Obstetric and gynecologic emergencies.

abstract：:The recognition of hypothyroidism may not always be easy in the emergency department setting. Laboratory evaluations of thyroid function are not usually performed on a 24-hour basis, and therefore the emergency physician, although suspecting the presence of hypothyroidism, may be unable to confirm the diagnosis while ...

journal_title：Emergency medicine clinics of North America

authors： Mitchell JM

更新日期：1989-11-01 00:00:00

abstract：:Numerous surgical complications arise from parenteral drug use. Some complications have severe sequelae and most prove to be a diagnostic challenge. It is likely that these problems will remain a significant burden on the health care system as a result of continued widespread drug abuse. EPs must always maintain vigil...

journal_title：Emergency medicine clinics of North America

authors： Calder KK,Severyn FA

更新日期：2003-11-01 00:00:00

abstract：:Adolescents are the victims, perpetrators, and witnesses of violent acts in the home, at school, and on the streets. Adolescent violence describes a dynamic, destructive, and repercussive process. This article discusses the unique aspects of adolescent violence and the involvement undertaken by the emergency departmen...

journal_title：Emergency medicine clinics of North America

authors： Grausz HM,Pelucio MT

更新日期：1999-08-01 00:00:00

abstract：:The scope of gynecologic infections presenting to the emergency department is quite diverse. This article presents an update on the current literature for vaginitis, cervicitis, pelvic inflammatory disease, tubo-ovarian abscesses, the Fitz-Hugh-Curtis syndrome, herpes, and syphilis. Inadequate identification or treatm...

journal_title：Emergency medicine clinics of North America

authors： Zeger W,Holt K

更新日期：2003-08-01 00:00:00

abstract：:Stroke should not solely be considered a disease of the elderly, and racial disparities are most evident among young adults. Acute stroke can present at any age and it is important to be familiar with the evaluation and treatment of stroke to provide timely care. The National Institute of Health Stroke Scale helps phy...

journal_title：Emergency medicine clinics of North America

authors： Pare JR,Kahn JH

更新日期：2012-08-01 00:00:00

abstract：:Despite the broad technologic advancements of medicine, screening for illness in infants is highly reliant on a complete physical exam. For this reason it is critical that the examining physician not only have a thorough understanding of abnormal findings but also the normal findings and their variants. The vast major...

journal_title：Emergency medicine clinics of North America

authors： Lowe MC Jr,Woolridge DP

更新日期：2007-11-01 00:00:00

abstract：:This article discusses the management of clinical problems encountered particularly in disasters. These include the principles of multiple-casualty triage, and field and hospital management of blast injury, crush syndrome, compartment syndrome, particulate inhalation, and traumatic asphyxiation. The indications for ex...

journal_title：Emergency medicine clinics of North America

authors： Gans L,Kennedy T

更新日期：1996-05-01 00:00:00

abstract：:Central nervous system (CNS) infections require early recognition and aggressive management to improve patient survival and prevent long-term neurologic sequelae. Although early detection and treatment are important in many infectious syndromes, CNS infections pose unique diagnostic and therapeutic challenges. The non...

journal_title：Emergency medicine clinics of North America

authors： Jain R,Chang WW

更新日期：2018-11-01 00:00:00

abstract：:Many systemic diseases have associated oral symptoms. Occasionally, patients with these diseases present with lesions that occur primarily in the mouth. Although few systemic diseases have strictly pathognomonic lesions of the oral mucosa, a careful examination of the oral cavity can often lend important clues to maki...

journal_title：Emergency medicine clinics of North America

authors： Mulliken RA,Casner MJ

更新日期：2000-08-01 00:00:00

abstract：:Because of the altered physiology of the elderly population, either as a result of aging or as a result of other disease processes, many illnesses may present with features that are either atypical or nonspecific in nature. Difficult and nonspecific complaints such as weakness in an elderly patient must be handled in ...

