Christopher P. Holstege, Alexander B. Baer, Jesse M. Pines, William J. Brady
Visual Diagnosis in Emergency and Critical Care Medicine
Christopher P. Holstege, Alexander B. Baer, Jesse M. Pines, William J. Brady
Visual Diagnosis in Emergency and Critical Care Medicine
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Improve your skills in visual diagnosis
Speed and accuracy of diagnosis is the key to saving lives in emergency and critical care medicine. Careful visual inspection of the patient, the data (radiography, electrocardiogram), and related clues can often help providers choose the right diagnosis and ultimately the best treatment - but this knowledge comes with experience. This book provides 110 randomly presented visual diagnosis cases for self-testing, imitating real-life situations found in the emergency department setting.
Written by distinguished emergency and critical care physicians,…mehr
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Improve your skills in visual diagnosis
Speed and accuracy of diagnosis is the key to saving lives in emergency and critical care medicine. Careful visual inspection of the patient, the data (radiography, electrocardiogram), and related clues can often help providers choose the right diagnosis and ultimately the best treatment - but this knowledge comes with experience. This book provides 110 randomly presented visual diagnosis cases for self-testing, imitating real-life situations found in the emergency department setting.
Written by distinguished emergency and critical care physicians, and thoroughly revised and updated throughout, this second edition includes 25% new cases and is an ideal aid for trainees preparing for Board examinations as well as an invaluable 'refresher' for qualified emergency and critical care providers.
Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Speed and accuracy of diagnosis is the key to saving lives in emergency and critical care medicine. Careful visual inspection of the patient, the data (radiography, electrocardiogram), and related clues can often help providers choose the right diagnosis and ultimately the best treatment - but this knowledge comes with experience. This book provides 110 randomly presented visual diagnosis cases for self-testing, imitating real-life situations found in the emergency department setting.
Written by distinguished emergency and critical care physicians, and thoroughly revised and updated throughout, this second edition includes 25% new cases and is an ideal aid for trainees preparing for Board examinations as well as an invaluable 'refresher' for qualified emergency and critical care providers.
Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Produktdetails
- Produktdetails
- Verlag: Wiley & Sons
- Artikelnr. des Verlages: 1A444333470
- 2. Aufl.
- Seitenzahl: 204
- Erscheinungstermin: 22. August 2011
- Englisch
- Abmessung: 276mm x 220mm x 12mm
- Gewicht: 671g
- ISBN-13: 9781444333473
- ISBN-10: 144433347X
- Artikelnr.: 33240231
- Verlag: Wiley & Sons
- Artikelnr. des Verlages: 1A444333470
- 2. Aufl.
- Seitenzahl: 204
- Erscheinungstermin: 22. August 2011
- Englisch
- Abmessung: 276mm x 220mm x 12mm
- Gewicht: 671g
- ISBN-13: 9781444333473
- ISBN-10: 144433347X
- Artikelnr.: 33240231
CHRISTOPHER P. HOLSTEGE MD, Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia ALEXANDER B. BAER MD, Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia JESSE M. PINES MD, Center for Health Care Quality, Department of Emergency Medicine and Health Policy, George Washington University WILLIAM J. BRADY MD, Department of Emergency Medicine, University of Virginia
List of contributors
ix Foreword
xii Preface
xiv Illustration credits
xv Part I Case Presentations and Questions
1 1 Slash Wound to the Neck
3 Kevin S. Barlotta
MD and Alexander B. Baer
MD 2 "I've Got Blood in My Eye"
3 Chris S. Bergstrom
MD and Alexander B. Baer
MD 3 Forearm Fracture After Falling
4 Alexander B. Baer
MD 4 A Neonate with Fever and Rash
4 David L. Eldridge
MD 5 A Missing Button Battery
5 Brendan G. Carr
MD and Sarah E. Winters
MD
MSCE 6 Anorexia
Hair Loss
and Fingernail Bands
6 Christopher P. Holstege
MD 7 Wide Complex Tachycardia in a Young Adult
6 William J. Brady
MD 8 Wide Complex Tachycardia in an Older Male Patient
7 William J. Brady
MD 9 Muscle Spasms Following a Spider Bite
8 J. Michael Kowalski
DO and Adam K. Rowden
DO 10 Necrotic Skin Lesion
8 David A. Kasper
DO
MBA
Aradhna Saxena
MD and Kenneth A. Katz
MD 11 Intense Pain Following High-pressure Injection Injury
9 David T. Lawrence
DO 12 Prenatal Vitamin Overdose
9 Christopher P. Holstege
MD and Adriana I. Goldberg
MD 13 Blurred Vision Following Yard Work
10 Allyson Kreshak
MD 14 Foot Pain in a Gymnast
11 Hoi K. Lee
MD 15 A Child with Bruises of Different Ages
11 David L. Eldridge
MD 16 Sudden Shortness of Breath after Removal of a Central Line
12 Christopher P. Holstege
MD 17 "My Eyes Are Yellow!"
