Trade Review
“Image quality, a critical aspect of a work of this type, and succinct but clear presentations, make this book successful.” (Doody’s, 27 April 2012)
"These discrepancies detract only slightly from the overall quality of the book, however, and it can be recommended for purchase by any ED library." (Emergency Nurse, 1 December 2011)
Table of Contents
List of contributors ix
Foreword xii
Preface xiv
Illustration credits xv
Part I Case Presentations and Questions 1
1 Slash Wound to the Neck 3
Kevin S. Barlotta MD and Alexander B. Baer MD
2 “I’ve Got Blood in My Eye” 3
Chris S. Bergstrom MD and Alexander B. Baer MD
3 Forearm Fracture After Falling 4
Alexander B. Baer MD
4 A Neonate with Fever and Rash 4
David L. Eldridge MD
5 A Missing Button Battery 5
Brendan G. Carr MD and Sarah E. Winters MD MSCE
6 Anorexia Hair Loss and Fingernail Bands 6
Christopher P. Holstege MD
7 Wide Complex Tachycardia in a Young Adult 6
William J. Brady MD
8 Wide Complex Tachycardia in an Older Male Patient 7
William J. Brady MD
9 Muscle Spasms Following a Spider Bite 8
J. Michael Kowalski DO and Adam K. Rowden DO
10 Necrotic Skin Lesion 8
David A. Kasper DO MBA Aradhna Saxena MD and Kenneth A. Katz MD
11 Intense Pain Following High-pressure Injection Injury 9
David T. Lawrence DO
12 Prenatal Vitamin Overdose 9
Christopher P. Holstege MD and Adriana I. Goldberg MD
13 Blurred Vision Following Yard Work 10
Allyson Kreshak MD
14 Foot Pain in a Gymnast 11
Hoi K. Lee MD
15 A Child with Bruises of Different Ages 11
David L. Eldridge MD
16 Sudden Shortness of Breath after Removal of a Central Line 12
Christopher P. Holstege MD
17 “My Eyes Are Yellow!” 13
David T. Lawrence DO
18 Pleuritic Chest Pain in a Young Adult Male 13
William J. Brady MD
19 Exposed During a Blizzard 14
Joseph D. Forrester MD and Christopher P. Holstege MD
20 FAST Evaluation of a Trauma Patient 15
John S. Rajkumar MD and James H. Moak MD RDMS
21 Chest Pain with Sudden Cardiac Death 15
William J. Brady MD
22 Wrist “Sprain” in a Child 16
Jennifer S. Boyle PharmD MD
23 Acute Eye Pain and Blurred Vision in an Elderly Female 17
Chris S. Bergstrom MD and Alexander Baer MD
24 Heel Pain Following a Fall 17
Jennifer S. Boyle PharmD MD
25 Confluent Rash on a Child 18
Sarah E. Winters MD MSCE and Brendan G. Carr MD
26 Bradycardia Following an Herbal Ingestion 18
Alexander B. Baer MD
27 A Pain-free Adult with Persistent T Wave Abnormalities 19
William J. Brady MD
28 Caustic Ingestion with Cardiotoxic Effects 20
Heather A. Borek MD and Christopher P. Holstege MD
29 Chemical Eye Exposure 21
Chris S. Bergstrom MD and Alexander B. Baer MD
30 Acute Abdominal Pain in Pregnancy 22
James H. Moak MD RDMS and John S. Rajkumar MD
31 Coma Following Head Trauma 22
Andrew L. Homer MD and William J. Brady MD
32 Tongue Swelling in a Hypertensive Female 23
Kevin S. Barlotta MD and Alexander B. Baer MD
33 Purulent Eye Discharge in an Adult 24
Chris S. Bergstrom MD and Alexander B. Baer MD
34 Shoulder Pain Following Direct Blow 24
Nathan P. Charlton MD
