Case Studies in Emergency Medicine by Jeanmonod, Tomassi, Mayer, Rebecca Jeanmonod MD, Michelle

By Jeanmonod, Tomassi, Mayer, Rebecca Jeanmonod MD, Michelle Tomassi MD, Dan Mayer

A case-based ebook geared up via the head 10 universal court cases of sufferers providing to emergency departments. This procedure permits the reader to benefit the pathophysiology of the most important ailments, and learn each one case in a fashion that extra heavily approximates the medical perform of drugs; now not figuring out which organ approach is broken or compromised earlier than studying the sufferer. The instances are in keeping with actual sufferers and the ailments are both universal in emergency perform, or are harmful diagnoses to not be neglected. The case descriptions contain questions concerning the patient's presentation and uncomplicated information regarding the ailment, illustrating key components from the historical past, actual, and whilst important ancillary stories that support bring about a analysis. every one bankruptcy ends with a stream diagram exhibiting how illnesses of other organ platforms can current with comparable preliminary lawsuits. This e-book is a perfect source for clinical scholars, citizens and trainees in emergency medication.

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Extra resources for Case Studies in Emergency Medicine

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R Definitive therapy: documentation of the medication reaction in the patient’s chart, especially in reactions that clinically seem to be due to hypersensitivity or idiosyncratic factors, is critical to avoiding recurrence. Patients should be informed of the reaction and encouraged to avoid the drug in the future. Clinical course The key to this patient’s diagnosis was careful attention to history, physical exam, and ancillary studies. Drug fever is ultimately a diagnosis of exclusion, and this patient underwent an extensive evaluation to rule out other potential causes of his fever.

8, chloride 94, and bicarbonate 12. The patient’s urinalysis is negative for infection. r EKG: the patient’s electrocardiogram shows sinus tachycardia at 110, with no acute ischemic changes. r Further imaging: bedside ultrasound is shown above. Questions for thought r r r r r r What are the appropriate initial actions to take to stabilize this patient? Once stable, what other tools can be used to make the diagnosis? What medications should be avoided in this patient? How does one urgently treat this condition in the emergency department?

The Centers for Disease Control report 4780 heat-related deaths over a 20-year period. The incidence is directly related to ambient temperature. Patients who are very young, very old, medically debilitated, or who are taking medications which blunt compensatory mechanisms are more susceptible to heat illnesses. Mortality may be up to 70% in patients presenting with CNS symptoms and a delay to treatment. r Pathophysiology: passive heat exhaustion or heatstroke occurs in patients who cannot avoid extremes of temperature and have poor autoregulatory abilities.

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