13 David T. Lawrence
DO 18 Pleuritic Chest Pain in a Young Adult Male
13 William J. Brady
MD 19 Exposed During a Blizzard
14 Joseph D. Forrester
MD and Christopher P. Holstege
MD 20 FAST Evaluation of a Trauma Patient
15 John S. Rajkumar
MD and James H. Moak
MD
RDMS 21 Chest Pain with Sudden Cardiac Death
15 William J. Brady
MD 22 Wrist "Sprain" in a Child
16 Jennifer S. Boyle
PharmD
MD 23 Acute Eye Pain and Blurred Vision in an Elderly Female
17 Chris S. Bergstrom
MD and Alexander Baer
MD 24 Heel Pain Following a Fall
17 Jennifer S. Boyle
PharmD
MD 25 Confl uent Rash on a Child
18 Sarah E. Winters
MD
MSCE and Brendan G. Carr
MD 26 Bradycardia Following an Herbal Ingestion
18 Alexander B. Baer
MD 27 A Pain-free Adult with Persistent T Wave Abnormalities
19 William J. Brady
MD 28 Caustic Ingestion with Cardiotoxic Effects
20 Heather A. Borek
MD and Christopher P. Holstege
MD 29 Chemical Eye Exposure
21 Chris S. Bergstrom
MD and Alexander B. Baer
MD 30 Acute Abdominal Pain in Pregnancy
22 James H. Moak
MD
RDMS and John S. Rajkumar
MD 31 Coma Following Head Trauma
22 Andrew L. Homer
MD and William J. Brady
MD 32 Tongue Swelling in a Hypertensive Female
23 Kevin S. Barlotta
MD and Alexander B. Baer
MD 33 Purulent Eye Discharge in an Adult
24 Chris S. Bergstrom
MD and Alexander B. Baer
MD 34 Shoulder Pain Following Direct Blow
24 Nathan P. Charlton
MD 35 A Gagging Child
25 Maureen Chase
MD and Worth W. Everett
MD 36 Adult Male with a Sudden
Severe Headache
25 Andrew L. Homer
MD and William J. Brady
MD 37 New Facial Droop
26 Andrew D. Perron
MD and Christopher T. Bowe
MD 38 Eye Pain After Tree Branch Strike
26 Chris S. Bergstrom
MD and Alexander B. Baer
MD 39 An Elderly Woman with Groin Pain
27 Brendan G. Carr
MD 40 Rash and Joint Pain in a Child
28 Mara L. Becker
MD 41 Radiology Findings after Laparoscopy
28 Munish Goyal
MD 42 Postprandial Abdominal Pain in an Elderly Woman
29 Hoi K. Lee
MD 43 "Pink Eye" in a Contact Lens Wearer
30 Chris S. Bergstrom
MD and Alexander B. Baer
MD 44 Suspicious Hand Pain
30 Rex G. Mathew
MD 45 Fever and Rash in a Child
31 David L. Eldridge
MD 46 An Alcoholic with Dyspnea
31 James H. Moak
MD
RDMS and John S. Rajkumar
MD 47 Dark Urine from an Immigrant
32 Suzanne M. Shepherd
MD 48 Chest Pain and Lead aVR ST Segment Elevation
33 William J. Brady
MD 49 Hand Pain after Striking a Wall
34 William J. Brady
MD and Kevin S. Barlotta
MD 50 A Refugee with Skin Lesions
35 Roger A. Band
MD and Jeanmarie Perrone
MD 51 Pain out of Proportion to Examination
35 J. Michael Kowalski
DO and Adam K. Rowden
DO 52 Leg Pain Following a Motor Vehicle Collision
36 Nathan P. Charlton
MD 53 Deformed Globe Following Trauma
36 Worth W. Everett
MD 54 Foot Pain Following Breaking
37 Munish Goyal
MD 55 Lamp Oil Ingestion
38 David L. Eldridge
MD 56 Intermittent Abdominal Pain in a Female
38 John S. Rajkumar
MD and James H. Moak
MD
RDMS 57 Hallucinations in a Botanist
39 Joseph D. Forrester
MD and Christopher Holstege
MD 58 Altered Mental Status with an Abnormal Electrocardiogram
40 William J. Brady
MD 59 Fishing in the Stomach
41 Joseph D. Forrester
MD and Christopher P. Holstege
MD 60 Overdose-induced Boiled Lobster Skin
41 Heather A. Borek
MD and Christopher P. Holstege
MD 61 Back Pain Following a Fall
42 Andrew D. Perron
MD and Christopher T. Bowe
MD 62 Painful Facial Rash
42 Chris S. Bergstrom
MD and Alexander B. Baer
MD 63 Intense Wrist Pain Following Trauma
43 Rex G. Mathew
MD 64 Fever and Drooling in a Child
44 Sarah E. Winters
MD
MSCE and Brendan G. Carr
MD 65 Syncope and Flank Pain in an Elderly Man
44 John S. Rajkumar
MD and James H. Moak
MD
RDMS 66 Get Them Undressed!
45 Munish Goyal
MD 67 A "Blue Hue" Following Endoscopy
46 Saumil Vaghela
PharmD and Christopher P. Holstege
MD 68 Acute-onset Blurred Vision
46 Chris S. Bergstrom
MD and Alexander B. Baer
MD 69 Elbow Pain in a Child After a Fall
47 Elizabeth Cochran Ward
MD and Alexander B. Baer
MD 70 Confusion
Anemia
and Abdominal Pain in a Toddler
47 Christopher P. Holstege
MD and Joseph T. Vance 71 A Ground-level Fall with Ankle Pain
48 Christopher T. Bowe
MD 72 Traumatic Eye Pain and Proptosis
49 Chris Bergstrom
MD and Alexander Baer
MD 73 Diffuse Ankle Pain Following a Fall
49 Andrew D. Perron
MD and Christopher T. Bowe
MD 74 Rash Following Brush Fire
50 Christopher P. Holstege
MD and Alejandro C. Stella
MD 75 Abdominal Pain in a Trauma Victim
51 Esther H. Chen
MD 76 Skin Target Lesion
51 Mara L. Becker
MD 77 Chest Pain and a Confounding Electrocardiogram Pattern
52 William J. Brady
MD 78 Sudden Sedation in a Student
53 David T. Lawrence
DO 79 Skin Lesions in a Comatose Patient
53 Christopher P. Holstege
MD and Matthew D. Wilson
MD 80 Raccoon Eyes
54 Angela M. Mills
MD 81 Fall on an Outstretched Hand in a Young Adolescent
55 William Brady
MD and Kevin S. Barlotta
MD 82 Eye Pain and Facial Swelling
55 Adam K. Rowden
DO and Chris S. Bergstrom
MD 83 Wrist Pain Following Fall on an Outstretched Hand
56 William J. Brady
