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  • 145.00 lei

    This revised second edition includes 668 MCQs related to critical care medicine with 300+ new to this edition. A few new sections such as imaging, pharma therapy, etc, have been included and the theory paper of 50 questions has been added for practice purposes at the end of book. Emphasis has been attributed to tropical diseases, the respiratory system, sepsis, infection control, neurocritical care, trauma and mechanical ventilation. The answers have been given for MCQs along with explanations at the end of every chapter.

  • 150.00 lei

    This book is a comprehensive guide to critical care medicine for postgraduate medical students. Presented in a case-based, question and answer format, the text begins with guidance on patient examination in the intensive care unit (ICU). Each of the following chapters covers a different disorder, from acute severe asthma, pulmonary embolism and septic shock, to traumatic brain injury, acute liver failure and much more. The book concludes with cases examining out-of-hospital cardiac arrest, brain death and organ donation, as well as end-of-life care in the ICU. A large selection of Objective Structured Clinical Examination (OSCE) practice questions are included to assist students in their preparation for examinations. Nearly 300 clinical photographs, illustrations and tables further enhance learning. Key points Comprehensive guide to critical care medicine for postgraduates Presented in a case-based, question and answer format Includes numerous OSCE practice questions to help students prepare for examinations Highly illustrated with clinical photographs, diagrams and tables

  • 46200lei 400.00 lei

     

    Description:


    Children and infants comprise up to 20% of emergency department visits, and emergency physicians must be knowledgeable in choosing the most appropriate imaging modality to arrive at an accurate diagnosis and provide optimal patient care. Written specifically for the non-specialist and those with limited pediatric training, Pediatric Imaging for the Emergency Provider provides expert guidance in this challenging area. Abundant high-quality imaging examples cover the full range of pediatric disorders you’re likely to see, including trauma, musculoskeletal, pulmonary, ENT, cardiac, genitourinary, gastroenterology, neurological, and neonatal patients.



    Table Of Contents:


    Introduction

    1. Imaging Modalities in the Pediatric Patient: How to Choose

    2. ALARA principles

    3. Sedation/Anxiolysis for Pediatric Imaging

    Section 1: Neonatal

    4. My What a Big Thymus You Have! Neonate/Infant Mediastinal Masses

    5. A Wheezin' We Will Go: Bronchiolitis/Viral Pathology

    6. Twisting the Night Away: Malrotation

    7. Double Bubble…Double Trouble! Duodenal Obstruction

    8. Breakin’ My Heart: Pediatric Congenital Heart Disease

    9. More Than Constipation: Failure to Pass Meconium

    10. Rumbly in the Tumbly: Pneumatosis Intestinalis and Necrotizing Enterocolitis

    Section 2: Cardiac

    11. Matters of the Heart: Pericarditis

    12. A Bit of a Mix-up: Right Sided Aortic Arch

    13. You're Surrounded: Vascular Rings

    Section 3: Gastroenterology

    14. Twisting Tubes: Pediatric Gastrostomy Tube/Buttons

    15. Not Movin': Pediatric Bowel Obstruction

    16. Screaming Fits: Intussusception

    17. My Tummy! Appendicitis

    18. SMA Syndrome: It’s Not In to Be Thin

    19. You Ate What? Swallowed Foreign Bodies

    20. Right Out of ‘The Exorcist’: Pyloric Stenosis

    Section 4: Genitourinary

    21. Twists and Turns: Testicular Torsion

    22. That Looks Painful: Hydrocele

    23. Unusually Painful: Ovarian torsion

    24. All Pain and No Gain: Renal Stones

    25. Belly Getting Bigger? Wilms Tumor

    26. TOA (Tubo-ovarian Abscess): Three Letters You Don’t Want to Hear

    Section 5: Neurologic

    27. Don’t Lose Your Head: Ventriculoperitoneal (VP) Shunt Issues

    28. More than a Migraine: Intracranial Mass - Medulloblastoma

    29. Diffuse Intrinsic Pontine Glioma: DIPG

    30. Not Actin’ Right: Lacunar Infarct and Pediatric Stroke

    31. Hard to Wake Up: Cerebritis

    32. Nothing Cute About It: Acute Flaccid Myelitis

    33. Headache? Pediatric Arteriovenous Malformation

    34. Can you see it? Orbital Cellulitis

    35. Something in Your Eye: Periorbital Cellulitis

    36. Somethin’ Growin’: Pediatric Arachnoid Cysts

    Section 6: Pulmonary

    37. Rattlin’ in the Chest: Community Acquired Pneumonia in Children

    38. Is That Pneumonia? Atelectasis

    39. Will the Cough Ever Stop? Atypical Pneumonia

    40. Of Course You Have Asthma: Persistent Wheezing

    Section 7: Trauma

    41. Buckle Up: Abdominal Trauma

    42. Case: Where's the Air? Pneumothorax

    43. Can’t Pee: Pediatric Bladder Trauma

    44. Heads Up!: Head Trauma

    45. Cruisn' For a Bruisin': Pulmonary contusion

    46. The Heart of the Matter: Cardiac Trauma

    47. Chest Pains: Pediatric Chest Trauma Imaging

    48. Check That Neck: Cervical Spine Imaging

    49. My Achin’ Back: Vertebral Compression Fractures

    50. How’d That Happen? Non-accidental Trauma (NAT)

    Section 8: Musculoskeletal

    51. Growing Pains: Salter-Harris Classification of Physeal Injuries

    52. My Fracture Is Not Humerus: Supracondylar fractures

    53. Elbow Grease: Lateral and Medial Condyle Fractures of the Humerus

    54. Rough Trip: Scapula Fracture

    55. Humeral Shaft Fractures: Nothing Funny About That!

    56. In Pieces: Clavicle Fractures

    57. Let's Play: Forearm fractures

    58. Italian Twins: Monteggia and Galleazzi Fractures

    59. Bones Out of Place? Wrist fractures

    60. Snuffbox? Scaphoid fractures

    61. Punchin’ Out: Fifth Metacarpal (Boxer’s) Fracture

    62. Pfunny Pfingers: Phalanx fractures (dislocations, etc)

    63. Can't Move Your Hips: Pelvic fractures

    64. All Fun and Games: Femoral fractures

    65. Knee Pain: It’s Not Always the Knee – Slipped Capital Femoral Epiphysis

    66. Weak in the Knees: Patellar dislocation

    67. It’s the Way You (Don’t) Walk: Fractures of the Tibia and Fibula

    68. Tough Day: Triplane Fracture

    69. My Achin' Feet: Talus fracture

    70. My Achn’ Back! Spondylolysis/Spondylolisthesis

    71. Achy Muscles: Pyomyositis/Myositis

    72. 'Lil Stuffy Noses: Sinusitis

    73. Who's Brodie? Brodie's abscess

    74. I Feel It In My Bones: Osteomyelitis

    75. More Than an Achy Back: Spinal Epidural Abscess

    76. It's Tough Being a Kid: Toddler's fracture

    77. Hurtn' To Stand: Discitis

    78. My Knee Won't Stop Swelling! Osteosarcoma

    79. Not THOSE Ewings: Ewing sarcoma

    80. What Is This? Bone cyst

    Section 9: ENT

    81. Who Let the Dogs Out? Croup

    82. All That Drools: Retropharyngeal and Peritonsillar Abscess

    83. Frog In Your Throat: Supraglottic Infections and Bacterial Tracheitis

       