35 A Gagging Child 25
Maureen Chase MD and Worth W. Everett MD
36 Adult Male with a Sudden Severe Headache 25
Andrew L. Homer MD and William J. Brady MD
37 New Facial Droop 26
Andrew D. Perron MD and Christopher T. Bowe MD
38 Eye Pain After Tree Branch Strike 26
Chris S. Bergstrom MD and Alexander B. Baer MD
39 An Elderly Woman with Groin Pain 27
Brendan G. Carr MD
40 Rash and Joint Pain in a Child 28
Mara L. Becker MD
41 Radiology Findings after Laparoscopy 28
Munish Goyal MD
42 Postprandial Abdominal Pain in an Elderly Woman 29
Hoi K. Lee MD
43 “Pink Eye” in a Contact Lens Wearer 30
Chris S. Bergstrom MD and Alexander B. Baer MD
44 Suspicious Hand Pain 30
Rex G. Mathew MD
45 Fever and Rash in a Child 31
David L. Eldridge MD
46 An Alcoholic with Dyspnea 31
James H. Moak MD RDMS and John S. Rajkumar MD
47 Dark Urine from an Immigrant 32
Suzanne M. Shepherd MD
48 Chest Pain and Lead aVR ST Segment Elevation 33
William J. Brady MD
49 Hand Pain after Striking a Wall 34
William J. Brady MD and Kevin S. Barlotta MD
50 A Refugee with Skin Lesions 35
Roger A. Band MD and Jeanmarie Perrone MD
51 Pain out of Proportion to Examination 35
J. Michael Kowalski DO and Adam K. Rowden DO
52 Leg Pain Following a Motor Vehicle Collision 36
Nathan P. Charlton MD
53 Deformed Globe Following Trauma 36
Worth W. Everett MD
54 Foot Pain Following Breaking 37
Munish Goyal MD
55 Lamp Oil Ingestion 38
David L. Eldridge MD
56 Intermittent Abdominal Pain in a Female 38
John S. Rajkumar MD and James H. Moak MD RDMS
57 Hallucinations in a Botanist 39
Joseph D. Forrester MD and Christopher Holstege MD
58 Altered Mental Status with an Abnormal Electrocardiogram 40
William J. Brady MD
59 Fishing in the Stomach 41
Joseph D. Forrester MD and Christopher P. Holstege MD
60 Overdose-induced Boiled Lobster Skin 41
Heather A. Borek MD and Christopher P. Holstege MD
61 Back Pain Following a Fall 42
Andrew D. Perron MD and Christopher T. Bowe MD
62 Painful Facial Rash 42
Chris S. Bergstrom MD and Alexander B. Baer MD
63 Intense Wrist Pain Following Trauma 43
Rex G. Mathew MD
64 Fever and Drooling in a Child 44
Sarah E. Winters MD MSCE and Brendan G. Carr MD
65 Syncope and Flank Pain in an Elderly Man 44
John S. Rajkumar MD and James H. Moak MD RDMS
66 Get Them Undressed! 45
Munish Goyal MD
67 A “Blue Hue” Following Endoscopy 46
Saumil Vaghela PharmD and Christopher P. Holstege MD
68 Acute-onset Blurred Vision 46
Chris S. Bergstrom MD and Alexander B. Baer MD
69 Elbow Pain in a Child After a Fall 47
Elizabeth Cochran Ward MD and Alexander B. Baer MD
70 Confusion Anemia and Abdominal Pain in a Toddler 47
Christopher P. Holstege MD and Joseph T. Vance
71 A Ground-level Fall with Ankle Pain 48
Christopher T. Bowe MD
72 Traumatic Eye Pain and Proptosis 49
Chris Bergstrom MD and Alexander Baer MD
73 Diffuse Ankle Pain Following a Fall 49
Andrew D. Perron MD and Christopher T. Bowe MD
74 Rash Following Brush Fire 50
Christopher P. Holstege MD and Alejandro C. Stella MD
75 Abdominal Pain in a Trauma Victim 51
Esther H. Chen MD