MD and Kevin S. Barlotta
MD 84 Rash on a Child with Epilepsy
56 Heather A. Borek
MD and Christopher P. Holstege
MD 85 Abdominal Pain in an Alcoholic
57 Angela M. Mills
MD 86 Chest Pain with Electrocardiographic ST Segment and T Wave Abnormalities
58 William J. Brady
MD 87 A Heroin Abuser with Multiple Skin Lesions
58 Christopher P. Holstege
MD and Ashley L. Harvin
MD 88 Chest Pain in a Middle-aged Male Patient with ST Segment Elevation
59 William J. Brady
MD 89 Fire Victim with Hoarseness
60 Kathryn Mutter
MD and Christopher P. Holstege
MD 90 A Gardener with a Non-healing Rash
60 Roger A. Band
MD and Steve Larson
MD 91 A Bite to the Leg in Tall Grass
61 Alejandro C. Stella
MD and Christopher P. Holstege
MD 92 An Elderly Man with Diffuse Facial Edema
62 Kevin S. Barlotta
MD and Alexander B. Baer
MD 93 Acute-onset Double Vision
62 Chris S. Bergstrom
MD and Alexander B. Baer
MD 94 Low Back Pain in a Car Accident Victim
63 Edward G. Walsh
MD and William J. Brady
MD 95 Pain and Rash Following Contact with a Caterpillar
64 Nathan P. Charlton
MD and Mairin Smith
MD 96 Moonshine-induced Basal Ganglion Necrosis and Metabolic Acidosis
64 Nathan P. Charlton
MD and Christopher P. Holstege
MD 97 A Rock Climber with Finger Pain
Swelling
and Redness
65 Joseph D. Forrester
MD and Christopher P. Holstege
MD 98 Vomiting and Syncope Following Ingestion of Ramps
66 Christopher P. Holstege
MD and Justin H. Price
MD 99 Chest Pain and Subtle ST Segment Elevation
66 William J. Brady
MD 100 Herbalist with Bradycardia and Vision Changes
67 William J. Brady
MD 101 Painless Penile Ulcer
68 Andrea L. Neimann
MD 102 Hyperthermia
Autonomic Instability
and Confusion in a Traveler
68 Christopher P. Holstege
MD and Alexander B. Baer
MD 103 An Immigrant with Neck Swelling
69 Suzanne M. Shepherd
MD and William H. Shoff
MD 104 Eyelid Laceration Following a Brawl
70 Chris S. Bergstrom
MD and Alexander B. Baer
MD 105 Young Athlete with Back Pain
71 Edward G. Walsh
MD and William J. Brady
MD 106 Chest Pain and Hypotension in an Adult Male Patient
71 William J. Brady
MD 107 Adult Male with Atraumatic Lower Back Pain and Leg Weakness
72 William J. Brady
MD 108 Facial Swelling in a Patient with Poor Dentition
73 Alexander B. Baer
MD and Christopher P. Holstege
MD 109 Weakness and Bradycardia in an Elderly Female Patient
73 William J. Brady
MD 110 Lightning Strike Induced Skin Changes
74 Christopher P. Holstege
MD Part II Answers
Diagnoses
and Discussion
75 Index
183
ix Foreword
xii Preface
xiv Illustration credits
xv Part I Case Presentations and Questions
1 1 Slash Wound to the Neck
3 Kevin S. Barlotta
MD and Alexander B. Baer
MD 2 "I've Got Blood in My Eye"
3 Chris S. Bergstrom
MD and Alexander B. Baer
MD 3 Forearm Fracture After Falling
4 Alexander B. Baer
MD 4 A Neonate with Fever and Rash
4 David L. Eldridge
MD 5 A Missing Button Battery
5 Brendan G. Carr
MD and Sarah E. Winters
MD
MSCE 6 Anorexia
Hair Loss
and Fingernail Bands
6 Christopher P. Holstege
MD 7 Wide Complex Tachycardia in a Young Adult
6 William J. Brady
MD 8 Wide Complex Tachycardia in an Older Male Patient
7 William J. Brady
MD 9 Muscle Spasms Following a Spider Bite
8 J. Michael Kowalski
DO and Adam K. Rowden
DO 10 Necrotic Skin Lesion
8 David A. Kasper
DO
MBA
Aradhna Saxena
MD and Kenneth A. Katz
MD 11 Intense Pain Following High-pressure Injection Injury
9 David T. Lawrence
DO 12 Prenatal Vitamin Overdose
9 Christopher P. Holstege
MD and Adriana I. Goldberg
MD 13 Blurred Vision Following Yard Work
10 Allyson Kreshak
MD 14 Foot Pain in a Gymnast
11 Hoi K. Lee
MD 15 A Child with Bruises of Different Ages
11 David L. Eldridge
MD 16 Sudden Shortness of Breath after Removal of a Central Line
12 Christopher P. Holstege
MD 17 "My Eyes Are Yellow!"
13 David T. Lawrence
DO 18 Pleuritic Chest Pain in a Young Adult Male
13 William J. Brady
MD 19 Exposed During a Blizzard
14 Joseph D. Forrester
MD and Christopher P. Holstege
MD 20 FAST Evaluation of a Trauma Patient
15 John S. Rajkumar
MD and James H. Moak
MD
RDMS 21 Chest Pain with Sudden Cardiac Death
15 William J. Brady
MD 22 Wrist "Sprain" in a Child
16 Jennifer S. Boyle
PharmD
MD 23 Acute Eye Pain and Blurred Vision in an Elderly Female
17 Chris S. Bergstrom
MD and Alexander Baer
MD 24 Heel Pain Following a Fall
17 Jennifer S. Boyle
PharmD
MD 25 Confl uent Rash on a Child
18 Sarah E. Winters
MD
MSCE and Brendan G. Carr
MD 26 Bradycardia Following an Herbal Ingestion
18 Alexander B. Baer
MD 27 A Pain-free Adult with Persistent T Wave Abnormalities
19 William J. Brady
MD 28 Caustic Ingestion with Cardiotoxic Effects
20 Heather A. Borek
MD and Christopher P. Holstege
MD 29 Chemical Eye Exposure
21 Chris S. Bergstrom
MD and Alexander B. Baer
MD 30 Acute Abdominal Pain in Pregnancy
22 James H. Moak
MD
RDMS and John S. Rajkumar
MD 31 Coma Following Head Trauma
22 Andrew L. Homer
MD and William J. Brady
MD 32 Tongue Swelling in a Hypertensive Female
23 Kevin S. Barlotta
MD and Alexander B. Baer
