASSESSMENT

Subjective Nature of Pain

Distinguishing Pain-Avoiding versus Drug-Seeking Behaviors

Assessing Pain in Vulnerable Populations

ED MANAGEMENT

Expediting Relief

Nonpharmacologic Therapy

Pharmacologic Therapy

Chapter 17: Multiple Choice Questions

Chapter 18 Chronic Pain Syndromes

CLINICAL PRESENTATION

Drug Abuse and Addiction

ED MANAGEMENT

SPECIFIC CHRONIC PAIN SYNDROMES

Chronic Low Back Pain

Chronic Myofascial Pain and Fibromyalgia

Temporomandibular Disorders

Neuropathic Pain Syndromes

Facial Neuralgias

Postherpetic Neuralgia

Complex Regional Pain Syndrome

Phantom Limb Pain

DISPOSITION

ACKNOWLEDGMENTS

Chapter 18: Multiple Choice Questions

Chapter 19 Procedural Sedation and Analgesia

DEFINITIONS

ED EVALUATION

ED MANAGEMENT

Preparation

Monitoring

Drug Selection and Administration

PSA Agents

Reversal Agents

DISPOSITION

ACKNOWLEDGMENTS

Chapter 19: Multiple Choice Questions

Section IV: Trauma

Part 1: GENERAL CONSIDERATIONS

Chapter 20 General Principles of Trauma

CLINICAL PRESENTATION

Prehospital

Emergency Department

ED EVALUATION AND MANAGEMENT

Prior to Arrival

Primary Survey

Secondary Survey

DISPOSITION

TRAUMA SCORING SYSTEMS

Physiologic Scores

Revised Trauma Score

ACKNOWLEDGMENTS

Chapter 20: Multiple Choice Questions

Chapter 21 Trauma Airway Management

INDICATIONS FOR AIRWAY MANAGEMENT IN THE TRAUMA PATIENT

TECHNIQUES OF AIRWAY MANAGEMENT

Orotracheal Intubation and Rapid Sequence Induction

Video-Assisted Intubation

Nasotracheal Intubation

Surgical Airway Management

Special Maneuvers and Intubation Adjuncts

Pharmacologic Agents

SPECIAL CONSIDERATIONS

Cervical Spine Injury

Penetrating Neck Trauma

Head Injury

Facial Trauma

SUGGESTED APPROACHES

Chapter 21: Multiple Choice Questions

Chapter 22 Traumatic Shock

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 22: Multiple Choice Questions

Chapter 23 Wound Management

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

Latex Allergy

Wound Examination

Wound Anesthesia

Local Infiltration

Regional Anesthesia

Topical Anesthesia

Preparation of Skin

Debridement

Assessment for Foreign Bodies

Cleansing the Wound

Use of Drains

Open Wound Management

Wound Closure

Sutures

Topical Skin Adhesives

Staples

Adhesive Tapes

Complex Issues in Wound Care

Post Repair Wound Care

Prevention of Tetanus

DISPOSITION

Chapter 23: Multiple Choice Questions

Part 2: Specific Injuries

Chapter 24 Head Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 24: Multiple Choice Questions

Chapter 25 Maxillofacial Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Frontal Bone Fractures

Orbital Fractures

Nasal Fractures

Nasoorbitoethmoid Fractures

Zygomatic Fractures

Maxillary Fractures

Mandible Fractures

Mandibular Dislocations

Soft Tissue Injuries

DISPOSITION

ACKNOWLEDGMENTS

Chapter 25: Multiple Choice Questions

Chapter 26 Dental Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Dental Fractures

Crown Fractures

Uncomplicated Fractures Through the Enamel and Dentin

Complicated Fractures of the Crown Involving the Pulp

Luxation, Subluxation, Intrusion, and Avulsion

Alveolar Bone Fractures

Soft Tissue Trauma

Buccal Mucosa Injuries

Gingival Injuries

Frenulum Injuries

Tongue Lacerations

DISPOSITION

ACKNOWLEDGMENTS

Chapter 26: Multiple Choice Questions

Chapter 27 Eye Trauma

CLINICAL PRESENTATION

ED EVALUATION

Visual Acuity

Lids and Other Periorbital Structures

Anterior Segment

Pupils

Extraocular Muscles

Posterior Segment

Intraocular Pressure

Imaging of the Eye

ED MANAGEMENT

Subconjunctival Hemorrhage

Simple Eyelid Lacerations and Periorbital Contusion

Complex Eyelid Lacerations and Other Penetrating Trauma

Blowout Fractures and Other Facial Fractures

Burns

Corneal and Conjunctival Injuries

Other Anterior Segment Injuries

Intraocular Foreign Bodies

Globe Luxation or Subluxation

Globe Rupture From Blunt Trauma

Posterior Segment Injuries

Retrobulbar Hematoma

Complications of Eye Trauma

DISPOSITION

ACKNOWLEDGMENTS

Chapter 27: Multiple Choice Questions

Chapter 28 Blunt Neck Trauma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 28: Multiple Choice Questions

Chapter 29 Penetrating Neck Trauma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Respiratory Injuries

Vascular Injuries

Gastrointestinal Injuries

Nervous System Injuries

Cervical Spine Considerations

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 29: Multiple Choice Questions

Chapter 30 Cervical Spine Fractures

CLINICAL PRESENTATION

Classification Based on Mechanism

Classification Based on Stability

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 30: Multiple Choice Questions

Chapter 31 Thoracolumbar Spine Fractures

CLINICAL PRESENTATION

Classification

Wedge Compression Fractures

Chance Fractures

Burst Fractures

Flexion–Distraction Injuries

Translational Injuries

Minor Spinal Fracture Patterns

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 31: Multiple Choice Questions

Chapter 32 Spinal Cord Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 32: Multiple Choice Questions

Chapter 33 Blunt Chest Trauma

CLINICAL PRESENTATION

Chest Wall Injuries

Sternal Fractures

Flail Chest

Pulmonary and Pleural Injuries

Pulmonary Contusion

Tracheal and Bronchial Injuries

Blunt Cardiac Injuries

Great Vessel Injuries

Diaphragmatic Injuries

Esophageal Injuries

Traumatic Asphyxia

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Chest Wall Injuries

Flail Chest

Pulmonary and Pleural Injuries

Pulmonary Contusion

Tracheal and Bronchial Injuries

Blunt Cardiac Injuries

Great Vessel Injuries

Diaphragmatic Injuries

Esophageal Injuries

Traumatic Asphyxia

ED MANAGEMENT

Chest Wall Injuries

Flail Chest

Sternal Fractures

Pulmonary and Pleural Injuries

Tracheal and Bronchial Injuries

Blunt Cardiac Injuries

Great Vessel Injuries

Diaphragmatic Injuries

Esophageal Injuries

ED Thoracotomy and REBOA

DISPOSITION

Chapter 33: Multiple Choice Questions

Chapter 34 Penetrating Chest Trauma

CLINICAL PRESENTATION

Pneumothorax

Tracheobronchial Injuries

Hemothorax

Mediastinal Injuries

Esophageal Injuries

Cardiac Injuries

Great Vessel Injuries

Diaphragmatic Injuries

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Physical Examination

Chest Radiography

Ultrasonography

Computed Tomography

Bronchoscopy

Esophagography

Esophagoscopy

Angiography

Diagnostic Peritoneal Lavage

ED MANAGEMENT

Airway Management

Needle Decompression

Tube Thoracostomy

Pericardiocentesis

Central Venous Access

Emergency Department Thoracotomy

Special Considerations for Mediastinal and Diaphragmatic Injuries

DISPOSITION

ACKNOWLEDGMENTS

Chapter 34: Multiple Choice Questions

Chapter 35 Blunt Abdominal Trauma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

History

Physical Examination

Plain Radiographs

Laboratory Tests

Diagnostic Peritoneal Lavage

Computed Tomography

Ultrasound

Angiography

ED MANAGEMENT

Unstable Patients

Stable Patients

DISPOSITION

Chapter 35: Multiple Choice Questions

Chapter 36 Penetrating Abdominal Trauma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Stab Wounds

Gunshot Wounds

DISPOSITION

Chapter 36: Multiple Choice Questions

Chapter 37 Genitourinary Trauma

CLINICAL PRESENTATION

Upper Tract Injury

Lower Tract Injuries

External Genitalia Trauma

ED EVALUATION

Upper Tract Injury

Lower Tract Injury and External Genitalia Injury

ED MANAGEMENT

Upper Tract Injury

Lower Tract Injuries

External Genitalia Injury

DISPOSITION

ACKNOWLEDGMENTS

Chapter 37: Multiple Choice Questions

Chapter 38 Peripheral Vascular Injuries

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 38: Multiple Choice Questions

Part 3: Orthopedic Trauma

Chapter 39 Approach to Musculoskeletal Injuries

CLINICAL PRESENTATION

Sprains

Strains

Contusions

Fractures

Subluxations and Dislocations

Tendinosis

Muscle Spasms

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 39: Multiple Choice Questions

Chapter 40 Shoulder Injuries

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Clavicle Fractures

Proximal Humerus Fractures

Scapular Fractures

Anterior Shoulder Dislocation

Posterior Shoulder Dislocation

Inferior Shoulder Dislocation (Luxatio Erecta)

AC Joint Injury

SC Joint Injuries

Rotator Cuff Injury

Chapter 40: Multiple Choice Questions

Chapter 41 Elbow Injuries

ED EVALUATION

ED MANAGEMENT

Supracondylar Fractures

Intercondylar Fractures

Humeral Condyle Fractures

Epicondyle Fractures

Articular Surface Fractures

Proximal Ulna Fractures

Radial Head Fractures

Nursemaid’s Elbow

Monteggia Fracture

Elbow Dislocation

Epicondylitis

Olecranon Bursitis

Rupture of the Distal Biceps or Triceps Tendon

Osteochondritis Dissecans

DISPOSITION

Chapter 41: Multiple Choice Questions

Chapter 42 Wrist and Forearm Injuries

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

Carpal Fractures

Occult Carpal Fractures

Carpal Ligamentous Injury

Distal Radial Fractures

Distal Ulnar Fractures

Ligamentous Injuries

Forearm Fracture–Dislocations

Tendon Lacerations

Nerve Injuries

Arterial Injuries

DISPOSITION

ACKNOWLEDGMENTS

Chapter 42: Multiple Choice Questions

Chapter 43 Hand Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Anesthetic Techniques

Metacarpal Neck Fractures

Metacarpal Head Fractures

Metacarpal Shaft Fractures

Metacarpal Base Fractures

First Metacarpal Fractures

Metacarpal Dislocations

Ulnar Collateral Ligament Injury (Gamekeeper’s Thumb, Skier’s Thumb)

Proximal and Middle Phalangeal Fractures

Distal Phalanx Fractures

Proximal Interphalangeal Joint Dislocations

Distal Interphalangeal Joint Dislocations

Hand Lacerations

Clenched-Fist Injuries (Fight Bites)

Tendon Lacerations

Nerve Injuries

Arterial Injuries

Fingertip Lacerations, Avulsions, and Amputations

Subungual Hematoma

Nail Bed Lacerations

High-Pressure Injection Injuries

Compartment Syndrome of the Hand

DISPOSITION

ACKNOWLEDGMENTS

Chapter 43: Multiple Choice Questions

Chapter 44 Pelvic Fractures

CLINICAL PRESENTATION

Lateral Compression

Anteroposterior Compression

Vertical Shear Fractures

Other Types of Pelvic Fractures

Associated Injuries

ED EVALUATION

Physical Examination

Pelvic X-Rays

Computed Tomography

ED MANAGEMENT

Resuscitation

Pelvic Stabilization

Detection of Intraperitoneal Hemorrhage

Definitive Management

DISPOSITION

ACKNOWLEDGMENTS

Chapter 45 Hip and Femur Injuries

ED EVALUATION

ED MANAGEMENT

Hip Dislocations

Posterior Hip Dislocations

Anterior Hip Dislocations

Prosthetic Hip Dislocations

Hip Fractures

Femoral Head Fractures

Femoral Neck Fractures

Intertrochanteric Fractures

Greater and Lesser Trochanteric Fractures

Subtrochanteric Fractures

Acetabular Fractures

Slipped Capital Femoral Epiphysis

DISPOSITION

Chapter 45: Multiple Choice Questions

Chapter 46 Knee Injuries

CLINICAL PRESENTATION

Fractures

Knee Dislocation

Patellar Dislocation

Ligamentous Injuries

Meniscal Tears

Tendon Injuries

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Specific Tests for Soft Tissue Injuries

