Clinical Emergency Medicine Casebook

Joel T. Levis, Gus M. Garmel052171964X, 9780521719643

Emergency Medicine is not divided into specific areas of practice. Emergency room visitors come in all shapes and sizes, at any time of day or night, with a wide range of maladies. Emergency physicians need to become experts in diverse areas of medicine and to be able to make quick and informed decisions about patient care. A cornerstone of emergency medicine training is the constant drilling and re-drilling of simulated cases and clinical scenarios. This book offers a unique yet underutilized strategy for learning: a case-based approach from real patients and actual events. Each case provides the opportunity for learning essential clinical concepts. Focused exclusively on the needs of in-training emergency physicians and nurses, the book covers more than 100 common and unusual cases in emergency medicine. The procedures have been class-tested by the Stanford/Kaiser Emergency Medicine Residency Program.

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Table of contents :
Cover……Page 1
Half-title……Page 3
Title……Page 5
Copyright……Page 6
Dedication……Page 7
Contents……Page 9
Preface……Page 13
Acknowledgments……Page 15
Foreword……Page 17
PART I HEENT (HEAD, EYES, EARS,

NOSE AND THROAT)……Page 19
PHYSICAL EXAM……Page 21
REFERENCES……Page 22
PHYSICAL EXAMINATION……Page 23
Periorbital cellulitis, orbital cellulitis and endophthalmitis……Page 24
REFERENCES……Page 25
PHYSICAL EXAMINATION……Page 27
KEY TEACHING POINTS……Page 28
REFERENCES……Page 29
PHYSICAL EXAMINATION……Page 31
Temporal arteritis……Page 32
REFERENCES……Page 33
PHYSICAL EXAMINATION……Page 35
REFERENCES……Page 36
PART II CARDIOVASCULAR……Page 37
PHYSICAL EXAMINATION EXTREMITIES:……Page 39
Idiopathic fascicular ventricular tachycardia……Page 40
REFERENCES……Page 41
PHYSICAL EXAMINATION SKIN:……Page 43
REFERENCES……Page 44
PHYSICAL EXAMINATION……Page 47
Atrial fibrillation……Page 48
REFERENCES……Page 49
PHYSICAL EXAMINATION intravenous line was placed and blood was drawn and sent for……Page 51
KEY TEACHING POINTS……Page 53
REFERENCES……Page 54
PHYSICAL EXAMINATION……Page 55
Aortic dissection……Page 57
REFERENCES……Page 58
PHYSICAL EXAMINATION……Page 59
Acute pericarditis……Page 61
REFERENCES……Page 62
PHYSICAL EXAMINATION……Page 63
Supraventricular tachycardia……Page 64
KEY TEACHING POINTS……Page 65
REFERENCES……Page 66
PHYSICAL EXAMINATION……Page 67
Inferior wall myocardial infarction and complete heart block……Page 69
REFERENCES……Page 70
PHYSICAL EXAMINATION EXTREMITIES:……Page 71
Cardiac tamponade……Page 73
REFERENCES……Page 74
PHYSICAL EXAMINATION……Page 75
Wide complex tachycardia……Page 76
REFERENCES……Page 77
PHYSICAL EXAMINATION……Page 79
KEY TEACHING POINTS……Page 81
REFERENCES……Page 82
PHYSICAL EXAMINATION……Page 83
REFERENCES……Page 85
PHYSICAL EXAMINATION……Page 87
Aortic dissection……Page 88
REFERENCES……Page 90
PHYSICAL EXAMINATION……Page 91
KEY TEACHING POINTS……Page 93
REFERENCES……Page 95
PART III PULMONOLOGY……Page 113
PHYSICAL EXAMINATION……Page 115
REFERENCES……Page 116
PHYSICAL EXAMINATION……Page 119
Pulmonary embolism……Page 121
REFERENCES……Page 124
PHYSICAL EXAMINATION……Page 127
KEY TEACHING POINTS……Page 129
REFERENCES……Page 130
PHYSICAL EXAMINATION……Page 131
Coccidioidomycosis……Page 132
REFERENCES……Page 133
PHYSICAL EXAMINATION……Page 135
Community-acquired pneumonia……Page 136
KEY TEACHING POINTS……Page 138
PART IV GASTROENTEROLOGY……Page 139
PHYSICAL EXAMINATION……Page 141
Appendicitis……Page 142
REFERENCES……Page 143
PHYSICAL EXAMINATION……Page 145
Infectious mononucleosis and splenic injury……Page 146
REFERENCES……Page 147
PHYSICAL EXAMINATION……Page 149
Malrotation of the midgut……Page 151
REFERENCES……Page 152