76 Skin Target Lesion 51
Mara L. Becker MD
77 Chest Pain and a Confounding Electrocardiogram Pattern 52
William J. Brady MD
78 Sudden Sedation in a Student 53
David T. Lawrence DO
79 Skin Lesions in a Comatose Patient 53
Christopher P. Holstege MD and Matthew D. Wilson MD
80 Raccoon Eyes 54
Angela M. Mills MD
81 Fall on an Outstretched Hand in a Young Adolescent 55
William Brady MD and Kevin S. Barlotta MD
82 Eye Pain and Facial Swelling 55
Adam K. Rowden DO and Chris S. Bergstrom MD
83 Wrist Pain Following Fall on an Outstretched Hand 56
William J. Brady MD and Kevin S. Barlotta MD
84 Rash on a Child with Epilepsy 56
Heather A. Borek MD and Christopher P. Holstege MD
85 Abdominal Pain in an Alcoholic 57
Angela M. Mills MD
86 Chest Pain with Electrocardiographic ST Segment and T Wave Abnormalities 58
William J. Brady MD
87 A Heroin Abuser with Multiple Skin Lesions 58
Christopher P. Holstege MD and Ashley L. Harvin MD
88 Chest Pain in a Middle-aged Male Patient with ST Segment Elevation 59
William J. Brady MD
89 Fire Victim with Hoarseness 60
Kathryn Mutter MD and Christopher P. Holstege MD
90 A Gardener with a Non-healing Rash 60
Roger A. Band MD and Steve Larson MD
91 A Bite to the Leg in Tall Grass 61
Alejandro C. Stella MD and Christopher P. Holstege MD
92 An Elderly Man with Diffuse Facial Edema 62
Kevin S. Barlotta MD and Alexander B. Baer MD
93 Acute-onset Double Vision 62
Chris S. Bergstrom MD and Alexander B. Baer MD
94 Low Back Pain in a Car Accident Victim 63
Edward G. Walsh MD and William J. Brady MD
95 Pain and Rash Following Contact with a Caterpillar 64
Nathan P. Charlton MD and Mairin Smith MD
96 Moonshine-induced Basal Ganglion Necrosis and Metabolic Acidosis 64
Nathan P. Charlton MD and Christopher P. Holstege MD
97 A Rock Climber with Finger Pain Swelling and Redness 65
Joseph D. Forrester MD and Christopher P. Holstege MD
98 Vomiting and Syncope Following Ingestion of Ramps 66
Christopher P. Holstege MD and Justin H. Price MD
99 Chest Pain and Subtle ST Segment Elevation 66
William J. Brady MD
100 Herbalist with Bradycardia and Vision Changes 67
William J. Brady MD
101 Painless Penile Ulcer 68
Andrea L. Neimann MD
102 Hyperthermia Autonomic Instability and Confusion in a Traveler 68
Christopher P. Holstege MD and Alexander B. Baer MD
103 An Immigrant with Neck Swelling 69
Suzanne M. Shepherd MD and William H. Shoff MD
104 Eyelid Laceration Following a Brawl 70
Chris S. Bergstrom MD and Alexander B. Baer MD
105 Young Athlete with Back Pain 71
Edward G. Walsh MD and William J. Brady MD
106 Chest Pain and Hypotension in an Adult Male Patient 71
William J. Brady MD
107 Adult Male with Atraumatic Lower Back Pain and Leg Weakness 72
William J. Brady MD
108 Facial Swelling in a Patient with Poor Dentition 73
Alexander B. Baer MD and Christopher P. Holstege MD
109 Weakness and Bradycardia in an Elderly Female Patient 73
William J. Brady MD
110 Lightning Strike Induced Skin Changes 74
Christopher P. Holstege MD
Part II Answers Diagnoses and Discussion 75
Index 183
