Adult Emergency Medicine: Self-Assessment Color Review by John F. O'Brien

By John F. O'Brien

This new quantity within the proven and well-respected sequence of Self-Assessment colour experiences covers all facets of grownup emergency drugs. a few 250 instances are offered randomly to mirror real-life perform.

Each case involves a number of questions, illustrated by means of stimulating visible fabric together with scientific images, imaging and electrocardiograms. solutions and entire dialogue then persist with overlaying differential and definitive diagnoses, administration and refined insights to supply optimum care and forestall issues.

The ebook appeals to a large readership, starting from trainees to practitioners in emergency medication or basic care, for exam revision and carrying on with schooling.

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Unilateral scrotal swelling can be due to testicular disorders including orchitis, malignancy, injury, and torsion. Surrounding structures may be involved with such problems as varicocele, hydrocele, and epididymitis. Here, indirect inguinal hernia is likely. Although often uncomfortable, severe pain unlike previous episodes may suggest intestinal ischemia due to strangulation. Symptoms of bowel obstruction are also common. ii. Treatment depends on the suspected etiology. If testicular or related to surrounding structures, ultrasound evaluation will dictate treatment.

How should the patient be managed? iii. Is further imaging indicated? qxp:SACR 10/16/12 10:17 PM Page 46 41, 42: Answers 41 i. This patient has psychogenic polydipsia, a disorder seen in mental illness where excessive water consumption leads to dilutional hyponatremia. Severe hyponatremia causes muscle weakness, fatigue, altered mental status, and, occasionally, seizures. g. phenothiazines) may cause dry mouth, increased thirst, and help create the problem. Serum sodium should be measured promptly and a glucose test done, as hypoglycemia is always part of the differential diagnosis of altered mental status and seizures.

38 A 42-year-old male presented with these hand findings (38), which became worse over several days. He had experienced this problem before, and some cream took care of it last time. i. What is this problem, and what has caused it? ii. How should it be treated? qxp:SACR 10/16/12 10:17 PM Page 42 37, 38: Answers 37 i. The ECG, done after similar monitor strip findings, shows prominent U waves suggestive of hypokalemia. 9 mEq/l). Episodic weakness after heavy exertion is consistent with periodic paralysis.

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