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Tintinalli's Emergency Medicine

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Table of Contents

Preface Section 1Test Preparation and Planning 1 Facts about Emergency Medicine Board Exams 2 Test-Taking Techniques Section 2RESUSCITATION TECHNIQUES 3 Advanced Airway Support 4 Arrhythmia Management 5 Resuscitation of Children and Neonates 6 Fluids, Electrolytes, and Acid-Base Disorders 7 Theraputic Approach to the Hypotensive Patient 8 Anaphylaxis, Acute Allergic Reactions, and Angioedema Section 3 ANALGESIA, ANESTHESIA AND PROCEDURAL SEDATION 9 Acute Pain Management and Procedural Sedation 10 Management of Patients with Chronic Pain Section 4EMERGENCY WOUND MANAGEMENT 11 Evaluating and Preparing Wounds 12 Methods for Wound Closure 13 Lacerations to the Face and Scalp 14 Injuries of the Arm, Hand, Fingertip, and Nail 15 Lacerations of the Leg and Foot 16 Soft Tissue Foreign Bodies 17 Puncture Wounds and Bites 18 Post Repair Wound Care Section 5CARDIOVASCULAR DISEASE 19 Chest Pain: Cardiac or Not 20 Acute Coronary Syndromes: Management of Myocardial Ischemia and Infarction 21 Cardiogenic Shock 22 Low Probability Acute Coronary Syndrome 23 Syncope 24 Congestive Heart Failure and Acute Pulmonary Edema 25 Valvular Emergencies 26 The Cardiomyopathies, Myocarditis, and Pericardial Disease 27 Thromboembolism 28 Systemic and Pulmonary Hypertension 29 Aortic Dissection and Aneurysms 30 Occlusive Arterial Disease Section 6 PULMONARY EMERGENCIES 31 Respiratory Distress 32 Pneumonia, Bronchitis, and Upper Respiratory Tract Infection 33 Tuberculosis 34 Spontaneous and Iatrogenic Pneumothorax 35 Hemoptysis 36 Asthma and Chronic Obstructive Pulmonary Disease Section 7GASTROINTESTINAL EMERGENCIES 37 Acute Abdominal Pain 38 Nausea and Vomiting 39 Disorders Presenting Primarily with Diarrhea 40 Acute and Chronic Constipation 41 Gastrointestinal Bleeding 42 Esophageal Emergencies, Gastroesophageal Reflux Disease, and Swallowed Foreign Bodies 43 Peptic Ulcer Disease and Gastritis 44 Pancreatitis and Cholecystitis 45 Acute Appendicitis 46 Diverticulitis 47 Bowel Obstruction and Volvulus 48 Hernia in Adults and Children 49 Anorectal Disorders 50 Hepatic Disorders, Jaundice, and Hepatic Failure 51 Complications of General Surgical Procedures Section 8 RENAL AND GENITOURINARY DISORDERS 52 Acute Renal Failure 53 Rhabdomyolysis 54 Emergencies in Renal Failure and Dialysis Patients 55 Urinary Tract Infections and Hematuria 56 Acute Urinary Retention 57 Male Genital Problems 58 Urologic Stone Disease 59 Complications of Urologic Procedures and Devices Section 9 OBSTETRICS AND GYNECOLOGY 60 Vaginal Bleeding and Pelvic Pain in the Nonpregnant Patient 61 Ectopic Pregnancy and Emergencies in the First 20 Weeks of Pregnancy 62 Comorbid Diseases in Pregnancy 63 Emergencies During the Second Half of Pregnancy 64 Emergency Delivery 65 Vulvovaginitis 66 Pelvic Inflammatory Disease 67 Complications of Gynecologic Procedures Section 10 PEDIATRICS 68 Fever and Serious Bacterial Illness 69 Neonate Emergencies and Common Neonatal Problems 70 Common Infections of the Ears, Nose, Neck, and Throat 71 Stridor and Drooling 72 Wheezing in Infants and Children 73 Pneumonia in Infants and Children 74 Pediatric Heart Disease 75 Vomiting and Diarrhea in Infants and Children 76 Pediatric Abdominal Emergencies 77 Urinary Tract Infection in Infants and Children 78 Seizures and Status Epilepticus in Children 79 Altered Mental Status and Headache in Children 80 Syncope and Sudden Death in Children 81 Hypoglycemia and Metabolic Emergencies in Infants and Children 82 The Child with Diabetes 83 Fluid and Electrolyte Therapy in Infants and Children 84 Musculoskeletal Disorders in Children 85 Rashes in Infants and Children 86 Sickle Cell Disease 87 Oncologic and Hematology Emergencies in Children 88 Renal Emergencies in Infants and Children Section 11 INFECTIOUS DISEASES 89 Sexually Transmitted Diseases 90 Toxic Shock Syndrome and Streptococcal Toxic Shock Syndrome 91 Septic Shock 92 Soft Tissue Infections 93 Disseminated Viral Infections 94 Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome 95 Infective Endocarditis 96 Tetanus and Rabies 97 Malaria 98 