9781608316304

This best-selling emergency department reference is now in its thoroughly updated Fourth Edition. The foremost authorities provide practical information on over 600 clinical problems in a fast-access two-page outline format that's perfect for on-the-spot consultation during care in the emergency department. Coverage of each disorder includes clinical presentation, pre-hospital, diagnosis, treatment, disposition, and ICD-10 coding. Icons enable practitioners to quickly spot the information they need. This edition provides up-to-date information on topics such as emerging infections, new protocols, and new treatments.

CONTENTS Preface v Acknowledgments vi Contributors vii Abdominal Aortic Aneurysm 2 Abdominal Pain 4 Abdominal Trauma, Blunt 6 Abdominal Trauma, Imaging 8 Abdominal Trauma, Penetrating 10 Abortion, Spontaneous 12 Abruptio Placentae 14 Abscess, Skin/Soft Tissue 16 Abuse, Elder 18 Abuse, Pediatric (Nonaccidental Trauma [NAT]) 20 Acetaminophen Poisoning 22 Acidosis 24 Acromioclavicular Joint Injury 26 Acute Coronary Syndrome: Coronary Vasospasm 28 Acute Coronary Syndrome: Drug-Induced 30 Acute Coronary Syndrome: Myocardial Infarction 32 Acute Coronary Syndrome: Non–Q-Wave (Non-ST Elevation) MI 34 Acute Coronary Syndrome: Stable Angina 36 Acute Coronary Syndrome: Unstable Angina 38 Adrenal Insufficiency 40 Airway Management 42 Alcohol Poisoning 44 Alcoholic Ketoacidosis 46 Alkalosis 48 Altered Mental Status 50 Amebiasis 52 Amenorrhea 54 Amphetamine Poisoning 56 Amputation Traumatic/Replantation 58 Amyotrophic Lateral Sclerosis 60 Anal Fissure 62 Anaphylaxis 64 Anemia 66 Angioedema 68 Ankle Fracture/Dislocation 70 Ankle Sprain 72 Ankylosing Spondylitis 74 Anterior Cruciate Ligament Injury 76 Anticholinergic Poisoning 78 Antidepressant Poisoning 80 Aortic Dissection, Thoracic 82 Aortic Rupture, Traumatic (TAI) 84 Aphthous Ulcers 86 Apnea, Pediatric 88 Appendicitis 90 Arsenic Poisoning 92 Arterial Gas Embolism (AGE) 94 Arterial Occlusion 96 Arthritis, Degenerative 98 Arthritis, Juvenile Idiopathic 100 Arthritis, Monoarticular 102 Arthritis, Rheumatoid 104 Arthritis, Septic 106 Ascites 108 Asthma, Adult 110 Asthma, Pediatric 112 Asystole 114 Ataxia 116 Atrial Fibrillation 118 Atrial Flutter 120 Atrioventricular Blocks 122 Babesiosis 124 Back Pain 126 Bacterial Tracheitis 128 Barbiturates Poisoning 130 Barotrauma 132 Bartholin Abscess 134 Bell Palsy 136 Benzodiazepine Poisoning 138 Beta-Blocker Poisoning 140 Biologic Weapons 142 xxvii xxviii Contents Bipolar Disorder 144 Bite, Animal 146 Bite, Human 148 Bladder Injury 150 Blow-Out Fracture 152 Boerhaave Syndrome 154 Botulism 156 Bowel Obstruction 158 Bradyarrhythmias 160 Bronchiolitis 162 Bronchitis 164 Bundle Branch Blocks 166 Burns 168 Bursitis 170 Calcium Channel Blocker Poisoning 172 Candidiasis, Oral 174 Carbamazepine, Poisoning 176 Carbon Monoxide Poisoning 178 Cardiac Arrest 180 Cardiac Pacemakers 182 Cardiac Testing 184 Cardiac Transplantation Complications 186 Cardiogenic Shock 188 Cardiomyopathy 190 Cardiomyopathy, Hypertrophic 192 Cardiomyopathy, Peripartum 194 Carpal