MD 33 Purulent Eye Discharge in an Adult
24 Chris S. Bergstrom
MD and Alexander B. Baer
MD 34 Shoulder Pain Following Direct Blow
24 Nathan P. Charlton
MD 35 A Gagging Child
25 Maureen Chase
MD and Worth W. Everett
MD 36 Adult Male with a Sudden
Severe Headache
25 Andrew L. Homer
MD and William J. Brady
MD 37 New Facial Droop
26 Andrew D. Perron
MD and Christopher T. Bowe
MD 38 Eye Pain After Tree Branch Strike
26 Chris S. Bergstrom
MD and Alexander B. Baer
MD 39 An Elderly Woman with Groin Pain
27 Brendan G. Carr
MD 40 Rash and Joint Pain in a Child
28 Mara L. Becker
MD 41 Radiology Findings after Laparoscopy
28 Munish Goyal
MD 42 Postprandial Abdominal Pain in an Elderly Woman
29 Hoi K. Lee
MD 43 "Pink Eye" in a Contact Lens Wearer
30 Chris S. Bergstrom
MD and Alexander B. Baer
MD 44 Suspicious Hand Pain
30 Rex G. Mathew
MD 45 Fever and Rash in a Child
31 David L. Eldridge
MD 46 An Alcoholic with Dyspnea
31 James H. Moak
MD
RDMS and John S. Rajkumar
MD 47 Dark Urine from an Immigrant
32 Suzanne M. Shepherd
MD 48 Chest Pain and Lead aVR ST Segment Elevation
33 William J. Brady
MD 49 Hand Pain after Striking a Wall
34 William J. Brady
MD and Kevin S. Barlotta
MD 50 A Refugee with Skin Lesions
35 Roger A. Band
MD and Jeanmarie Perrone
MD 51 Pain out of Proportion to Examination
35 J. Michael Kowalski
DO and Adam K. Rowden
DO 52 Leg Pain Following a Motor Vehicle Collision
36 Nathan P. Charlton
MD 53 Deformed Globe Following Trauma
36 Worth W. Everett
MD 54 Foot Pain Following Breaking
37 Munish Goyal
MD 55 Lamp Oil Ingestion
38 David L. Eldridge
MD 56 Intermittent Abdominal Pain in a Female
38 John S. Rajkumar
MD and James H. Moak
MD
RDMS 57 Hallucinations in a Botanist
39 Joseph D. Forrester
MD and Christopher Holstege
MD 58 Altered Mental Status with an Abnormal Electrocardiogram
40 William J. Brady
MD 59 Fishing in the Stomach
41 Joseph D. Forrester
MD and Christopher P. Holstege
MD 60 Overdose-induced Boiled Lobster Skin
41 Heather A. Borek
MD and Christopher P. Holstege
MD 61 Back Pain Following a Fall
42 Andrew D. Perron
MD and Christopher T. Bowe
MD 62 Painful Facial Rash
42 Chris S. Bergstrom
MD and Alexander B. Baer
MD 63 Intense Wrist Pain Following Trauma
43 Rex G. Mathew
MD 64 Fever and Drooling in a Child
44 Sarah E. Winters
MD
MSCE and Brendan G. Carr
MD 65 Syncope and Flank Pain in an Elderly Man
44 John S. Rajkumar
MD and James H. Moak
MD
RDMS 66 Get Them Undressed!
45 Munish Goyal
MD 67 A "Blue Hue" Following Endoscopy
46 Saumil Vaghela
PharmD and Christopher P. Holstege
MD 68 Acute-onset Blurred Vision
46 Chris S. Bergstrom
MD and Alexander B. Baer
MD 69 Elbow Pain in a Child After a Fall
47 Elizabeth Cochran Ward
MD and Alexander B. Baer
MD 70 Confusion
Anemia
and Abdominal Pain in a Toddler
47 Christopher P. Holstege
MD and Joseph T. Vance 71 A Ground-level Fall with Ankle Pain
48 Christopher T. Bowe
MD 72 Traumatic Eye Pain and Proptosis
49 Chris Bergstrom
MD and Alexander Baer
MD 73 Diffuse Ankle Pain Following a Fall
49 Andrew D. Perron
MD and Christopher T. Bowe
MD 74 Rash Following Brush Fire
50 Christopher P. Holstege
MD and Alejandro C. Stella
MD 75 Abdominal Pain in a Trauma Victim
51 Esther H. Chen
MD 76 Skin Target Lesion
51 Mara L. Becker
MD 77 Chest Pain and a Confounding Electrocardiogram Pattern
52 William J. Brady
MD 78 Sudden Sedation in a Student
53 David T. Lawrence
DO 79 Skin Lesions in a Comatose Patient
53 Christopher P. Holstege
MD and Matthew D. Wilson
MD 80 Raccoon Eyes
54 Angela M. Mills
MD 81 Fall on an Outstretched Hand in a Young Adolescent
55 William Brady
MD and Kevin S. Barlotta
MD 82 Eye Pain and Facial Swelling
55 Adam K. Rowden
DO and Chris S. Bergstrom
MD 83 Wrist Pain Following Fall on an Outstretched Hand
56 William J. Brady
MD and Kevin S. Barlotta
MD 84 Rash on a Child with Epilepsy
56 Heather A. Borek
MD and Christopher P. Holstege
MD 85 Abdominal Pain in an Alcoholic
57 Angela M. Mills
MD 86 Chest Pain with Electrocardiographic ST Segment and T Wave Abnormalities
58 William J. Brady
MD 87 A Heroin Abuser with Multiple Skin Lesions
58 Christopher P. Holstege
MD and Ashley L. Harvin
MD 88 Chest Pain in a Middle-aged Male Patient with ST Segment Elevation
59 William J. Brady
MD 89 Fire Victim with Hoarseness
60 Kathryn Mutter
MD and Christopher P. Holstege
MD 90 A Gardener with a Non-healing Rash
60 Roger A. Band
MD and Steve Larson
MD 91 A Bite to the Leg in Tall Grass
61 Alejandro C. Stella
MD and Christopher P. Holstege
MD 92 An Elderly Man with Diffuse Facial Edema
62 Kevin S. Barlotta
MD and Alexander B. Baer
MD 93 Acute-onset Double Vision
62 Chris S. Bergstrom
MD and Alexander B. Baer
MD 94 Low Back Pain in a Car Accident Victim
63 Edward G. Walsh
MD and William J. Brady
MD 95 Pain and Rash Following Contact with a Caterpillar
64 Nathan P. Charlton
MD and Mairin Smith
MD 96 Moonshine-induced Basal Ganglion Necrosis and Metabolic Acidosis
64 Nathan P. Charlton
MD and Christopher P. Holstege
MD 97 A Rock Climber with Finger Pain
