By John F. O'Brien
This new quantity within the confirmed and well-respected sequence of Self-Assessment colour experiences covers all points of grownup emergency medication. a few 250 circumstances are offered randomly to mirror real-life perform.
Each case comprises a number of questions, illustrated via stimulating visible fabric together with scientific images, imaging and electrocardiograms. solutions and whole dialogue then persist with masking differential and definitive diagnoses, administration and sophisticated insights to supply optimum care and forestall problems.
The booklet appeals to a large readership, starting from trainees to practitioners in emergency drugs or fundamental care, for exam revision and carrying on with schooling.
Read Online or Download Adult Emergency Medicine: Self-Assessment Color Review PDF
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The Seidel test uses fluorescein to assess for the presence of aqueous humor streaming, suggesting anterior perforation. CT is the most sensitive imaging modality to detect occult rupture or retained foreign body. MRI is also sensitive, but contraindicated if a ferromagnetic foreign body is suspected. ii. A suspected globe rupture should be protected with a rigid shield. Broadspectrum antibiotics should be administered to help prevent infectious endophthalmitis. Antiemetics and analgesics are indicated, with appropriate tetanus prophylaxis.
Other common findings suggestive of basilar skull fracture include mastoid hematoma (Battle sign), bloody otorrhea, hemotympanum, and CSF rhinorrhea. Raccoon eyes may also be seen with direct eye trauma, head or facial surgery, amyloidosis, malignancy, and even vigorous sneezing or coughing. ii. Supportive care with attention to ABC is appropriate. CT neuroimaging is important to evaluate for basilar skull fracture or other intracranial injury. In this unconscious patient with significant head trauma, the cervical spine should be immobilized and appropriately imaged to rule out associated neck injury.
Ii. How should she be evaluated? qxp:SACR 10/16/12 10:17 PM Page 44 39, 40: Answers 39 i. ), which causes latrodectism. This 1–2 cm female spider has larger venom glands than the male and can cause serious envenomation. She has a red–orange, hourglass-shaped spot on her ventral abdomen. Many bites do not envenomate. Alpha-latrotoxin is the main toxin, which opens presynaptic calcium channels, with increased neurotransmitter release causing autonomic and neurologic overstimulation. Within 2 hours of envenomation, severe muscle cramps develop, first near the bite and then in the abdomen, back, arms, and thighs.