     

  • 440.00 lei

     

    Description:

    Co-authored by an interprofessional collaborative team of physicians and nurses, Merenstein & Gardner’s Handbook of Neonatal Intensive Care, 9th Edition is the leading resource for interprofessional, collaborative care of critically ill newborns. It offers comprehensive coverage with a unique interprofessional collaborative approach and a real-world perspective that make it a practical guide for both nurses and physicians. The new ninth edition features a wealth of expanded content on delivery-room care; new evidence-based care "bundles"; palliative care in the NICU; interprofessional collaborative care of parents with depression, grief, and complicated grief; and new pain assessment tools. Updated high-quality references have also been reintegrated into the book, making it easier for clinicians to locate research evidence and standards of care with minimal effort. These additions, along with updates throughout, ensure that clinicians are equipped with the very latest clinical care guidelines and practice recommendations - all in a practical quick-reference format for easy retrieval and review.

    Features:

    • UNIQUE! Core author team of two physicians and two nurses gives this internationally recognized reference a true interprofessional collaborative approach that is unmatched by any other resource.
    • Consistent organization within clinical chapters include Physiology/Pathophysiology, Etiology, Prevention, Data Collection (History, Signs and Symptoms, and Laboratory Data), Treatment/Intervention, Complications, and Parent Teaching sections.
    • UNIQUE! Color-highlighted point-of-care clinical content makes high-priority clinical content quick and easy to find.
    • UNIQUE! Parent Teaching boxes outline the relevant information to be shared with a patient’s caregivers.
    • Critical Findings boxes outline symptoms and diagnostic findings that require immediate attention to help the provider prioritize assessment data and steps in initial care.
    • Case studies demonstrate how to apply essential content to realistic clinical scenarios for application-based learning.

    New To This Edition:

    • NEW! Updated content throughout reflects the latest evidence-based practice, national and international guidelines, and current protocols for interprofessional collaborative practice in the NICU.
    • NEW! Up-to-date, high-quality references are now reintegrated into the text for quick retrieval, making it easier for clinicians to locate research evidence and standards of care with minimal effort.
    • NEW! Expanded content on delivery-room care includes the impact of staffing on quality of care, delayed cord clamping, resuscitation, and more.
    • NEW! Coverage of the new evidence-based care "bundles" keeps clinicians up to date on new guidelines that have demonstrated improved outcomes of very preterm infants.
    • NEW! Coverage of new pain assessment tools equips NICU providers with essential resources for maintaining patient comfort.
    • NEW! Expanded coverage of palliative care in the NICU provides the tools needed to ensure patient comfort.
    • NEW! Expanded coverage of interprofessional collaborative care of parents with depression, grief, and complicated grief prepares clinicians for this essential area of practice.

    Table of Contents:

    Unit One: Evidence-Based Practice
    1. Evidence-Based Clinical Practice

    Unit Two: Support of the Neonate
    2. Prenatal Environment: Effect on Neonatal Outcome
    3. Perinatal Transport and Levels of Care
    4. Care at Birth
    5. Immediate Newborn Care
    6. Heat Balance 
    7. Physiologic Monitoring
    8. Acid-Base Homeostasis and Oxygenation
    9. Diagnostic Imaging in the Neonate
    10. Pharmacology in Neonatal Care
    11. Drug Withdrawal in the Neonate
    12. Pain and Pain Relief 
    13. The Neonate and the Environment: Impact on Development

    Unit Three: Metabolic and Nutritional Care of the Neonate
    14. Fluid and Electrolyte Management
    15. Glucose Homeostasis
    16. Total Parenteral Nutrition
    17. Enteral Nutrition
    18. Breast Feeding the Neonate with Special Needs
    19. Skin and Skin Care

    Unit Four: Infection and Hematologic Diseases of the Neonate
    20. Newborn Hematology
    21. Jaundice
    22. Infection in the Neonate

    Unit Five: Common Systemic Diseases of the Neonate
    23. Respiratory Diseases
    24. Cardiovascular Diseases and Surgical Interventions
    25. Neonatal Nephrology
    26. Neurologic Disorders
    27. Genetic Disorders, Malformations, and Inborn Errors of Metabolism
    28. Neonatal Surgery

    Unit Six: Psychosocial Aspects of Neonatal Care
    29. Families in Crisis: Theoretical and Practical Considerations
    30. Grief and Perinatal Loss
    31. Discharge Planning and Follow-Up of the Neonatal Intensive Care Unit Infant
    32. Ethics, Values, and Palliative Care in Neonatal Intensive Care

    Index

     

     

  • Emergency Medicine Board Review
    Not yet published- 4 saptamani de la data aparitiei
    460.00 lei

     

    Increase your opportunity for first-time success on the challenging emergency medicine board exam with this authoritative, highly illustrated review tool! Written and edited by contributors from the UCLA-affiliated residency programs, Emergency Medicine Board Review covers the full range of disorders, procedures, skills, and other core competencies that the emergency medicine physician needs to know. A bulleted, easy-to-read format supported by hundreds of high-quality images and questions make it the most efficient and effective way to study for certification and MOC exams and prepare for clinical practice.

    ·         Contains approximately 500 board-style, multiple-choice questions with full, discursive answers, and more than 300 clinical photos for effective visual learning.

    ·         Features up-to-date content in a streamlined, highly focused format with questions directly related to the board exam, both in print and online.

    ·         Covers all areas of the Emergency Medicine Model for certification and in-service exams, including devices (AICD, LVAD, pacemakers), infectious disease, pediatrics, rashes, toxicology, trauma, and more.

    ·         Includes key procedures such as airway management; neonatal, pediatric, adult cardiac arrest; vascular access; wound management; ultrasound; and procedural sedation.

    ·         Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

     

  • 65000lei 520.00 lei

     

    Description:

    Enhancing and adding to ultrasonographic text and video content in Irwin & Rippe’s Intensive Care Medicine, Eighth Edition, this easy-to-follow volume provides expert guidance on the optimal use of ultrasound in the critical care environment. Irwin & Rippe’s Ultrasonography for  Management of the Critically Ill covers a wide variety of critical care procedures, explaining how to perform them and how ultrasound can be used to support evaluation and management services to patients with life-threatening illnesses or injuries. 