journal_title：Emergency medicine clinics of North America

authors： Chew WM,Birnbaumer DM

更新日期：1999-02-01 00:00:00

abstract：:Abdominal injuries are an important cause of morbidity and mortality. In the face of more obvious traumatic lesions, life-threatening intra-abdominal injuries may be initially overlooked. Plain abdominal and chest radiographs may prove diagnostic for specific injuries. However, normal or equivocal studies should not e...

journal_title：Emergency medicine clinics of North America

authors： Evers K,DeGaeta LR

更新日期：1985-08-01 00:00:00

abstract：:Cardiac arrhythmias may result from poisoning by a variety of agents. Although some cardiac disturbances are of limited concern, others occur because of the specific cardiac properties of the ingested drugs, and require specific antidotes. Clinicians must understand the resultant pathophysiology so that therapy is app...

journal_title：Emergency medicine clinics of North America

authors： Miller MB

更新日期：1998-05-01 00:00:00

abstract：:Ventilation-perfusion scintigraphy remains an important diagnostic tool in the evaluation of patients suspected of having PE. It is important for the emergency physician to be able to use the information from a lung scan appropriately in the diagnostic management of this elusive and life-threatening disorder. This req...

journal_title：Emergency medicine clinics of North America

authors： McCabe JL,Grossman SJ,Joyce JM

更新日期：1991-11-01 00:00:00

abstract：:LSD is still readily available in the United States as a street drug of abuse. Emergency physicians may be called on to diagnose acute LSD intoxication in cases in which the history is unavailable. The typical LSD intoxication syndrome causes marked illusions of color and sound, along with a feeling of "cosmic awarene...

journal_title：Emergency medicine clinics of North America

authors： Kulig K

更新日期：1990-08-01 00:00:00

abstract：:Venomous aquatic animals are hazardous to swimmers, surfers, divers, and fishermen. Exposures include mild stings, bites, abrasions, and lacerations. Severe envenomations can be life threatening. This article reviews common marine envenomations, exploring causative species, clinical presentation, and current treatment...

journal_title：Emergency medicine clinics of North America

authors： Hornbeak KB,Auerbach PS

更新日期：2017-05-01 00:00:00

abstract：:The pathophysiology of esophageal and gastric disorders is complicated and broad and includes iatrogenic, structural, inflammatory, neuromuscular, neoplastic, and infectious causes. Symptoms can be nonspecific and are often initially attributed to cardiac or respiratory causes. These disorders have both acute and chro...

journal_title：Emergency medicine clinics of North America

authors： Mangili A

更新日期：2011-05-01 00:00:00

abstract：:EMS quality assurance programs can help guarantee that the provision of prehospital care is medically accountable. The establishment and management of such a program, although time consuming, are critically important. It is essential that the medical director or a designee responsible for quality assurance activities ...

journal_title：Emergency medicine clinics of North America

authors： Polsky SS,Weigand JV

更新日期：1990-02-01 00:00:00

abstract：:Acutely agitated or psychotic patients are particularly challenging to manage in the emergency department. Often these patients present with little or no history, and an adequate assessment may initially be difficult because of the condition of the patient. This article discusses basic concepts regarding agitation, an...

journal_title：Emergency medicine clinics of North America

authors： Deal N,Hong M,Matorin A,Shah AA

更新日期：2015-11-01 00:00:00

abstract：:Orthopedic injuries in children are unique when compared to those of adults because of the physiologic differences, especially the growth plates, stronger periosteum, and dynamic state of growth. The approach to the orthopedically injured child requires a gentle yet thorough focus with consideration of the growth plat...

journal_title：Emergency medicine clinics of North America

authors： Thornton MD,Della-Giustina K,Aronson PL

更新日期：2015-05-01 00:00:00

abstract：:The patient who has sustained blunt trauma to the chest can present a diagnostic challenge to the emergency physician. There are several diagnostic modalities available for treating life-threatening injuries to these patients. The authors review published studies to support the use of these tests in diagnosing injurie...

