Rosen & Barkin's 5-Minute Emergency Medicine Consult (797 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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diagnosis, 1042–1043

imaging, 1042

treatment, 1043

Small-bowel obstruction (SBO), 156–157

Smallpox, as biologic weapon, 140–141

Small vessel TIA syndromes, 1156

Small vessel vasculitides, 1206–1207

Smith fracture, 424–425

Smoke inhalation, 1044–1045

Snake envenomation, 1046–1047

diagnosis, 1046

treatment, 1046–1047

Sodium bicarbonate poisoning, 886

Sodium channel activators, 870–871

Soft tissue injuries, elbow, 360

Solandra
poisoning, 870–871

Solanum
poisoning, 870–871

Spasmodic torticollis, 348

Sphenoid sinusitis, 1034

Spider bite

black widow, 1048–1049

brown recluse, 1050–1051

Spinal cord compression, 1172–1173

Spinal cord injury without radiographic abnormality (SCIWORA), 1056–1057

Spinal cord syndromes, 1052–1053

diagnosis, 1052

treatment, 1053

Spinal injury

cervical

adult, 1054–1055

pediatric, 1056–1057

coccyx, 1058–1059

lumbar, 1060–1061

thoracic, 1062–1063

Spleen, 1064

Splenic injury, 1064–1065

diagnosis, 1064

grading of, 1064

imaging, 1064

treatment, 1065

Spondylitis, 72

ankylosing, 72–73

Spondylolisthesis, 1066–1067

Spondylolysis, 1066–1067

diagnosis, 1066–1067

imaging, 1066

treatment, 1067

Spontaneous abortion, 12–13

diagnosis, 12

imaging, 12

recurrent, 12

septic, 12

treatment, 12–13

Spontaneous bacterial peritonitis (SBP), 1068–1069

ascites, 104

diagnosis, 1068

imaging, 1068

mechanism, 1068

treatment, 1069

Spontaneous pneumomediastinum, 876–877

Spontaneous pneumothorax, 882–883

Sporothrix schenckii,
lymphangitis from, 668

Sporotrichosis, 1070–1071

diagnosis, 1070

treatment, 1070–1071

Sprain

ankle, 70–71

syndesmosis, 70

Squamous cell carcinoma (SCC), 1036–1037

Staphylococcal scalded skin syndrome, 1072–1073

diagnosis, 1072–1073

with toxic shock syndrome, 1148

treatment, 1073

Staphylococcus aureus

diarrhea from, 318

endocarditis from, 366

epidural abscess from, 372

g
astroenteritis from, 450–451

lymphadenitis from, 666

mastitis from, 682

staphylococcal scalded skin syndrome from, 1072–1073

toxic shock syndrome from, 1148–1149

Staphylococcus epidermidis,
endocarditis from, 366

Status epilepticus, 1012–1013

Stenosing tenosynovitis, 1118

Sternoclavicular joint (SCJ) injury, 1074–1075

diagnosis, 1074

imaging, 1074

treatment, 1074–1075

Stevens-Johnson syndrome (SJS), 388, 1076–1077

diagnosis, 1076

with toxic shock syndrome, 1148

treatment, 1077

Sting

bee, 1078–1079

scorpion, 1080–1081

Stoma leak, of feeding tube, 408–409

Streptococcal disease, 1082–1083

diagnosis, 1082–1083

imaging, 1082

treatment, 1083

Streptococcal toxic shock syndrome (STSS), 1082–1083

Streptococcus bovis,
endocarditis from, 366

Streptococcus pneumoniae,
endocarditis from, 366

Streptococcus pyogenes,
lymphadenitis from, 666

Streptococcus viridans,
endocarditis from, 366

Stridor, 1084–1085

diagnosis, 1084

treatment, 1084–1085

STSS.
See
Streptococcal toxic shock syndrome (STSS)

Stupor, 248

Subarachnoid hemorrhage, 214–215, 486, 1086–1087

diagnosis, 1086

imaging, 1086

risk factors, 1086

treatment, 1087

Subclavian steal syndrome, 1220

Subdural hematoma (SDH), 1088–1089

classification, 1088

diagnosis, 1088

imaging, 1088

treatment, 1088–1089

Sudden infant death syndrome (SIDS), 1090–1091

diagnosis, 1090–1091

imaging, 1090

risk factors, 1090

treatment, 1091

Suicide, risk evaluation, 1092–1093

Superficial spreading melanoma, 1036

Superimposed preeclampsia, 904

Superior vena cava (SVC) syndrome, 1172–1173

Supracondylar fracture, 360–361

Supraspinatus tendonopathy, 1116–1117

Supraventricular tachycardia (SVT), 1094–1095, 1108–1109

diagnosis, 1094

imaging, 1094

treatment, 1094–1095

SVT.
See
Supraventricular tachycardia (SVT)

