Rosen & Barkin's 5-Minute Emergency Medicine Consult (796 page)

Read Rosen & Barkin's 5-Minute Emergency Medicine Consult Online

Authors: Jeffrey J. Schaider,Adam Z. Barkin,Roger M. Barkin,Philip Shayne,Richard E. Wolfe,Stephen R. Hayden,Peter Rosen

Tags: #Medical, #Emergency Medicine

BOOK: Rosen & Barkin's 5-Minute Emergency Medicine Consult
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pediatric, 880–881

Pneumothorax, 224, 882–883

diagnosis, 882

imaging, 882

treatment, 882–883

Poisoning, 884–885

acetaminophen, 20–21

alcohol, 42–43

amphetamine, 54–55

anticholinergic, 74–75

antidepressant, 76–77

antidotes, 886–889

arsenic, 88–89

barbiturates, 126

bath salts–synthetic cathinones, 132

benzodiazepine, 136–137

beta-blocker, 138–139

calcium channel blocker, 172–173

carbamazepine, 176–177

carbon monoxide, 178–179

chemical weapons, 222–223

cocaine, 244–245

cyanide, 278–279

digoxin, 322–323

ethylene glycol, 394–395

gastric decontamination, 890–891

GHB, 458–459

hallucinogen, 480–481

hydrocarbon, 550–551

hypoglycemic agent, 586–587

iron, 618–619

isoniazid, 626–627

isopropanol, 627–628

lead, 648–649

lithium, 658–659

marine species, 680–681

MDMA, 686–687

mercury, 698–699

methanol, 704–705

monoamine oxidase inhibitor, 712–713

mushroom, 726–727

neuroleptic, 758–759

nonsteroidal anti-inflammatory, 762–763

opiate, 768–769

organophosphate, 774–775

phencyclidine, 856–857

phenytoin, 858–859

plant, 870–871

salicylate, 998–999

snake, 1046–1047

sympathomimetic, 1096–1097

theophylline, 1124–1125

toluene, 1140–1141

toxidromes, 892–893

tricyclic antidepressant, 1164–1165

Polio, 894–895

Polycythemia, 896–897

Polymyositis, 304–305

Polyneuropathy, 898–899

diagnosis, 898–899

epidemiology, 898

treatment, 899

Polyuria, 306, 588

Pontine hemorrhage, 612

“Porcelain gallbladder,” 234

Positional vestibular syndrome (PVS), 335

Posterior cruciate ligament (PCL) injury, 636–637

Postpartum endometritis (PPE), 902–903

complications of, 902

diagnosis, 902–903

risk factors for, 902

treatment, 903

Postpartum hemorrhage (PPH), 900–901

definition, 900

diagnosis, 900

risk factors, 900

treatment, 900–901

Postpartum infection, 902–903

Postpartum preeclampsia, 904

Postpoliomyelitis syndrome, 894–895

Post-traumatic diplopia, 324–325

Potassium excretion.
See
Hyperkalemia

PPE.
See
Postpartum endometritis (PPE)

PPH.
See
Postpartum hemorrhage (PPH)

Pralidoxime toxicity, 889

Prasugrel, 964

Preeclampsia, 904–905

Pregnancy

trauma in, 906–907

uncomplicated, 908–909

vaginal bleeding in, 1194, 1196–1197

Pregnancy-related thrombocytopenia, 1129

Priapism, 910–911

Prickly heat, 572

Primary hyperparathyroidism, 558

Primary teeth, 300

Procedural sedation, 912–913

Progesterone, placental, 909

Prolapse, rectal, 952–953

Prostatic abscess, 914

Prostatitis, 914–915

Protamine toxicity, 889

Proteinuria, 500–501

Proximal phalangeal fractures, 1130

Pruritus, 916–917

Pseudodementia, 296

Pseudodiverticula, 332

Pseudohyperkalemia, 562

Pseudohyponatremia, 590

Pseudohypoparathyroidism, 592

Pseudomembranous candidiasis, 174–175

Pseudotumor cerebri, 918–919

diagnosis, 918

mechanisms, 918

treatment, 919

Psoriasis, 920–921, 1010

diagnosis, 920

genetics, 920

treatment, 921

Psoriasis vulgaris, 920

Psychiatric commitment, 922–923

Psychogenic amnesia, 1155

Psychosis

acute, 924–925

medical
vs.
psychiatric, 926–927

PTH.
See
Parathyroid hormone (PTH)

PTV.
See
Percutaneous translaryngeal ventilation (PTV)