Fractures 196 Carpal Tunnel Syndrome 198 Cauda Equina Syndrome 200 Caustic Ingestion 202 Cavernous Sinus Thrombosis 204 Cellulitis 206 Central Retinal Artery Occlusion 208 Central Retinal Vein Occlusion 210 Cerebral Aneurysm 212 Cerebral Vascular Accident 214 Cervical Adenitis 216 Cesarean Section, Emergency 218 Chancroid 220 Chemical Weapons Poisoning 222 Chest Pain 224 Chest Trauma, Blunt 226 Chest Trauma, Penetrating 228 Cholangitis 230 Cholecystitis 232 Cholelithiasis 234 Chronic Obstructive Pulmonary Disease 236 Cirrhosis 238 Clavicle Fracture 240 Cocaine Poisoning 242 Colon Trauma 244 Coma 246 Compartment Syndrome 248 Congenital Heart Disease, Acyanotic 250 Congenital Heart Disease, Cyanotic 252 Congestive Heart Failure 254 Conjunctivitis 256 Constipation 258 Contact Dermatitis 260 Cor Pulmonale 262 Corneal Abrasion 264 Corneal Burn 266 Corneal Foreign Body 268 Cough 270 Croup 272 Cushing Syndrome 274 Cyanide Poisoning 276 Cyanosis 278 Cystic Fibrosis 280 Dacryocystitis and Dacryoadenitis 282 Decompression Sickness 284 Deep Vein Thrombosis 286 Defibrillators, Implantable 288 Delirium 290 Delivery, Uncomplicated 292 Dementia 294 Dengue Fever 296 Dental Trauma 298 Depression 300 Dermatomyositis/Polymyositis 302 Diabetes Insipidus 304 Diabetes Mellitus, Juvenile 306 Diabetic Ketoacidosis 308 Dialysis Complications 310 Diaper Rash 312 Diaphragmatic Trauma 314 Contents xxix Diarrhea, Adult 316 Diarrhea, Pediatric 318 Digoxin, Poisoning 320 Disseminated Intravascular Coagulation 322 Disulfiram Reaction 324 Diverticulitis 326 Diverticulosis 328 Dizziness 330 Domestic Violence 332 Duodenal Trauma 334 Dysfunctional Uterine Bleeding 336 Dysphagia 338 Dyspnea 340 Dystonic Reaction 342 Eating Disorder 344 Ectopic Pregnancy 346 Eczema/Atopic Dermatitis 348 Edema 350 Ehrlichiosis 352 Elbow Injuries 354 Electrical Injury 356 Encephalitis 358 Endocarditis 360 Endometriosis 362 Epididymitis/Orchitis 364 Epidural Abscess 366 Epidural Hematoma 368 Epiglottitis, Adult 370 Epiglottis, Pediatric 372 Epiphyseal Injuries 374 Epistaxis 376 Erysipelas 378 Erythema Infectiosum 380 Erythema Multiforme 382 Erythema Nodosum 384 Esophageal Trauma 386 Ethylene Glycol Poisoning 388 External Ear Chondritis/Abscess 390 Extremity Trauma, Penetrating 392 Facial Fractures 394 Failure to Thrive 396 Fatigue 398 Feeding Problems, Pediatric 400 Feeding Tube Complications 402 Femur Fracture 404 Fever, Adult 406 Fever, Pediatric 408 Fibrocystic Breast Disease 410 Fibromyalgia 412 Flail Chest 414 Foot Fracture 416 Forearm Fracture, Shaft/Distal 418 Foreign Body, Ear 420 Foreign Body, Esophageal 422 Foreign Body, Nasal 424 Foreign Body, Rectal 426 Fournier Gangrene 428 Fracture, Open 430 Fractures, Pediatric 432 Frostbite 434 Gallstone Ileus 436 Gangrene 438 Gastric Outlet Obstruction 440 Gastritis 442 Gastroenteritis 444 Gastroesophageal Reflux Disease 446 Gastrointestinal Bleeding 448 GHB, Poisoning 450 Giant Cell Arteritis 452 Giardiasis 454 Glaucoma 456 Globe Rupture 458 Glomerulonephritis 460 Gonococcal Disease 462 Gout/Pseudogout 464 Granulocytopenia 466 Guillain-Barr \u00b4e