Diagnostic Studies

ED MANAGEMENT

Fractures

Knee Dislocation

Patellar Dislocation

Ligamentous Injuries

Meniscal Tears

Tendon Injuries

Bursitis

DISPOSITION

ACKNOWLEDGMENTS

Chapter 46: Multiple Choice Questions

Chapter 47 Ankle and Foot Injuries

CLINICAL PRESENTATION

ED EVALUATION AND MANAGEMENT

Foot and Ankle Physical Examination

Radiographic Imaging

Ankle Ligamentous Injuries

Ankle Fractures

Ankle Dislocations

Achilles Tendon Rupture

Peroneal Tendon Injury

Calcaneal Fractures

Talus Fractures

Subtalar Dislocation

Lisfranc Fracture–Dislocation

Midfoot Fractures

Proximal Fifth Metatarsal Fractures

Forefoot Injuries

Puncture Wounds

DISPOSITION

ACKNOWLEDGMENTS

Chapter 47: Multiple Choice Questions

Part 4: Special Considerations

Chapter 48 Burns

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Airway Management

Fluid Resuscitation

Pain Management

Management of Associated Injuries

Wound Care

DISPOSITION

Chapter 48: Multiple Choice Questions

Chapter 49 Replantation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Indications and Contraindications for Replantation

Replantation Sites

ED Management

DISPOSITION

ACKNOWLEDGMENTS

Chapter 49: Multiple Choice Questions

Chapter 50 Acute Compartment Syndrome

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 50: Multiple Choice Questions

Chapter 51 Ballistics

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 51: Multiple Choice Questions

Chapter 52 Blast Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 52: Multiple Choice Questions

Chapter 53 Hanging and Strangulation Injuries

Clinical Presentation

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 53: Multiple Choice Questions

Chapter 54 Trauma in Pregnancy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED Evaluation

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 54: Multiple Choice Questions

Chapter 55 Trauma in Older Adults

CLINICAL PRESENTATION

Pathophysiology

Mechanisms of Injury

Common Injury Patterns

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 55: Multiple Choice Questions

Section V: Eye Emergencies

Chapter 56 The Eye Examination

ED EVALUATION

History

Pain and Discomfort

Photophobia

Discharge and Tearing

Redness and Swelling

Visual Disturbances

Diplopia

THE OCULAR EXAMINATION

VISUAL ACUITY

Face and External Eye

EXTRAOCULAR MOTILITY

VISUAL FIELDS

PUPILS

Anterior Segments

Posterior Segments

Intraocular Pressure Measurement

DIAGNOSTIC TESTING

DISPOSITION

ACKNOWLEDGMENTS

Chapter 56: Multiple Choice Questions

Chapter 57 Common Eye Medications

DIAGNOSTIC MEDICATIONS

Stains

Anesthetics

Mydriatics and Cycloplegics (Red Cap)

THERAPEUTIC AGENTS

Lubricants

Antibiotics (Tan Cap)

Anti-Inflammatories

Antibiotic–Steroid Combinations

Antiglaucoma Agents

Allergy Medications

Chapter 57: Multiple Choice Questions

Chapter 58 The Red Eye

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Conjunctivitis

Keratitis

Uveitis

Episcleritis

Scleritis

Acute Angle-Closure Glaucoma

Corneal Abrasion and Foreign Body

Subconjunctival Hemorrhage

Periorbital and Orbital Cellulitis

DIAGNOSTIC APPROACH

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 59 Corneal Abrasion and Foreign Bodies

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 59: Multiple Choice Questions

Chapter 60 Acute Vision Loss

CLINICAL PRESENTATION

Inflammatory Processes

Vascular Events

Vitreous and Retinal Disorders

Other Causes of Vision Loss

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 60: Multiple Choice Questions

Chapter 61 Diplopia

CLINICAL PRESENTATION

Isolated Cranial Nerve Palsies (ICNP)

Oculomotor (CN-3) Palsy

Trochlear (CN-4) Palsy

Abducens (CN-6) Palsy

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 61: Multiple Choice Questions

Chapter 62 Acute Eye Infections

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Lids

Conjunctiva

Cornea

Anterior Chamber

Periorbital Areas and Skin

ED MANAGEMENT

Treatment of Ocular Surface and Lid Infections

Treatment of Periorbital and Orbital Cellulitis

DISPOSITION

ACKNOWLEDGMENTS

Chapter 63 Acute Angle-Closure Glaucoma

ANATOMY AND PATHOPHYSIOLOGY

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Oblique Flashlight Test

Slit-Lamp Examination

Intraocular Pressure

ED MANAGEMENT

Topical Therapy

Systemic Therapy

Corneal Indentation

Surgical Therapy

DISPOSITION

ACKNOWLEDGMENTS

Chapter 63: Multiple Choice Questions

Section VI: ENT and Dental Emergencies

Chapter 64 Dental Emergencies

DENTAL ANATOMY

The Dental Examination

DENTAL ANESTHESIA

CLINICAL PRESENTATION

Caries and Pulpitis

Periodontitis

Abscess and Cellulitis

Pericoronitis

Gingivitis

Acute Necrotizing Ulcerative Gingivitis (ANUG)

Gum Hyperplasia

Postextraction Bleeding

Alveolar Osteitis (“Dry Socket”)

Oral Candidiasis

Aphthous Stomatitis

Herpetic Gingivostomatitis

Other Systemic Diseases

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 65 Head and Neck Infections

CLINICAL PRESENTATION

Ludwig Angina

Mediastinitis

Salivary Infections

Lemierre Syndrome

Cavernous Sinus Thrombosis

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 65: Multiple Choice Questions

Chapter 66 Temporomandibular Pain and Dislocation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Imaging

ED MANAGEMENT

DISPOSITION

Chapter 66: Multiple Choice Questions

Chapter 67 Upper Airway Obstruction

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Foreign-Body Obstruction

Infection

Hypersensitivity

Hemorrhagic Disorders

Extrinsic Mass

Neoplasia

ED EVALUATION

ED MANAGEMENT

Airway Opening Maneuvers

Nonsurgical Management

Surgical Management

DISPOSITION

Chapter 67: Multiple Choice Questions

Chapter 68 Sore Throat

DIFFERENTIAL DIAGNOSIS

CLINICAL PRESENTATION

Acute Pharyngitis: Organisms

Peritonsillar Cellulitis and Abscess

Retropharyngeal Abscess

Acute Supraglottitis & Epiglottitis

Noninfectious Pharyngitis

ED EVALUATION

History

Physical Examination

Laboratory Testing

Imaging

ED MANAGEMENT

Pharyngitis

Peritonsillar Cellulitis and Abscess

Retropharyngeal Abscess

Epiglottitis

DISPOSITION

Chapter 68: Multiple Choice Questions

Chapter 69 Sinusitis and Rhinitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 69: Multiple Choice Questions

Chapter 70 Ear Infections in Adults

ACUTE OTITIS EXTERNA

ACUTE OTITIS MEDIA

AURICULAR CELLULITIS AND PERICHONDRITIS

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Acute Otitis Externa

Acute Otitis Media

Auricular Cellulitis and Perichondritis

ED MANAGEMENT

Acute Otitis Externa

Acute Otitis Media

Auricular Cellulitis and Perichondritis

DISPOSITION

Chapter 70: Multiple Choice Questions

Chapter 71 Epistaxis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Control of Anterior Epistaxis

Control of Posterior Epistaxis

DISPOSITION

ACKNOWLEDGMENTS

Chapter 71: Multiple Choice Questions

Chapter 72 Vertigo

Peripheral and Central Vestibular Anatomy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Physical Examination

Laboratory Testing

Imaging

ED MANAGEMENT

DISPOSITION

Chapter 72: Multiple Choice Questions

Chapter 73 Acute Hearing Loss and Tinnitus

CLINICAL PRESENTATION

Auditory Pathway

Types of Hearing Loss

Tinnitus

DIFFERENTIAL DIAGNOSIS

Acute Conductive Hearing Loss (CHL)

Acute Sensorineural Hearing Loss

Mixed Hearing Loss

ACUTE HEARING LOSS AND ASSOCIATED SYMPTOMS

AHL and Tinnitus

AHL and Vertigo

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 73: Multiple Choice Questions

Chapter 74 Complications of Tracheostomies

TRACHEOSTOMY TUBE COMPONENTS

INITIAL APPROACH TO THE TRACHEOSTOMY PATIENT WITH RESPIRATORY DISTRESS

OBSTRUCTION

HEMORRHAGE

INFECTION

STENOSIS

TRACHEOESOPHAGEAL FISTULA

DISLODGEMENT AND REPLACEMENT OF TRACHEOSTOMY CANNULA

DISPOSITION

Chapter 74: Multiple Choice Questions

Section VII: Pulmonary Emergencies

Chapter 75 Respiratory Failure and Invasive Ventilator Management

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Assess Upper Airway

Bedside Assessment of Adequacy of Oxygenation and Ventilation

Physical Examination

Diagnostic Studies

ED MANAGEMENT

Approach to the Undifferentiated Patient With Impending Respiratory Failure

Oxygen Supplementation

Noninvasive Ventilation

Endotracheal Intubation

Monitoring Ventilator Pressures (Table 75.)

Troubleshooting Problems in the Mechanically Ventilated Patient

DISPOSITION

Chapter 75: Multiple Choice Questions

Chapter 76 Pneumonia

CLINICAL PRESENTATION

Typical and Atypical Pneumonias

Common Etiologies

Unusual Causes of Pneumonia

Differential Diagnosis

ED EVALUATION

Chest Radiography

Other Tests

ED MANAGEMENT

Outpatient Management

DISPOSITION

Chapter 76: Multiple Choice Questions

Chapter 77 Pleural Effusion

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Plain Radiography

Ultrasound

Computed Tomography (CT)

ED MANAGEMENT

Thoracentesis

Evaluation of the Fluid

DISPOSITION

Chapter 77: Multiple Choice Questions

Chapter 78 Asthma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

β-Adrenergic Agonists

Glucocorticoids

Anticholinergic Agents

Other Agents

Noninvasive Assisted Ventilation

Invasive Assisted Ventilation

Asthma in Pregnancy

DISPOSITION

Chapter 79 Chronic Obstructive Pulmonary Disease

INTRODUCTION

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED Management

DISPOSITION

ACKNOWLEDGMENT

Chapter 79: Multiple Choice Questions

Chapter 80 Spontaneous Pneumothorax and Pneumomediastinum

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 80: Multiple Choice Questions

Chapter 81 Pulmonary Embolism

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 81: Multiple Choice Questions

Chapter 82 Hemoptysis

CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 82: Multiple Choice Questions

Chapter 83 Sarcoidosis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 83: Multiple Choice Questions

Section VIII: Cardiac Emergencies

Chapter 84 Acute Coronary Syndrome

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Electrocardiography

Biochemical Markers

Myocardial Imaging

ED MANAGEMENT

Interventions in Patients With Chest Pain and Suspected Unstable Angina or Non–ST-Segment Elevation Myocardial Infarction

Interventions in the Patient With ST-Segment Elevation MI

Complications of Acute Ischemia or Infarction

DISPOSITION

Chapter 84: Multiple Choice Questions

Chapter 85 Congestive Heart Failure and Cor Pulmonale

Congestive Heart Failure

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Treatment of Mild to Moderate ADHF

Treatment of Severe ADHF and Acute Pulmonary Edema

DISPOSITION

Chronic Cor Pulmonale (Pulmonary Heart Disease)

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 85: Multiple Choice Questions

Chapter 86 Bradydysrhythmias

ED EVALUATION AND MANAGEMENT

Disorders of Impulse Formation

Disturbances of Conduction

Artificial Pacemakers

DISPOSITION

Chapter 86: Multiple Choice Questions

Chapter 87 Tachydysrhythmias

PATHOPHYSIOLOGY OF TACHYDYSRHYTHMIA

CLINICAL PRESENTATION

ED EVALUATION

Step 1. Be Prepared for a Cardiopulmonary Arrest

Step 2. Determine Stability

Step 3. Determine the Rate

Step 4. Determine the QRS Complex Width

Step 5. Assess the Regularity of the RR Intervals

Step 6. Determine the Presence or Absence of P Waves

DIFFERENTIAL DIAGNOSIS AND ED MANAGEMENT

Narrow-Complex Tachycardias

Wide-Complex Tachycardias

Ventricular Fibrillation

DISPOSITION

Chapter 87: Multiple Choice Questions

Chapter 88 Pacemakers and Implantable Cardioverter–Defibrillators

Pacemakers

Clinical Presentation and Differential Diagnosis

ED EVALUATION

Malfunction Associated With Bradycardia

Malfunction Associated With Tachycardia

Infectious and Mechanical Complications of Pacemakers

ED MANAGEMENT

DISPOSITION

Implantable Cardioverter–Defibrillators

CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 88: Multiple Choice Questions

