Rosen & Barkin's 5-Minute Emergency Medicine Consult (795 page)

Multiple-dose activated charcoal, 890

Multiple myeloma, 718–719

Multiple organ dysfunction syndrome (MODS), 1018

Multiple rib fractures, 420

Multiple sclerosis (MS), 720–721

Mumps, 722–723

Munchausen syndrome, 724–725

Murphy sign, 232

Muscle hemorrhage, 502

Mushroom poisoning, 726–727

Myasthenia gravis (MG), 728–729

Myasthenic crisis, 728

Mycobacterium marinum,
lymphangitis from, 668

Mycotoxins, 140–141

Mydriasis, 893

Myelin dysfunction, 898

Myelogenous leukemia, chronic, 652–653

Myeloma, multiple, 718–719

Myocardial contusion, 730–731

diagnosis, 730

treatment, 730–731

Myocardial infarction (MI), 30–31

atrioventricular block, 118

diagnosis, 30

non-Q-wave (non-ST elevation), 32–33

treatment, 30–31

Myocarditis, 732–733

diagnosis, 732–733

imaging, 733

treatment, 733

Myoglobin, in cardiac testing, 184

Myxedema coma, 596–597

N

N-acetylcysteine (NAC) poisoning, 886

N
-acetyl-p-benzoquinoneimine (NAPQI), 20

Nail psoriasis, 920

NAPQI.
See
N
-acetyl-p-benzoquinoneimine (NAPQI)

Narcan toxicity, 888

Nasal foreign body, 430–431

diagnosis, 430

treatment, 430–431

Nasal fractures, 734–735

diagnosis, 734

treatment, 734–735

NAT.
See
Nonaccidental trauma (NAT)

Nausea, 1230–1231

Neck injury by strangulation/hanging, 736–737

diagnosis, 736–737

treatment, 737

Neck trauma

blunt, anterior, 738–739

diagnosis, 738

imaging, 738

treatment, 739

penetrating, anterior, 740–741

diagnosis, 740

treatment, 740–741

Necrotizing fasciitis (NF), 1082–1083

Necrotizing soft tissue infections, 742–743

diagnosis, 742–743

treatment, 743

Necrotizing ulcerative gingivitis, 744–745

diagnosis, 744

treatment, 745

Needlestick, 746–747

diagnosis, 746

treatment, 746–747

Negative pressure ventilation, 1210

Neisseria meningitidis,
696–697

Neonatal jaundice, 748–749

diagnosis, 748–749

imaging, 749

treatment, 748–749

Neonatal sepsis, 750–751

diagnosis, 750–751

treatment, 751

Neonatal tetanus, 1122–1123

Nephritic syndrome, 752–753

diagnosis, 752–753

treatment, 753

Nephrogenic diabetes insipidus, 564

Nephrotic syndrome, 754–755

diagnosis, 754–755

treatment, 755

Neurogenic shock, 1026–1027

Neurogenic thoracic outlet syndrome (NTOS), 1126–1127

Neuroleptic malignant syndrome, 756–757, 892

diagnosis, 756

treatment, 757

Neuroleptic poisoning, 758–759

diagnosis, 758

treatment, 758–759

Neuropathy, peripheral, 840–841

Neutrally mediated syncope, 1098–1099

Neutropenia, 602

Neutrophilia, 654

Nicotine-like alkaloids, 870–871

Nodular melanoma, 1036

Nodules, 946–947

pediatric, 948

Nonaccidental trauma (NAT), 18–19

Nonbullous impetigo, 604

Noncardiogenic pulmonary edema, 760–761

diagnosis, 760

treatment, 761

Nongonococcal infectious tenosynovitis, 1118

Non-IgE mediated anaphylaxis, 62

Nonmelanoma skin cancer, 1036

Nonocclusive mesenteric ischemia, 700–701

Nonpalpable purpura, 934–935

Nonparalytic poliomyelitis, 894–895

Non-Q-wave myocardial infarction, 32–33

diagnosis, 32

medication, 33

treatment, 32–33

Nonselective serotonin reuptake inhibitor poisoning, 76

Non-ST elevation myocardial infarction, 32–33

Nonsteroidal anti-inflammatory poisoning, 762–763

diagnosis, 762

treatment, 762–763

Nontraumatic binocular diplopia, 324–325

Nonwarfarin agents, 242–243

NTOS.
See
Neurogenic thoracic outlet syndrome (NTOS)