Sympathomimetic poisoning, 1096–1097

diagnosis, 1096–1097

imaging, 1096

treatment, 1097

Sympathomimetic toxidrome, 244, 892

Syncope, 1098–1099

imaging, 1098

pregnancy and, 1098

treatment, 1099

Syndesmosis sprain, 70

Syndrome of inappropriate antidiuretic hormone (SIADH), 590

Synovitis, toxic, 1102–1103

diagnosis, 1102

imaging, 1102

treatment, 1103

Syphilis, 1104–1105

diagnosis, 1104–1105

stages of, 1104

treatment, 1105

Systemic inflammatory response syndrome (SIRS), 1018–1019

Systemic lupus erythematosus (SLE), 1106–1107

diagnosis, 1106–1107

genetics, 1106

risk factors, 1106

treatment, 1107

Systolic heart failure, 256

T

Tachycardia, 892

pacemaker-mediated, 182

Tachydysrhythmias, 1108–1109

diagnosis, 1108–1109

treatment, 1109

Tachypnea, 893

Takayasu arteritis, 1206

TAPVR.
See
Total anomalous pulmonary venous return (TAPVR)

Taser injuries, 1110–1111

diagnosis, 1110

imaging, 1110

treatment, 1111

Technetium
99m
sestamibi, in cardiac testing, 185

Temporal arteritis.
See
Giant cell arteritis (GCA)

Temporal lobe epilepsy, 1220

Temporomandibular joint (TMJ) dysfunction, 1112–1113

diagnosis, 1112

treatment, 1113

TEN.
See
Toxic epidermal necrolysis (TEN)

Tendonitis, 1116–1117

definition, 1116

diagnosis, 1116–1117

imaging, 1117

treatment, 1117

Tendon laceration, 1114–1115

diagnosis, 1114

imaging, 1114

treatment, 1114–1115

Tennis elbow, 1116–1117

Tenosynovitis, 1118–1119

definition, 1118

diagnosis, 1118

treatment, 1119

Tension pneumothorax, 882–883

Testicular salvage, 1120–1121

Testicular torsion, 1120–1121

bimodal distribution of, 1120

diagnosis, 1120–1121

imaging, 1120

treatment, 1121

Tetanus, 1122–1123

diagnosis, 1122

incubation period, 1122

treatment, 1123

Tetralogy of Fallot (TOF), 254

“Tet spells,” 254

TGA.
See
Transient global amnesia (TGA)

Thalamic hemorrhage, 612

Theophylline poisoning, 1124–1125

Thermal burns, 168–169

corneal, 268

Third-degree atrioventricular block, 118–119

Thoracic aortic dissection, 78–79

Thoracic outlet syndrome (TOS), 1126–1127

diagnosis, 1126–1127

imaging, 1127

treatment, 1127

Thoracic pain, 224

Thoracic spine injury, 1062–1063

diagnosis, 1062–1063

treatment, 1063

Thought disorder, 1006

Threatened abortion, 12

treatment, 13

Thrombocytosis, 632

Thrombosis

cavernous sinus, 204–205

deep vein, 288–289

Thrombotic thrombocytopenic purpura (TTP), 960, 1128–1129

Thumb fracture, 1130–1131

Thyroiditis, 574

Thyroid stimulating hormone (TSH), 574

Thyrotropin-releasing hormone (TRH), 574

TIA.
See
Transient ischemic attack (TIA)

Tibial fractures, 1134–1135

Tibial plateau fracture, 1132–1133

diagnosis, 1132–1133

imaging, 1132

Schatzker classification of, 1132

treatment, 1133

Tic douloureux, 1166–1167

Tick bite, 1136–1137

Tillaux fracture, 68

Tinea capitis, 1138–1139

Tinea corporis, 1138

Tinea cruris, 1138

Tinea infections, cutaneous, 1138–1139

Tinea pedis, 1138

Tinea unguium, 1138

Tinea versicolor, 1010, 1138

TMJ clicking, 1112–1113

Toddler fracture, 1134

Toluene poisoning, 1140–1141

diagnosis, 1140–1141

pregnancy and, 1140

treatment, 1141

Toothache, 1142–1143

Tooth fractures, 300

Torsades de pointes, 1108–1109

Torticollis, 1144–1145

Torticopelvic crisis, 348

Torus fracture, 424–425

TOS.
See
Thoracic outlet syndrome (TOS)