Chapter 89 Ventricular Assist Devices

CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS

ED Evaluation

ED MANAGEMENT

Arrhythmia

Bleeding

Pump Thrombosis

Infectious Complications

Mechanical Failure

DISPOSITION

Chapter 89: Multiple Choice Questions

Chapter 90 Valvular Heart Disease

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Prosthetic Valves

ED MANAGEMENT

DISPOSITION

Chapter 90: Multiple Choice Questions

Chapter 91 Infective Endocarditis

CLINICAL SUBGROUPS

DAMAGED NATIVE VALVE

INTRAVENOUS DRUG USERS

PROSTHETIC VALVE INFECTIVE ENDOCARDITIS

Early-Onset Prosthetic Valve Infective Endocarditis

Late-Onset Prosthetic Valve Infective Endocarditis

CLINICAL PRESENTATION

Complications

Emboli and Immunologic Responses

ED EVALUATION

ED MANAGEMENT

Empiric Antibiotic Coverage

Antibiotics Based on Known Organism

Anticoagulants

Surgery

DISPOSITION

ANTIBIOTIC PROPHYLAXIS AGAINST INFECTIVE ENDOCARDITIS

Chapter 91: Multiple Choice Questions

Chapter 92 Acute Pericarditis and Cardiac Tamponade

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Cardiac Tamponade

Recurrent Pericarditis

Constrictive Pericarditis

ED MANAGEMENT

DISPOSITION

Chapter 92: Multiple Choice Questions

Chapter 93 Hypertension

CLINICAL PRESENTATION

Hypertensive Encephalopathy

Accelerated Malignant Hypertension

Cerebrovascular Crisis

Cardiovascular Crisis

Renovascular Crisis

Catecholamine Excess

Hypertension in Pregnancy

Asymptomatic Hypertension

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Cerebrovascular Crisis

Cardiovascular Crisis

Renovascular Crisis

Catecholamine Excess

Hypertension in Pregnancy

Asymptomatic Hypertension

DISPOSITION

Chapter 93: Multiple Choice Questions

Section IX: Vascular Emergencies

Chapter 94 Nontraumatic Carotid and Vertebral Artery Disorders

Dissection

CLINICAL PRESENTATION

ICA Dissection

Vertebral Artery Dissection

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Duplex Ultrasound

Magnetic Resonance Imaging/Magnetic Resonance Angiography

Computed Tomography Angiography

MRI/MRA VERSUS CTA

ED MANAGEMENT

DISPOSITION

Stenosis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Internal Carotid Artery Stenosis

Vertebral Artery Stenosis

ED MANAGEMENT

DISPOSITION

Chapter 94: Multiple Choice Questions

Chapter 95 Thoracic Aortic Dissection and Aneurysm

THORACIC AORTIC DISSECTION

CLASSIFICATION

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

THORACIC AORTIC ANEURYSM

Chapter 96 Abdominal Aortic Aneurysm

CLINICAL PRESENTATION

Asymptomatic Aneurysm

Symptomatic Aneurysm

Ruptured Aneurysm

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Radiographic Imaging

ED MANAGEMENT

Asymptomatic Aneurysm

Symptomatic Aneurysm

Ruptured Aneurysm

DISPOSITION

Chapter 96: Multiple Choice Questions

Chapter 97 Mesenteric Ischemia

MESENTERIC ISCHEMIA EPIDEMIOLOGY AND CLASSIFICATION

CLINICAL PRESENTATION

Acute Mesenteric Ischemia

Ischemic Colitis

Chronic Mesenteric Ischemia

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Laboratory Testing

Imaging

ED MANAGEMENT

Percutaneous Endovascular Treatment

Chapter 97: Multiple Choice Questions

Chapter 98 Peripheral Arterial Disease

CLINICAL PRESENTATION

Acute Limb Ischemia

Critical Limb Ischemia

Claudication

DIFFERENTIAL DIAGNOSIS

Acute Thrombus or Embolus

ED EVALUATION

Ankle-Brachial Pressure Index

Imaging Studies

ED MANAGEMENT

Acute Limb Ischemia (ALI)

Critical Limb Ischemia (CLI) and Rest Pain

Chronic Ischemia With Ulcerations or Infection

Claudication

DISPOSITION

Chapter 98: Multiple Choice Questions

Chapter 99 Deep Venous Thrombosis and Thrombophlebitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Initial Management of DVT

Dosing of Anticoagulants

DISPOSITION

Chapter 99: Multiple Choice Questions

Chapter 100 Vascular Graft Complications

VASCULAR GRAFTS

GRAFT COMPLICATIONS

Stenosis, Thrombosis, and Occlusion

Infection

Erosion into Contiguous Structures With Fistulization

Pseudoaneurysm

Hemodynamic Complications of Vascular Access Grafts

Complications Associated With Endovascular Grafts

DISPOSITION

Chapter 100: Multiple Choice Questions

Section X: Gastrointestinal Emergencies

Chapter 101 Esophageal Disorders

Esophagitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Swallowing Disorders

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Gastroesophageal Reflux Disease

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Esophageal Perforation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 101: Multiple Choice Questions

Chapter 102 Upper Gastrointestinal Bleeding

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Nonvariceal Bleeding

Variceal Bleeding

DISPOSITION

Nonvariceal Bleeding

Variceal Bleeding

Chapter 102: Multiple Choice Questions

Chapter 103 Lower Gastrointestinal Bleeding

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

History and Physical Examination

Laboratory Testing

Diagnostic Procedures and Imaging

ED MANAGEMENT

DISPOSITION

Chapter 103: Multiple Choice Questions

Chapter 104 Peptic Ulcer

PATHOPHYSIOLOGY

COMPLICATIONS

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Uncomplicated Peptic Ulcer Disease

Hemorrhage

Penetration/Perforation

Gastric Outlet Obstruction

DISPOSITION

ACKNOWLEDGMENT

Chapter 104: Multiple Choice Questions

Chapter 105 Jaundice

JAUNDICE, APPROACH TO JAUNDICE, BILIRUBIN METABOLISM

BILIRUBIN METABOLISM

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

History

Physical Examination

Laboratory Evaluation

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 105: Multiple Choice Questions

Chapter 106 Acute Diseases of the Biliary Tract

Pathophysiology

CLINICAL PRESENTATION

Asymptomatic Cholelithiasis

Symptomatic Cholelithiasis

Complicated Cholelithiasis

Acute Cholecystitis

Complications of Acute Cholecystitis

Choledocholithiasis

Ascending Cholangitis

Complications of Chronic Cholelithiasis

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Diagnostic Imaging

ED MANAGEMENT

DISPOSITION

Chapter 106: Multiple Choice Questions

Chapter 107 Hepatitis

CLINICAL PRESENTATION

Viral Hepatitis

Infectious, Nonviral Hepatitis

Autoimmune Hepatitis

Toxic Hepatitis

Metabolic Causes of Hepatitis

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 107: Multiple Choice Questions

Chapter 108 Hepatic Failure and Cirrhosis

CLINICAL PRESENTATION

Acute Hepatic Failure

Hepatic Encephalopathy

Gastrointestinal Bleeding

Sepsis and Spontaneous Bacterial Peritonitis

Hepatorenal Syndrome

Coagulopathy

DIFFERENTIAL DIAGNOSIS

Acute Hepatic Failure

Hepatic Encephalopathy

Gastrointestinal Bleeding

Sepsis and Spontaneous Bacterial Peritonitis

Hepatorenal Syndrome

Coagulopathy

ED EVALUATION

Hepatic Encephalopathy

Gastrointestinal Bleeding

Sepsis and Spontaneous Bacterial Peritonitis

Hepatorenal Syndrome

Coagulopathy

ED MANAGEMENT

Hepatic Encephalopathy

Gastrointestinal Bleeding

Sepsis and Spontaneous Bacterial Peritonitis

Hepatorenal Syndrome

Coagulopathy

DISPOSITION

Chapter 109 The Liver Transplant Patient

TRANSPLANT SURGERY

Typical Posttransplant Course

CLINICAL PRESENTATION

Vascular Complications

Biliary Complications

Rejection

Infection

Medication-Related Adverse Effects

Late Complications

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 109: Multiple Choice Questions

Chapter 110 Pancreatitis

CLINICAL PRESENTATION

Acute Pancreatitis

Chronic Pancreatitis

DIFFERENTIAL DIAGNOSIS

Acute Pancreatitis

Chronic Pancreatitis

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 111 Appendicitis

CLINICAL PRESENTATION

History

Physical Examination

Pediatric Patients

Geriatric Patients

Pregnant Patients

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Laboratory Studies

Imaging Studies

ED MANAGEMENT

DISPOSITION

Chapter 112 Bowel Obstruction

PATHOPHYSIOLOGY

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 112: Multiple Choice Questions

Chapter 113 Hernias

PEDIATRIC CONSIDERATIONS

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 113: Multiple Choice Questions

Chapter 114 Inflammatory Bowel Disease

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Diagnostic Testing

ED MANAGEMENT

DISPOSITION

Chapter 115 Diarrhea

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Acute Watery Diarrhea

Dysentery

Food Poisoning

Protozoal Diarrhea

Travelers’ Diarrhea

Antibiotic-Associated Diarrhea

Diarrhea in Immunocompromised Hosts

Diarrhea of Noninfectious Etiology

Postinfectious Complications Associated With Enteropathogens (See eTable 115.2)

ED EVALUATION

Blood Studies

Stool Studies

Laboratory Diagnosis of CDI

Abdominal Computed Tomography (CT)

ED MANAGEMENT

Fluid and Electrolyte Therapy

Dietary Recommendations

Antimotility Agents

Bismuth Subsalicylate

Antimicrobials

CDI Therapy

Advice for Travelers

Infection Control Measures

DISPOSITION

Chapter 116 Diverticular Disease

CLINICAL PRESENTATION

Symptomatic Uncomplicated Diverticular Disease

Acute Diverticulitis

Lower Gastrointestinal Bleeding (LGIB)

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Left Lower Quadrant Pain

Lower Gastrointestinal Bleeding

ED MANAGEMENT

Symptomatic Uncomplicated Diverticular Disease (SUDD)

Acute Diverticulitis

Diverticular Bleeding

DISPOSITION

Chapter 117 Anorectal Disorders

Clinical Presentation

Painful Swelling

Painful Bleeding

Pain Without Bleeding or Swelling

Painless Conditions

Foreign Bodies

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 118 Gastrointestinal Foreign Bodies

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Hypopharynx

Esophagus: Indications for Immediate Endoscopic Removal

All Other Blunt Esophageal Foreign Bodies

DISPOSITION

Chapter 118: Multiple Choice Questions

Chapter 119 Feeding Tubes

CLINICAL PRESENTATION

FEEDING TUBE COMPLICATIONS

REMOVAL AND REPLACEMENT OF FEEDING TUBES

DISPOSITION

Section XI: Renal and Urologic Emergencies

Chapter 120 Hematuria

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 120: Multiple Choice Questions

Chapter 121 Acute Kidney Injury

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 121: Multiple Choice Questions

Chapter 122 Chronic Kidney Disease and Dialysis-Related Emergencies

APPROACH TO THE PATIENT

DIALYSIS

HEMODIALYSIS

PERITONEAL DIALYSIS

CLINICAL PRESENTATION

Infection

Hypotension

Dyspnea and Volume Overload

Chest Pain

Bleeding

Neurologic Dysfunction

Electrolyte Abnormalities

DISPOSITION

Chapter 122: Multiple Choice Questions

Chapter 123 The Renal Transplant Patient

MEDICATIONS

EARLY COMPLICATIONS OF TRANSPLANT SURGERY

RENAL DYSFUNCTION

REJECTION

FEVER OR INFECTION

ABDOMINAL PAIN

DISPOSITION

Chapter 123: Multiple Choice Questions

Chapter 124 Acute Scrotal Pain

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 124: Multiple Choice Questions

Chapter 125 Penile Disorders

BALANITIS, PHIMOSIS, AND PARAPHIMOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

PRIAPISM

ED Evaluation

ED MANAGEMENT

DISPOSITION

Chapter 125: Multiple Choice Questions

Chapter 126 Urinary Tract Infections

CLINICAL PRESENTATION

Acute Cystitis

Symptomatic Catheterized Patients

Acute Pyelonephritis

Sepsis

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Acute Cystitis

Recurrent Urinary Tract Infection

Pyelonephritis

Complicated Urinary Tract Infection

Urinary Tract Infection Complicating Pregnancy

Asymptomatic Bacteriuria

Sepsis

DISPOSITION

Chapter 126: Multiple Choice Questions

Chapter 127 Prostatitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 127: Multiple Choice Questions

Chapter 128 Fournier Gangrene

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 128: Multiple Choice Questions

Chapter 129 Urolithiasis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Urologic Interventions

DISPOSITION

Chapter 129: Multiple Choice Questions

Chapter 130 Urinary Incontinence and Retention

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Urinary Incontinence

Urinary Retention

ED EVALUATION

Urinary Incontinence

Urinary Retention

ED MANAGEMENT

Urinary Incontinence

Urinary Retention

DISPOSITION

Chapter 130: Multiple Choice Questions

Chapter 131 Genitourinary Stents and Catheters

URETHRAL CATHETERS

THREE-WAY IRRIGATION CATHETERS

SUPRAPUBIC CATHETERS

URETERAL STENTS

NEPHROSTOMY TUBES

URINARY CONDUITS

ACKNOWLEDGMENTS

Chapter 131: Multiple Choice Questions

Section XII: Gynecologic Emergencies

Chapter 132 Pelvic Pain

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Prepubertal

Reproductive Age

Postmenopausal

ED EVALUATION

ED MANAGEMENT

Is the Patient Hemodynamically Stable?

Is the Patient Pregnant?

Does the Patient Have Severe Pain or Peritoneal Signs?

Does the Pelvic Examination Reveal Evidence of Infection?

Does the Patient Have an Alternative Diagnosis?