     

    Table of Contents:

     

    SECTION 1 Introduction to Ultrasonography

    1 Point-of-Care for Critical Care Ultrasonography

    COMPETENCE

    Machine Requirements

    Machine Controls and Scanning Technique

    Scope of Practice

    Limitations of Critical Care Ultrasonography

    CONCLUSIONS

    REFERENCES

    SECTION 2 Neurological Procedures

    2 Neurologic Multimodal Monitoring

    GOALS OF BRAIN MONITORING

    CEREBRAL ISCHEMIA AND BLOOD FLOW

    TECHNIQUES OF NEUROLOGIC MONITORING

    Neurologic Examination

    Systemic Monitoring

    Electroencephalography/Electrocorticography

    Evoked Potentials

    Intracranial Pressure Monitoring

    Cerebral Blood Flow Monitoring

    Transcranial Doppler Ultrasound

    Jugular Venous Bulb Oxygen Saturation

    Brain Tissue Oxygen Tension

    Neurochemical Monitoring

    Near-Infrared Spectroscopy

    Neuroimaging

    MULTIMODAL MONITORING STRATEGIES

    REFERENCES

    3 Cerebrospinal Fluid Aspiration

    INTRODUCTION

    CEREBROSPINAL FLUID ACCESS

    Diagnostic Objectives

    Therapeutic Interventions

    TECHNIQUES OF CEREBROSPINAL FLUID ACCESS

    Lumbar Puncture

    Utility of Ultrasonography for Performance of Lumbar Puncture

    TECHNIQUE FOR ULTRASONOGRAPHIC GUIDANCE OF LUMBAR PUNCTURE

    Patient Positioning

    Transducer Selection and Indicator Positioning

    Localization of the Target Lumbar Interspace for Lumbar Puncture

    Summary

    Lateral Cervical (C1-C2) Puncture

    Cisternal Puncture

    Aspiration of Reservoirs and Shunts

    VENTRICULOSTOMY

    Lumbar Drainage

    Summary

    REFERENCES

    SECTION 3 Airway and Respiratory Procedures

    4 Airway Management and Endotracheal Intubation

    INTRODUCTION

    ANATOMY

    Nose

    Mouth and Jaw

    Nasopharynx

    Oropharynx

    Hypopharynx

    Larynx

    Trachea

    EMERGENCY AIRWAY MANAGEMENT

    Airway Obstruction

    Use of Face Mask and Bag Valve Device

    Airway Adjuncts

    INDICATIONS FOR INTUBATION

    Preintubation Evaluation

    Education and Intubation Management

    EQUIPMENT FOR INTUBATION

    Laryngoscopes

    Endotracheal Tubes

    Endotracheal Tube Cuff

    ANESTHESIA BEFORE INTUBATION

    TECHNIQUES OF INTUBATION

    Specific Techniques and Routes of Endotracheal Intubation

    Management of the Difficult Airway

    Airway Management in the Intubated Patient

    COMPLICATIONS OF ENDOTRACHEAL INTUBATION

    Complications During Intubation

    Complications While the Tube Is in Place

    Complications After Extubation

    EXTUBATION

    UTILITY OF ULTRASONOGRAPHY FOR AIRWAY MANAGEMENT

    Identification of Gastric Fluid

    Identification of Endotracheal Tube Position

    REFERENCES

    5 Tracheostomy

    INTRODUCTION

    INDICATIONS

    CONTRAINDICATIONS

    TIMING OF TRACHEOSTOMY

    PROCEDURES

    Emergency Tracheostomy

    Cricothyrotomy

    TRACHEOSTOMY PROCEDURES IN THE INTENSIVE CARE UNIT

    Open Surgical Tracheostomy

    Percutaneous Dilational Techniques

    TUBES AND CANNULAS

    POSTOPERATIVE CARE

    Wound and Dressing Care

    Inner Cannulas

    Humidification

    Suctioning

    Tracheostomy Tube Changes

    Oral Feeding and Swallowing Dysfunction Associated with Tracheostomies

    Discharging Patients With Tracheotomies From the ICU to the General Ward

    COMPLICATIONS

    Obstruction

    Tube Displacement/Dislodgment

    Subcutaneous Emphysema

    Pneumothorax and Pneumomediastinum

    Hemorrhage

    Tracheoinnominate Artery Fistula

    Misplacement of Tube

    Tracheal Cartilage Fracture

    Stomal Infections

    Tracheoesophageal Fistula

    Tracheal Stenosis

    Tracheomalacia

    Dysphagia and Aspiration

    Persistent Tracheocutaneous Fistula

    CONCLUSIONS

    REFERENCES

    6 Lung Ultrasonography

    BASIC PRINCIPLES OF LUS

    MACHINE REQUIREMENTS

    PERFORMANCE OF LUS

    IMAGING PATTERNS IN LUS

    Main LUS Patterns

    CLINICAL APPLICATIONS OF LUS

    Clarification of the Ambiguous Chest Radiograph

    Differentiation of ARDS from Cardiogenic Pulmonary Edema

    Prediction of Extubation Failure

    Measurement of Lung Recruitment with PEEP

    Diagnosis of Pneumonia

    Algorithmic Diagnosis of Respiratory Failure

    Estimates of Left Atrial Pressure

    Combination of LUS with Echocardiography

    Diagnosis of Pulmonary Embolism

    Timing of Chest Tube Removal

    LUS for Guidance of Procedures

    Utility of LUS for Airway Management

    SUMMARY

    REFERENCES

    7 Thoracentesis

    INTRODUCTION

    INDICATIONS

    CONTRAINDICATIONS

    COMPLICATIONS

    THORACENTESIS PROCEDURE

    Steps in the Procedure

    TECHNIQUE FOR REMOVAL OF AIR FROM A PTX SPACE

    Steps in the Procedure

    UTILITY OF ULTRASONOGRAPHY FOR GUIDANCE OF THORACENTESIS

    Equipment

    Scanning Technique

    Interpretation of Pleural Fluid Analysis

    TRANSUDATES VERSUS EXUDATES

    SELECTED TESTS THAT ARE POTENTIALLY HELPFUL TO ESTABLISH ETIOLOGY FOR A PLEURAL EFFUSION

    pH

    Glucose

    Protein, Lactate Dehydrogenase, and Protein Gradient

    Amylase

    Triglyceride and Cholesterol

    Adenosine Deaminase

    Cell Counts and Differential

    Cultures, Polymerase Chain Reaction, and Stains

    Cytologic Evaluation

    REFERENCES

    8 Chest Tube Insertion and Care

    PLEURAL ANATOMY AND PHYSIOLOGY

    CHEST TUBE PLACEMENT

    Indications

    CONTRAINDICATIONS

    TECHNIQUE

    COMPLICATIONS

    CHEST TUBE MANAGEMENT AND CARE

    CHEST TUBE REMOVAL

    RELATED SYSTEMS

    Utility of Ultrasonography for Chest Tube Insertion and Care

    Pneumothorax

    SUMMARY

    REFERENCES

    9 Discontinuation of Mechanical Ventilation

    INTRODUCTION

    UNDERSTANDING THE PROBLEM

    Who Are the Patients and What Are Their Outcomes?

    What Is Wrong with Patients on Prolonged Ventilator Support?

    What Factors Lead to Respiratory Muscle Fatigue and Weakness?

