Case files. Emergency medicine by Toy, Eugene C.

By Toy, Eugene C.

"Real existence situations for the emergency drugs clerkship and shelf-exam. Case documents: Emergency drugs provides 50 real-life situations that illustrate crucial thoughts in emergency drugs. every one case features a entire dialogue, medical pearls, references, definitions of key phrases, and USMLE-style overview questions. With the program, you are going to research within the context of genuine sufferers, other than simply memorize evidence. 60  Read more...

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The gold standard for diagnosis is bacterial culture, and if positive, the patient should be notified and given penicillin therapy. APPROACH TO: Pharyngitis CLINICAL APPROACH The differential diagnosis of pharyngitis is broad and includes viral etiologies (rhinovirus, coronavirus, adenovirus, herpes simplex virus [HSV], influenza, parainfluenza, Epstein-Barr virus [EBV], and CMV [cytomegalovirus] [causing infectious mononucleosis], coxsackievirus [causing herpangina], and the human immunodeficiency virus [HIV]), bacterial causes (GABS, group C streptococci, Arcanobacterium haemolyticum, meningococcal, gonococcal, diphteritic, chlamydial, Legionella, and Mycoplasma species), specific anatomically related conditions caused by bacterial organisms (peritonsillar abscess, epiglottitis, retropharyngeal abscess, Vincent angina, and Ludwig angina), candidal pharyngitis, aphthous stomatitis, thyroiditis, and bullous erythema multiforme.

2008;117:296-329. Panju AA, Hemmelgarn BR. Is this patient having a myocardial infarction? JAMA. 1998;280:1256-1263. CASE 3 A 70-year-old man presents to the emergency department complaining of shortness of breath for the past 2 weeks. Previously, he could walk everywhere, but now he becomes fatigued after a short stroll through the grocery store. He also notes that he has felt his heart racing even when he is at rest. His past medical history is notable only for hypertension, for which he takes hydrochlorothiazide and amlodipine.

Finally, iatrogenic complications of MI therapy can occur. 7% of patients and is usually fatal. Heparin and antiplatelet therapy leads to significant bleeding in up to 10% of patients, depending on what agents are given, although life-threatening hemorrhage is rare. 1 A 48-year-old man is being seen for chest pain. In the initial evaluation of this patient, which of the following is the most important diagnostic test? A. Chest x-ray B. ECG C. Serum cardiac markers D. Computed tomography E. 2 A 58-year-old man presents to his physician’s office complaining of 2 hours of substernal chest pain and dyspnea.

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