DISPOSITION

Chapter 132: Multiple Choice Questions

Chapter 133 Pelvic Inflammatory Disease

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 133: Multiple Choice Questions

Chapter 134 Vaginal Bleeding in the Nonpregnant Patient

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

DIAGNOSTIC APPROACH

ED MANAGEMENT

DISPOSITION

Chapter 134: Multiple Choice Questions

Chapter 135 Vaginitis

CLINICAL PRESENTATION

Candida Vulvovaginitis

Trichomoniasis4

Bacterial Vaginosis (BV)

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Saline Wet Mount

ED MANAGEMENT

Candida Vulvovaginitis

Trichomoniasis

Bacterial Vaginosis

DISPOSITION

Chapter 135: Multiple Choice Questions

Chapter 136 Bartholin Gland Cyst and Abscess

BARTHOLIN CYST

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 136: Multiple Choice Questions

Chapter 137 Breast Masses and Infections

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Cancer

Benign Neoplasms

Mondor Disease

Idiopathic Granulomatous Mastitis

Mastitis and Abscess

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 137: Multiple Choice Questions

Chapter 138 Sexual Assault

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 138: Multiple Choice Questions

Section XIII: Obstetric Emergencies

Chapter 139 First-Trimester Vaginal Bleeding

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 139: Multiple Choice Questions

Chapter 140 Ectopic Pregnancy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Medical Therapy for Unruptured Ectopic Pregnancy

DISPOSITION

Chapter 140: Multiple Choice Questions

Chapter 141 Hyperemesis Gravidarum

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 141: Multiple Choice Questions

Chapter 142 Postabortion Complications

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 142: Multiple Choice Questions

Chapter 143 Hypertensive Disorders of Pregnancy

CLINICAL PRESENTATION

Chronic Hypertension

Gestational or Transient Hypertension

Preeclampsia and Eclampsia

Preeclampsia Superimposed on Chronic Hypertension

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 143: Multiple Choice Questions

Chapter 144 Third Trimester Vaginal Bleeding

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 144: Multiple Choice Questions

Chapter 145 Emergency Delivery

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Digital Vaginal Examination

Vaginal Examination—Purpose and Findings

Preterm Labor

Laboratory Testing

ED MANAGEMENT

Preterm Labor

Normal Delivery

COMPLICATIONS OF DELIVERY

Shoulder Dystocia

Fetal Distress

Nuchal Umbilical Cord

Breech Presentation

Prolapsed Umbilical Cord

Meconium Staining of Amniotic Fluid

Perimortem Cesarean Section

DISPOSITION

Chapter 145: Multiple Choice Questions

Chapter 146 Postpartum Emergencies

POSTPARTUM HEMORRHAGE

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

PUERPERAL FEVER

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

OTHER POSTPARTUM EMERGENCIES

Hypertensive Disease

Neurologic and Endocrine Disease

Thromboembolic Disease

Cardiomyopathy

Psychiatric Disease

Chapter 146: Multiple Choice Questions

Chapter 147 Medical Treatment During Pregnancy

TERATOLOGY

FDA PREGNANCY CATEGORY

PAIN

ASTHMA

DIABETES

HYPERTENSION

DYSRHYTHMIAS

THROMBOEMBOLIC DISEASE

SEIZURE DISORDERS

PSYCHIATRIC DISORDERS

GASTROINTESTINAL DISORDERS

URINARY TRACT INFECTION

RESPIRATORY TRACT INFECTIONS

GENITAL TRACT AND SEXUALLY TRANSMITTED INFECTIONS

Other Selected Infections

IMMUNIZATIONS DURING PREGNANCY

Chapter 147: Multiple Choice Questions

Section XIV: Musculoskeletal Emergencies

Chapter 148 Hand and Wrist Pain

CLINICAL PRESENTATION

Carpal Tunnel Syndrome

Guyon Canal Syndrome

Hypothenar Hammer Syndrome

De Quervain Tenosynovitis

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Carpal Tunnel Syndrome

Guyon Canal Syndrome

Hypothenar Hammer Syndrome

De Quervain Tenosynovitis

ED MANAGEMENT

Carpal Tunnel Syndrome

Guyon Canal Syndrome

Hypothenar Hammer Syndrome

De Quervain Tenosynovitis

DISPOSITION

Chapter 148: Multiple Choice Questions

Chapter 149 Bursitis and Tendinopathy

Bursitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Tendinopathy

CLINICAL PRESENTATION

Rotator Cuff Tendinopathy

Biceps Tendinopathy

Lateral Elbow Tendinopathy (Tennis Elbow)

Patellar Tendinopathy

Achilles Tendinopathy

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 149: Multiple Choice Questions

Chapter 150 Hand Infections

ESSENTIAL ANATOMY

MICROBIOLOGY

ED EVALUATION

PARONYCHIA

FELON

HERPETIC WHITLOW

FLEXOR TENOSYNOVITIS

WEB SPACE (COLLAR BUTTON) ABSCESS

PALMAR SPACE INFECTIONS

NECROTIZING SOFT TISSUE INFECTIONS (NSTIs)

Chapter 150: Multiple Choice Questions

Chapter 151 Low Back Pain

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Adults With Nonspecific Back Pain

Spinal Infection

Radiculopathy

Herniated Disc

Epidural Compression Syndrome

Spinal Stenosis

Back Pain in Children

ED EVALUATION

History

Physical Examination

Laboratory Testing

Imaging Studies

ED MANAGEMENT

DISPOSITION

Chapter 151: Multiple Choice Questions

Chapter 152 Foot Disorders

TINEA PEDIS

PARONYCHIA

PLANTAR WARTS (VERRUCA VULGARIS)

SUBUNGUAL HEMATOMA

ONYCHOCRYPTOSIS (INGROWN TOENAIL)

BLISTERS, CALLUSES, AND CORNS

PIEZOGENIC PEDAL PAPULES

METATARSAL STRESS FRACTURES

BUNIONS (HALLUX VALGUS)

TOE DEFORMITIES (MALLET/HAMMER/CLAW TOES)

CALCANEAL STRESS FRACTURES

TARSAL TUNNEL SYNDROME

ACHILLES TENDINOPATHY

RETROCALCANEAL BURSITIS

PLANTAR FASCIITIS

MORTON’S INTERDIGITAL NEUROMA

PEDIATRIC FOOT PAIN

Chapter 152: Multiple Choice Questions

Chapter 153 Monoarticular Arthritis

CLINICAL PRESENTATION

Gonococcal Arthritis

Nongonococcal Septic Arthritis

Crystal-Induced Monoarthritis

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Gonococcal Arthritis

Septic Arthritis

Crystal-Induced Arthritis

DISPOSITION

Chapter 154 Polyarticular Arthritis

CLINICAL PRESENTATION

Rheumatoid Arthritis

Systemic Lupus Erythematosus

Acute Rheumatic Fever

Reactive Arthritis

Viral Arthritis/Postinfectious Arthritis

Gonococcal Arthritis

Lyme Disease

Serum Sickness

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Complications of RA

DISPOSITION

Section XV: Neurologic Emergencies

Chapter 155 Organic Brain Syndrome

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 155: Multiple Choice Questions

Chapter 156 Headache

CLASSIFICATION OF HEAD PAIN

CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS

Secondary Headaches: The Thunderclap Headaches

Secondary Headaches: Other Causes

Primary Headache Disorders, Painful Cranial Neuropathies, and Miscellaneous Causes of Headache

ED EVALUATION

Headache History

Physical Examination

Laboratory Testing

Imaging

Lumbar Puncture

ED MANAGEMENT AND DISPOSITION

Secondary Headaches

Headache Associated With Low Cerebrospinal Fluid Pressure

Primary Headache Disorders, Painful Cranial Neuropathies, and Miscellaneous Causes of Headache

Chapter 156: Multiple Choice Questions

Chapter 157 Subarachnoid Hemorrhage

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

CONTROVERSIES

DISPOSITION

Chapter 157: Multiple Choice Questions

Chapter 158 Cerebrovascular Disease

Ischemic Cerebrovascular Disease

RISK FACTORS

Transient Ischemic Attack

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Ischemic Stroke

CLINICAL PRESENTATION

Anterior Cerebral Artery Syndrome

Middle Cerebral Artery Syndrome

Posterior Cerebral Artery Syndrome

Vertebrobasilar Artery Syndrome

Cerebellar Infarction

Lacunar Syndromes

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Intravenous Thrombolytic Therapy

Endovascular Therapy

Hypertension Management

Volume Management

Temperature Regulation

Glucose Regulation

Anticoagulation

Antiplatelet Therapy

DISPOSITION

Hemorrhagic Cerebrovascular Disease

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 158: Multiple Choice Questions

Chapter 159 Seizures

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Psychogenic Seizures

Seizure Etiologies

ED EVALUATION

History and Physical Examination

Laboratory Testing

Neuroimaging and Electroencephalography

ED MANAGEMENT

Prehospital Concerns

First-Time Seizures

Recurrence of Seizures in Patients With Known Seizure Disorder

Alcohol-Related Seizures

Psychogenic Seizures

Status Epilepticus

Subtle Status Epilepticus

Nonconvulsive Status Epilepticus

DISPOSITION

Chapter 159: Multiple Choice Questions

Chapter 160 Transient Global Amnesia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 160: Multiple Choice Questions

Chapter 161 Peripheral Neuropathies

Acute Polyneuropathy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Tick Paralysis

Botulism

Poliomyelitis-Like Syndromes

Diphtheria

Acute Intermittent Porphyria

Heavy Metals/Toxins

Others

ED EVALUATION AND MANAGEMENT

DISPOSITION

Subacute Polyneuropathy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Plexopathy and Radiculopathy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Mononeuropathy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 161: Multiple Choice Questions

Chapter 162 Bell’s Palsy and Trigeminal Neuralgia

Bell’s Palsy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Trigeminal Neuralgia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 162: Multiple Choice Questions

Chapter 163 Myopathies and Disorders of Neuromuscular Transmission

Myopathy

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Disorders of Neuromuscular Transmission

Myasthenia Gravis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Myasthenic Crisis versus Cholinergic Crisis

Botulism

Lambert–Eaton Syndrome

Tick Paralysis

DISPOSITION

Chapter 163: Multiple Choice Questions

Chapter 164 Demyelinating Disease

CLINICAL PRESENTATION

Patients With Known Multiple Sclerosis

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 164: Multiple Choice Questions

Chapter 165 Parkinsonism and Other Movement Disorders

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 165: Multiple Choice Questions

Section XVI: Psychiatric Emergencies

Chapter 166 Medical Clearance

CLINICAL PRESENTATION AND ED EVALUATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 166: Multiple Choice Questions

Chapter 167 Depression and Suicidal Ideation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 167: Multiple Choice Questions

Chapter 168 Anxiety Disorders and Panic Attack

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 168: Multiple Choice Questions

Chapter 169 Schizophrenia and Bipolar Disorder

CLINICAL PRESENTATION

Schizophrenia

Bipolar Disorder

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 169: Multiple Choice Questions

Chapter 170 The Agitated or Violent Patient

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

Pharmacologic Management

Physical Restraints

DISPOSITION

Chapter 170: Multiple Choice Questions

Chapter 171 Factitious Disorder, Malingering, and Conversion Disorder

Factitious Disorder

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED MANAGEMENT

DISPOSITION

Malingering

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED MANAGEMENT

DISPOSITION

Conversion Disorder

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED MANAGEMENT

DISPOSITION

Chapter 171: Multiple Choice Questions

Chapter 172 Bereavement and Grief Reactions

INTERACTING WITH SURVIVORS

Telephone Notifications

Meeting Family and Friends: The “Family Room”

Viewing Resuscitations

Notifying Family and Friends in the ED

BARRIERS TO EFFECTIVE ED NOTIFICATIONS

FAMILY REACTIONS

VIEWING THE BODY

MAKING FINAL ARRANGEMENTS

DEATH-NOTIFICATION EDUCATION

ACKNOWLEDGMENTS

Chapter 172: Multiple Choice Questions

Section XVII: Dermatologic Emergencies

Chapter 173 Life-Threatening Dermatoses

DIFFUSE RED RASHES

VESICOBULLOUS DISEASES

PEMPHIGUS VULGARIS

LOCALIZED OR DISCRETE LESIONS

PURPURIC OR HEMORRHAGIC LESIONS

SKIN CANCER

Chapter 173: Multiple Choice Questions

Chapter 174 Papulosquamous Eruptions

Psoriasis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Pityriasis Rosea

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Lichen Planus

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Seborrheic Dermatitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Secondary Syphilis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

ACKNOWLEDGMENTS

Chapter 174: Multiple Choice Questions

Chapter 175 Vesicular Diseases

Grouped Lesions

Herpes Simplex

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Herpes Zoster

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Allergic Contact Dermatitis

Fixed Drug Eruption

Other Causes of Vesicular Eruptions

Individual or Disseminated Vesicles

Varicella

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

COXSACKIEVIRUS AND ECHOVIRUS INFECTIONS

Insect Bites

Chapter 175: Multiple Choice Questions

Chapter 176 Purpuric Eruptions

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 176: Multiple Choice Questions