Foodborne and Waterborne Diseases 99 Zoonotic Infections 100 World Travelers 101 The Transplant Patient Section 12 TOXICOLOGY 102 General Management of Poisoned Patients 103 Anticholinergics 104 Psychopharmacologic Agents 105 Sedative and Hypnotics 106 Alcohols 107 Drugs of Abuse 108 Analgesics 109 Methylxanthines and Nicotine 110 Cardiac Medications 111 Anticonvulsants 112 Iron 113 Hydrocarbons and Volatile Substances 114 Caustics 115 Pesticides 116 Metals and Metalloids 117 Industrial Toxins and Cyanide 118 Vitamins and Herbals 119 Dyshemoglobinemias Section 13 ENVIRONMENTAL EMERGENCIES 120 Frostbite and Other Localized Cold Injuries 121 Heat Emergencies 122 Bites and Stings 123 Trauma and Envenomation from Marine Fauna 124 High-Altitude Medical Problems 125 Dysbarism and Complications of Diving 126 Drowning 127 Thermal and Chemical Burns 128 Electrical and Lightning Injuries 129 Carbon Monoxide 130 Poisonous Plants and Mushrooms Section 14 ENDOCRINE EMERGENCIES 131 Diabetic Emergencies 132 Alcoholic Ketoacidosis 133 Thyroid Disease Emergencies 134 Adrenal Insufficiency and Adrenal Crisis Section 15 HEMATOLOGIC AND ONCOLOGIC EMERGENCIES 135 Evaluation of Anemia and the Bleeding Patient 136 Acquired Bleeding Disorders 137 Hemophilias and von Willebrand's Disease 138 Sickle Cell Disease and Other Hereditary Hemolytic Anemias 139 Transfusion Therapy 140 Anticoagulants, Antiplatelet Agents, and Fibrinolytics 141 Emergency Complications of Malignancy Section 16 NEUROLOGY 142 Headache and Facial Pain 143 Stroke, Transient Ischemic Attack, and Cervical Artery Dissection 144 Altered Mental Status and Coma 145 Ataxia and Gait Disturbances 146 Vertigo and Dizziness 147 Seizures and Status Epilepticus in Adults 148 Acute Peripheral Neurologic Lesions 149 Chronic Neurologic Disorders 150 Central Nervous System and Spinal Infections Section 17 EYES, EARS, NOSE, THROAT, AND ORAL SURGERY 151 Ocular Emergencies 152 Face and Jaw Emergencies 153 Ear, Nose, and Sinus Emergencies Medley 154 Oral and Dental Emergencies 155 Infections and Disorders of the Neck and Upper Airway Section 18 SKIN DISORDERS 156 Dermatologic Emergencies 157 Other Dermatologic Disorders Section 19 TRAUMA 158 Trauma in Adults 159 Trauma in Children 160 Geriatric Trauma 161 Trauma in Pregnancy 162 Head Trauma in Adults and Children 163 Spine and Spinal Cord Trauma 164 Trauma to the Face 165 Trauma to the Neck 166 Cardiothoracic Injuries 167 Abdominal Trauma 168 Penetrating Trauma to the Flank and Buttock 169 Genitourinary Trauma 170 Penetrating Trauma to the Extremities Section 20 INJURIES TO BONES AND JOINTS 171 Initial Evaluation and Management of Orthopedic Injuries 172 Hand and Wrist Injuries 173 Injuries to the Elbow and Forearm 174 Shoulder and Humerus Injuries 175 Pelvis, Hip, and Femur Injuries 176 Knee and Leg Injuries 177 Ankle and Foot Injuries 178 Compartment Syndrome Section 21 MUSCULOSKELETAL DISORDERS 179 Neck and Thoracolumbar Pain 180 Shoulder Pain 181 Hip and Knee Pain 182 Acute Disorders of the Joints and Bursae 183 Emergencies in Systemic Rheumatic Diseases 184 Infectious and Noninfectious Disorders of the Hand 185 Soft Tissue Problems of the Foot Section 22 PSYCHOSOCIAL DISORDERS 186 Clinical Features of Behavioral Disorders 187 Emergency Assessment and Stabilization of Behavioral Disorders 188 Panic and Conversion Disorders 189 Child and Elderly Abuse Section 23 ABUSE AND ASSAULT 190 Sexual Assault and Intimate Partner Violence and Abuse Section 24 PRINCIPLES OF IMAGING 191 Principles of Emergency Department Use of Computed Tomography and Magnetic Resonance Imaging 192 Principles of Emergency Department Ultrasonography Section 25 ADMINISTRATION 193 Emergency Medical Services 194 Emergency Medicine Administration Index

About the Author

O. John Ma, M.D., Associate Professor, Vice Chair for Academic Advancement, and Research Director, Department of Emergency Medicine, Truman Medical Center, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri. David Cline, M.D., Associate Professor, Director of Research, Department of Emergency Medicine, Wake Forest University School of Medicine, Baptist Medical Center, Winston-Salem, North Carolina

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