Swelling
and Redness
65 Joseph D. Forrester
MD and Christopher P. Holstege
MD 98 Vomiting and Syncope Following Ingestion of Ramps
66 Christopher P. Holstege
MD and Justin H. Price
MD 99 Chest Pain and Subtle ST Segment Elevation
66 William J. Brady
MD 100 Herbalist with Bradycardia and Vision Changes
67 William J. Brady
MD 101 Painless Penile Ulcer
68 Andrea L. Neimann
MD 102 Hyperthermia
Autonomic Instability
and Confusion in a Traveler
68 Christopher P. Holstege
MD and Alexander B. Baer
MD 103 An Immigrant with Neck Swelling
69 Suzanne M. Shepherd
MD and William H. Shoff
MD 104 Eyelid Laceration Following a Brawl
70 Chris S. Bergstrom
MD and Alexander B. Baer
MD 105 Young Athlete with Back Pain
71 Edward G. Walsh
MD and William J. Brady
MD 106 Chest Pain and Hypotension in an Adult Male Patient
71 William J. Brady
MD 107 Adult Male with Atraumatic Lower Back Pain and Leg Weakness
72 William J. Brady
MD 108 Facial Swelling in a Patient with Poor Dentition
73 Alexander B. Baer
MD and Christopher P. Holstege
MD 109 Weakness and Bradycardia in an Elderly Female Patient
73 William J. Brady
MD 110 Lightning Strike Induced Skin Changes
74 Christopher P. Holstege
MD Part II Answers
Diagnoses
and Discussion
75 Index
183
List of contributors
ix Foreword
xii Preface
xiv Illustration credits
xv Part I Case Presentations and Questions
1 1 Slash Wound to the Neck
3 Kevin S. Barlotta
MD and Alexander B. Baer
MD 2 "I've Got Blood in My Eye"
3 Chris S. Bergstrom
MD and Alexander B. Baer
MD 3 Forearm Fracture After Falling
4 Alexander B. Baer
MD 4 A Neonate with Fever and Rash
4 David L. Eldridge
MD 5 A Missing Button Battery
5 Brendan G. Carr
MD and Sarah E. Winters
MD
MSCE 6 Anorexia
Hair Loss
and Fingernail Bands
6 Christopher P. Holstege
MD 7 Wide Complex Tachycardia in a Young Adult
6 William J. Brady
MD 8 Wide Complex Tachycardia in an Older Male Patient
7 William J. Brady
MD 9 Muscle Spasms Following a Spider Bite
8 J. Michael Kowalski
DO and Adam K. Rowden
DO 10 Necrotic Skin Lesion
8 David A. Kasper
DO
MBA
Aradhna Saxena
MD and Kenneth A. Katz
MD 11 Intense Pain Following High-pressure Injection Injury
9 David T. Lawrence
DO 12 Prenatal Vitamin Overdose
9 Christopher P. Holstege
MD and Adriana I. Goldberg
MD 13 Blurred Vision Following Yard Work
10 Allyson Kreshak
MD 14 Foot Pain in a Gymnast
11 Hoi K. Lee
MD 15 A Child with Bruises of Different Ages
11 David L. Eldridge
MD 16 Sudden Shortness of Breath after Removal of a Central Line
12 Christopher P. Holstege
MD 17 "My Eyes Are Yellow!"
13 David T. Lawrence
DO 18 Pleuritic Chest Pain in a Young Adult Male
13 William J. Brady
MD 19 Exposed During a Blizzard
14 Joseph D. Forrester
MD and Christopher P. Holstege
MD 20 FAST Evaluation of a Trauma Patient
15 John S. Rajkumar
MD and James H. Moak
MD
RDMS 21 Chest Pain with Sudden Cardiac Death
15 William J. Brady
MD 22 Wrist "Sprain" in a Child
16 Jennifer S. Boyle
PharmD
MD 23 Acute Eye Pain and Blurred Vision in an Elderly Female
17 Chris S. Bergstrom
MD and Alexander Baer
MD 24 Heel Pain Following a Fall
17 Jennifer S. Boyle
PharmD
MD 25 Confl uent Rash on a Child
18 Sarah E. Winters
MD
MSCE and Brendan G. Carr
MD 26 Bradycardia Following an Herbal Ingestion
18 Alexander B. Baer
MD 27 A Pain-free Adult with Persistent T Wave Abnormalities
19 William J. Brady
MD 28 Caustic Ingestion with Cardiotoxic Effects
20 Heather A. Borek
MD and Christopher P. Holstege
MD 29 Chemical Eye Exposure
21 Chris S. Bergstrom
MD and Alexander B. Baer
MD 30 Acute Abdominal Pain in Pregnancy
22 James H. Moak
MD
RDMS and John S. Rajkumar
MD 31 Coma Following Head Trauma
22 Andrew L. Homer
MD and William J. Brady
MD 32 Tongue Swelling in a Hypertensive Female
23 Kevin S. Barlotta
MD and Alexander B. Baer
MD 33 Purulent Eye Discharge in an Adult
24 Chris S. Bergstrom
MD and Alexander B. Baer
MD 34 Shoulder Pain Following Direct Blow
24 Nathan P. Charlton
MD 35 A Gagging Child
25 Maureen Chase
MD and Worth W. Everett
MD 36 Adult Male with a Sudden
Severe Headache
25 Andrew L. Homer
MD and William J. Brady
MD 37 New Facial Droop
26 Andrew D. Perron
MD and Christopher T. Bowe
MD 38 Eye Pain After Tree Branch Strike
26 Chris S. Bergstrom
MD and Alexander B. Baer
MD 39 An Elderly Woman with Groin Pain
27 Brendan G. Carr
MD 40 Rash and Joint Pain in a Child
28 Mara L. Becker
MD 41 Radiology Findings after Laparoscopy
28 Munish Goyal
MD 42 Postprandial Abdominal Pain in an Elderly Woman
29 Hoi K. Lee
MD 43 "Pink Eye" in a Contact Lens Wearer
30 Chris S. Bergstrom
MD and Alexander B. Baer
MD 44 Suspicious Hand Pain
30 Rex G. Mathew
MD 45 Fever and Rash in a Child
31 David L. Eldridge
MD 46 An Alcoholic with Dyspnea
31 James H. Moak
MD
RDMS and John S. Rajkumar
MD 47 Dark Urine from an Immigrant
32 Suzanne M. Shepherd
MD 48 Chest Pain and Lead aVR ST Segment Elevation
33 William J. Brady
MD 49 Hand Pain after Striking a Wall
34 William J. Brady
MD and Kevin S. Barlotta
MD 50 A Refugee with Skin Lesions
