NMS Emergency Medicine

by Plantz, Scott H.; Wipfler, E. John

• ISBN13: 9780781788847
• ISBN10: 0781788846
• Edition: 2nd
• Format: Paperback
• Copyright: 2006-11-29
• Publisher: LWW

Summary

Completely revised to reflect current research and the demands of today's students, the second edition of NMS Emergency Medicine focuses on the most essential information that students need to successfully complete their emergency medicine clerkship. This invaluable resource provides readers with the knowledge base and procedural skills to evaluate and treat patients in the emergency department. All chapters have been thoroughly updated, User-friendly, outline format, Clinical features, differential diagnosis, patient evaluation, and therapy are discussed for most disorders, End-of-chapter, USMLE-style questions reinforce key points. Book jacket.

Table of Contents

Preface	vii
Contributors	ix
Part I: Acute Resuscitation	1	(32)
Resuscitation	3	(30)
Discussion	3	(1)
Approach to the patient	4	(1)
Airway	5	(7)
Breathing (ventilation)	12	(2)
Circulation	14	(7)
Specific resuscitation situations	21	(12)
Part II: Medical Emergencies	33	(462)
Cardiovascular Emergencies	35	(67)
Chest pain	35	(3)
Myocardial ischemic disease	38	(9)
Congestive heart failure and pulmonary edema	47	(4)
Rhythm disturbances	51	(8)
Implanted cardiac devices	59	(5)
Hypertension	64	(3)
Syncope	67	(3)
Valvular disease	70	(7)
Pericardial disease	77	(4)
Primary myocardial diseases	81	(5)
Infectious endocarditis	86	(4)
Vascular disease	90	(12)
Pulmonary Emergencies	102	(26)
Acute respiratory failure	102	(2)
Asthma	104	(2)
Chronic obstructive pulmonary disease	106	(2)
Noncardiogenic pulmonary edema (NCPE)	108	(1)
Hemoptysis	109	(2)
Pulmonary embolism	111	(3)
Pleural effusions	114	(1)
Pneumonia	115	(4)
Mycobacterial pulmonary disease	119	(2)
Pneumothorax	121	(7)
Gastrointestinal Emergencies	128	(31)
Abdominal pain	128	(4)
Esophageal disorders	132	(3)
Gastrointestinal foreign bodies	135	(2)
Peptic ulcer disease	137	(1)
Gastroenteritis of infectious origin	138	(2)
Intestinal disorders	140	(5)
Anorectal disorders	145	(2)
Hepatitis, pancreatitis, cholecystitis, and appendicitis	147	(5)
Hernia	152	(1)
Vascular disorders	153	(6)
Urogenital Emergencies	159	(21)
Urinary tract infections (UTIs)	159	(2)
Nephrolithiasis	161	(2)
Urinary retention	163	(2)
Renal failure	165	(2)
Genital lesions	167	(4)
Male urogenital problems	171	(9)
Infectious Disease Emergencies	180	(35)
Sepsis	180	(3)
Acquired immune deficiency syndrome (AIDS)	183	(5)
Central nervous system infections	188	(6)
Sexually transmitted diseases (other than AIDS)	194	(2)
Upper respiratory tract infections	196	(6)
Skin and soft tissue infections	202	(3)
Bone infections (osteomyelitis)	205	(1)
Other infections	206	(9)
Metabolic Emergencies	215	(17)
Sodium imbalance	215	(2)
Potassium imbalance	217	(3)
Calcium imbalance	220	(2)
Magnesium imbalance	222	(1)
Acid-base imbalance	223	(9)
Endocrine Emergencies	232	(15)
Hypoglycemia	232	(1)
Diabetic ketoacidosis	233	(1)
Nonketotic hyperosmolar coma	234	(2)
Alcoholic ketoacidosis	236	(1)
Lactic acidosis	237	(1)
Thyroid disorders	238	(3)
Adrenal insufficiency and adrenal crisis	241	(1)
Wernicke-Korsakoff syndrome	242	(5)
Neurologic Emergencies	247	(31)
Altered mental status and coma	247	(5)
Headache	252	(5)
Cerebrovascular accident	257	(5)
Vertigo	262	(2)
Seizures	264	(3)
Peripheral neuropathies	267	(2)
Multiple sclerosis	269	(2)
Muscle disorders	271	(2)
Neuroleptic malignant syndrome (NMS)	273	(5)
Rheumatologic and Allergic Emergencies	278	(37)
Anaphylaxis	278	(5)
Urticaria and angioedema	283	(2)
Neck pain	285	(5)
Thoracic and lumbar back pain	290	(5)
Monarticular arthritis	295	(6)
Polyarticular arthritis	301	(5)
Connective tissue disorders	306	(9)
Dermatologic Emergencies	315	(22)
Approach to the patient with dermatologic lesions	315	(1)
Disorders characterized by vesicular lesions	316	(2)
Disorders characterized by vesiculobullous lesions	318	(3)