PHYSICAL EXAMINATION……Page 153
Meckel’s diverticulum……Page 155
REFERENCES……Page 156
PHYSICAL EXAMINATION……Page 157
KEY TEACHING POINTS……Page 158
REFERENCES……Page 159
PHYSICAL EXAMINATION……Page 161
REFERENCES……Page 162
PHYSICAL EXAMINATION……Page 165
Abdominal pain in the elderly……Page 167
REFERENCES……Page 168
PHYSICAL EXAMINATION……Page 169
Acutemesenteric ischemia……Page 170
REFERENCES……Page 171
PHYSICAL EXAMINATION……Page 173
Abdominal aortic aneurysms……Page 174
REFERENCES……Page 175
PHYSICAL EXAMINATION……Page 177
KEY TEACHING POINTS……Page 178
REFERENCES……Page 179
PART V GENITOURINARY AND GYNECOLOGY……Page 181
PHYSICAL EXAMINATION……Page 183
Ovarian torsion resulting from a dermoid cyst……Page 184
REFERENCES……Page 185
PHYSICAL EXAMINATION……Page 187
KEY TEACHING POINTS……Page 189
REFERENCES……Page 190
PHYSICAL EXAMINATION EXTREMITIES:……Page 191
Ectopic pregnancy……Page 192
KEY TEACHING POINTS……Page 193
REFERENCES……Page 194
PHYSICAL EXAMINATION……Page 195
REFERENCES……Page 196
PHYSICAL EXAMINATION……Page 197
REFERENCES……Page 198
PHYSICAL EXAMINATION……Page 201
Epididymo-orchitis, testicular abscess and Fournier’s gangrene……Page 202
REFERENCES……Page 203
PART VI NEUROLOGY/NEUROSURGERY……Page 205
PHYSICAL EXAMINATION……Page 207
Stroke in children……Page 208
REFERENCES……Page 209
PHYSICAL EXAMINATION……Page 211
Subarachnoid hemorrhage……Page 212
KEY TEACHING POINTS……Page 213
REFERENCES……Page 214
PHYSICAL EXAMINATION……Page 215
Spinal epidural abscess……Page 216
REFERENCES……Page 217
PHYSICAL EXAMINATION……Page 219
Cervical artery dissection……Page 220
REFERENCES……Page 222
PHYSICAL EXAMINATION……Page 223
Cauda equina syndrome……Page 224
REFERENCES……Page 225
PHYSICAL EXAMINATION……Page 227
Cerebral venous thrombosis……Page 228
KEY TEACHING POINTS……Page 229
REFERENCES……Page 230
PHYSICAL EXAMINATION……Page 231
Status epilepticus and traumatic subarachnoid hemorrhage……Page 233
KEY TEACHING POINTS……Page 234
REFERENCES……Page 235
PHYSICAL EXAMINATION……Page 237
Vertebrobasilar stroke and “top of the basilar” syndrome……Page 238
KEY TEACHING POINTS……Page 239
REFERENCES……Page 240
PART VII TRAUMA……Page 241
PHYSICAL EXAMINATION……Page 243
Pediatric intra-abdominal injury and splenic trauma……Page 245
REFERENCES……Page 246
PHYSICAL EXAMINATION……Page 247
Abdominal stab wounds……Page 249
REFERENCES……Page 250
PHYSICAL EXAMINATION……Page 253
REFERENCES……Page 254
PHYSICAL EXAMINATION……Page 257
REFERENCES……Page 258
PHYSICAL EXAMINATION……Page 259
Penetrating chest trauma, traumatic arrest and ED thoracotomy……Page 260
REFERENCES……Page 261
PHYSICAL EXAMINATION……Page 263
REFERENCES……Page 264
PHYSICAL EXAMINATION……Page 265
Traumatic brain injury……Page 266
REFERENCES……Page 267
PHYSICAL EXAMINATION……Page 269
Odontoid fractures……Page 270
REFERENCES……Page 271
PHYSICAL EXAMINATION……Page 273
Cervical spine subluxation……Page 274
REFERENCES……Page 275
PART VIII ORTHOPEDICS……Page 277
PHYSICAL EXAMINATION……Page 279
Supracondylar and lateral condyle fractures in children……Page 280
REFERENCES……Page 281
PHYSICAL EXAMINATION……Page 283
Compartment syndrome of the foot……Page 284
REFERENCES……Page 285
PHYSICAL EXAMINATION……Page 287
Open forearm fractures……Page 288
REFERENCES……Page 289
PHYSICAL EXAMINATION……Page 291
REFERENCES……Page 292
PHYSICAL EXAMINATION……Page 293
The fat pad sign and radial head fractures……Page 294
REFERENCES……Page 295
PHYSICAL EXAMINATION……Page 297
REFERENCES……Page 299
PHYSICAL EXAMINATION……Page 301
Tibial plateau fractures……Page 302
KEY TEACHING POINTS……Page 303
REFERENCES……Page 304
PHYSICAL EXAMINATION……Page 305
Septic arthritis……Page 306
REFERENCES……Page 307
PHYSICAL EXAMINATION……Page 309
KEY TEACHING POINTS……Page 310
REFERENCES……Page 311
PART IX HAND……Page 313