    PREDICTING SUCCESSFUL DISCONTINUATION

    When Is It Appropriate to Begin the Discontinuation Process?

    Predictive Indices for Total Discontinuation of Mechanical Ventilation (Weaning Indices)

    When Is It Appropriate to Extubate the Patient?

    How Long Should Discontinuation Trials Last?

    MANAGING DISCONTINUATION FAILURE

    Protocol-Based Weaning

    Once-Daily Attempts at Liberation from Mechanical Ventilation

    Addressing Factors That Perpetuate Respiratory Muscle Fatigue

    Utility of Ultrasonography for Assessment of Diaphragmatic Function for Discontinuation of Mechanical Ventilation

    Clinical Applications of Ultrasonography Assessment of Diaphragmatic Function

    REFERENCES

    SECTION 4 Cardiac Procedures

    10 Echocardiography for the Evaluation of Shock and Cardiac Arrest

    EFFICACY

    EXPERIMENTAL AND ALTERNATIVE TECHNIQUES OF CARDIOPULMONARY RESUSCITATION

    INFECTIOUS DISEASES AND CARDIOPULMONARY RESUSCITATION

    Implications for Rescuers With Known or Potential Infection

    STANDARD PROCEDURES AND TEAM EFFORT

    BASIC LIFE SUPPORT FOR ADULTS WITH AN UNOBSTRUCTED AIRWAY

    Respiratory Arrest

    Cardiac Arrest

    Assessment and Determination of Unresponsiveness and Alerting of Emergency Medical Services

    Opening the Airway and Determining Breathlessness

    Rescue Breathing

    Chest Compressions

    Two-Rescuer Cardiopulmonary Resuscitation

    Complications of Basic Life Support Procedures

    Monitoring the Effectiveness of Basic Life Support

    PEDIATRIC RESUSCITATION

    OBSTRUCTED AIRWAY

    ADVANCED CARDIAC LIFE SUPPORT IN ADULTS

    Airway and Ventilatory Support

    Circulatory Support

    Advanced Cardiac Life Support: Defibrillation and Rhythm-Based Therapies

    Defibrillation

    Ventricular Fibrillation and Pulseless VT

    Pulseless Electric Activity and Asystole

    Correction of Hypoxia

    Correction of Excessive Hydrogen Ion (Acidosis)

    Hypovolemia

    Venous Access

    DRUG THERAPY

    Sympathomimetic Drugs and Vasopressors

    Antiarrhythmic Agents

    Lidocaine

    Other Agents

    CLINICAL SETTINGS

    Special Situations

    Termination of ACLS and Post-ACLS Care

    UTILITY OF ULTRASONOGRAPHY FOR CARDIOPULMONARY RESUSCITATION

    CONCLUSIONS

    REFERENCES

    11 Critical Care Echocardiography

    BASIC CRITICAL CARE ECHOCARDIOGRAPHY

    Equipment Requirements

    Technical Challenges

    Training in Basic Critical Care Echocardiography

    The Basic Critical Echocardiography Examination

    Clinical Applications of Goal-Directed Echocardiography

    Limitations of Basic Critical Care Echocardiography

    ADVANCED CRITICAL CARE ECHOCARDIOGRAPHY

    Training Requirements

    Transesophageal Echocardiography

    Limitations of Advanced Critical Care Echocardiography

    REFERENCES

    12 Resuscitation From Shock Following Hemorrhage

    PHYSIOLOGIC RESPONSES TO HEMORRHAGE

    Coagulopathy

    Hemodynamics

    Metabolic

    Immunologic

    SHOCK RECOGNITION

    Utility of Ultrasonography for Diagnosis of Hemorrhagic Shock

    HEMORRHAGE CONTROL

    HISTORY OF HEMORRHAGIC SHOCK RESUSCITATION

    INITIAL RESUSCITATION

    ONGOING RESUSCITATION

    Endpoints of Resuscitation

    Coagulation Endpoints

    Monitoring

    Fluids and Component Therapy

    Vasopressor and Inotropic Support

    Additional Therapies

    SUMMARY

    REFERENCES

    13 Mechanical Complications of Myocardial Infarction

    CONSEQUENCES OF ISCHEMIA

    DIAGNOSIS, TREATMENT, AND OUTCOME OF SHOCK DUE TO LEFT VENTRICULAR PUMP FAILURE

    RIGHT VENTRICULAR INFARCTION

    MYOCARDIAL RUPTURE

    Papillary Muscle Rupture

    Ventricular Septal Rupture

    Free Wall Rupture

    LEFT VENTRICULAR REMODELING

    UTILITY OF ULTRASONOGRAPHY FOR DIAGNOSIS OF MECHANICAL COMPLICATIONS OF MYOCARDIAL INFARCTION

    Papillary Muscle Rupture

    Ventricular Wall Rupture

    Free Wall Rupture

    REFERENCES

    14 Pericardiocentesis

    INTRODUCTION

    INDICATIONS FOR PERICARDIOCENTESIS

    ANATOMY

    PROCEDURE

    SHORT-TERM AND LONG-TERM MANAGEMENT

    Utility of Ultrasonography for Management of Pericardial Effusion

    SUMMARY

    REFERENCES

    15 Temporary Cardiac Pacing

    INTRODUCTION

    INDICATIONS FOR TEMPORARY CARDIAC PACING

    Bradyarrhythmias

    Tachyarrhythmias

    DIAGNOSIS OF RAPID RHYTHMS

    ACUTE MYOCARDIAL INFARCTION

    EQUIPMENT AVAILABLE FOR TEMPORARY PACING

    Transvenous Pacing Catheters

    Utility of Ultrasonography for Transvenous Pacemaker Insertion

    Esophageal Electrode

    Transcutaneous External Pacemakers

    Epicardial Pacing

    Pulse Generators for Temporary Pacing

    CHOICE OF PACING MODE

    PROCEDURE TO ESTABLISH TEMPORARY PACING

    COMPLICATIONS OF TEMPORARY PACING

    REFERENCES

    16 Pulmonary Artery Catheters

    INTRODUCTION

    PHYSIOLOGIC RATIONALE FOR USE OF PULMONARY ARTERY CATHETER

    CONTROVERSIES REGARDING USE OF PULMONARY ARTERY CATHETER

    INDICATIONS FOR USE OF PULMONARY ARTERY CATHETER

    CATHETER FEATURES AND CONSTRUCTION

    Pressure Transducers

    INSERTION TECHNIQUES

    General Considerations

    Typical Catheter Insertion Procedure

    Special Considerations

    Utility of Ultrasonography for Pulmonary Artery Catheter Insertion

    PHYSIOLOGIC DATA

    Pressures

    Cardiac Output

    Derived Parameters

    CLINICAL APPLICATIONS OF THE PULMONARY ARTERY CATHETER

    Normal Resting Hemodynamic Profile

    COMPLICATIONS

    Complications Associated with Central Venous Access

    Balloon Rupture

    Knotting

    Pulmonary Infarction

    Pulmonary Artery Perforation

    Thromboembolic Complications

    Rhythm Disturbances

    Intracardiac Damage

    Infections

    Other Complications

    GUIDELINES FOR SAFE USE OF PULMONARY ARTERY CATHETERS

    SUMMARY

    REFERENCES

    17 Management of Implantable Pacemakers, Defibrillators, and Cardiac Resynchronization Devices and Cardiac Devices in the ICU