Chapter 177 Urticaria

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

H1 Receptor Antagonists (Antihistamines)

Steroids

Epinephrine

Other

Special Considerations

DISPOSITION

Chapter 177: Multiple Choice Questions

Section XVIII: Allergic and Immunologic Emergencies

Chapter 178 Anaphylaxis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 178: Multiple Choice Questions

Chapter 179 Angioedema

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 179: Multiple Choice Questions

Chapter 180 Drug Allergy and Other Drug Reactions

DRUG ALLERGY THEORY

CLINICAL PRESENTATION

Classification of Reactions

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

PENICILLIN ALLERGY AND CROSS-REACTIVITY

RADIOCONTRAST MEDIA REACTIONS

Chapter 181 Multisystem Autoimmune Disease

Systemic Lupus Erythematosus

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS AND ED EVALUATION

ED MANAGEMENT

DISPOSITION

Rheumatoid Arthritis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS AND ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Scleroderma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS AND ED EVALUATION

ED MANAGEMENT

DISPOSITION

Giant-Cell Arteritis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS AND ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Chapter 181: Multiple Choice Questions

Section XIX: Infectious Disease Emergencies

Chapter 182 Bacteremia, Sepsis, and Septic Shock

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Fluids

Antibiotics

Vasoactive Agents

Adjunctive Therapy

DISPOSITION

Chapter 182: Multiple Choice Questions

Chapter 183 Skin and Soft Tissue Infections

Folliculitis and Cutaneous Abscess

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Cutaneous Cellulitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Deep Cutaneous and Necrotizing Soft Tissue Infections

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Chapter 183: Multiple Choice Questions

Chapter 184 Tetanus

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

PREVENTION

Chapter 184: Multiple Choice Questions

Chapter 185 Meningitis and Encephalitis

RISK FACTORS

Aseptic Meningitis

Encephalitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Computed Tomography Scan

Lumbar Puncture

Cerebrospinal Fluid Parameters

ED MANAGEMENT

Chemoprophylaxis

DISPOSITION

Chapter 185: Multiple Choice Questions

Chapter 186 Brain Abscess and Other Suppurative CNS Infections

Brain Abscess

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Cranial Epidural and Subdural Space Infections

CLINICAL PRESENTATION

Differential Diagnosis

ED Evaluation

ED MANAGEMENT

DISPOSITION

Spinal Epidural Abscess

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 186: Multiple Choice Questions

Chapter 187 Sexually Transmitted Diseases

Ulcerative Sexually Transmitted Diseases

HERPES GENITALIS

Clinical Presentation

ED Evaluation

ED Management

SYPHILIS

Clinical Presentation

ED Evaluation

ED Management

CHANCROID

Clinical Presentation

ED Evaluation

ED Management

LYMPHOGRANULOMA VENEREUM

Clinical Presentation

ED Evaluation and Management

Nonulcerative Sexually Transmitted Diseases

CHLAMYDIA

Clinical Presentation

ED Evaluation

ED Management

GONORRHEA

Clinical Presentation

ED Evaluation

ED Management

NONGONOCOCCAL URETHRITIS

Chapter 187: Multiple Choice Questions

Chapter 188 Lyme Disease

CLINICAL PRESENTATION

Early Localized Infection

Early Disseminated Infection

Late Disseminated Infection

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Neurologic Disease

Cardiac Disease

Arthritis

Tick Removal and Prophylaxis

DISPOSITION

Chapter 188: Multiple Choice Questions

Chapter 189 Rocky Mountain Spotted Fever

EPIDEMIOLOGY

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Prevention

DISPOSITION

Chapter 189: Multiple Choice Questions

Chapter 190 Other Tick-Borne Diseases

Ehrlichiosis and Anaplasmosis

CLINICAL PRESENTATION

ED EVALUATION AND MANAGEMENT

DISPOSITION

Babesiosis

CLINICAL PRESENTATION

ED EVALUATION AND MANAGEMENT

DISPOSITION

TULAREMIA

CLINICAL PRESENTATION

ED EVALUATION AND MANAGEMENT

DISPOSITION

Tick-Borne Relapsing Fever

CLINICAL PRESENTATION

ED EVALUATION AND MANAGEMENT

DISPOSITION

Differential Diagnosis

Chapter 190: Multiple Choice Questions

Chapter 191 Tuberculosis

CLINICAL PRESENTATION

Pulmonary TB

Disseminated TB

Extrapulmonary TB

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Suspected Active TB

Immunologic Testing and Screening

ED MANAGEMENT

Preventing the Spread of Tuberculosis

Treatment of Active Tuberculosis

Management of Tuberculosis Exposure

Management of Positive Tuberculosis Skin Tests

DISPOSITION

Chapter 191: Multiple Choice Questions

Chapter 192 Infectious Mononucleosis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 192: Multiple Choice Questions

Chapter 193 Influenza

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

PREVENTION AND VACCINATION

Chapter 193: Multiple Choice Questions

Chapter 194 Human Immunodeficiency Virus Infection and Related Disorders

EPIDEMIOLOGY

PATHOPHYSIOLOGY AND TRANSMISSION

CLINICAL PRESENTATION, ED EVALUATION, AND MANAGEMENT

Acute HIV Infection and Disease Progression

Diagnosis of HIV Infection

Fever

Pulmonary Infections

Neurologic Involvement

Gastrointestinal Involvement

Malignancies

Dermatologic Involvement

Ophthalmologic Manifestations

Hematologic Manifestations

Antiretroviral Therapy

Chemoprophylaxis

DISPOSITION

PREVENTION AND PRECAUTIONS

Chapter 195 Toxic Shock Syndromes

Staphylococcal Toxic Shock Syndrome

CLINICAL PRESENTATION

ED EVALUATION

DIFFERENTIAL DIAGNOSIS

ED MANAGEMENT AND DISPOSITION

Streptococcal Toxic Shock Syndrome

CLINICAL PRESENTATION AND ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Chapter 195: Multiple Choice Questions

Chapter 196 Parasitic Disease

Malaria

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Gastrointestinal Disease

CLINICAL PRESENTATION AND ED EVALUATION

ED MANAGEMENT

DISPOSITION

Cysticercosis

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 196: Multiple Choice Questions

Chapter 197 Blood and Body Fluid Exposures in the Healthcare Worker

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Wound Care

Hepatitis B Virus Exposure

Hepatitis C Virus Exposure

Human Immunodeficiency Virus Exposure

Summary of Acute Management

DISPOSITION

Chapter 197: Multiple Choice Questions

Section XX: Hematologic/Oncologic Emergencies

Chapter 198 Bleeding Disorders

PATHOPHYSIOLOGY

CLINICAL PRESENTATION

Disorders of Primary Hemostasis

Von Willebrand Disease

Platelet Disorders

Immune Thrombocytopenic Purpura

Disorders of Secondary Hemostasis

Hemophilia

Disorders of Both Primary and Secondary Hemostases

Other Bleeding Disorders

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Platelet Disorders and Disorders of Primary Hemostasis

Immune Thrombocytopenic Purpura

Platelet Dysfunction in Uremia

Von Willebrand Disease

Coagulation Disorders and Disorders of Secondary Hemostasis

DISPOSITION

Chapter 198: Multiple Choice Questions

Chapter 199 Disseminated Intravascular Coagulation, Thrombotic Thrombocytopenic Purpura, and Hemolytic–Uremic Syndrome

Disseminated Intravascular Coagulation

CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Thrombotic Thrombocytopenic Purpura and Hemolytic–Uremic Syndrome

CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Pediatric Hemolytic–Uremic Syndrome

DISPOSITION

Chapter 199: Multiple Choice Questions

Chapter 200 Complications of Antithrombotic Therapy

ANTIPLATELET AGENTS

Aspirin

ADP Inhibitors

Glycoprotein IIb/IIIa Receptor Inhibitors

ANTICOAGULANTS

Heparin

Low–Molecular-Weight Heparins and Pentasaccharides

Warfarin

Direct Thrombin Inhibitors

Factor Xa Inhibitors

Fibrinolytics

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 200: Multiple Choice Questions

Chapter 201 Sickle Cell Disease

CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 201: Multiple Choice Questions

Chapter 202 Anemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 202: Multiple Choice Questions

Chapter 203 Transfusion Reactions and Complications

CLINICAL PRESENTATION

Acute, Severe Reactions

Acute Minor Reactions

Delayed Reactions

Massive Transfusion

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 203: Multiple Choice Questions

Chapter 204 The Cancer Patient in the Emergency Department

PULMONARY

Airway Obstruction

Pneumonia

Malignant Pleural Effusion

Pulmonary Embolism

Massive Hemoptysis

CARDIOVASCULAR

Pericardial Effusion

Superior Vena Cava Syndrome

CENTRAL NERVOUS SYSTEM

Brain Metastasis

Meningitis

ENDOCRINE SYSTEM

Hypercalcemia

Hyponatremia

Hypernatremia

TUMOR LYSIS SYNDROME

MUSCULOSKELETAL SYSTEM

Spinal Cord Compression

Bony Metastasis

COMPLICATIONS OF CANCER THERAPY

Neutropenia With Fever

Chemotherapy-Induced Vomiting and Dehydration

Checkpoint Inhibitor Toxicity

HEMATOLOGIC

Acute Leukemia

Infection

Hemorrhage

Hyperleukocytotic Syndrome

Hyperviscosity Syndrome

Polycythemia

Thrombocytosis

Chapter 204: Multiple Choice Questions

Section XXI: Endocrine and Metabolic Emergencies

Chapter 205 Acid–Base Disturbances

BASIC PHYSIOLOGY

Physiologic Model

Base Excess Model

PATHOPHYSIOLOGY

ED EVALUATION

Metabolic Acidosis and the Anion Gap

Primary Metabolic Alkalosis

Primary Respiratory Disturbances

Multiple Acid–Base Disturbances

Utility of Venous Blood Gas Analysis

ED TREATMENT

Diabetic Ketoacidosis

Sepsis and Lactic Acidosis

Cardiac Arrest

Toxin-Induced Acidosis

Chapter 206 Diabetes Mellitus

ED EVALUATION

History

Physical Examination

DIABETES MEDICATIONS

ABNORMALITIES CAUSED BY HYPERGLYCEMIA

ED MANAGEMENT

New-Onset Diabetes

Management of Hyperglycemia During Medical Illness and Surgery

Infections

Ophthalmologic Abnormalities

Diabetic Nephropathy

Diabetic Neuropathy

The Diabetic Foot

Macrovascular Complications

Chapter 206: Multiple Choice Questions

Chapter 207 Hyperglycemic Crises

CLINICAL PRESENTATION

Diabetic Ketoacidosis

Hyperosmolar Hyperglycemic State

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Diabetic Ketoacidosis

Hyperosmolar Hyperglycemic State

DISPOSITION

ACKNOWLEDGMENT

Chapter 207: Multiple Choice Questions

Chapter 208 Hypoglycemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 208: Multiple Choice Questions

Chapter 209 Alcoholic Ketoacidosis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 209: Multiple Choice Questions

Chapter 210 Thyroid Emergencies

THYROID PHYSIOLOGY

HYPERTHYROIDISM

CLINICAL PRESENTATION

Thyroid Storm

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

HYPOTHYROIDISM

CLINICAL PRESENTATION

ED EVALUATION

ED MANAGEMENT

DISPOSITION

MYXEDEMA COMA

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

THYROID NODULES

Chapter 210: Multiple Choice Questions

Chapter 211 Adrenal and Pituitary Disorders

Adrenal Insufficiency

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Cushing Syndrome

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Pheochromocytoma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Pituitary Disorders

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED Evaluation

ED MANAGEMENT

DISPOSITION

Chapter 211: Multiple Choice Questions

Chapter 212 Disorders of Sodium and Water Metabolism

Hyponatremia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Hypovolemic Hyponatremia

Hypervolemic Hyponatremia

Euvolemic Hyponatremia

ED MANAGEMENT

DISPOSITION

Hypernatremia

CLINICAL PRESENTATION

ED EVALUATION

Hypovolemic Hypernatremia

Hypervolemic Hypernatremia

Euvolemic Hypernatremia

ED MANAGEMENT

DISPOSITION

Chapter 212: Multiple Choice Questions

Chapter 213 Disorders of Potassium Metabolism

OVERVIEW OF POTASSIUM HOMEOSTASIS

Hyperkalemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Hypokalemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 213: Multiple Choice Questions

Chapter 214 Disorders of Calcium, Phosphate, and Magnesium Metabolism

Calcium Disorders

OVERVIEW OF CALCIUM METABOLISM

Hypercalcemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Hypocalcemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Phosphorus Disorders

PHOSPHORUS METABOLISM

Hyperphosphatemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Hypophosphatemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Magnesium Disorders

MAGNESIUM METABOLISM

Hypermagnesemia

CLINICAL PRESENTATION, DIFFERENTIAL DIAGNOSIS, AND ED EVALUATION

ED MANAGEMENT AND DISPOSITION

Hypomagnesemia

CLINICAL PRESENTATION, DIFFERENTIAL DIAGNOSIS, AND ED EVALUATION

ED MANAGEMENT AND DISPOSITION

ACKNOWLEDGMENTS

Chapter 214: Multiple Choice Questions

Chapter 215 Rhabdomyolysis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 215: Multiple Choice Questions

