By Philip Buttaravoli, Stephen M. Leffler
2013 BMA clinical ebook Awards 1st Prize Award Winner in Surgery!
Minor Emergencies offers the practical how-tos you must deal with a variety of non-life-threatening clinical crises with velocity and services. thoroughly up-to-date with the newest apparatus, units, dosages, and methods, this compact and transportable scientific reference ebook supplies fast, effective guidance simply for those who want it. With Minor Emergencies available, you'll regularly be prepared!
• Find suggestions at a glance with "What to Do" and "What to not Do" checklists.
• Effectively reply to scientific crises on the element of care with Minor Emergencies!
• Consult this severe advisor on-line anywhere you go! At www.expertconsult.com you could navigate the entire textual content, stick with hyperlinks to PubMed, browse photographs, and think about 60 procedural movies, including:
• removal international physique from skin
• higher facial injury-fracture examination
• higher facial injury-fracture exam, and lots more and plenty more!
• Stay on most sensible of the newest strategies and therapy guidelines with up to date insurance of 184 issues, together with Swimmer's Ear, Dental discomfort, damaged Rib, Locked Knee, Puncture Wounds, and Sunburn.
• Get procedural sedation recommendations from Dr. Alfred Sacchetti, MD, FACEP.
An crucial speedy reference with the entire directions you must deal with universal, non-life-threatening emergencies with pace and expertise.
Read or Download Minor Emergencies (3rd Edition) PDF
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Additional resources for Minor Emergencies (3rd Edition)
Example text
It can be cruel to attempt to obtain a complete history and physical examination (and it is unrealistic to expect the patient to cooperate) before some pain relief has been achieved. After 20 minutes, when the patient is feeling a little better, take the history and perform a physical examination that includes a funduscopic and a complete neurologic examination. ” Other danger signals that should trigger a more intensive diagnostic workup, looking for secondary disorders, include hyperacute onset of a new, severe headache (“the worst ever”); a progressive history of seizures; onset with exertion, cough, bending, or sexual intercourse; onset during pregnancy (cerebral venous thrombosis) or during or after middle age; and the presence of a systemic malignant disease, infection, compromised immune system, any new neurologic findings or papilledema on funduscopic examination.
Screening tests are of little value; a laborious history and physical examination are required. Tension-type headache is not a wastebasket diagnosis of exclusion but a specific diagnosis. ) Although tension-type headaches are common, the pathophysiology and likely mechanism remain unclear. The cause of these headaches is most likely multifactorial, including myofascial factors and heightened sensitivity of nerve fibers, both centrally and peripherally. Tension-type headache is often dignified with the diagnosis of “migraine” without any evidence of a vascular cause and is often treated with minor (continued) 35 MINOR EMERGENCIES Discussion continued tranquilizers, which may or may not help.
Dental pain is a common cause of such headache pain. Finally, after checking for all other causes of headache, palpate the temporalis, occipitalis, and other muscles of the calvarium and neck to look for areas of tenderness and spasm that sometimes accompany muscle tension headaches. Watch for especially tender trigger points (Figure 9-1) that may resolve with gentle pressure, massage, or trigger-point Figure 9-1 Tension headache trigger points. 34 CHAPTER 9 n TENSION-TYPE (MUSCLE CONTRACTION) HEADACHE injection (see Chapter 123).