By John F. O'Brien

This new quantity within the tested and well-respected sequence of Self-Assessment colour reports covers all elements of grownup emergency medication. a few 250 instances are offered randomly to mirror real-life perform.

Each case comprises a number of questions, illustrated by way of stimulating visible fabric together with scientific pictures, imaging and electrocardiograms. solutions and whole dialogue then persist with protecting differential and definitive diagnoses, administration and refined insights to supply optimum care and stop problems.

The publication 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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Extra resources for Adult Emergency Medicine: Self-Assessment Color Review

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G. nifedipine) appear to improve spontaneous passage of moderate-sized, distal ureteral stones. Stone size and ureteral position predict the likelihood of expulsion. Most stones 6 mm or less in diameter will pass without urologic intervention, although often taking up to several weeks. Fever or other evidence of urinary tract infection with an obstruction should prompt urgent urologic consultation along with appropriate antibiotic therapy. iii. In patients with significant risk of renal colic and a suggestive ultrasound, further imaging is probably not necessary.

What is the clinical problem (43)? ii. How should this patient be evaluated and managed? 44 44 A 47-year-old male was involved in a motor vehicle collision as an unrestrained passenger. His only trauma was to the face. i. What does this photograph suggest (44)? ii. How should the patient be managed? qxp:SACR 10/16/12 10:17 PM Page 48 43, 44: Answers 43 i. This is a large vulvar hematoma, likely due to blunt trauma. Vulvar hematoma is most commonly due to a straddle injury, with the periclitoral vessels crushed against the pubic bone.

In mild cases, vesicles are present in the lateral aspects of fingers or, less commonly, toes and feet. Flares may involve the palms and soles, with vesicles and/or bullae that may become pustular and sometimes infected. Diagnosis is usually clinical. ii. Treatment begins with treatment of the underlying triggers. 10% aluminum acetate solution in a 1:40 dilution or 1:10,000 potassium permanganate compresses will help. Topical corticosteroids are the mainstay of therapy, with systemic corticosteroids reserved for severe episodes.

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