Adult Emergency Medicine: Self-Assessment Color Review by John F. O'Brien

By John F. O'Brien

This new quantity within the proven and well-respected sequence of Self-Assessment colour studies covers all points of grownup emergency medication. a few 250 instances are provided randomly to mirror real-life perform.

Each case comprises a number of questions, illustrated through stimulating visible fabric together with medical photos, imaging and electrocardiograms. solutions and whole dialogue then stick with masking differential and definitive diagnoses, administration and sophisticated insights to supply optimum care and forestall problems.

The e-book appeals to a large readership, starting from trainees to practitioners in emergency medication or basic care, for exam revision and carrying on with schooling.

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What does this transvaginal ultrasound image show (51)? ii. Can the patient be reassured? 52 A 37-year-old male presented with severe, crampy, right flank pain radiating into his groin, along with nausea and vomiting. He had gross hematuria. i. What is the likely diagnosis? ii. How would you confirm the diagnosis? qxp:SACR 10/16/12 10:17 PM Page 56 51, 52: Answers 51 i. An intrauterine pregnancy with a gestational sac, yolk sac, and embryo. 5 weeks. Fetal heart activity is usually apparent when the embryo is 5 mm or more in size, usually around 6 weeks gestational age.

Does the patient need treatment? 32 32 A 46-year-old female presented after 4 days of severe, left lower back pain and 1 day of a red, blistered rash in that area (32). She used a heating pad on it last night without relief. i. What is the rash? ii. How should it be managed? qxp:SACR 10/16/12 10:17 PM Page 36 31, 32: Answers 31 i. Pterygium, a very common degenerative condition of the conjunctiva presenting as an elevated fibrovascular proliferation. It usually originates from the medial canthal area and over several years extends onto the corneal surface.

G. sulfonamides), along with several other medications and environmental agents. Significant methemoglobinemia (25–50%) presents with dyspnea, palpitations, chest pain, and various neurologic symptoms (headache, weakness, confusion, and seizures). Cyanosis occurs with levels >15–20%, but may be relatively asymptomatic. Pulse oximetry is inaccurate with methemoglobin, which absorbs light wavelengths also absorbed by deoxyhemoglobin and oxyhemoglobin. Measuring methemoglobin levels requires a multiple wavelength co-oximeter.

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