Syndrome 468 Hallucinogen Poisoning 470 Hand Infection 472 Hazmat 474 Head Trauma, Blunt 476 Head Trauma, Penetrating 478 Headache 480 Headache, Cluster 482 Headache, Migraine 484 Heart Murmur 486 xxx Contents HELLP Syndrome 488 Hematuria/Proteinuria 490 Hemophilia 492 Hemoptysis 494 Hemorrhagic Fevers 496 Hemorrhagic Shock 498 Hemorrhoid 500 Hemothorax 502 Henoch Sch\u00a8 onlein Purpura 504 Hepatic Encephalopathy 506 Hepatic Injury 508 Hepatitis 510 Hepatorenal Syndrome 512 Hernia 514 Herpes, Genital 516 Herpes Simplex 518 Herpes Zoster 520 Hiccups 522 High Altitude Illness 524 Hip Injury 526 Hirschsprung Disease 528 HIV/AIDS 530 Hordeolum and Chalazion 532 Horner Syndrome 534 Humerus Fracture 536 Hydatidiform Mole 538 Hydrocarbon Poisoning 540 Hydrocele 542 Hydrocephalus 544 Hyperbaric Oxygen Therapy 546 Hypercalcemia 548 Hyperemesis Gravidarum 550 Hyperkalemia 552 Hypernatremia 554 Hyperosmolar Syndrome 556 Hyperparathyroidism 558 Hypertensive Emergencies 560 Hyperthermia 562 Hyperthyroidism 564 Hyperventilation 566 Hyperviscosity Syndrome 568 Hyphema 570 Hypocalcemia 572 Hypoglycemia 574 Hypoglycemic Agent Poisoning 576 Hypokalemia 578 Hyponatremia 580 Hypoparathyroidism 582 Hypothermia 584 Hypothyroidism 586 Idiopathic Thrombocytopenic Purpura 588 Immunizations 590 Immunosuppression 592 Impetigo 594 Inborn Errors of Metabolism 596 Inflammatory Bowel Disease 598 Influenza 600 Intracerebral Hemorrhage 602 Intussusception 604 Iritis 606 Iron Poisoning 608 Irritable Bowel 610 Irritable Infant 612 Irritant Gas Exposure 614 Isoniazid Poisoning 616 Isopropanol Poisoning 618 Jaundice 620 Kaposi Sarcoma 622 Kawasaki Disease 624 Knee Dislocation 626 Labor 628 Labyrinthitis 630 Laceration Management 632 Laryngitis 634 Larynx Fracture 636 Lead Poisoning 638 Legg-Calv \u00b4 e-Perthes Disease 640 Leukemia 642 Lightning Injuries 644 Lithium Poisoning 646 Ludwig Angina 648 Lunate Dislocation 650 Lyme Disease 652 Lymphadenitis 654 Lymphangitis 656 Lymphogranuloma Venereum 658 Contents xxxi Malaria 660 Malgaigne Fracture 662 Mallory-Weiss Syndrome 664 Malrotation 666 Mandibular Fractures 668 Marine Envenomation 670 Mastitis 672 Mastoiditis 674 MDMA Poisoning 676 Measles 678 Meckel Diverticulum 680 Medial Collateral Ligament Strain 682 Medial Meniscus Injury 684 M\u00b4eni ` ere Disease 686 Meningitis 688 Meningococcemia 690 Mercury Poisoning 692 Mesenteric Ischemia 694 Metacarpal Injuries 696 Methanol Poisoning 698 Methemoglobinemia 700 Mitral Valve Prolapse 702 Molluscum Contagiosum 704 Monoamine Oxidase Inhibitor Poisoning 706 Mononucleosis 708 MRSA, Community Acquired 710 Multiple Myeloma 712 Multiple Sclerosis 714 Mumps 716 Munchausen Syndrome 718 Mushroom Poisoning 720 Myasthenia Gravis 722 Myocardial Contusion 724 Myocarditis 726 Nasal Fractures 728 Near Drowning 730 Neck Injury by Strangulation/Hanging 732 Neck Trauma, Blunt, Anterior 734 Neck Trauma, Penetrating, Anterior 736 Necrotizing Soft Tissue Infections 738 Necrotizing Ulcerative Gingivitis 740 Needle Stick 742 Neonatal Jaundice 744 Neonatal Sepsis 746 Nephritic Syndrome 748 Nephrotic