Pulmonary barotrauma (PBT), 128

Pulmonary contusion, 928–929

diagnosis, 928

imaging, 928

pathophysiology, 928

treatment, 928–929

Pulmonary edema, 930–931

diagnosis, 930–931

epidemiology, 930

imaging, 930–931

New York Heart Association classification, 930

treatment, 931

Pulmonary embolism, 224, 932–933

diagnosis, 932–933

imaging, 932–933

risk factors, 932

treatment, 933

Purpura, 934–935

Henoch–Schönlein, 514–515

idiopathic thrombocytopenic, 598–599

Pustular psoriasis, 920

Putamen hemorrhage, 612

PVS.
See
Positional vestibular syndrome (PVS)

Pyelonephritis, 936–937

diagnosis, 936–937

imaging, 936

treatment, 937

Pyelonephritis, PPE and, 902

Pyelonephritis, urinary tract, 1186–1187

Pyloric stenosis, 156, 938–939

diagnosis, 938–939

imaging, 938

treatment, 939

Pyomyositis, 14

Pyridoxine toxicity, 889

Pyrrolizidine alkaloids, 870–871

Q

Q fever, as biologic weapon, 140–141

QT syndrome, prolonged, 940–941

diagnosis, 940

genetics, 940

risk factors, 940

treatment, 941

R

Rabies, 942–943

diagnosis, 942–943

epidemiology, 942

pathophysiology, 942

treatment, 943

Radial head fracture, 360–361

Radial head subluxation, 360–361

Radiation burns, 168–169

Radiation injury, 944–945

Ramsay Hunt syndrome, 134

Rashes, 946–947

diagnosis, 946–947

diaper, 314–315

erythematous, 946

papulosquamous, 946, 948

pediatric, 948–949

with RMSF, 990

with rubella, 994

with syphilis, 1104

treatment, 947

Rat bite, 144–145

Rat-bite fever (RBF), 144–145

Rat bite wound, 144–145

Rattlesnake antivenin toxicity, 889

RBF.
See
Rat-bite fever (RBF)

Reactive arthritis, 950–951

diagnosis, 950

treatment, 951

Rectal chancre, 1104

Rectal foreign body, 432–433

diagnosis, 432

treatment, 432–433

Rectal Organ Injury Scale, 432

Rectal prolapse, 952–953

diagnosis, 952

treatment, 952–953

types of, 952

Rectal trauma, 954–955

Red eye, 956–957

diagnosis, 956

treatment, 956–957

Reiter’s syndrome.
See
Reactive arthritis

Renal artery thrombosis, 960

Renal calculus, 958–959

Renal failure, 960–961

Renal injury, 962–963

diagnosis, 962–963

grades of, 962

imaging, 962

treatment, 963

Renal tubular acidosis, 22

Renal vein thrombosis, 960

Reperfusion therapy

cardiac, 964–965

cerebral, 966–967

Replantation, after traumatic amputation, 56–57

Respiratory acidosis, 22

Respiratory alkalosis, 46

Respiratory distress, 968–969

diagnosis, 968–969

imaging, 968

treatment, 969

Respiratory failure, pediatric resuscitation and, 972

Restrictive cardiomyopathy, 190

Resuscitation

neonate, 970–971

pediatric, 972–973

Retinal artery occlusion central, 208–209

Retinal detachment, 974–975

diagnosis, 974–975

treatment, 975

types of, 974

Retinal hemorrhage, 18, 210

Retinal vein occlusion, central, 210–211

Retro-orbital hematoma, 976–977

Retropharyngeal abscess, 978–979

diagnosis, 978–979

imaging, 978

treatment, 979

Reye syndrome, 610, 980–981

cinical staging of, 980

diagnosis, 980

treatment, 981

Rhabdomyolysis, 982–983

diagnosis, 982–983

epidemiology, 982

pathophysiology, 982

risk factors, 982

treatment, 983

Rhegmatogenous retinal detachments (RRD), 974

Rheumatic fever, 984–985

Rheumatoid arthritis, 100–101

diagnosis, 100

imaging, 100

treatment, 101

Rheumatoid tenosynovitis, 1118

Rhinocerebral mucormycosis, 1035

Rhinosinusitis, 1034–1035

Rhodanese, 278

Rhus dermatitis, 262–263

Rib fracture, 986–987

diagnosis, 986

imaging, 986

treatment, 987

Ricin, 140–141

Right bundle branch block (RBBB), 166–167

Right-sided heart failure, 256

RMSF.
See
Rocky Mountain Spotted Fever (RMSF)

Rocky Mountain Spotted Fever (RMSF), 935, 990–991

Rolando fracture, 1130

Romano–Ward syndrome, 940

Rosacea, 1010

Roseola, 992–993

RRD.
See
Rhegmatogenous retinal detachments (RRD)