Nursemaid’s elbow, 764–765

diagnosis, 764

treatment, 764–765

Nystagmus, 334

O

Obstructive shock, 189, 1026–1027

Obtundation, 248

Occlusion

arterial, 92–93

central retinal artery, 208–209

central retinal vein, 210–211

of feeding tube, 408–409

Occlusional bite, 146

Octreotide toxicity, 888

Ocular injuries, in blow-out fracture, 150–151

Ocular toxoplasmosis, 1150–1151

Oculomotor nerve palsy, 766–767

diagnosis, 766–767

imaging, 766

treatment, 767

Odynophagia, 344–345

Oophoritis, 722

Open fracture, 436–437

diagnosis, 436

treatment, 436–437

Opiate poisoning, 768–769

diagnosis, 768

treatment, 768–769

Opiate toxidrome, 892

Opisthotonos, 348

Opportunistic infections, 770–771

diagnosis, 770–771

imaging, 771

treatment, 771

Optic neuritis, 772–773

diagnosis, 772

treatment, 773

OPV.
See
Oral poliovirus vaccine (OPV)

Oral candidiasis, 174–175

diagnosis, 174–175

treatment, 175

Oral poliovirus vaccine (OPV), 894

Orbital cellulitis, 838–839

Orbital floor fractures, blow-out, 150–151

Orchitis, 370–371, 722

definition, 370

Organophosphate poisoning, 774–775

diagnosis, 774

imaging, 774

treatment, 775

Organ transplantation, immunosuppression from, 602

Orogastric lavage, 891

Oropharyngeal (transfer) dysphagia, 344–345

Osgood–schlatter disease, 776–777

diagnosis, 776

treatment, 776–777

Osmolar gap, 893

Osmol gap, 394

Ossification, in ankylosing spondylitis, 72

Osteogenesis imperfecta, 778–779

diagnosis, 778–779

imaging, 779

treatment, 779

Osteomyelitis, 780–781

diagnosis, 780–781

imaging, 780–781

treatment, 781

Osteoporosis, 782–783

diagnosis, 782

imaging, 782

treatment, 782–783

Otitis externa, 784–785

diagnosis, 784

imaging, 784

treatment, 784–785

Otitis media, 786–787

diagnosis, 786

treatment, 787

Otologic trauma, 788–789

diagnosis, 788

imaging, 788

treatment, 788–789

Ovarian cyst/torsion, 790–791

diagnosis, 790–791

imaging, 791

Overdrainage syndrome, 1214–1215

Overuse syndrome, 1116

P

Pacemaker-mediated tachycardia, 182

Paget disease, 792–793

diagnosis, 792

imaging, 792

treatment, 793

Pain, 794–975

back, 122–123

diagnosis, 794–795

hip, in toxic synovitis, 1102

in streptococcal disease, 1082

tooth, 1142–1143

treatment, 795

Painless hematochezia, 332

Palpable purpura, 934–935

Pancreatic trauma, 796–797

diagnosis, 796

imaging, 796

treatment, 796–797

Pancreatitis, 798–799

diagnosis, 798–799

imaging, 798

treatment, 798–799

Panic attack, 800–801

diagnosis, 800

treatment, 801

Papulosquamous rashes, 946, 948

Paralytic poliomyelitis, 894–895

Paraphimosis, 802–803

diagnosis, 802

imaging, 802

treatment, 802–803

Parasuicidal behavior, 1092–1093

Parathyroid hormone (PTH)

in hypercalcemia, 558

in hyperparathyroidism, 568

in hypocalcemia, 582

in hypoparathyroidism, 592

Parkinson disease, 804–805

diagnosis, 804

imaging, 804

treatment, 805

Paronychia, 14, 806–807

diagnosis, 806

imaging, 806

treatment, 806–807

Parotitis, 722

Pasteurella multocida

in cat and dog bites, 144

Patellar injuries, 808–809

diagnosis, 808

imaging, 808

treatment, 808–809

Patent ductus arteriosus, 810–811

diagnosis, 810

imaging, 810

treatment, 811

PBT.
See
Pulmonary barotrauma (PBT)