Syndrome 750 Neuroleptic Malignant Syndrome 752 Neuroleptic Poisoning 754 Noncardiogenic Pulmonary Edema 756 Nonsteroidal Anti-inflammatory Poisoning 758 Nursemaid\u2019s Elbow 760 Oculomotor Nerve Palsy 762 Opiate Poisoning 764 Opportunistic Infection 766 Optic Artery Occlusion 768 Optic Neuritis 770 Organophosphate Poisoning 772 Osgood-Schlatter Disease 774 Osteogenesis Imperfecta 776 Osteomyelitis 778 Osteoporosis 780 Otitis Externa 782 Otitis Media 784 Otologic Trauma 786 Ovarian Cyst/Torsion 788 Paget Disease 790 Pancreatic Pseudocyst 792 Pancreatic Trauma 794 Pancreatitis 796 Panic Attack 798 Paraphimosis 800 Parkinson Disease 802 Paronychia 804 Patellar Injuries 806 Patent Ductus Arteriosus 808 Pediatric Trauma 810 Pediculosis 812 Pelvic Fracture 814 Pelvic Inflammatory Disease 816 Pemphigus 818 Penile Shaft Fracture 820 Peptic Ulcer 822 Perforated Viscous 824 Pericardial Effusion/Tamponade 826 Pericarditis 828 Perilunate Dislocation 830 xxxii ContentsoteskBE-Light" Periodontal Abscess 832 Periorbital and Orbital Cellulitis 834 Peripheral Neuropathy 836 Peripheral Vascular Disease 838 Perirectal Abscess 840 Peritonsillar Abscess 842 Pertussis 844 Phalangeal Injuries, Foot 846 Phalangeal Injuries, Hand 848 Pharyngitis 850 Phencyclidine Poisoning 852 Phenytoin Poisoning 854 Pheochromocytoma 856 Phimosis 858 Pityriasis Rosea 860 Placenta Previa 862 Plant Poisoning 864 Pleural Effusion 866 Pneumocystis carinii Pneumomediastinum 870 Pneumonia, Adult 872 Pneumonia, Pediatric 874 Pneumothorax 876 Poisoning 878 Poisoning, Antidotes 880 Poisoning, Gastric Decontamination 882 Poisoning, Toxidromes 884 Polio 886 Polycythemia 888 Postpartum Hemorrhage 890 Postpartum Infection 892 Pre-Eclampsia/Eclampsia 894 Pre-Excitation Syndromes 896 Pregnancy, Trauma In 898 Pregnancy, Uncomplicated 900 Priapism 902 Procedural Sedation 904 Prostatitis 906 Pruritus 908 Pseudotumor Cerebri 910 Psoriasis 912 Psychiatric Commitment 914 Psychosis, Acute 916 Psychosis, Medical vs. Psychiatric 918 Pulmonary Contusion 920 Pulmonary Edema 922 Pulmonary Embolism 924 Purpura 926 Pyelonephritis 928 Pyloric Stenosis 930 QT Syndrome, Prolonged 932 Rabies 934 Radiation Injury 936 Rapid Sequence Intubation 938 Rash 940 Rash, Pediatric 942 Rectal Prolapse 944 Rectal Trauma 946 Red Eye 948 Reiter Disease 950 Renal Calculus 952 Renal Failure 954 Renal Injury 956 Reperfusion Therapy, Cardiac 958 Reperfusion Therapy, Cerebral 960 Respiratory Distress 962 Resuscitation, Neonate 964 Resuscitation, Pediatric 966 Retinal Detachment 968 Retropharyngeal Abscess 970 Reye Syndrome 972 Rhabdomyolysis 974 Rheumatic Fever 976 Rib Fracture 978 Ring/Constricting Band Removal 980 Rocky Mountain Spotted Fever 982 Roseola 984 Rubella 986 Sacral Fracture 988 Salicylate Poisoning 990 Sarcoidosis 992 Scabies 994 Scaphoid Fracture 996 Schizophrenia 998 Sciatica/Herniated Disc 1000 Seborrheic Dermatitis 1002 Pneumonia 868 Contents xxxiii Seizure, Adult 1004 Seizure, Febrile 1006 Seizure, Pediatric 1008 Sepsis 1010 Serum Sickness 1012 Sexual Assault 1014 Shock 1016 Shoulder Dislocation 1018 Sick Sinus Syndrome 