35 Roger A. Band
MD and Jeanmarie Perrone
MD 51 Pain out of Proportion to Examination
35 J. Michael Kowalski
DO and Adam K. Rowden
DO 52 Leg Pain Following a Motor Vehicle Collision
36 Nathan P. Charlton
MD 53 Deformed Globe Following Trauma
36 Worth W. Everett
MD 54 Foot Pain Following Breaking
37 Munish Goyal
MD 55 Lamp Oil Ingestion
38 David L. Eldridge
MD 56 Intermittent Abdominal Pain in a Female
38 John S. Rajkumar
MD and James H. Moak
MD
RDMS 57 Hallucinations in a Botanist
39 Joseph D. Forrester
MD and Christopher Holstege
MD 58 Altered Mental Status with an Abnormal Electrocardiogram
40 William J. Brady
MD 59 Fishing in the Stomach
41 Joseph D. Forrester
MD and Christopher P. Holstege
MD 60 Overdose-induced Boiled Lobster Skin
41 Heather A. Borek
MD and Christopher P. Holstege
MD 61 Back Pain Following a Fall
42 Andrew D. Perron
MD and Christopher T. Bowe
MD 62 Painful Facial Rash
42 Chris S. Bergstrom
MD and Alexander B. Baer
MD 63 Intense Wrist Pain Following Trauma
43 Rex G. Mathew
MD 64 Fever and Drooling in a Child
44 Sarah E. Winters
MD
MSCE and Brendan G. Carr
MD 65 Syncope and Flank Pain in an Elderly Man
44 John S. Rajkumar
MD and James H. Moak
MD
RDMS 66 Get Them Undressed!
45 Munish Goyal
MD 67 A "Blue Hue" Following Endoscopy
46 Saumil Vaghela
PharmD and Christopher P. Holstege
MD 68 Acute-onset Blurred Vision
46 Chris S. Bergstrom
MD and Alexander B. Baer
MD 69 Elbow Pain in a Child After a Fall
47 Elizabeth Cochran Ward
MD and Alexander B. Baer
MD 70 Confusion
Anemia
and Abdominal Pain in a Toddler
47 Christopher P. Holstege
MD and Joseph T. Vance 71 A Ground-level Fall with Ankle Pain
48 Christopher T. Bowe
MD 72 Traumatic Eye Pain and Proptosis
49 Chris Bergstrom
MD and Alexander Baer
MD 73 Diffuse Ankle Pain Following a Fall
49 Andrew D. Perron
MD and Christopher T. Bowe
MD 74 Rash Following Brush Fire
50 Christopher P. Holstege
MD and Alejandro C. Stella
MD 75 Abdominal Pain in a Trauma Victim
51 Esther H. Chen
MD 76 Skin Target Lesion
51 Mara L. Becker
MD 77 Chest Pain and a Confounding Electrocardiogram Pattern
52 William J. Brady
MD 78 Sudden Sedation in a Student
53 David T. Lawrence
DO 79 Skin Lesions in a Comatose Patient
53 Christopher P. Holstege
MD and Matthew D. Wilson
MD 80 Raccoon Eyes
54 Angela M. Mills
MD 81 Fall on an Outstretched Hand in a Young Adolescent
55 William Brady
MD and Kevin S. Barlotta
MD 82 Eye Pain and Facial Swelling
55 Adam K. Rowden
DO and Chris S. Bergstrom
MD 83 Wrist Pain Following Fall on an Outstretched Hand
56 William J. Brady
MD and Kevin S. Barlotta
MD 84 Rash on a Child with Epilepsy
56 Heather A. Borek
MD and Christopher P. Holstege
MD 85 Abdominal Pain in an Alcoholic
57 Angela M. Mills
MD 86 Chest Pain with Electrocardiographic ST Segment and T Wave Abnormalities
58 William J. Brady
MD 87 A Heroin Abuser with Multiple Skin Lesions
58 Christopher P. Holstege
MD and Ashley L. Harvin
MD 88 Chest Pain in a Middle-aged Male Patient with ST Segment Elevation
59 William J. Brady
MD 89 Fire Victim with Hoarseness
60 Kathryn Mutter
MD and Christopher P. Holstege
MD 90 A Gardener with a Non-healing Rash
60 Roger A. Band
MD and Steve Larson
MD 91 A Bite to the Leg in Tall Grass
61 Alejandro C. Stella
MD and Christopher P. Holstege
MD 92 An Elderly Man with Diffuse Facial Edema
62 Kevin S. Barlotta
MD and Alexander B. Baer
MD 93 Acute-onset Double Vision
62 Chris S. Bergstrom
MD and Alexander B. Baer
MD 94 Low Back Pain in a Car Accident Victim
63 Edward G. Walsh
MD and William J. Brady
MD 95 Pain and Rash Following Contact with a Caterpillar
64 Nathan P. Charlton
MD and Mairin Smith
MD 96 Moonshine-induced Basal Ganglion Necrosis and Metabolic Acidosis
64 Nathan P. Charlton
MD and Christopher P. Holstege
MD 97 A Rock Climber with Finger Pain
Swelling
and Redness
65 Joseph D. Forrester
MD and Christopher P. Holstege
MD 98 Vomiting and Syncope Following Ingestion of Ramps
66 Christopher P. Holstege
MD and Justin H. Price
MD 99 Chest Pain and Subtle ST Segment Elevation
66 William J. Brady
MD 100 Herbalist with Bradycardia and Vision Changes
67 William J. Brady
MD 101 Painless Penile Ulcer
68 Andrea L. Neimann
MD 102 Hyperthermia
Autonomic Instability
and Confusion in a Traveler
68 Christopher P. Holstege
MD and Alexander B. Baer
MD 103 An Immigrant with Neck Swelling
69 Suzanne M. Shepherd
MD and William H. Shoff
MD 104 Eyelid Laceration Following a Brawl
70 Chris S. Bergstrom
MD and Alexander B. Baer
MD 105 Young Athlete with Back Pain
71 Edward G. Walsh
MD and William J. Brady
MD 106 Chest Pain and Hypotension in an Adult Male Patient
71 William J. Brady
MD 107 Adult Male with Atraumatic Lower Back Pain and Leg Weakness
72 William J. Brady
MD 108 Facial Swelling in a Patient with Poor Dentition
73 Alexander B. Baer
MD and Christopher P. Holstege
MD 109 Weakness and Bradycardia in an Elderly Female Patient
73 William J. Brady
MD 110 Lightning Strike Induced Skin Changes
74 Christopher P. Holstege