Section XXII: Pediatrics

Part 1: General Principles of Pediatric Emergency Care

Chapter 216 General Approach to the Pediatric Emergency Patient

INITIAL ASSESSMENT OF THE PEDIATRIC PATIENT

Age-Specific Considerations

PATIENT AND FAMILY CENTERED CARE

CONSENT AND CONFIDENTIALITY ISSUES

CHILDREN WITH SPECIAL HEALTH CARE NEEDS

ED PREPARATION FOR CHILDREN

Chapter 216: Multiple Choice Questions

Chapter 217 General Approach to Neonates and Infants Less Than 12 Months of Age

GENERAL APPROACH TO THE NEONATE 0 TO 56 DAYS

History and Physical Examination

Specific Disease Processes

GENERAL APPROACH TO INFANTS 2 TO 12 MONTHS OF AGE

History and Physical Examination

CONCLUSION

Chapter 217: Multiple Choice Questions

Part 2: General Principles of Resuscitation, Procedural Sedation and Pain Management

Chapter 218 Newborn Resuscitation

PATHOPHYSIOLOGY AND PRINCIPLES OF RESUSCITATION

Practical Aspects of Resuscitation

ASSESSMENT OF THE NEWBORN

INITIAL RESUSCITATION OF THE NEWBORN

THE DISTRESSED NEWBORN

ADVANCED RESUSCITATION

Chest Compressions

Endotracheal Intubation

PHARMACOTHERAPY

VASCULAR ACCESS

FAILURES OF RESUSCITATION: SPECIAL SITUATIONS IN NEWBORN RESUSCITATION

POSTRESUSCITATIVE CARE AND DISPOSITION

DISCONTINUING RESUSCITATIVE EFFORTS

Chapter 218: Multiple Choice Questions

Chapter 219 Pediatric Resuscitation

CLINICAL PRESENTATION AND ASSESSMENT

ED EVALUATION AND MANAGEMENT

Circulation

Airway

Breathing

POINT-OF-CARE ULTRASOUND (POCUS)

POCUS in Circulation

POCUS in Airway, Breathing

SPECIAL SITUATIONS

Septic Shock

Trauma

Congenital Heart Disease

Special Healthcare Needs

Resource-Limited Settings

DISPOSITION

Postarrest Care

Chapter 219: Multiple Choice Questions

Chapter 220 Pediatric Airway Management and Rapid Sequence Intubation

APPLIED ANATOMIC DIFFERENCES AND BASIC AIRWAY SUPPORT

NONINVASIVE AIRWAY SUPPORT

RAPID-SEQUENCE INTUBATION

PREPARATION

Preoxygenation

Premedications

INDUCTION WITH PARALYSIS

Paralytic Agents

POSITIONING AND PROTECTION

ENDOTRACHEAL TUBE PLACEMENT WITH CONFIRMATION

Rescue Techniques

POSTINTUBATION MANAGEMENT

Chapter 220: Multiple Choice Questions

Chapter 221 Vascular Access in the Critically Ill Child

PERIPHERAL VENOUS ACCESS

ULTRASOUND-GUIDED PERIPHERAL ACCESS

INTRAOSSEOUS ACCESS

ANALGESIA AND ANXIOLYSIS

Chapter 221: Multiple Choice Questions

Chapter 222 Procedural Sedation, Anxiolysis, and Analgesia

Guidelines for Pediatric Sedation and Analgesia

PATIENT SELECTION AND MONITORING

NONPHARMACOLOGIC THERAPY

PHARMACOLOGIC THERAPY

Pure Analgesics (Nonnarcotic)

Specific Agents

Pure Sedatives

Specific Agents

Other Agents

Sedative Analgesics

Specific Agents

Inhalational Agents

Reversal Agents

Topical Anesthetic Agents

Chapter 222: Multiple Choice Questions

Part 3: Chief Complaints

Chapter 223 Neonatal Jaundice

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 223: Multiple Choice Questions

Chapter 224 Fever

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

Neonates (0 to 28 Days)

Infants (29 to 60 Days)

Infants and Children Greater Than 2 Months

DISPOSITION

Chapter 224: Multiple Choice Questions

Chapter 225 Vomiting

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 225: Multiple Choice Questions

Chapter 226 Diarrhea

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 226: Multiple Choice Questions

Chapter 227 Dehydration

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 227: Multiple Choice Questions

Chapter 228 Failure to Thrive

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 228: Multiple Choice Questions

Chapter 229 The Crying Infant

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 229: Multiple Choice Questions

Chapter 230 Abdominal Pain

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 230: Multiple Choice Questions

Chapter 231 Gastrointestinal Bleeding

DIFFERENTIAL DIAGNOSIS

Newborn (0 to 1 Month)

Infant through Preschool (1 Month to 5 Years)

School Age (Over 5 Years)

ED EVALUATION

ED MANAGEMENT

Assessment of Cardiovascular Status

Occult Bleeding

Overt Bleeding

Massive Bleeding

DISPOSITION

ACKNOWLEDGMENTS

Chapter 231: Multiple Choice Questions

Chapter 232 Constipation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 232: Multiple Choice Questions

Chapter 233 Cough

CLINICAL PRESENTATION

Differential Diagnosis

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 233: Multiple Choice Questions

Chapter 234 Shortness of Breath

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 234: Multiple Choice Questions

Chapter 235 Brief Resolved Unexplained Events and Apparent Life-Threatening Events

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

The Event

DISPOSITION

Chapter 235: Multiple Choice Questions

Chapter 236 Chest Pain and Palpitations

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Critical Cardiac Pathology

Musculoskeletal Pain

Respiratory Conditions

Psychogenic Disturbances

Gastrointestinal Disorders

Miscellaneous

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 236: Multiple Choice Questions

Chapter 237 Syncope

CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 237: Multiple Choice Questions

Chapter 238 Seizures

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

SPECIAL CONSIDERATIONS

Febrile Seizures

Neonatal Seizures

Chapter 238: Multiple Choice Questions

Chapter 239 Altered Mental Status

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Abuse or Trauma

Infection

Intussusception

Metabolic Disorders

Accidental Ingestions

Seizures

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 239: Multiple Choice Questions

Chapter 240 Ataxia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 240: Multiple Choice Questions

Chapter 241 Pediatric Headache

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 241: Multiple Choice Questions

Chapter 242 Oral Lesions

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 242: Multiple Choice Questions

Chapter 243 Neck Masses

CLINICAL PRESENTATION

Ill-Appearing Child With Fever

Well-Appearing Child With Fever

Well-Appearing, Afebrile Child

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

DISPOSITION

Chapter 243: Multiple Choice Questions

Chapter 244 Limp

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Traumatic Etiologies

Nontraumatic Etiologies

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 244: Multiple Choice Questions

Chapter 245 Pallor

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

DIAGNOSTIC APPROACH

DISPOSITION

Chapter 245: Multiple Choice Questions

Chapter 246 Hematuria and Dysuria

Hematuria

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Dysuria

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 246: Multiple Choice Questions

Chapter 247 Male Genitourinary Disorders

INTRODUCTION

TESTICULAR TORSION

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

TESTICULAR TUMORS

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management and Disposition

EPIDIDYMITIS

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

INGUINAL HERNIA

Clinical Presentation

ED Management

Disposition

HYDROCELE

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

OTHER CAUSES

Balanitis, Posthitis, and Balanoposthitis

Phimosis

Paraphimosis

Urethritis

Chapter 247: Multiple Choice Questions

Chapter 248 Vaginal Bleeding and Discharge in Childhood

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 248: Multiple Choice Questions

Part 4: Pediatric Trauma

Chapter 249 General Approach to Pediatric Trauma

CLINICAL PRESENTATION

(Most) Children Are Not Small Adults: Physiologic and Anatomic Differences

EMERGENCY DEPARTMENT EVALUATION AND CRITICAL INTERVENTIONS

General Approach to the Pediatric Trauma Patient: Primary and Secondary Surveys

Pain Management

Parental Presence and Family-Centered Care

ED EVALUATION

Laboratory Studies

Diagnostic Imaging

DISPOSITION

Chapter 249: Multiple Choice Questions

Chapter 250 Severe Head Trauma and Traumatic Brain Injury in Children

CLINICAL PRESENTATION

Epidural Hemorrhage

Subdural Hemorrhage

Severe Traumatic Brain Injury

ED EVALUATION

ED MANAGEMENT

Airway and Breathing

Circulation

Positioning

Sedation and Analgesia

Neuromuscular Blockade

Anticonvulsants

Hypothermia

Management of Severely Elevated ICP and Herniation

Hyperventilation

Hyperosmolar Agents

FUTURE DIRECTIONS

DISPOSITION

Chapter 250: Multiple Choice Questions

Chapter 251 Minor Head Trauma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 251: Multiple Choice Questions

Chapter 252 Sports-Related Concussion

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 252: Multiple Choice Questions

Chapter 253 Evaluation of the Pediatric Cervical Spine

DEVELOPMENTAL ANATOMY

NORMAL VARIANTS AND CONGENITAL ANOMALIES

CLINICAL PRESENTATION

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 253: Multiple Choice Questions

Chapter 254 Thoracic Trauma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Blunt Chest Trauma

Penetrating Trauma

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 254: Multiple Choice Questions

Chapter 255 Abdominal Trauma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

SPECIFIC INJURIES

Seat Belt Syndrome

Diaphragm

Spleen and Liver

Hollow Viscus Injuries

Kidney

Pancreas

Pelvis

DISPOSITION

Chapter 255: Multiple Choice Questions

Chapter 256 Pediatric Fractures

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

TREATMENT OF SPECIFIC FRACTURES

Shoulder

Elbow

Forearm

Hand and Wrist

Hip and Pelvis

Knee

Leg

Ankle

Foot

Child Abuse and Nonaccidental Trauma

Open Fractures

DISPOSITION

Chapter 256: Multiple Choice Questions

Chapter 257 Pediatric Sports Injuries

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 257: Multiple Choice Questions

Part 5: Specific Diseases

Chapter 258 Newborn Problems

NEUROLOGIC

Crying/Colic

Myoclonic Jerks

RESPIRATORY

Periodic Breathing

GASTROINTESTINAL

Choice of Formula

Physiologic Gastroesophageal Reflux

Constipation

Infantile Dyschezia

GENITOURINARY

Urate Crystals

Vaginal Discharge

DERMATOLOGIC AND OTHER CONSIDERATIONS

Oral Cavity

Benign Neonatal Rashes

Mastitis

Diaper Rash

Chapter 258: Multiple Choice Questions

Chapter 259 Eye Disorders

THE PEDIATRIC EYE EXAMINATION

Conjunctivitis and the Red Eye

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Periorbital–Orbital Cellulitis and the Swollen Eye

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Visual Disturbance

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Nasolacrimal Duct Obstruction and Dacryocystitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 259: Multiple Choice Questions

Chapter 260 Ear Infections

ACUTE OTITIS MEDIA

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Adjunctive Diagnostics

ED MANAGEMENT

Pain Management

Decision for Antibiotics

Antimicrobial Therapy

DISPOSITION

MASTOIDITIS

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

OTITIS EXTERNA

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 260: Multiple Choice Questions

Chapter 261 Sinusitis

CLINICAL PRESENTATION

Differential Diagnosis

ED Evaluation

Laboratory Studies

Imaging

ED MANAGEMENT

DISPOSITION

Chapter 261: Multiple Choice Questions

Chapter 262 Cervical Lymphadenitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Viral Lymphadenopathy

Bacterial Lymphadenitis

Infectious Mononucleosis

Cat Scratch Disease

Methicillin-Resistant Staphylococcus Aureus

Mycobacterial Lymphadenitis

Kawasaki Disease

Group B Streptococcal Cellulitis-Adenitis Syndrome

Toxoplasmosis

Other Infectious and Rheumatologic Etiologies

Neoplasms

ED EVALUATION AND MANAGEMENT

DISPOSITION

Chapter 262: Multiple Choice Questions

Chapter 263 Torticollis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Congenital Torticollis

Acquired Torticollis

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 263: Multiple Choice Questions

Chapter 264 Pharyngitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 264: Multiple Choice Questions

Chapter 265 Croup and Other Upper Airway Disorders

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 265: Multiple Choice Questions

Chapter 266 Pertussis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 266: Multiple Choice Questions

Chapter 267 Asthma

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Short-Acting a-Agonists

Ipratropium

Corticosteroids

Oxygen and Noninvasive Positive Pressure Ventilation

Additional Therapies for Severe Exacerbations

Antibiotics

DISPOSITION

Chapter 267: Multiple Choice Questions

Chapter 268 Bronchiolitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 268: Multiple Choice Questions

Chapter 269 Pneumonia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 269: Multiple Choice Questions

Chapter 270 Arrhythmias in Children

TACHYARRHYTHMIAS

Supraventricular Tachycardia

Atrial Flutter

Automatic Tachycardias

Ventricular Dysrhythmias

BRADYARRHYTHMIAS

High-Degree AV Block: Mobitz Type II Second-Degree AV Block and Complete Heart Block