Disorders characterized by papulosquamous eruptions	321	(1)
Dermatitis	322	(1)
Erythema nodosum	323	(1)
Fungal skin infections	324	(1)
Parasitic skin infections	325	(2)
Viral exanthems	327	(2)
Bacterial skin infections	329	(2)
Life-threatening dermatoses	331	(6)
Eye, Ear, Nose, Throat, and Dental Emergencies	337	(41)
Eye	337	(16)
Ear	353	(4)
Nose	357	(6)
Throat	363	(4)
Teeth, maxilla, and mandible	367	(11)
Psychiatric Emergencies	378	(9)
Organic brain disorders and psychosis	378	(1)
Anorexia nervosa and bulimia nervosa	379	(1)
Panic disorder	380	(1)
Conversion reactions	381	(1)
Depression and suicide	382	(5)
Obstetric and Gynecologic Emergencies	387	(30)
Pelvic pain	387	(2)
Ectopic pregnancy	389	(3)
Vaginal bleeding during pregnancy	392	(3)
Hypertension in pregnancy	395	(3)
Emergency delivery	398	(1)
Complications of parturition	399	(2)
Vaginitis, cervicitis, and pelvic inflammatory disease	401	(4)
Abnormal vaginal bleeding in nonpregnant patients	405	(2)
Amenorrhea	407	(2)
Sexual assault	409	(8)
Pediatric Emergencies	417	(52)
Approach to the ill pediatric patient	417	(4)
Pain	421	(2)
Sudden infant death syndrome (SIDS)	423	(3)
Ingested foreign bodies	426	(2)
Respiratory tract infections	428	(10)
Otitis media	438	(3)
Congenital heart disease	441	(3)
Kawasaki disease	444	(2)
Bacteremia, meningitis, and sepsis	446	(2)
Gastrointestinal disorders	448	(11)
Seizures	459	(3)
Child abuse	462	(7)
Hematologic and Oncologic Emergencies	469	(26)
Approach to the bleeding patient	469	(5)
Hematologic emergencies	474	(12)
Oncologic emergencies	486	(9)
Part III: Traumatic Emergencies	495	(82)
Traumatic Emergencies	497	(43)
Introduction	497	(1)
General approach to the trauma patient	497	(2)
Traumatic shock	499	(2)
Head injuries	501	(4)
Spinal injuries	505	(3)
Penetrating and blunt neck trauma	508	(3)
Thoracic trauma	511	(5)
Abdominal trauma	516	(3)
Pelvic trauma	519	(3)
Genitourinary trauma	522	(4)
Pediatric trauma	526	(4)
Trauma in pregnancy	530	(3)
Burns	533	(7)
Orthopedic Emergencies	540	(19)
Introduction	540	(6)
Hand and wrist injuries	546	(3)
Forearm, elbow, upper arm, and shoulder injuries	549	(2)
Pelvis, hip, and femur injuries	551	(1)
Knee injuries	552	(1)
Lower leg, ankle, and foot injuries	553	(1)
Complications of orthopedic injuries	554	(5)
Wound Emergencies	559	(18)
Stages of wound healing	559	(1)
Prehospital care of wounds	559	(1)
Evaluation of wounds in the emergency department (ED)	560	(2)
Wound care	562	(4)
Wound closure	566	(3)
Care of specific wound types	569	(1)
Follow-up care	570	(7)
Part IV: Toxicologic and Environmental Emergencies	577	(78)
Toxicologic Emergencies	579	(38)
Approach to the patient	579	(3)
Over-the-counter drugs	582	(5)
Prescription drugs	587	(10)
Drugs of abuse	597	(3)
Toxic alcohols	600	(3)
Carbon monoxide	603	(1)
Anticholinergics	604	(1)
Industrial chemicals	605	(3)
Iron toxicity	608	(2)
Caustic ingestions	610	(7)
Environmental Emergencies	617	(38)
Introduction	617	(1)
Cold-related illness and injury	617	(7)
Heat-related illness	624	(4)
High-altitude emergencies	628	(4)
Scuba diving injuries	632	(3)
Drowning and near-drowning	635	(2)
Smoke inhalation injuries	637	(2)
Lightning injuries	639	(2)
Venomous snakebites	641	(2)
Insect and arachnid bites and stings	643	(5)
Venomous marine animal injuries	648	(7)
Part V: Special Considerations	655	(40)
Emergency Medical Services	657	(16)
History of emergency medical services (EMS)	657	(2)
Models of EMS delivery	659	(1)
EMS personnel	660	(3)
EMS dispatch	663	(1)
Medical direction of EMS	663	(2)
EMS equipment	665	(2)
Air EMS	667	(1)
EMS at mass gatherings	667	(1)
EMS research	668	(5)
Disaster Medicine	673	(8)
Defining disasters	673	(1)
Phases of disaster response	674	(3)
Role of the emergency physician	677	(1)
Federal disaster resources	677	(1)
Disaster research	678	(3)
Legal Issues	681	(14)
Introduction	681	(1)
Informed consent	682	(1)
Patient confidentiality and reportable conditions	683	(2)
Involuntary holds	685	(1)
Patient transfer laws	686	(9)
Index	695