MD Part II Answers
Diagnoses
and Discussion
75 Index
183
ix Foreword
xii Preface
xiv Illustration credits
xv Part I Case Presentations and Questions
1 1 Slash Wound to the Neck
3 Kevin S. Barlotta
MD and Alexander B. Baer
MD 2 "I've Got Blood in My Eye"
3 Chris S. Bergstrom
MD and Alexander B. Baer
MD 3 Forearm Fracture After Falling
4 Alexander B. Baer
MD 4 A Neonate with Fever and Rash
4 David L. Eldridge
MD 5 A Missing Button Battery
5 Brendan G. Carr
MD and Sarah E. Winters
MD
MSCE 6 Anorexia
Hair Loss
and Fingernail Bands
6 Christopher P. Holstege
MD 7 Wide Complex Tachycardia in a Young Adult
6 William J. Brady
MD 8 Wide Complex Tachycardia in an Older Male Patient
7 William J. Brady
MD 9 Muscle Spasms Following a Spider Bite
8 J. Michael Kowalski
DO and Adam K. Rowden
DO 10 Necrotic Skin Lesion
8 David A. Kasper
DO
MBA
Aradhna Saxena
MD and Kenneth A. Katz
MD 11 Intense Pain Following High-pressure Injection Injury
9 David T. Lawrence
DO 12 Prenatal Vitamin Overdose
9 Christopher P. Holstege
MD and Adriana I. Goldberg
MD 13 Blurred Vision Following Yard Work
10 Allyson Kreshak
MD 14 Foot Pain in a Gymnast
11 Hoi K. Lee
MD 15 A Child with Bruises of Different Ages
11 David L. Eldridge
MD 16 Sudden Shortness of Breath after Removal of a Central Line
12 Christopher P. Holstege
MD 17 "My Eyes Are Yellow!"
13 David T. Lawrence
DO 18 Pleuritic Chest Pain in a Young Adult Male
13 William J. Brady
MD 19 Exposed During a Blizzard
14 Joseph D. Forrester
MD and Christopher P. Holstege
MD 20 FAST Evaluation of a Trauma Patient
15 John S. Rajkumar
MD and James H. Moak
MD
RDMS 21 Chest Pain with Sudden Cardiac Death
15 William J. Brady
MD 22 Wrist "Sprain" in a Child
16 Jennifer S. Boyle
PharmD
MD 23 Acute Eye Pain and Blurred Vision in an Elderly Female
17 Chris S. Bergstrom
MD and Alexander Baer
MD 24 Heel Pain Following a Fall
17 Jennifer S. Boyle
PharmD
MD 25 Confl uent Rash on a Child
18 Sarah E. Winters
MD
MSCE and Brendan G. Carr
MD 26 Bradycardia Following an Herbal Ingestion
18 Alexander B. Baer
MD 27 A Pain-free Adult with Persistent T Wave Abnormalities
19 William J. Brady
MD 28 Caustic Ingestion with Cardiotoxic Effects
20 Heather A. Borek
MD and Christopher P. Holstege
MD 29 Chemical Eye Exposure
21 Chris S. Bergstrom
MD and Alexander B. Baer
MD 30 Acute Abdominal Pain in Pregnancy
22 James H. Moak
MD
RDMS and John S. Rajkumar
MD 31 Coma Following Head Trauma
22 Andrew L. Homer
MD and William J. Brady
MD 32 Tongue Swelling in a Hypertensive Female
23 Kevin S. Barlotta
MD and Alexander B. Baer
MD 33 Purulent Eye Discharge in an Adult
24 Chris S. Bergstrom
MD and Alexander B. Baer
MD 34 Shoulder Pain Following Direct Blow
24 Nathan P. Charlton
MD 35 A Gagging Child
25 Maureen Chase
MD and Worth W. Everett
MD 36 Adult Male with a Sudden
Severe Headache
25 Andrew L. Homer
MD and William J. Brady
MD 37 New Facial Droop
26 Andrew D. Perron
MD and Christopher T. Bowe
MD 38 Eye Pain After Tree Branch Strike
26 Chris S. Bergstrom
MD and Alexander B. Baer
MD 39 An Elderly Woman with Groin Pain
27 Brendan G. Carr
MD 40 Rash and Joint Pain in a Child
28 Mara L. Becker
MD 41 Radiology Findings after Laparoscopy
28 Munish Goyal
MD 42 Postprandial Abdominal Pain in an Elderly Woman
29 Hoi K. Lee
MD 43 "Pink Eye" in a Contact Lens Wearer
30 Chris S. Bergstrom
MD and Alexander B. Baer
MD 44 Suspicious Hand Pain
30 Rex G. Mathew
MD 45 Fever and Rash in a Child
31 David L. Eldridge
MD 46 An Alcoholic with Dyspnea
31 James H. Moak
MD
RDMS and John S. Rajkumar
MD 47 Dark Urine from an Immigrant
32 Suzanne M. Shepherd
MD 48 Chest Pain and Lead aVR ST Segment Elevation
33 William J. Brady
MD 49 Hand Pain after Striking a Wall
34 William J. Brady
MD and Kevin S. Barlotta
MD 50 A Refugee with Skin Lesions
35 Roger A. Band
MD and Jeanmarie Perrone
MD 51 Pain out of Proportion to Examination
35 J. Michael Kowalski
DO and Adam K. Rowden
DO 52 Leg Pain Following a Motor Vehicle Collision
36 Nathan P. Charlton
MD 53 Deformed Globe Following Trauma
36 Worth W. Everett
MD 54 Foot Pain Following Breaking
37 Munish Goyal
MD 55 Lamp Oil Ingestion
38 David L. Eldridge
MD 56 Intermittent Abdominal Pain in a Female
38 John S. Rajkumar
MD and James H. Moak
MD
RDMS 57 Hallucinations in a Botanist
39 Joseph D. Forrester
MD and Christopher Holstege
MD 58 Altered Mental Status with an Abnormal Electrocardiogram
40 William J. Brady
MD 59 Fishing in the Stomach
41 Joseph D. Forrester
MD and Christopher P. Holstege
MD 60 Overdose-induced Boiled Lobster Skin
41 Heather A. Borek
MD and Christopher P. Holstege
MD 61 Back Pain Following a Fall
42 Andrew D. Perron
MD and Christopher T. Bowe
MD 62 Painful Facial Rash
42 Chris S. Bergstrom
MD and Alexander B. Baer
MD 63 Intense Wrist Pain Following Trauma
43 Rex G. Mathew
MD 64 Fever and Drooling in a Child
44 Sarah E. Winters
MD
MSCE and Brendan G. Carr
MD 65 Syncope and Flank Pain in an Elderly Man
44 John S. Rajkumar
MD and James H. Moak
MD
RDMS 66 Get Them Undressed!