Total anomalous pulmonary venous return (TAPVR), 254

Toxalbumins, 870–871

Toxic cardiomyopathy, 190

Toxic epidermal necrolysis (TEN), 388, 1076–1077, 1146–1147

Toxic shock syndrome (TSS), 1148–1149

Toxidromes, 892–893

Toxoplasma gondii,
1150–1151

Toxoplasmosis, 1150–1151

diagnosis, 1150

imaging, 1150

treatment, 1151

Tracheitis, bacterial, 124–125

diagnosis, 124

treatment, 125

Tractional retinal detachments (TRD), 974

Transanal injury, 246

Transfusion complications, 1152–1153

Transient global amnesia (TGA), 1154–1155

Transient ischemic attack (TIA), 1032, 1156–1157

diagnosis, 1156

imaging, 1156

treatment, 1157

Transplant rejection, 1158–1159

diagnosis, 1158–1159

epidemiology, 1158

treatment, 1159

Transposition of the great arteries (TGA), 254

Transudative effusion, 872

Trauma

abdominal

blunt, 6–7

imaging, 8–9

penetrating, 10–11

chest

blunt, 226–227

penetrating, 228–229

colon, 246–247

dental, 300–301

diaphragmatic, 316–317

duodenal, 340–341

esophageal, 392–393

extremity, 398–399

geriatric, 456–457

head

blunt, 486–487

penetrating, 488–489

lightning injuries and, 656

multiple, 1160–1161

otologic, 788–789

pancreatic, 796–797

pediatric, 812–813

in pregnancy, 906–907

rectal, 954–955

urethral, 1178–1179

Traumatic amputation, 56–57

diagnosis, 56

treatment, 56–57

Traumatic aortic rupture/injury (TAI), 80–81

Traumatic diplopia, 324–325

Traumatic iritis, 616–617

TRD.
See
Tractional retinal detachments (TRD)

Trichomonas, 1162–1163

Trichomonas vaginalis,
1162

Tricuspid atresia, 254

Tricyclic antidepressant poisoning, 1164–1165

Trigeminal neuralgia, 1166–1167

Trigger finger, 1116–1117

Triplane fracture, 68

Truncal ataxia, 112

Truncus arteriosus, 254

TSS.
See
Toxic shock syndrome (TSS)

TTP.
See
Thrombotic thrombocytopenic purpura (TTP)

Tuberculosis (TB), 1168–1169

diagnosis, 1168–1169

imaging, 1168

mechanism, 1168

reactivation, 1168

treatment, 1169

Tuft fracture, 1130

Tularemia, 1170–1171

diagnosis, 1170–1171

treatment, 1171

weaponization of, 1170

Tularemia, as biologic weapon, 140–141

Tumor compression syndromes, 1172–1173

diagnosis, 1172–1173

imaging, 1172

treatment, 1173

Twisted neck, 1144–1145

Tympanic membrane perforation, 1174–1175

U

UFH.
See
Unfractionated heparin (UFH)

Ulcerative colitis (UC), 608

Ultraviolet keratitis, 1176–1177

Uncomplicated pregnancy, 908–909

diagnosis, 908–909

imaging, 908–909

treatment, 909

Unconjugated (indirect) hyperbilirubinemia, 630

Unfractionated heparin (UFH), 964

Unresponsiveness, 248

Unstable angina, 26

Upper gastrointestinal bleeding, 454–455

Uremic syndrome, 960

Ureterovaginal fistula, 1184–1185

Urethral trauma, 1178–1179

diagnosis, 1178

imaging, 1178

treatment, 1179

Urethritis, 1180–1181

Urethrovaginal fistula, 1184–1185

Urinary retention, 1182–1183

Urinary tract fistula, 1184–1185

Urinary tract infections

adult, 1186–1187

pediatric, 1188–1189

Urticaria, 1190–1191

acute, 1190

chronic, 1190

diagnosis, 1190–1191

treatment, 1191

Uterine rupture, trauma in pregnancy, 906

Uvulitis, 1192–1193

diagnosis, 1192

epidemiology, 1192

treatment, 1192–1193

V

Vaginal bleeding, 1194–1195

in pregnancy, 1194, 1196–1197

in spontaneous abortion, 12

Vaginal discharge, 1198–1199

Vaginitis, 1198–1199

Valsalva maneuvers, and pneumomediastinum, 876

Valvular heart disease, 1200–1201

diagnosis, 1200–1201

imaging, 1200–1201

pregnancy and, 1200

treatment, 1201

VAP.
See
Ventilator associated pneumonia (VAP)

Variceal hemorrhage, 238, 1204–1205

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