Pediatric abuse, 18–19

diagnosis, 18–19

imaging, 18

treatment, 19

Pediatric apnea, 84–85

diagnosis, 84–85

treatment, 85

Pediatric dysphagia, 344–345

Pediatric fractures, 438–439

diagnosis, 438

imaging, 438

Salter–Harris classification, 438

treatment, 438–439

Pediatric trauma, 812–813

diagnosis, 812–813

imaging, 813

treatment, 813

Pediculosis, 814–815

diagnosis, 814

treatment, 814–815

Pelvic fracture, 816–817

and bladder injury, 148–149

diagnosis, 816–817

trauma in pregnancy and, 906

treatment, 817

Pelvic inflammatory disease, 818–819

diagnosis, 818

imaging, 818

treatment, 818–819

Penetrating abdominal trauma, 246

Penetrating injury, diaphragmatic trauma for, 316

Penicillamine toxicity, 888

Penile shaft fracture, 822–823

diagnosis, 822

treatment, 823

Peptic ulcer, 824–825

diagnosis, 824

imaging, 824

treatment, 824–825

Percutaneous coronary intervention (PCI), 964

Percutaneous translaryngeal ventilation (PTV), 40

Perforated viscous, 826–827

diagnosis, 826

imaging, 826

treatment, 826–827

Perianal cellulitis, treatment of, 207

Pericardial effusion/tamponade, 828–829

diagnosis, 828

imaging, 828

treatment, 829

Pericarditis, 830–831

diagnosis, 830–831

imaging, 830

treatment, 831

Perilunate dislocation, 832–833

diagnosis, 832

imaging, 832

treatment, 832–833

Periodic paralysis, 834–835

diagnosis, 834–835

treatment, 835

Periodontal abscess, 836–837

diagnosis, 836

treatment, 836–837

Periorbital cellulitis, 206, 838–839

treatment, 207

Periostitis, acute mastoiditis with, 684

Peripartum cardiomyopathy, 194–195

diagnosis, 194–195

imaging, 194

treatment, 195

Peripheral neuropathy, 840–841

treatment, 841

Peripheral vascular disease, 842–843

diagnosis, 842

imaging, 842

treatment, 843

Peripheral vertigo, 1220–1221

Perirectal abscess, 14, 844–845

diagnosis, 844

treatment, 845

Peristomal wound infections, of feeding tube, 408–409

Peritonitis

as dialysis complication, 312

secondary bacterial, 104

spontaneous bacterial, 104

Peritonsillar abscess, 846–847

diagnosis, 846

imaging, 846–847

treatment, 847

Permanent teeth, 300

Peroneal nerve injury, in knee dislocation, 634

Pertussis, 848–849

diagnosis, 848

imaging, 848

treatment, 849

Petechiae, 946

Phalangeal injuries

foot, 850–851

diagnosis, 850

treatment, 850–851

hand, 852–853

diagnosis, 852

treatment, 852–853

Pharyngitis, 854–855

diagnosis, 854

imaging, 854

Phencyclidine poisoning, 856–857

diagnosis, 856

treatment, 857

Phentolamine toxicity, 888

Phenytoin poisoning, 858–859

diagnosis, 858

treatment, 859

Pheochromocytoma (pheo), 860–861

diagnosis, 860–861

genetics, 860

imaging, 860

treatment, 861

Phimosis, 862–863

diagnosis, 862

treatment, 862–863

Phlegmasia alba dolens, 288

Phlegmasia cerulea dolens, 288

Photodermatitis, 262–263

Physical abuse, elder, 16

Physostigmine toxicity, 889

Pigment stones, 234

Pilonidal abscess, 14

Pityriasis rosea, 864–865

diagnosis, 864

treatment, 865

Pityriasis versicolor, 1010

Placental abruption, 866–867

diagnosis, 866

risk factors, 866

treatment, 867

Placental estrogen, 909

Placental human chorionic gonadotropin (hCG), 909

Placental progesterone, 909

Placenta previa, 868–869

classification, 868

diagnosis, 868

risk factors, 868

treatment, 869

Plague, as biologic weapon, 140–141

Plant poisoning, 870–871

diagnosis, 870

treatment, 871

Plaque-type psoriasis, 920

Plasmodium falciparum,
672

Plasmodium malariae,
672

Plasmodium ovale,
672

Plasmodium vivax,
672

Plastic deformity, 424–425

Platelet aggregation, 1128

Pleural effusion, 872–873

classification, 872

diagnosis, 872–873

imaging, 872

treatment, 873

Pleuritic pain, 224

Pneumocystis pneumonia, 874–875

diagnosis, 874

imaging, 874

treatment, 874–875

Pneumomediastinum, 876–877

diagnosis, 876

imaging, 876

treatment, 877

Pneumonia

adult, 878–879