Description
Book SynopsisMany primary care clinicians are busy to the point of being overwhelmed and there is not time to do thorough evaluations on every patient. The outpatient clinician must be able to quickly identify and manage the overtly ill but also those with potential or even hidden issues that require a referral to the emergency department.
This book provides a concise yet comprehensive summary of the various conditions the primary care practitioner could encounter in his/her office that require emergency department referral. Organized system by system, this manual provides short, readable yet detailed descriptions of situations where the clinician must make the quick decision to escalate the level of care.
The book is comprised of thirteen main sections, each detailing a medical specialty and is further broken down into specific conditions within these specialties. The specialties that are featured are cardiology, dermatology, endocrinology, gastroenterology, HEENT, hematology and oncology, infectious disease, nephrology, neurology, gynecology, ophthalmology, psychiatry, pulmonology and urology. The chapters are broken down into five key aspects. First, a brief synopsis of the problem is identified covering the incidence, the risk factors and general information to give the clinician the insight to manage the situation. Next, there is a review of key elements of the history that can elucidate whether the patient has or does not have the emergent condition. Physical exam findings that the clinician can look for during the evaluation are then discussed followed by diagnostics that the clinician can get quickly the same day to help evaluate the situation. Lastly, treatments that can be provided while waiting for the urgent or emergent condition to be evaluated are identified.
Written by experts in the field,
Managing Emergencies in the Outpatient Setting is a valuable resource for primary care physicians, physician assistants and nurse practitioners alike.
Table of ContentsCardiovascular - Some of the most common conditions that cause chest pain and/or shortness of breath are covered. Several other miscellaneous conditions requiring hospitalizations are discussed.
Ischemia
Congestive Heart Failure
Arrhythmias
Syncope
Hypertensive Emergency
Pulmonary Embolus and DVT
Peripheral Vascular Disease
Mesenteric Ischemia
Aneurysms
Thoracic
Abdominal
Pericarditis
Rheumatic Fever
Endocarditis
Miscellaneous
Dermatologic – Two conditions will be discussed that can result in ED referral.
Stevens Johnson Syndrome
DRESS
Endocrinology – A discussion of how to handle hyperglycemia in the office will be had. Brief discussions of other conditions will also be addressed. Diabetes
Post parathyroidectomy/thyroidectomy
Thyroid Storm
Miscellaneous
Gastrointestinal - A focus on abdominal pain will be made.
Appendicitis
Cholecystitis
Diverticulitis
Acute liver failure
Spontaneous Bacterial Peritonitis
GI Bleed
Hernias
Obstruction
Volvulus
Miscellaneous – thrombosed hemorrhoid
HEENT – The conditions in this organ system (mostly infections) are briefly discussed.
Epiglottitis
Retropharyngeal and Peri-tonsillar Abscess
Lemierres Disease
Mastoiditis
Epistaxis
Miscellaneous
Hematology and Oncology – There will be a brief discussion of heme/onc emergencies.
Severe Anemia
ITP
Hemarthrosis
Leukemia
Miscellaneous
Infectious Disease – Various infectious conditions necessitating ED referral will be discussed.
Cellulitis
Diabetic Foot
Pyelonephritis
Sepsis
Septic Joint
Nephrology – A discussion of renal failure will be had. Various lab findings that may be encountered that require ED referral will be covered.
Acute Renal Failure
Hyponatremia
Hyperkalemia
Hypercalcemia
Miscellaneous
Neurology - Various conditions will be discussed focusing on the evaluation of stroke and headache. Multiple sclerosis and seizure will be briefly discussed in addition to several more rare conditions.
Embolic CVA
Hermorrhagic CVA
TBI (concussion)
Meningitis
Pseudotumor Cerebri
Temporal Arteritis
Seizure
Bells Palsy
Mutiple Sclerosis Flare
Myasthenia Crisis
Miscellaneous
OB/GYN – The conditions in this specialty are discussed and some will headed under abdominal pain in an index of possible conditions by particular symptom.
Ectopic Pregnancy
Vaginal Bleeding – in pregnancy and post-partum
Pre-eclampsia
Ovarian Cysts and Torsion
PID and Tubulo-ovarian Abscess
Miscellaneous
Ophthalmology- A brief discussion of the painful red eye with and without vision loss will be had.
Corneal Abrasion
Chemical Exposure
Optic Neuritis
Orbital Cellulitis
Endophthalmitis
Amaurosis Fugax
Acute Angle Closure Glaucoma
Central Vein thrombosis
Homonymous Hemianopsia
Miscellaneous
Psychiatry – A brief discussion of psychiatric emergencies will be made.
Suicidal Ideation
Psychosis
Ethanol Withdrawal
Benzodiazapine Withdrawal
Pulmonary – Emergencies primary to the lung will be discussed.
Pneumonia
COPD
Asthma
Urology – The common issue of nephrolithiasis will be discussed. There will be brief discussion of other more rare conditions.
Nephrolithiasis
Ureteral Outlet Obstruction and Anuria
Priapism
Testicular Torsion
Testicular Abscess
Fourniers Gangrene
Miscellaneous