1020 Sickle Cell Disease 1022 Sinusitis 1024 Skin Cancer 1026 Sleep Apnea 1028 Slipped Capital Femoral Epiphysis 1030 Small-Bowel Injury 1032 Smoke Inhalation 1034 Snake Envenomation 1036 Spider Bite, Black Widow 1038 Spider Bite, Brown Recluse 1040 Spinal Cord Syndromes 1042 Spine Injury: Cervical, Adult 1044 Spine Injury: Cervical, Pediatric 1046 Spine Injury: Coccyx 1048 Spinal Injury: Lumbar 1050 Spine Injury: Thoracic 1052 Splenic Injury 1054 Spondylolysis/Spondylolisthesis 1056 Spontaneous Bacterial Peritonitis 1058 Sporotrichosis 1060 Staphylococcal Scalded Skin Syndrome 1062 Sternoclavicular Joint Injury 1064 Stevens–Johnson Syndrome 1066 Sting, Bee 1068 Sting, Scorpion 1070 Streptococcal Disease 1072 Stridor 1074 Subarachnoid Hemorrhage 1076 Subdural Hematoma 1078 Sudden Infant Death Syndrome (SIDS) 1080 Suicide, Risk Evaluation 1082 Supraventricular Tachycardia 1084 Sympathomimetic Poisoning 1086 Syncope 1088 Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) 1090 Synovitis, Toxic 1092 Syphilis 1094 Systemic Lupus Erythematosus 1096 Tachydysrhythmias 1098 Taser Injuries 1100 Temporal-Mandibular Joint Injury/Syndrome 1102 Tendon Laceration 1104 Tendonitis 1106 Tenosynovitis 1108 Testicular Torsion 1110 Tetanus 1112 Theophylline Poisoning 1114 t"Thoracic Outlet Syndrome 1116 Thrombotic Thrombocytopenic Purpura 1118 Thumb Fracture 1120 Tibial Plateau Fracture 1122 Tibial/Fibular Shaft Fracture 1124 Tick Bite 1126 Tinea Infections, Cutaneous 1128 Toluene Poisoning 1130 Toothache 1132 Torticollis 1134 Toxic Epidermal Necrolysis 1136 Toxic Shock Syndrome 1138 Toxoplasmosis 1140 Transfusion Complications 1142 Transient Global Amnesia 1144 Transient Ischemic Attack 1146 Transplant Rejection 1148 Trauma, Multiple 1150 Trichomonas 1152 Tricyclic Antidepressant, Poisoning 1154 Trigeminal Neuralgia 1156 Tuberculosis 1158 Tularemia 1160 Tumor Compression Syndromes 1162 Tympanic Membrane Perforation 1164 Ultraviolet Keratitis 1166 Urethral Trauma 1168 Urethritis 1170 Urinary Retention 1172 xxxiv Contents Urinary Tract Fistula 1174 Urinary Tract Infections, Adult 1176 Urinary Tract Infections, Pediatric 1178 Urticaria 1180 Vaginal Bleeding 1182 Vaginal Bleeding in Pregnancy 1184 Vaginal Discharge/Vaginitis 1186 Valvular Heart Disease 1188 Varicella 1190 Varices 1192 Vasculitis 1194 Venous Insufficiency 1196 Ventilator Management 1198 Ventricular Fibrillation 1200 Ventricular Peritoneal Shunts 1202 Ventricular Tachycardia 1204 Vertebrobasilar Insufficiency 1206 Vertigo 1208 Violence, Management of 1210 Visual Loss 1212 Vitreous Hemorrhage 1214 Volvulus 1216 Vomiting, Adult 1218 Vomiting, Pediatric 1220 von Willebrand Disease 1222 Warfarin/Coumadin Overdose 1224 Warts 1226 Weakness 1228 West Nile Virus 1230 Wheezing 1232 Withdrawal, Alcohol 1234 Withdrawal, Drug 1236 Wolff-Parkinson-White Syndrome 1238 Wound Ballistics 1240

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Rosen & Barkin's 5-Minute Emergency Medicine Consult

Rosen & Barkin's 5-Minute Emergency Medicine Consult

1608316300

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