Rubella, 994–995

S

Sacral fracture, 996–997

Salicylate poisoning, 998–999

diagnosis, 998

treatment, 999

Salmonella

diarrhea from, 318

g
astroenteritis from, 450–451

Salter–Harris type fractures, 424–425

Sarcoidosis, 1000–1001

diagnosis, 1000–1001

imaging, 1001

treatment, 1001

SBP.
See
Spontaneous bacterial peritonitis (SBP)

Scabies, 1002–1003

diagnosis, 1002

epidemiology, 1002

treatment, 1003

Scaphoid fractures, 196, 1004–1005

classification, 1004

diagnosis, 1004

imaging, 1004

treatment, 1004–1005

Scarlet fever, 994, 1072

with toxic shock syndrome, 1148

SCD.
See
Sickle cell disease (SCD)

SC emphysema, 876

SCFE.
See
Slipped capital femoral epiphysis (SCFE)

Schizoaffective disorder, in bipolar disorder, 142

Schizophrenia, 1006–1007

diagnosis, 1006

perinatal risk factors, 1006

phases of, 1006

treatment, 1006–1007

Sciatica, 1008–1009

Sciatica, back pain from, 122–123

SCIWORA.
See
Spinal cord injury without radiographic abnormality (SCIWORA)

Sclerosis, multiple, 720–721

Scorpion sting, 1080–1081

Seat belt injury, thoracic spine, 1062–1063

Seatbelt syndrome, 1042

Seborrheic dermatitis, 1010–1011

diagnosis, 1010

treatment, 1011

Seborrheic diaper dermatitis, 314–315

Secondary bacterial peritonitis, 104

Secondary pneumomediastinum, 876–877

Second-degree atrioventricular block, 118–119

Sedation, procedural, 912–913

Sedative–hypnotics toxidrome, 892

Seizures, 893

adult, 1012–1013

febrile, 1014–1015

generalized, 1012

partial, 1012

pediatric, 1016–1017

Selective serotonin reuptake inhibitor poisoning, 76

Sepsis, 1018–1019

diagnosis, 1018–1019

imaging, 1018

neonatal, 750–751

septic shock with, 1018

treatment, 1019

Septic abortion, 12

PPE and, 902

Septic arthritis, 102–103

diagnosis, 102–103

and meningococcemia, 696

risk factors, 102

treatment, 103

Septic pelvic thrombophlebitis, PPE and, 902

Septic shock, 1026–1027

Serotonin syndrome (SS), 712–713, 892

diagnosis, 1020–1021

drug-induced, 1020–1021

epidemiology, 1020

imaging, 1020

treatment, 1021

Serum sickness, 1022–1023

Sexual abuse, elder, 16

Sexual assault, 1024–1025

Sexually transmitted disease (STD), 1162–1163

Shigella

diarrhea from, 318

g
astroenteritis from, 450–451

Shock, 1026–1027

categories of, 1026

diagnosis, 1026–1027

septic, with sepsis, 1018

treatment, 1027

Shoe dermatitis, 262–263

Shoulder dislocation, 1028–1029

SIADH.
See
Syndrome of inappropriate antidiuretic hormone (SIADH)

SIADH secretion, 1100–1101

definition, 1100

diagnosis, 1100–1101

treatment, 1101

Sickle cell disease (SCD), 1032–1033

diagnosis, 1032–1033

pregnancy and, 1032

treatment, 1033

Sick sinus syndrome, 1030–1031

diagnosis, 1030

mechanism, 1030

treatment, 1030–1031

SIDS.
See
Sudden infant death syndrome (SIDS)

Sigmoid volvulus, 1228–1229

Sinusitis, 1034–1035

classification, 1034

diagnosis, 1034–1035

imaging, 1034

pathophysiology, 1034

treatment, 1035

Sinus tachycardia, 1108–1109

SIRS.
See
Systemic inflammatory response syndrome (SIRS)

SJS.
See
Stevens–Johnson syndrome (SJS)

Skin cancer, 1036–1037

diagnosis, 1036–1037

imaging, 1037

treatment, 1037

Skin/soft tissue abscess

diagnosis, 14

treatment, 14–15

SLE.
See
Systemic lupus erythematosus (SLE)

Sleep apnea, 1038

classification, 1038

diagnosis, 1038

imaging, 1038

treatment, 1038–1039

Slipped capital femoral epiphysis (SCFE), 1040–1041

diagnosis, 1040

imaging, 1040

treatment, 1041

Slit ventricle syndrome, 1214–1215

SLUDGEBAM syndrome, 222

Small-bowel injury, 1042–1043

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