    INTRODUCTION

    GENERAL DEVICE MANAGEMENT

    Normal Device Function and Special Considerations

    Pacemaker Malfunction

    DEVICE-SPECIFIC CONSIDERATIONS

    Implantable Cardioverter Defibrillators

    Cardiac Resynchronization Therapy (Biventricular Pacing)

    SUMMARY

    REFERENCES

    SECTION 5 Vascular and Hematological Procedures

    18 Arterial Line Placement and Care

    INTRODUCTION

    INDICATIONS FOR ARTERIAL CANNULATION

    EQUIPMENT, MONITORING, TECHNIQUES, AND SOURCES OF ERROR

    TECHNIQUE OF ARTERIAL CANNULATION

    Site Selection

    Radial Artery Cannulation

    Evaluation of Collateral Circulation of the Hand

    Percutaneous Insertion

    Dorsalis Pedis Artery Cannulation

    Brachial Artery Cannulation

    Femoral Artery Cannulation

    Axillary Artery Cannulation

    Utility of Ultrasonography for Arterial Catheterization

    COMPLICATIONS OF ARTERIAL CANNULATION

    Thrombosis

    Cerebral Embolization

    Diagnostic Blood Loss

    Other Mechanical and Technical Complications

    Infections

    RECOMMENDATIONS

    REFERENCES

    19 Central Venous Catheters

    INTRODUCTION

    INDICATIONS AND SITE SELECTION

    GENERAL CONSIDERATIONS

    Informed Consent

    Patient Comfort and Safety

    Mobile Catheter Cart

    Catheter Tip Location

    Vascular Erosions

    Complications

    ROUTES OF CENTRAL VENOUS CANNULATION

    Antecubital Approach

    Internal Jugular Approach

    External Jugular Vein Approach

    Femoral Vein Approach

    Subclavian Vein Approach

    REFERENCES

    20 Venous Thromboembolism and Associated Prothrombotic Disorders in the Intensive Care Unit

    INCIDENCE

    RISK FACTORS

    Inherited Hypercoagulable Disorders

    Acquired Hypercoagulable Disorders

    Diagnostic Approach to Hypercoagulable Conditions

    PATHOPHYSIOLOGY

    PREVENTION

    DIAGNOSIS

    Symptoms and Signs

    Clinical Prediction Models

    D-Dimer

    Diagnosis of Acute Deep Venous Thrombosis

    Diagnosis of Acute Pulmonary Embolism

    An Integrated Approach to Venous Thromboembolism Diagnosis

    Risk Stratification

    TREATMENT

    Anticoagulation

    Thrombolytic Therapy

    Inferior Vena Cava Interruption

    Pulmonary Embolectomy

    Adjunctive Care for Massive Pulmonary Embolism

    SPECIAL THERAPEUTIC CONSIDERATIONS

    Central Venous Catheter–Associated Thrombosis

    Pregnancy-Associated VTE

    SEQUELAE OF VENOUS THROMBOEMBOLISM

    Duration of Anticoagulation

    Complications of Anticoagulation

    Utility of Ultrasonography for Evaluation of Venous Thromboembolism

    ACKNOWLEDGMENT

    REFERENCES

    21 Therapeutic Apheresis: Technical Considerations and Indications in Critical Care

    TECHNICAL RATIONALE AND INSTRUMENTS

    PHYSIOLOGIC PRINCIPLES

    VASCULAR ACCESS FOR THERAPEUTIC APHERESIS

    ANTICOAGULATION AND FLUID REPLACEMENT

    VASCULAR ACCESS

    LIMITATIONS AND POTENTIAL ADVERSE EVENTS

    INDICATIONS IN CRITICAL CARE

    Therapeutic Plasma Exchange

    Red Blood Cell Exchange

    Leukapheresis

    Plateletpheresis

    APHERESIS CONSULTATION

    REFERENCES

    SECTION 6 Gastrointestinal and Abdominal Procedures

    22 Endoscopic Placement of Feeding Tubes

    INDICATIONS FOR ENTERAL FEEDING

    ACCESS TO THE GASTROINTESTINAL TRACT

    TECHNIQUES

    Nasoenteric Route

    Percutaneous Route

    Fluoroscopic Technique

    Complications

    SURGICAL PROCEDURES

    Gastrostomy

    Needle-Catheter Jejunostomy

    Transgastric Jejunostomy

    DELIVERING THE TUBE-FEEDING FORMULA

    MEDICATIONS

    COMPLICATIONS

    Nasopulmonary Intubation

    Aspiration

    Gastrointestinal Intolerance

    Metabolic Complications

    Bacterial Contamination

    Occluded Feeding Tubes

    Utility of Ultrasonography for Feeding Tube Insertion

    REFERENCES

    23 Gastrointestinal Endoscopy

    PATIENT SELECTION

    Evaluation of the Upper Gastrointestinal Tract

    Evaluation of the Pancreaticobiliary Tract

    Evaluation of the Mid-gastrointestinal Tract (Jejunum and Ileum)