journal_title：Emergency medicine clinics of North America

authors： Greenberg MD,Rosen CL

更新日期：1999-02-01 00:00:00

abstract：:Nonenhanced CT scan remains the most valuable and available neuroimaging study available in the ED. Nonenhanced CT scans are excellent for identifying acute hemorrhage, mass lesions, hydrocephalus, and cerebral edema. It is of limited value in identifying old blood, small abscesses and tumors, arteriovenous malformati...

journal_title：Emergency medicine clinics of North America

authors： Araiza J,Araiza B

更新日期：1997-08-01 00:00:00

abstract：:The mechanism of injury, diagnosis, and treatment of maxillofacial, laryngeal, tracheal, and bronchial trauma are considered. Also discussed is pulmonary barotrauma. ...

journal_title：Emergency medicine clinics of North America

authors： Meislin HW,Iserson KV,Kaback KR,Kobernick M,Sanders AB,Seifert S

更新日期：1983-08-01 00:00:00

abstract：:Chemical or radiant energy injuries to the eyes are considered ocular burns. The majority of these injuries are occupation-related. Chemical burns are by far more common and represent a true emergency. Thermal and UV injuries are associated with severe pain, but often result in less long-term sequelae than chemical in...

journal_title：Emergency medicine clinics of North America

authors： Spector J,Fernandez WG

更新日期：2008-02-01 00:00:00

abstract：:Emergency thoracotomy is a valuable therapeutic modality for the moribund patient when trauma is the cause of the shock state. It is a procedure that requires an understanding of the technique and indications and should be instituted based on the indications listed above. There is probably no reason to do this procedu...

journal_title：Emergency medicine clinics of North America

authors： Krome RL,Dalbec DL

更新日期：1986-08-01 00:00:00

abstract：:Newer drugs of abuse, such as MDMA, GHB, GBL, 1,4-BD and ketamine, are frequently used in the settings of raves and are often promoted on the internet. The popularity of these agents is increasing; therefore, emergency physicians should become familiar with the clinical presentations and management of the toxicity ind...

journal_title：Emergency medicine clinics of North America

authors： Graeme KA

更新日期：2000-11-01 00:00:00

abstract：:Altitude illness is a group of synergistic physiologic disturbances, each of which may occur alone but which more commonly occur together, with one dominating the clinical picture. Treated promptly, altitude illness is readily reversible with full recovery; procrastination may lead to death or disability. Descent shou...

journal_title：Emergency medicine clinics of North America

authors： Houston CS

更新日期：1984-08-01 00:00:00

abstract：:The diagnosis of acute scrotal pain can be difficult. The most common causes include torsion of a testicular appendage, epididymitis, and testicular torsion, which account for 85% to 90% of all cases. These entities may be clinically indistinguishable because characteristic symptoms and signs for each overlap, whereas...

journal_title：Emergency medicine clinics of North America

authors： Burgher SW

更新日期：1998-11-01 00:00:00

abstract：:Wound healing is a complex interchange, orchestrated between cellular components that play their respective parts signaled by and mediated by different cellular instruments of healing. When healing is performed well, the final product is a thing of beauty. When healing is delayed, interrupted, or excessive, then unsig...

journal_title：Emergency medicine clinics of North America

authors： Strecker-McGraw MK,Jones TR,Baer DG

更新日期：2007-02-01 00:00:00

abstract：:This article is designed to review proper procedure by an emergency or primary care physician when evaluating a patient with decreased hearing. It will cover the anatomy and physiology of hearing, as well as the evaluation and initial management of conductive and sensorineural hearing loss. ...

journal_title：Emergency medicine clinics of North America

authors： Lawrence LJ,Brown CG

更新日期：1987-05-01 00:00:00

abstract：:Dental pain and disfigurements cause patients to seek care from the Emergency Department of hospitals. It is important for physicians to understand dental disease and trauma in order to diagnose, treat, and refer patients with dental emergencies efficiently. Many common dental problems have been discussed in clinical ...

journal_title：Emergency medicine clinics of North America

authors： Klokkevold P

更新日期：1989-02-01 00:00:00