IRREGULAR RHYTHMS

Premature Ventricular and Atrial Beats

Mobitz Type I Second-Degree AV Block, Wenkebach

Atrial Fibrillation

Chapter 271 Cardiac Murmurs

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Benign Functional (Innocent) Murmurs

Pathologic Murmurs

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 272 Congenital Heart Disease and Congestive Heart Failure

NEONATAL PERIOD (FIRST 2 WEEKS OF LIFE)

Cyanotic Lesions

Left Heart Obstructive Lesions: Present With Shock With or Without Cyanosis

ED Management—Critical CHD in the Neonatal Period

INFANT PERIOD (2 WEEKS TO 6 MONTHS)

Heart Failure From Pulmonary Over Circulation

ED management—Pulmonary Over Circulation Heart Failure

CHILDHOOD (ANY TIME IN CHILDHOOD)

Heart Failure From Failure of the Myocardium

ED Management—Heart Failure From Myocardial Dysfunction

REPAIRED OR PALLIATED CONGENITAL HEART DISEASE

Single ventricle—Interstage Period

Glenn and Fontan Physiology

DISPOSITION

Chapter 272: Multiple Choice Questions

Chapter 273 Appendicitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

Acute Mesenteric Lymphadenitis

Pelvic Inflammatory Disease

Gonadal (Ovarian or Testicular) Torsion

Mittelschmerz

Acute Gastroenteritis

Constipation

Intussusception

Henoch–Schönlein Purpura

Urinary Tract Infection

ED EVALUATION

Physical Signs

Clinical Decision Rules

Laboratory Tests

Imaging Studies

ED MANAGEMENT

DISPOSITION

Chapter 273: Multiple Choice Questions

Chapter 274 Intussusception

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 274: Multiple Choice Questions

Chapter 275 Malrotation and Midgut Volvulus

Embryologic and Anatomic Considerations

CLINICAL PRESENTATION

Neonatal Presentations

Infant and Childhood Presentations

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 275: Multiple Choice Questions

Chapter 276 Pyloric Stenosis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 276: Multiple Choice Questions

Chapter 277 Foreign Bodies

Otic Foreign Bodies

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Nasal Foreign Bodies

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Airway Foreign Bodies

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Gastrointestinal Foreign Bodies

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Chapter 277: Multiple Choice Questions

Chapter 278 Diabetic Ketoacidosis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 278: Multiple Choice Questions

Chapter 279 Inborn Errors of Metabolism and Endocrine Disorders

Inborn Errors of Metabolism

CLINICAL PRESENTATION

Neonates

Infants and Young Children

Older Children and Adolescents

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Hypoglycemia

Metabolic Acidosis

Hyperammonemia

ED MANAGEMENT

Hypoglycemia

Metabolic Acidosis

Hyperammonemia

DISPOSITION

Adrenal Insufficiency

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Thyroid Disorders

Hyperthyroidism

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Hypothyroidism

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 279: Multiple Choice Questions

Chapter 280 Kawasaki Disease

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 280: Multiple Choice Questions

Chapter 281 Cellulitis

EPIDEMIOLOGY

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 281: Multiple Choice Questions

Chapter 282 Meningitis and Encephalitis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Septic Shock

Increased ICP

Seizures

Disseminated Intravascular Coagulation

Antimicrobial Therapy

DISPOSITION

CONTACT PROPHYLAXIS

ACKNOWLEDGMENTS

Chapter 282: Multiple Choice Questions

Chapter 283 Human Immunodeficiency Virus

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

CHEMOPROPHYLAXIS AFTER EXPOSURE TO HIV

DISPOSITION

ACKNOWLEDGMENTS

Chapter 283: Multiple Choice Questions

Chapter 284 Sickle Cell Disease in Children

Acute Painful Vaso-Occlusive Crisis

Clinical Presentation

ED Management

DACTYLITIS (HAND–FOOT SYNDROME)

Clinical Presentation

ED Management

SEPSIS

Clinical Presentation

ED Management

APLASTIC CRISIS

Clinical Presentation

ED Management

ACUTE SPLENIC SEQUESTRATION

Clinical Presentation

ED Management

ACUTE CHEST SYNDROME

Clinical Presentation

ED Management

CEREBROVASCULAR ACCIDENT

Clinical Presentation

ED Management

PRIAPISM

Clinical Presentation

ED Management

Disposition

Chapter 284: Multiple Choice Questions

Chapter 285 Pediatric Oncologic Emergencies

LEUKEMIA AND LYMPHOMA

Background

Clinical Features and Diagnosis

ED Management

CENTRAL NERVOUS SYSTEM (CNS) TUMORS

Background

ED Evaluation

NON-CNS SOLID TUMORS

FEVER WITH NEUTROPENIA

Background

Clinical Features and Diagnosis

ED Management

TUMOR LYSIS SYNDROME (TLS)

Background

Clinical Features and Diagnosis

ED Management

LEUKOSTASIS

SUPERIOR VENA CAVA SYNDROME

ANTERIOR MEDIASTINAL MASS

Background

Clinical Presentation and Diagnosis

ED Management

SPINAL CORD COMPRESSION

Background

Clinical Features and Diagnosis

ED Management

NEUTROPENIC ENTEROCOLITIS

Background

Clinical Presentation and Diagnosis

ED Management

Complications of Chemotherapy

Acknowledgments

Chapter 285: Multiple Choice Questions

Chapter 286 Urticarial and Maculopapular Rashes

URTICARIA

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

MACULOPAPULAR RASHES

Rocky Mountain Spotted Fever

Measles (Rubeola)

Kawasaki Disease

Ehrlichiosis

Dengue Fever

Erythema Multiforme

Other Disorders Associated With Maculopapular Rashes

Varicella

Gonorrhea and Secondary Syphilis

Nonspecific Viral Exanthems

Drug-Induced Rash

Chapter 286: Multiple Choice Questions

Chapter 287 Vesicular and Scaly Rashes

DISEASES WITH VESICULAR OR PUSTULAR LESIONS

Herpes Simplex

Varicella

Herpes Zoster

Enteroviruses

Impetigo

Eczema and Atopic Dermatitis

Pityriasis Rosea

Chapter 287: Multiple Choice Questions

Chapter 288 Common Pediatric Infestations

Cutaneous Larva Migrans

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

DISPOSITION

Scabies

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

DISPOSITION

Pinworms (Enterobius Vermicularis)

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

DISPOSITION

Head Lice

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

DISPOSITION

Chapter 289 Immunizations

CLINICAL PRESENTATION

Recent Recommendations and Controversies

Diphtheria–Tetanus–Pertussis

Haemophilus Influenzae Type B

Hepatitis A

Hepatitis B

Human Papillomavirus

Influenza

Measles–Mumps–Rubella

Meningococcus

Pneumococcus

Polio

Rotavirus

Varicella

ED EVALUATION

DISPOSITION

Chapter 289: Multiple Choice Questions

Chapter 290 Nursemaid’s Elbow

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Hyperpronation Technique

Supination/Flexion Technique

DISPOSITION

Chapter 290: Multiple Choice Questions

Chapter 291 Renal Emergencies

Hematuria and Glomerulonephritis

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Nephrotic Syndrome

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 291: Multiple Choice Questions

Chapter 292 Female Genitourinary Disorders

ASSESSMENT

PEDIATRIC VULVOVAGINITIS

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

IMPERFORATE HYMEN

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

URETHRAL PROLAPSE

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

VAGINAL FOREIGN BODY

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

LABIAL ADHESIONS

OVARIAN CYST

Clinical Presentation

ED Evaluation

ED Management

Disposition

ADNEXAL TORSION

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Chapter 292: Multiple Choice Questions

Chapter 293 Urinary Tract Infections in Children

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Who Should Be Screened for UTI?

How Should Specimens Be Collected?

ED MANAGEMENT

Who Should Be Treated in the ED?

Who Should Receive Parenteral Antibiotics?

Which Antibiotic Should Be Used?

How Long Should Patients Be Treated?

DISPOSITION

Chapter 293: Multiple Choice Questions

Chapter 294 Psychosocial and Behavioral Emergencies

CLINICAL PRESENTATION

Depression and Suicide

Anxiety, Obsessive–Compulsive Disorder, and Posttraumatic Stress Disorder

Neurobehavioral

Psychosis

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 294: Multiple Choice Questions

Chapter 295 Child Abuse: Physical, Sexual, and Neglect

Physical Abuse and Neglect

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

Cutaneous Injuries

Fractures

Abusive Head Trauma

Abdominal Trauma

Neglect and Medical Child Abuse

ED MANAGEMENT

DISPOSITION

Sexual Abuse

Clinical Presentation

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 295: Multiple Choice Questions

Chapter 296 Ventricular Peritoneal Shunts and Technology Dependent Children

Cerebrospinal Fluid Shunts

COMPLICATIONS: SHUNT MALFUNCTION AND INFECTION

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Tracheostomy Tubes

CLINICAL PRESENTATION

ED EVALUATION, MANAGEMENT, AND DISPOSITION

Enteral Feeding Tubes

CLINICAL PRESENTATION

ED EVALUATION, MANAGEMENT, AND DISPOSITION

Indwelling Venous Catheters

CLINICAL PRESENTATION

ED MANAGEMENT AND DISPOSITION

Chapter 296: Multiple Choice Questions

Part 6: Administrative and Clerical Issues

Chapter 297 Pediatric Interfacility Care and Transport

MEDICAL LEGAL ISSUES FOR REFERRING AND RECEIVING PROVIDERS

MODE OF TRANSPORT AND TEAM COMPOSITION

Chapter 297: Multiple Choice Questions

Chapter 298 Death, Catastrophic Illness, and Parental Presence in Critical Cases

EPIDEMIOLOGY OF INFANT AND PEDIATRIC DEATH

ED EVALUATION

FAMILY-CENTERED CARE DURING RESUSCITATION

PRONOUNCEMENT OF DEATH AND NOTIFICATIONS

AUTOPSY AND ORGAN DONATION

GRIEF REACTIONS

SUPPORT AND COUNSELING

SIBLING AND CHILDHOOD BEREAVEMENT

ED PHYSICIAN AND STAFF CONCERNS

ACKNOWLEDGMENTS

Chapter 298: Multiple Choice Questions

Chapter 299 Consent for Care of Children, Adolescents, and Emancipated Minors

UNACCOMPANIED MINORS

ADOLESCENT CONSENT ISSUES

ADOLESCENT CONFIDENTIALITY

PARENTAL REFUSAL OF TREATMENT

SUSPECTED CHILD ABUSE AND NEGLECT

Chapter 299: Multiple Choice Questions

Section XXIII: Toxicology

Part 1: General Considerations

Chapter 300 General Approach to the Poisoned Patient

CLINICAL PRESENTATION

Poisoned Patient When the Exposure Is Known

Symptomatic Patients With Unclear Exposure History

ED EVALUATION

ED MANAGEMENT

General Management of the Poisoned Patient When the Exposure Is Known

General Management of Symptomatic Patients With Unclear Exposure History

Management After Initial Stabilization and Evaluation

Observation

Other Toxicology Issues

DISPOSITION

Chapter 300: Multiple Choice Questions

Part 2: Alcohol-Related Agents

Chapter 301 Ethanol

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 301: Multiple Choice Questions

Chapter 302 Ethanol Withdrawal

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 302: Multiple Choice Questions

Chapter 303 Ethylene Glycol

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 303: Multiple Choice Questions

Chapter 304 Methanol

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 304: Multiple Choice Questions

Chapter 305 Isopropanol, Acetone, and Other Glycols

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 305: Multiple Choice Questions

Part 3: Non-Opioid Analgesics

Chapter 306 Acetaminophen

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 307 Salicylates

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Acute Salicylate Poisoning

Chronic Salicylate Poisoning

DISPOSITION

Chapter 307: Multiple Choice Questions

Chapter 308 Nonsteroidal Anti-Inflammatory Drugs

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 308: Multiple Choice Questions

Part 4: Anticonvulsants and Sedative-Hypnotics

Chapter 309 Phenytoin

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 309: Multiple Choice Questions

Chapter 310 Valproic Acid

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 310: Multiple Choice Questions

Chapter 311 Carbamazepine

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 311: Multiple Choice Questions

Chapter 312 Newer Anticonvulsants

CLINICAL PRESENTATION AND ED EVALUATION

Differential Diagnosis

General ED Management and Disposition

SPECIFIC ED EVALUATION AND MANAGEMENT

Clobazam

Ezogabine

Felbamate

Gabapentin

Lacosamide

Lamotrigine

Levetiracetam/Brivaracetam

Oxcarbazepine and Eslicarbazepine

Perampanel

Pregabalin

Rufinamide

Stiripentol

Tiagabine

Topiramate

Vigabatrin

Zonisamide

ACKNOWLEDGMENTS

Chapter 312: Multiple Choice Questions

Part 5: Anti-Infective Agents and Biocides

Chapter 313 Antimalarial Drugs

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 313: Multiple Choice Questions

Chapter 314 Herbicides

BIPYRIDYLS (PARAQUAT, DIQUAT)

