Cellulitis Pathogens Gram-positive cocci, especially Beta-hemolytic Streptococcus or Staphylococcus aureus. Clinical features Most commonly on the lower extremities.Predisposing factors may include tinea pedis of the toe web with fissuring, IV…
EKG Interpretation Determine the rate = 300 divided by the number of large boxes between two successive QRS complexes. Normal rate = 60-100 beats per minute. Bradycardia <60 Tachycardia >100…
Anaphylaxis Clinical features Cutaneous—pruritus, urticaria, angioedema.Gastrointestinal—abdominal cramping, diarrhea.Vascular—hypotension.Respiratory—respiratory distress due to laryngeal edema, laryngospasm, or bronchospasm. Immediate treatment Initiate code blue.Assess airway, breathing, and circulation.Administer epinephrine 0.3-0.5 mg (0.3-0.5 ml…
Abdominal Pain Location Differential Diagnosis Left upper quadrant Splenic diseaseMyocardial infarctionDissecting aortic aneurysmPneumoniaPyelonephritisNephrolithiasisPancreatitisHiatal herniaPeptic ulcer diseaseMallory-Weiss tear Epigastrium Peptic ulcer diseaseEsophagitisMyocardial infarctionPericarditisPneumoniaPancreatitisCholecystitisPerforation/obstruction Right upper quadrant HepatitisHepatic tumorCholelithiasisCholecystitisCholangitisPyelonephritisNephrolithiasisPneumoniaPulmonary embolism/infarction Periumbilical GastroenteritisAppendicitisPancreatitisIntestinal…
4 When Are Computed Tomography Scans and SkullX-Rays Indicated for Patients with Minor Head Injury? Sherman C. Stein and Mark G. Burnett BRIEF ANSWER The need for a computed tomography…
36 Are There New Therapies That Improve Outcome in Spinal Cord—Injured Patients? Fred H. Geisler BRIEF ANSWER Despite a report of beneficial effects of GM1 ganglioside in a small study…
44 How Soon After Head Injury (With or Without Craniotomy) Can Patients Resume Contact Sports? Julian E. Bailes and Vincent J. Miele BRIEF ANSWER Currently accepted guidelines for return to…
25 Is There a “Best” Way to Give Mannitol? Rudolph J. Schrot and J. Paul Muizelaar BRIEF ANSWER The only level I recommendation supported by the evidence is the use…
48 Should Head-Injured Patients Be Taken to the Nearest Hospital or to a Hospital with Neurosurgical Capability That Is Farther Away? Sandra M. Wanek and Donald D. Trunkey BRIEF ANSWER…
46 Do Return-to-Play Recommendations After Concussion Differ for High School, Collegiate, and Professional Athletes? Henry Feuer BRIEF ANSWER The medical principles for treating concussions in athletes are essentially the same…