PHYSICAL EXAMINATION……Page 315
REFERENCES……Page 316
PHYSICAL EXAMINATION……Page 317
High-pressure injection injuries to the hand……Page 318
REFERENCES……Page 319
PHYSICAL EXAMINATION……Page 321
Felon……Page 322
REFERENCES……Page 323
PHYSICAL EXAMINATION……Page 325
KEY TEACHING POINTS……Page 326
REFERENCES……Page 327
PHYSICAL EXAMINATION……Page 329
Mammalian bites of the hand……Page 330
REFERENCES……Page 331
PART X PEDIATRICS……Page 333
PHYSICAL EXAMINATION……Page 335
Supraventricular Tachycardia……Page 336
REFERENCES……Page 337
PHYSICAL EXAMINATION……Page 339
Pediatric dilated cardiomyopathy……Page 340
REFERENCES……Page 341
PHYSICAL EXAMINATION……Page 343
Pediatric head injury……Page 344
REFERENCES……Page 345
PHYSICAL EXAMINATION……Page 347
REFERENCES……Page 349
PHYSICAL EXAMINATION……Page 351
Pediatric pneumonia……Page 352
KEY TEACHING POINTS……Page 353
REFERENCES……Page 354
PHYSICAL EXAMINATION……Page 355
Posterior fossa brain tumors and ependymomas in children……Page 356
KEY TEACHING POINTS……Page 357
REFERENCES……Page 358
PHYSICAL EXAMINATION……Page 359
Esophageal coins in children……Page 360
REFERENCES……Page 361
PHYSICAL EXAMINATION……Page 363
Intussusception……Page 364
REFERENCES……Page 365
PHYSICAL EXAMINATION……Page 367
KEY TEACHING POINTS……Page 368
REFERENCES……Page 369
PHYSICAL EXAMINATION……Page 371
Moyamoya disease……Page 372
REFERENCES……Page 373
PHYSICAL EXAMINATION……Page 375
Third-degree heart block and Lyme carditis……Page 377
REFERENCES……Page 379
PHYSICAL EXAMINATION……Page 381
Pediatric hemorrhagic stroke……Page 382
REFERENCES……Page 383
PART XI INFECTIOUS DISEASE……Page 385
PHYSICAL EXAMINATION……Page 387
Vertebral osteomyelitis……Page 388
REFERENCES……Page 389
PHYSICAL EXAMINATION……Page 391
Malaria……Page 393
KEY TEACHING POINTS……Page 394
REFERENCES……Page 395
PHYSICAL EXAMINATION……Page 397
Sepsis-induced purpura fulminans……Page 399
REFERENCES……Page 400
PHYSICAL EXAMINATION……Page 401
Sepsis and hepatic abscesses……Page 402
REFERENCES……Page 403
PHYSICAL EXAMINATION NEUROLOGIC:……Page 405
Psoasmuscle abscess……Page 406
REFERENCES……Page 407
PHYSICAL EXAMINATION……Page 409
Miliary tuberculosis……Page 410
REFERENCES……Page 411
PART XII TOXICOLOGY/ENVIRONMENTAL……Page 413
PHYSICAL EXAMINATION……Page 415
Jimson weed poisoning……Page 416
REFERENCES……Page 417
PHYSICAL EXAMINATION……Page 419
REFERENCES……Page 420
PHYSICAL EXAMINATION……Page 421
Acetaminophen overdose and toxicity……Page 422
REFERENCES……Page 424
PHYSICAL EXAMINATION……Page 425
REFERENCES……Page 426
PHYSICAL EXAMINATION……Page 429
KEY TEACHING POINTS……Page 431
REFERENCES……Page 432
PHYSICAL EXAMINATION……Page 433
Venomous snakebites in the United States……Page 435
REFERENCES……Page 436
PHYSICAL EXAMINATION……Page 439
KEY TEACHING POINTS……Page 440
REFERENCES……Page 441
PHYSICAL EXAMINATION NEUROLOGIC:……Page 443
Alkali ingestions……Page 444
REFERENCES……Page 445
PHYSICAL EXAMINATION……Page 447
Digoxin toxicity……Page 449
REFERENCES……Page 450
PART XIII MISCELLANEOUS……Page 451
PHYSICAL EXAMINATION……Page 453
REFERENCES……Page 454
PHYSICAL EXAMINATION……Page 455
KEY TEACHING POINTS……Page 456
REFERENCES……Page 457
PHYSICAL EXAMINATION……Page 459
Drug eruptions……Page 460
REFERENCES……Page 461
PHYSICAL EXAMINATION……Page 463
Acutemyelogenous leukemia and leukostasis……Page 464
REFERENCES……Page 465
PHYSICAL EXAMINATION SKIN:……Page 467
Diabetic ketoacidosis……Page 469
REFERENCES……Page 470
PHYSICAL EXAMINATION……Page 471
Deep vein thrombosis……Page 472
REFERENCES……Page 474
PHYSICAL EXAMINATION……Page 475
REFERENCES……Page 477
PHYSICAL EXAMINATION……Page 479
Panhypopituitarism……Page 481
REFERENCES……Page 482
PHYSICAL EXAMINATION……Page 483
KEY TEACHING POINTS……Page 484
REFERENCES……Page 485
Answer index……Page 487
Subject index……Page 489