CHLOROPHENOXY ACIDS (2,4-D, 2,4,5-T, MCPA, MCPP, AGENT ORANGE)

ORGANIC PHOSPHORUS COMPOUNDS (GLYPHOSATE, GLUFOSINATE)

CLINICAL PRESENTATION

Paraquat

Diquat

Chlorophenoxy Acid

Organic Phosphorus Compounds

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 314: Multiple Choice Questions

Chapter 315 Isoniazid

CLINICAL PRESENTATION

Acute Toxicity

Chronic Toxicity

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 315: Multiple Choice Questions

Chapter 316 Organophosphate and Carbamate Insecticides

CLINICAL PRESENTATION

Acute Toxicity

Intermediate Syndrome

Delayed Peripheral Neuropathy

Chronic Toxicity

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 316: Multiple Choice Questions

Chapter 317 Pyrethrins and Organochlorine Pesticides

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

DISCLAIMER

Chapter 317: Multiple Choice Questions

Chapter 318 Rodenticides

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 318: Multiple Choice Questions

Part 6: Cardiovascular Drugs

Chapter 319 Antidysrhythmic Drugs and Local Anesthetics

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 319: Multiple Choice Questions

Chapter 320 Clonidine and Other Alpha 2 Agonists

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 320: Multiple Choice Questions

Chapter 321 Beta Blockers

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 321: Multiple Choice Questions

Chapter 322 Calcium Channel Antagonists

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 322: Multiple Choice Questions

Chapter 323 Digoxin and other Cardiac Glycosides

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 323: Multiple Choice Questions

Part 7: Toxic Gases

Chapter 324 Smoke Inhalation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 324: Multiple Choice Questions

Chapter 325 Carbon Monoxide

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 325: Multiple Choice Questions

Chapter 326 Cyanide

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 326: Multiple Choice Questions

Chapter 327 Hydrogen Sulfide

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 327: Multiple Choice Questions

Chapter 328 Irritant Gases and Other Toxic Inhalants

CLINICAL PRESENTATION

Inhalants with Immediate-Onset Symptoms

Inhalants with Delayed-Onset Symptoms

Miscellaneous Irritants

Pulmonary Inhalants with Systemic Toxicity

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 328: Multiple Choice Questions

Part 8: Chemicals and Metals

Chapter 329 Corrosives and Chemical Burns

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 329: Multiple Choice Questions

Chapter 330 Fluoride and Hydrofluoric Acid

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 330: Multiple Choice Questions

Chapter 331 Hydrocarbons

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 331: Multiple Choice Questions

Chapter 332 Iron

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 332: Multiple Choice Questions

Chapter 333 Lead

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 333: Multiple Choice Questions

Chapter 334 Methemoglobinemia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 334: Multiple Choice Questions

Part 9: Drugs of Abuse

Chapter 335 Amphetamines and Stimulants

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 335: Multiple Choice Questions

Chapter 336 Benzodiazepines

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 336: Multiple Choice Questions

Chapter 337 Cannabinoids

PHYTOCANNABINOIDS

SYNTHETIC CANNABINOIDS

CLINICAL PRESENTATION

Phytocannabinoids

Synthetic Cannabinoids

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 337: Multiple Choice Questions

Chapter 338 Cocaine

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 338: Multiple Choice Questions

Chapter 339 Opioids

MECHANISMS OF ACTION

CLINICAL PRESENTATION

System-Based Signs and Symptoms

Tolerance, Hyperalgesia, and Withdrawal

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Medication-Assisted Therapy

ACKNOWLEDGMENTS

Chapter 339: Multiple Choice Questions

Chapter 340 Complications of Injection Drug Use

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 340: Multiple Choice Questions

Chapter 341 Drug Withdrawal

CLINICAL PRESENTATION

Sedative-Hypnotic Withdrawal

Opioid Withdrawal

Other Withdrawal

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Sedative-Hypnotic Withdrawal

Opioid Withdrawal

Other Withdrawal

DISPOSITION

ACKNOWLEDGMENTS

Chapter 341: Multiple Choice Questions

Chapter 342 Gamma Hydroxybutyrate

CLINICAL PRESENTATION

Acute GHB Toxicity

GHB Dependence and Withdrawal

GHB-Facilitated Sexual Assault

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 342: Multiple Choice Questions

Chapter 343 Hallucinogens

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 343: Multiple Choice Questions

Chapter 344 Muscle Relaxants and Other Sedative-Hypnotic Agents

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 344: Multiple Choice Questions

Chapter 345 Nicotine, Vaping, and Neonicotinoids

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 345: Multiple Choice Questions

Chapter 346 Phencyclidine and Ketamine

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 346: Multiple Choice Questions

Part 10: Psychotherapeutic Agents

Chapter 347 Cyclic Antidepressants

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 347: Multiple Choice Questions

Chapter 348 Dystonic Reactions

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 348: Multiple Choice Questions

Chapter 349 Lithium

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 349: Multiple Choice Questions

Chapter 350 Selective Serotonin Re-uptake Inhibitors and Other Antidepressants

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 350: Multiple Choice Questions

Chapter 351 Serotonin Norepinephrine Reuptake Inhibitors and Bupropion

SNRIs

BUPROPION

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 351: Multiple Choice Questions

Chapter 352 Toxic Hyperthermias

SEROTONIN SYNDROME

Differential Diagnosis

Clinical Presentation

ED Management

NEUROLEPTIC MALIGNANT SYNDROME

Clinical Presentation

ED Management

MALIGNANT HYPERTHERMIA

Clinical Presentation

ED Management

Complications

Chapter 352: Multiple Choice Questions

Chapter 353 Anticholinergic Agents

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 353: Multiple Choice Questions

Part 11: Other Common Medications

Chapter 354 Oral Hypoglycemic Agents

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 354: Multiple Choice Questions

Part 12: Natural Toxins

Chapter 355 Botulism

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 355: Multiple Choice Questions

Chapter 356 Mushrooms

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 356: Multiple Choice Questions

Chapter 357 Common Toxic Plants

CARDIAC GLYCOSIDES

Clinical Presentation

ED Evaluation and Disposition

ED Management

ANTICHOLINERGICS

Clinical Presentation

ED Evaluation and Disposition

ED Management

OXALATES

Clinical Presentation

ED Evaluation and Disposition

ED Management

CICUTOXIN

Clinical Presentation

ED Evaluation and Disposition

ED Management

ACKEE FRUIT

Clinical Presentation

ED Evaluation and Disposition

ED Management

TAXINES

Clinical Presentation

ED Evaluation and Disposition

ED Management

OTHER PLANTS

Chapter 357: Multiple Choice Questions

Chapter 358 Dietary Supplements and Herbal Medications

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 358: Multiple Choice Questions

Chapter 359 Seafood Toxins

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 359: Multiple Choice Questions

Part 13: Toxic Terrorism

Chapter 360 Biological Warfare Agents

CLINICAL PRESENTATION

Classic Presentation of Disease

Unusual Syndrome or Clinical Severity

Multiple Patient Outbreak

Laboratory Diagnosis

White Powder Event

Patients Seeking Care After a Confirmed Attack

Chapter 360: Multiple Choice Questions

Chapter 361 Chemical Warfare Agents

CLINICAL PRESENTATION

Choking Agents

Vesicating Agents

Nerve Agents

Lacrimating Agents

Incapacitating Agents

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Choking Agents

Vesicating Agents

Nerve Agents

Lacrimating Agents

Incapacitating Agents

DISPOSITION

Chapter 361: Multiple Choice Questions

Section XXIV: Environmental Emergencies

Part 1 Physical Exposure Injuries

Chapter 362 Hypothermia

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 362: Multiple Choice Questions

Chapter 363 Cold-Induced Tissue Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 363: Multiple Choice Questions

Chapter 364 Heat Illness

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 364: Multiple Choice Questions

Chapter 365 High-Altitude Illness

PREVENTION

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 365: Multiple Choice Questions

Chapter 366 Diving Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 366: Multiple Choice Questions

Chapter 367 Drowning (Submersion Injury)

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 367: Multiple Choice Questions

Chapter 368 Electrical Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENTS

Chapter 368: Multiple Choice Questions

Chapter 369 Lightning Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 369: Multiple Choice Questions

Chapter 370 Radiation Injuries

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 370: Multiple Choice Questions

Part 2: Bites and Envenomations

Chapter 371 Crotalinae (Pit Viper) Snake Envenomations

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

SURGICAL INTERVENTION

DISPOSITION

ACKNOWLEDGMENTS

Chapter 371: Multiple Choice Questions

Chapter 372 Elapidae Snake Envenomations

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 372: Multiple Choice Questions

Chapter 373 Hymenoptera Envenomation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 373: Multiple Choice Questions

Chapter 374 Marine Envenomations

CNIDARIA SUCH AS CORAL AND JELLYFISH

Echinoderms Such as Starfish and Sea Urchins

MOLLUSKS SUCH AS CONE SNAILS AND OCTOPUS

STINGRAYS

VENOMOUS FISH AND CATFISH

SEA SNAKES

CLINICAL PRESENTATION

Cnidaria

Echinoderms

Mollusks

Stingrays

Venemous Fish

Sea Snakes

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

Cnidaria

Echinoderm Envenomation Management

Mollusk Envenomation Management

Stingray Envenomation Management

Venemous Fish Envenomation Management

Sea Snake Envenomation Management

DISPOSITION

ACKNOWLEDGMENTS

Chapter 374: Multiple Choice Questions

Chapter 375 Scorpion Envenomation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 375: Multiple Choice Questions

Chapter 376 Black Widow Spider Envenomation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 376: Multiple Choice Questions

Chapter 377 Brown Recluse Spider Envenomation

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 377: Multiple Choice Questions

Chapter 378 Insect, Tick, and Mite Bites and Infestations

BIOLOGY, GENERAL DESCRIPTION, AND CLINICAL PRESENTATION

Bedbugs

Conenose or Kissing Bugs

Caterpillars and Centipedes

Fleas

Flies, Gnats, Mosquitoes

Maggots

Lice and Mites

Scabies

Ticks

DIFFERENTIAL DIAGNOSIS

ED EVALUATION

ED MANAGEMENT

DISPOSITION

Chapter 378: Multiple Choice Questions

Chapter 379 Mammalian Bites and Associated Infections

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

ED Evaluation

ED MANAGEMENT

DISPOSITION

ACKNOWLEDGMENT

Chapter 379: Multiple Choice Questions

Section XXV: EMS and Special Clinical Considerations

Part 1: Prehospital Care

Chapter 380 Emergency Medical Services

HISTORICAL PERSPECTIVE

EDUCATION

STRUCTURE

Emergency Medical Dispatch

First Responders

Ambulance Responders

Air Ambulances

MEDICAL OVERSIGHT

EMS FOR CHILDREN

Special Challenges in Treating Pediatric Patients

EMS AND TRAUMA

DISASTER PLANNING

INITIATIVES FOR THE FUTURE

ACKNOWLEDGMENTS

Chapter 380: Multiple Choice Questions

Chapter 381 Disaster Planning and Management

DISASTER PLANNING

DISASTER MANAGEMENT

Chapter 381: Multiple Choice Questions

PART 2: Patient Safety, Ethical, Legal, and Regulatory Issues

Chapter 382 Legal and Ethical Issues

CONSENT ISSUES

Refusal of Care

CONSENT IN SPECIAL PATIENT POPULATIONS

Minors

Psychiatric Patients

Prisoners and Detainees

Intoxicated Patients

RESTRAINTS

END-OF-LIFE ISSUES

“Do-Not-Resuscitate” Orders, Advance Directives, and Living Wills

Surrogate Decision Makers

COMMUNICATION, PRIVACY, AND CONFIDENTIALITY

TRUTH TELLING AND RELATIONSHIP BUILDING

PROFESSIONAL LIABILITY

Elements of Professional Liability

Failure to Diagnose

Hindsight Bias in Professional Liability Actions

ACKNOWLEDGMENTS

Chapter 382: Multiple Choice Questions

Chapter 383 Regulatory Issues

THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT

FEDERAL FRAUD LAWS

THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

Chapter 383: Multiple Choice Questions

Chapter 384 Interpersonal Violence

INTIMATE PARTNER VIOLENCE

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

VIOLENCE IN THE ED SETTING

Clinical Presentation

Differential Diagnosis

ED Evaluation

ED Management

Disposition

ACKNOWLEDGMENT

Chapter 384: Multiple Choice Questions

Chapter 385 End-of-Life and Comfort Care

CLINICAL PRESENTATION

ED EVALUATION

Prognostication

Surrogate Decision Makers and Advance Directives

ED MANAGEMENT

Goals of Care Procedure

Interdisciplinary Support

Symptom Management

Order of Intervention De-escalation

DISPOSITION

ACKNOWLEDGMENT

Chapter 385: Multiple Choice Questions

Index

 

An aparitie	10 Oct. 2020
Autor	Allan B. Wolfson MD, FACEP, FACP
Dimensiuni	21.84 x 6.1 x 28.19 cm
Editura	LWW
Format	Hardcover
ISBN	9781975111595
Limba	Engleza
Nr pag	1650