45 Munish Goyal
MD 67 A "Blue Hue" Following Endoscopy
46 Saumil Vaghela
PharmD and Christopher P. Holstege
MD 68 Acute-onset Blurred Vision
46 Chris S. Bergstrom
MD and Alexander B. Baer
MD 69 Elbow Pain in a Child After a Fall
47 Elizabeth Cochran Ward
MD and Alexander B. Baer
MD 70 Confusion
Anemia
and Abdominal Pain in a Toddler
47 Christopher P. Holstege
MD and Joseph T. Vance 71 A Ground-level Fall with Ankle Pain
48 Christopher T. Bowe
MD 72 Traumatic Eye Pain and Proptosis
49 Chris Bergstrom
MD and Alexander Baer
MD 73 Diffuse Ankle Pain Following a Fall
49 Andrew D. Perron
MD and Christopher T. Bowe
MD 74 Rash Following Brush Fire
50 Christopher P. Holstege
MD and Alejandro C. Stella
MD 75 Abdominal Pain in a Trauma Victim
51 Esther H. Chen
MD 76 Skin Target Lesion
51 Mara L. Becker
MD 77 Chest Pain and a Confounding Electrocardiogram Pattern
52 William J. Brady
MD 78 Sudden Sedation in a Student
53 David T. Lawrence
DO 79 Skin Lesions in a Comatose Patient
53 Christopher P. Holstege
MD and Matthew D. Wilson
MD 80 Raccoon Eyes
54 Angela M. Mills
MD 81 Fall on an Outstretched Hand in a Young Adolescent
55 William Brady
MD and Kevin S. Barlotta
MD 82 Eye Pain and Facial Swelling
55 Adam K. Rowden
DO and Chris S. Bergstrom
MD 83 Wrist Pain Following Fall on an Outstretched Hand
56 William J. Brady
MD and Kevin S. Barlotta
MD 84 Rash on a Child with Epilepsy
56 Heather A. Borek
MD and Christopher P. Holstege
MD 85 Abdominal Pain in an Alcoholic
57 Angela M. Mills
MD 86 Chest Pain with Electrocardiographic ST Segment and T Wave Abnormalities
58 William J. Brady
MD 87 A Heroin Abuser with Multiple Skin Lesions
58 Christopher P. Holstege
MD and Ashley L. Harvin
MD 88 Chest Pain in a Middle-aged Male Patient with ST Segment Elevation
59 William J. Brady
MD 89 Fire Victim with Hoarseness
60 Kathryn Mutter
MD and Christopher P. Holstege
MD 90 A Gardener with a Non-healing Rash
60 Roger A. Band
MD and Steve Larson
MD 91 A Bite to the Leg in Tall Grass
61 Alejandro C. Stella
MD and Christopher P. Holstege
MD 92 An Elderly Man with Diffuse Facial Edema
62 Kevin S. Barlotta
MD and Alexander B. Baer
MD 93 Acute-onset Double Vision
62 Chris S. Bergstrom
MD and Alexander B. Baer
MD 94 Low Back Pain in a Car Accident Victim
63 Edward G. Walsh
MD and William J. Brady
MD 95 Pain and Rash Following Contact with a Caterpillar
64 Nathan P. Charlton
MD and Mairin Smith
MD 96 Moonshine-induced Basal Ganglion Necrosis and Metabolic Acidosis
64 Nathan P. Charlton
MD and Christopher P. Holstege
MD 97 A Rock Climber with Finger Pain
Swelling
and Redness
65 Joseph D. Forrester
MD and Christopher P. Holstege
MD 98 Vomiting and Syncope Following Ingestion of Ramps
66 Christopher P. Holstege
MD and Justin H. Price
MD 99 Chest Pain and Subtle ST Segment Elevation
66 William J. Brady
MD 100 Herbalist with Bradycardia and Vision Changes
67 William J. Brady
MD 101 Painless Penile Ulcer
68 Andrea L. Neimann
MD 102 Hyperthermia
Autonomic Instability
and Confusion in a Traveler
68 Christopher P. Holstege
MD and Alexander B. Baer
MD 103 An Immigrant with Neck Swelling
69 Suzanne M. Shepherd
MD and William H. Shoff
MD 104 Eyelid Laceration Following a Brawl
70 Chris S. Bergstrom
MD and Alexander B. Baer
MD 105 Young Athlete with Back Pain
71 Edward G. Walsh
MD and William J. Brady
MD 106 Chest Pain and Hypotension in an Adult Male Patient
71 William J. Brady
MD 107 Adult Male with Atraumatic Lower Back Pain and Leg Weakness
72 William J. Brady
MD 108 Facial Swelling in a Patient with Poor Dentition
73 Alexander B. Baer
MD and Christopher P. Holstege
MD 109 Weakness and Bradycardia in an Elderly Female Patient
73 William J. Brady
MD 110 Lightning Strike Induced Skin Changes
74 Christopher P. Holstege
MD Part II Answers
Diagnoses
and Discussion
75 Index
183