    Evaluation of the Lower Gastrointestinal Tract

    PREPROCEDURAL CARE

    INTRAPROCEDURAL CARE

    Upper Gastrointestinal Endoscopy

    PANCREATICOBILIARY ENDOSCOPY

    Lower Gastrointestinal Endoscopy

    POSTPROCEDURAL CARE

    FUTURE DIRECTIONS

    REFERENCES

    24 Gastroesophageal Balloon Tamponade for Acute Variceal Hemorrhage

    HISTORICAL DEVELOPMENT

    ROLE OF BALLOON TAMPONADE FOR THE MANAGEMENT OF BLEEDING ESOPHAGEAL VARICES

    INDICATIONS AND CONTRAINDICATIONS

    TECHNICAL AND PRACTICAL CONSIDERATIONS

    Airway Control

    Hypovolemia, Shock, and Coagulopathy

    Clots and Gastric Decompression

    Infection, Ulceration, and Encephalopathy

    Balloons, Ports, and Preparation

    Insertion and Placement of the Tube

    Ultrasonography for Tube Insertion

    Fixation and Traction Techniques

    Maintenance, Monitoring, and Care

    Removal of the Tube

    COMPLICATIONS

    REFERENCES

    25 Paracentesis and Diagnostic Peritoneal Lavage

    ABDOMINAL PARACENTESIS

    Indications

    Techniques

    Needle Technique

    Catheter Technique

    Complications

    DIAGNOSTIC PERITONEAL LAVAGE

    Indications

    Techniques

    Interpretation of Results

    Complications

    REFERENCES

    26 Ultrasound-Guided Procedures in the ICU

    ULTRASOUND GUIDANCE FOR PERCUTANEOUS TRACHEOSTOMY

    Technique for Use of Ultrasound for Percutaneous Dilatational Tracheostomy

    Real-Time Ultrasound Guidance—Evidence and Technique

    SUPERFICIAL LYMPH NODE BIOPSY

    CHEST WALL AND PLEURAL-BASED MASS BIOPSY

    Technical Considerations

    CONSIDERATION OF PERCUTANEOUS DRAINAGE OF LUNG ABSCESSES

    EVOLVING USES OF ULTRASOUND FOR CRITICALLY ILL PATIENTS

    Real-Time Guidance of Thoracentesis and Chest Tube Placement

    Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in the ICU

    CONCLUSIONS

    REFERENCES

    SECTION 7 Genitourinary Procedures

    27 Renal Replacement Therapy in the ICU

    INTRODUCTION

    PRINCIPLES OF SOLUTE CLEARANCE AND FLUID REMOVAL BY DIALYTIC TECHNIQUES

    OVERVIEW OF DIALYSIS MODALITIES

    Intermittent Hemodialysis

    Peritoneal Dialysis

    Continuous Renal Replacement Therapies

    Continuous Arteriovenous Hemofiltration, Hemodialysis, and Hemodiafiltration

    Continuous Venovenous Hemofiltration, Hemodialysis, and Hemodiafiltration

    Slow Continuous Ultrafiltration

    TECHNICAL CONSIDERATIONS FOR RENAL REPLACEMENT THERAPY

    Anticoagulation

    Blood and Dialysate Flow Rates

    Dialyzer Membrane

    Dialysate Composition

    Dialysis Access

    Arteriovenous Fistula and Graft

    Peritoneal Dialysis Catheters

    HEMODIALYSIS CATHETERS AND INSERTION TECHNIQUES

    Temporary Hemodialysis Catheter Placement

    INDICATIONS FOR AND TIMING OF INITIATION OF RENAL REPLACEMENT THERAPY

    Early Versus Late Initiation of RRT

    Dialysis Dose

    MODALITY SELECTION

    IHD Versus CRRT

    Recommendations

    Discontinuation of Therapy

    COMPLICATIONS OF RRT

    Infection

    Electrolyte and Acid-Base Disorders

    Access Thrombosis

    Hypotension

    REFERENCES

    28 Ultrasonography for the Evaluation of the Urinary System

    EQUIPMENT

    SCANNING TECHNIQUE FOR THE KIDNEY

    ULTRASONOGRAPHIC ANATOMY OF THE KIDNEY

    SCANNING TECHNIQUES FOR IMAGING THE BLADDER

    CLINICAL APPLICATION OF ULTRASONOGRAPHY OF THE URINARY SYSTEM

    LIMITATIONS OF ULTRASONOGRAPHY FOR EVALUATION OF AKI

    REFERENCES

    SECTION 8 Peripheral Procedures

    29 Aspiration of the Knee and Synovial Fluid Analysis

    INTRODUCTION

    INDICATIONS

    CONTRAINDICATIONS

    COMPLICATIONS

    TECHNIQUE

    UTILITY OF ULTRASONOGRAPHY FOR KNEE JOINT ASPIRATION

    Identification of Knee Joint Effusion

    Guidance of Knee Aspiration

    SYNOVIAL FLUID ANALYSIS

    GROSS EXAMINATION

    Color

    Clarity

    Viscosity

    CELL COUNT AND DIFFERENTIAL

    CRYSTALS

    GRAM STAIN AND CULTURE

    REFERENCES

    SECTION 9 Patient Comfort During Procedures

    30 Anesthesia for Bedside Procedures

    INTRODUCTION

    COMMON PAIN MANAGEMENT PROBLEMS IN ICU PATIENTS

    Dosing of Agents

    Selection of Agents

    CHARACTERISTICS OF SPECIFIC AGENTS USED FOR BEDSIDE PROCEDURES

    Hypnotics

    Opioids

    NEUROMUSCULAR BLOCKING AGENTS

    PRACTICAL CONSIDERATIONS FOR TIVA

    REFERENCES

    31 Therapeutic Paralysis

    PHARMACOLOGY OF NEUROMUSCULAR BLOCKING AGENTS

    THE NICOTINIC ACETYLCHOLINE RECEPTOR

    DEPOLARIZING NEUROMUSCULAR BLOCKERS

    NONDEPOLARIZING NMBAS

    Atracurium

    Cisatracurium

    Rocuronium

    Vecuronium

    Pancuronium

    Doxacurium

    Pipecuronium

    THERAPEUTIC PARALYSIS

    DRUG INTERACTIONS

    MONITORING OF NMBAS

    ADVERSE EFFECTS OF DEPOLARIZING AND NONDEPOLARIZING NMBAS IN CRITICALLY ILL PATIENTS

    INTENSIVE CARE UNIT–ACQUIRED WEAKNESS

    Critical Illness Polyneuropathy

    Critical Illness Myopathy

    SUMMARY AND RECOMMENDATIONS

    REFERENCES

    Index

     

  • 97500lei 800.00 lei

    Unquestionably the leading text in emergency medicine, Tintinalli’sEmergency Medicine is a true must-have resource for everyone in emergency medicine, from residents to practicing physicians. The ninth edition provides the depth and breadth of coverage that reflects the complexity and expertise needed to practice emergency medicine successfully in today’s fast-paced environments. It is an important contemporary clinical emergency care resource for physicians, nurse practitioners, and physician assistants who practice emergency medicine and for emergency medicine and paediatric emergency medicine fellows. It remains the preferred study guide for in-training and board examinations and re-certification.

     

    This comprehensive text covers everything from pre-hospital care,disaster preparedness, and basic resuscitative techniques to all the major diseases requiring emergency treatment in adults and children, such aspulmonary emergencies, renal and genitourinary disorders, and haemophilia.

     

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    Table of Contents:

    Contributors
    Pharmacy Reviewers
    Preface
    Section 1. Prehospital Care
    1. Emergency Medical Services
    2. Prehospital Equipment
    3. Air Medical Transport
    4. Mass Gatherings
    Section 2. Disaster Management
    5. Disaster Preparedness
    6. Natural Disasters
    7. Bomb, Blast, and Crush Injuries
    8. Chemical Disasters
    9. Bioterrorism
    10. Radiation Injuries
    Section 3. Resuscitation
    11. Sudden Cardiac Death
    12. Approach to Nontraumatic Shock
    13. Approach to Traumatic Shock
    14. Allergy and Anaphylaxis
    15. Acid-Base Disorders
    16. Blood Gases, Pulse Oximetry, and Capnography
    17. Fluids and Electrolytes
    18. Cardiac Rhythm Disturbances
    19. Pharmacology of Antiarrhythmics and Antihypertensives
    20. Pharmacology of Vasopressors and Inotropes
    21. Hyperbaric Oxygen Therapy
    Section 4. Resuscitative Procedures
    22. Basic Cardiopulmonary Resuscitation
    23. Defibrillation and Electrical Cardioversion
    24. Cardiac Resuscitation
    25. Resuscitation in Pregnancy
    26. Post–Cardiac Arrest Syndrome
    27. Ethical Issues of Resuscitation
    28. Noninvasive Airway Management and Supraglottic Airways
    29A Tracheal Intubation
    29B Mechanical Ventilation
    30. Surgical Airways
    31. Vascular Access
    32. Hemodynamic Monitoring
    33. Cardiac Pacing and Implanted Defibrillation
    34. Pericardiocentesis
    Section 5. Analgesia, Anesthesia, and Procedural Sedation
    35. Acute Pain Management
    36. Local and Regional Anesthesia
    37. Procedural Sedation and Analgesia in Adults
    38. Chronic Pain
    Section 6. Wound Management
    39. Wound Evaluation
    40. Wound Preparation
    41. Wound Closure
    42. Face and Scalp Lacerations
    43. Arm, Forearm, and Hand Lacerations
    44. Thigh, Leg, and Foot Lacerations
    45. Soft Tissue Foreign Bodies
    46. Puncture Wounds and Bites
    47. Postrepair Wound Care
    Section 7. Cardiovascular Disease
    48. Chest Pain
    49. Acute Coronary Syndromes
    50. Cardiogenic Shock
    51. Low-Probability Acute Coronary Syndrome
    52. Syncope
    53. Acute Heart Failure
    54. Valvular Emergencies
    55. Cardiomyopathies and Pericardial Disease
    56. Venous Thromboembolism Including Pulmonary Embolism
    57. Systemic Hypertension
    58. Pulmonary Hypertension
    59. Aortic Dissection and Related Aortic Syndromes
    60. Aneurysmal Disease
    61. Arterial Occlusion
    Section 8. Pulmonary Disorders
    62. Respiratory Distress
    63. Hemoptysis
    64. Acute Bronchitis and Upper Respiratory Tract Infections
    65. Community-Acquired Pneumonia, Aspiration Pneumonia, and Noninfectious Pulmonary Infiltrates
    66. Lung Empyema and Abscess
    67. Tuberculosis
    68. Pneumothorax
    69. Acute Asthma and Status Asthmaticus
    70. Chronic Obstructive Pulmonary Disease
    Section 9. Gastrointestinal Disorders
    71. Acute Abdominal Pain
    72. Nausea and Vomiting
    73. Disorders Presenting Primarily With Diarrhea
    74. Constipation
    75. Upper Gastrointestinal Bleeding
    76. Lower Gastrointestinal Bleeding
    77. Esophageal Emergencies
    78. Peptic Ulcer Disease and Gastritis
    79. Pancreatitis and Cholecystitis
    80. Hepatic Disorders
    81. Acute Appendicitis
    82. Diverticulitis
    83. Bowel Obstruction
    84. Hernias
    85. Anorectal Disorders
    86. Gastrointestinal Procedures and Devices
    87. Complications of General Surgical Procedures
    Section 10. Renal and Genitourinary Disorders
    88. Acute Kidney Injury
    89. Rhabdomyolysis
    90. End-Stage Renal Disease
    91. Urinary Tract Infections and Hematuria
    92. Acute Urinary Retention
    93. Male Genital Problems
    94. Urologic Stone Disease
    95. Complications of Urologic Procedures and Devices
    Section 11. Obstetrics and Gynecology
    96. Abnormal Uterine Bleeding
    97. Abdominal and Pelvic Pain in the Nonpregnant Female
    98. Ectopic Pregnancy and Emergencies in the First 20 Weeks of Pregnancy
    99. Comorbid Disorders in Pregnancy
    100. Maternal Emergencies After 20 Weeks of Pregnancy and in the Peripartum Period
    101. Emergency Delivery
    102. Vulvovaginitis
    103. Pelvic Inflammatory Disease
    104. Breast Disorders
    105. Complications of Gynecologic Procedures
    Section 12. Pediatrics
    106. Emergency Care of Children
    107. Neonatal and Pediatric Transport
    108. Resuscitation of Neonates
    109. Resuscitation of Children
    110. Pediatric Trauma
    111. Minor Head Injury and Concussion in Children
    112. Cervical Spine Injury in Infants and Children
    113. Intubation and Ventilation of Infants and Children
    114. Vascular Access in Infants and Children
    115. Pain Management and Procedural Sedation for Infants and Children
    116. Neonatal Emergencies and Common Neonatal Problems
    117. Brief Resolved Unexplained Events and Apparent Life-Threatening Events
    118. Sudden Infant Death Syndrome
    119. Fever and Serious Bacterial Illness in Infants and Children
    120. Meningitis in Infants and Children
    121. Ear and Mastoid Disorders in Infants and Children
    122. Eye Emergencies in Infants and Children
    123. Nose and Sinus Disorders in Infants and Children
    124. Mouth and Throat Disorders in Infants and Children
    125. Neck Masses in Infants and Children
    126. Stridor and Drooling in Infants and Children
    127. Wheezing in Infants and Children
    128. Pneumonia in Infants and Children
    129. Congenital and Acquired Pediatric Heart Disease
    130. Syncope, Dysrhythmias, and ECG Interpretation in Children
    131. Vomiting, Diarrhea, and Dehydration in Infants and Children
    132. Fluid and Electrolyte Therapy in Infants and Children
    133. Acute Abdominal Pain in Infants and Children
    134. Gastrointestinal Bleeding in Infants and Children
    135. Urinary Tract Infection in Infants and Children
    136. Pediatric Urologic and Gynecologic Disorders
    137. Renal Emergencies in Children
    138. Seizures in Infants and Children
    139. Headache in Children
    140. Altered Mental Status in Children
    141. Pediatric Orthopedic Emergencies
    142. Rashes in Infants and Children
    143. Sickle Cell Disease in Children
    144. Hematologic Emergencies in Infants and Children
    145. Oncologic Emergencies in Infants and Children
    146. Metabolic Emergencies in Infants and Children
    147. Diabetes in Children
    148. The Child With Special Healthcare Needs
    149. Behavioral Disorders in Children
    150. Child Abuse and Neglect
    Section 13. Infectious Diseases
    151. Sepsis
    152. Soft Tissue Infections
    153. Sexually Transmitted Infections
    154. Serious Viral Infections
    155. Human Immunodeficiency Virus Infection
    156. Endocarditis
    157. Tetanus
    158. Rabies
    159. Malaria
    160. Food and Waterborne Illnesses
    161. Zoonotic Infections
    162. Global Travelers
    163. Occupational Exposures, Infection Control, and Standard Precautions
    Section 14. Neurology
    164. Neurologic Examination
    165. Headache
    166. Spontaneous Subarachnoid and Intracerebral Hemorrhage
    167. Stroke Syndromes
    168. Altered Mental Status and Coma
    169. Ataxia and Gait Disturbances
    170. Vertigo
    171. Seizures and Status Epilepticus in Adults
    172. Acute Peripheral Neurologic Disorders
    173. Chronic Neurologic Disorders
    174. Central Nervous System and Spinal Infections
    175. Central Nervous System Procedures and Devices
    Section 15. Toxicology
    176. General Management of Poisoned Patients
    177. Cyclic Antidepressants
    178. Atypical and Serotonergic Antidepressants
    179. Monoamine Oxidase Inhibitors
    180. Antipsychotics
    181. Lithium
    182. Barbiturates
    183. Benzodiazepines
    184. Nonbenzodiazepine Sedatives
    185. Alcohols
    186. Opioids
    187. Cocaine and Amphetamines
    188. Hallucinogens
    189. Salicylates
    190. Acetaminophen
    191. Nonsteroidal Anti-Inflammatory Drugs
    192. Methylxanthines and Nicotine
    193. Digitalis Glycosides
    194. Beta-Blockers
    195. Calcium Channel Blockers
    196. Antihypertensives
    197. Anticonvulsants
    198. Iron
    199. Hydrocarbons and Volatile Substances
    200. Caustic Ingestions
    201. Pesticides
    202. Anticholinergics
    203. Metals and Metalloids
    204. Industrial Toxins
    205. Vitamins and Herbals
    206. Antimicrobials
    207. Dyshemoglobinemias
    Section 16. Environmental Injuries
    208. Cold Injuries
    209. Hypothermia
    210. Heat Emergencies
    211. Bites and Stings
    212. Snakebite
    213. Marine Trauma and Envenomation
    214. Diving Disorders
    215. Drowning
    216. High-Altitude Disorders
    217. Thermal Burns
    218. Chemical Burns
    219. Electrical and Lightning Injuries
    220. Mushroom Poisoning
    221. Poisonous Plants
    222. Carbon Monoxide
    Section 17. Endocrine Disorders
    223. Type 1 Diabetes Mellitus
    224. Type 2 Diabetes Mellitus
    225. Diabetic Ketoacidosis
    226. Ketoacidotic Syndromes
    227. Hyperosmolar Hyperglycemic State
    228. Hypothyroidism and Myxedema Crisis
    229. Hyperthyroidism and Thyroid Storm
    230. Adrenal Insufficiency
    Section 18. Hematologic and Oncologic Disorders
    231. Anemia and Polycythemia
    232. Hemostasis
    233. Acquired Bleeding Disorders
    234. Clotting Disorders
    235. Hemophilias and von Willebrand’s Disease
    236. Sickle Cell Disease and Hereditary Hemolytic Anemias
    237. Acquired Hemolytic Anemia
    238. Transfusion Therapy
    239. Thrombotics and Antithrombotics
    240. Emergency Complications of Malignancy
    Section 19. Eye, Ear, Nose, Throat, and Oral Disorders
    241. Eye Emergencies
    242. Ear Disorders
    243. Face and Jaw Emergencies
    244. Nose and Sinuses
    245. Oral and Dental Emergencies
    246. Neck and Upper Airway
    247. Complications of Airway Devices
    Section 20. Dermatology
    248. Initial Evaluation and Management of Skin Disorders
    249. Generalized Skin Disorders
    250. Skin Disorders: Face and Scalp
    251. Skin Disorders: Trunk
    252. Skin Disorders: Groin and Skinfolds
    253. Skin Disorders: Extremities
    Section 21. Trauma
    254. Trauma in Adults
    255. Trauma in the Elderly
    256. Trauma in Pregnancy
    257. Head Trauma
    258. Spine Trauma
    259. Trauma to the Face
    260. Trauma to the Neck
    261. Pulmonary Trauma
    262. Cardiac Trauma
    263. Abdominal Trauma
    264. Trauma to the Flank and Buttocks
    265. Genitourinary Trauma
    266. Trauma to the Extremities
    Section 22. Orthopedics
    267. Initial Evaluation and Management of Orthopedic Injuries
    268. Injuries to the Hand and Digits
    269. Wrist Injuries
    270. Elbow and Forearm Injuries
    271. Shoulder and Humerus Injuries
    272. Pelvis Injuries
    273. Hip and Femur Injuries
    274. Knee Injuries
    275. Leg Injuries
    276. Ankle Injuries
    277. Foot Injuries
    278. Compartment Syndrome
    Section 23. Musculoskeletal Disorders
    279. Neck and Back Pain
    280. Shoulder Pain
    281. Hip and Knee Pain
    282. Systemic Rheumatic Diseases
    283. Nontraumatic Disorders of the Hand
    284. Joints and Bursae
    285. Soft Tissue Problems of the Foot
    Section 24. Psychosocial Disorders
    286. Mental Health Disorders: ED Evaluation and Disposition
    287. Acute Agitation
    288. Mental Health Disorders of the Elderly
    289. Mood and Anxiety Disorders
    290. Psychoses
    291. Eating Disorders
    292. Substance Use Disorders
    Section 25. Abuse and Assault
    293. Female and Male Sexual Assault
    294. Intimate Partner Violence and Abuse
    295. Abuse of the Elderly and Impaired
    Section 26. Special Situations
    296. Injection Drug Users
    297. The Transplant Patient
    298. The Patient with Morbid Obesity
    299. The Transgender Patient
    300. Palliative Care
    301. Death Notification and Advance Directives
    302. Military Medicine
    303. Legal Issues in Emergency Medicine
    Index

     

  • Atlas of Clinical Emergency Medicine
    La comanda in aproximativ 4 saptamani
    1,16000lei 950.00 lei

    A physician's time is limited in the ED, and lengthy paragraphs that take several sentences to make a management recommendation are no longer useful to the emergency physician at the point of care. This customer-focused Atlas allows emergency physician to quickly look up a diagnosis and make the appropriate management decisions in 3 minutes or less. Features: * Visual presentation of the most common disorders that present in the emergency room* New editorial board, including young and up-and-coming emergency physicians* New table of contents focused on key disorders emergency medicine physicians see in practice* New chapter template emphasizes bulleted text organized by Clinical Presentation, Diagnosis, and ManagementNow with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:* Complete content with enhanced navigation* A powerful search tool that pulls results from content in the book, your notes, and even the web* Cross-linked pages, references, and more for easy navigation* A highlighting tool for easier reference of key content throughout the text* Ability to take and share notes with friends and colleagues* Quick-reference tabbing to save your favorite content for future use

  • 1,17800lei 1000.00 lei

    The most clear, complete, and easy-to-understand review of emergency medicine available ? enhanced by 20 new chapters and a library procedural animations. This lavishly illustrated, expertly authored reference helps readers master the clinical and technical skills necessary to perform the full range of procedures in an emergency or acute care setting. With more than 1,700 original, precise illustrations, this quick-access resource features single-chapter coverage of more than 200 procedures, and often includes several methods of performing them. ? Animation library includes 40 of the most common or difficult procedures ? This edition is enhanced by 20 all-new chapters and 20 additional animations added to the website ? Acclaimed consistent chapter presentation makes information retrieval fast and easy

  • 1,20800lei 1140.00 lei

     

    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