Visual Diagnosis in Emergency and Critical Care Medicine

Speed and accuracy of diagnosis is the key to saving lives in emergency and critical care medicine. Careful visual inspection of the patient, the data (radiography, electrocardiogram), and related clues can often help providers choose the right diagnosis and ultimately the best treatment – but this knowledge comes with experience. This book provides 110 randomly presented visual diagnosis cases for self–testing, imitating real–life situations found in the emergency department setting. Written by distinguished emergency and critical care physicians, and thoroughly revised and updated throughout, this second edition includes 25% new cases and is an ideal aid for trainees preparing for Board examinations as well as an invaluable ‘refresher’ for qualified emergency and critical care providers. Table of Contents 1. Slash Wound to the Neck – Kevin S. Barlotta & Alexander B. Baer. 2. “I’ve got blood in my eye” – Chris S. Bergstrom & Alexander B. Baer. 3. Forearm Fracture After Falling – Alexander B. Baer. 4. A Neonate with Fever and Rash – David L. Eldridge. 5. A Missing Button Battery – Brendan G. Carr and Sarah E. Winters. 6. Anorexia, Hair Loss, and Fingernail Bands – Christopher P. Holstege. 7. Wide Complex Tachycardia in a Young Adult – William J. Brady. 8. Muscle Spasms following a Spider Bite – J. Michael Kowalski & Adam K. Rowden. 9. Necrotic Skin Lesion – David A. Kasper Aradhna Saxena & Kenneth A. Katz. 10. Intense Pain following High Pressure Injector Injury – David T. Lawrence. 11. Prenatal Vitamin Overdose – Christopher P. Holstege & Adriana I. Goldberg. 12. Blurred Vision following Yard Work – Allyson Kreshak. 13. Foot Pain in a Gymnast – Hoi Lee. 14. A Child with Bruises of Different Ages – David L. Eldridge. 15. Sudden Shortness of Breath after Removal of a Central Line – Christopher P. Holstege. 16. “My eyes are yellow!” – David T. Lawrence. 17. Pleuritic Chest Pain in a Young Adult Male – William J. Brady. 18. Exposed During a Blizzard – Joseph D. Forrester & Christopher P. Holstege. 19. FAST Evaluation of a Trauma Patient – John S. Rajkumar & James H. Moak. 20. Chest Pain with Sudden Cardiac Death – William J. Brady. 21. Wrist “Sprain” in a Child – Jennifer S. Boyle. 22. Acute Eye Pain and Blurred Vision in an Elderly Female – Chris S. Bergstrom & Alexander B. Baer. 23. Heel Pain Following a Fall – Jennifer S. Boyle. 24. Confluent Rash on a Child – Sarah G. Winters, MD & Brendan E. Carr. 25. Voice Changes, Fever, and Sore Throat – Christopher P. Holstege. 26. A Pain Free Adult with Persistent T Wave Abnormalities – William J. Brady. 27. Caustic Ingestion with Cardiotoxic Effects – Christopher P. Holstege & Alexander B. Baer. 28. Chemical Eye Exposure – Chris S. Bergstrom & Alexander B. Baer. 29. Acute Abdominal Pain in Pregnancy – James H. Moak & John S. Rajkumar. 30. Coma Following Head Trauma – Andrew L. Homer & William J. Brady. 31. Tongue Swelling in a Hypertensive Female – Kevin S. Barlotta & Alexander B. Baer. 32. Purulent Eye Discharge in an Adult – Chris S. Bergstrom & Alexander B. Baer. 33. Shoulder Pain Following Direct Blow – Nathan P. Charlton. 34. A Gagging Child – Maureen Chase & Worth W. Everett. 35. Adult Male with a Sudden, Severe Headache – Andrew L. Homer & William J. Brady. 36. New Facial Droop – Andrew D. Perron & Christopher T. Bowe. 37. Eye Pain after Tree Branch Strike – Chris S. Bergstrom & Alexander B. Baer. 38. An Elderly Women with Groin Pain – Brendan G. Carr. 39. Rash and Joint Pain in a Child – Mara L. Becker. 40. Radiology Findings after Laparoscopy – Munish Goyal. 41. Post–Prandial Abdominal Pain in an Elderly Woman – Hoi Lee. 42. “Pinkeye” in a Contact Lens Wearer – Chris S. Bergstrom & Alexander B. Baer. 43. Suspicious Hand Pain – Rex Mathew. 44. Fever and Rash in a Child – David L. Eldridge. 45. An Alcoholic with Dyspnea – James H. Moak & John S. Rajkumar. 46. Dark Urine from an Immigrant – Suzanne M. Shepherd. 47. Chest Pain and Lead aVR ST Segment Elevation – William J. Brady. 48. Hand Pain after Striking Wall – William J. Brady & Kevin Barlotta. 49. A Refugee with Skin Lesions – Roger A. Band. 50. Pain out of Proportion to Examination – J. Michael Kowalski & Adam K. Rowden. 51. Leg Pain following a Motor Vehicle Collision – Nathan P. Charlton. 52. Deformed Globe Following Trauma – Worth W. Everett. 53. Foot Pain Following Breaking – Munish Goyal. 54. Lamp Oil Ingestion – David L. Eldridge. 55. Intermittent Abdominal Pain in a Female – John S. Rajkumar & James H. Moak. 56. Hallucinations in a Botanist – Joseph D. Forrester & Christopher P. Holstege. 57. Altered Mental Status with an Abnormal Electrocardiogram – William Brady. 58. Fishing in the Stomach – Joseph D. Forrester & Christopher P. Holstege. 59. Overdose–induced Boiled Lobster Skin – Heather A. Borek & Christopher P. Holstege. 60. Back Pain Following a Fall – Andrew D. Perron & Christopher T. Bowe. 61. Painful Facial Rash – Chris S. Bergstrom & Alexander B. Baer. 62. Intense Wrist Pain Following Trauma – Rex Mathew. 63. Fever and Drooling in a Child – Sarah E. Winters & Brendan G. Carr. 64. Syncope and Flank Pain in an Elderly Man – John S. Rajkumar & James H. Moak. 65. Get them Undressed! – Munish Goyal. 66. A “Blue Hue” Following Endoscopy – Saumil Vaghela & Christopher P. Holstege. 67. Acute Onset Blurred Vision – Chris S. Bergstrom & Alexander B. Baer. 68. Elbow Pain in a Child after a Fall – Elizabeth Cochran Ward & Alexander B. Baer. 69. Confusion, Anemia, and Abdominal Pain in a Toddler – Christopher P. Holstege & Joseph T Vance. 70. A Ground–level Fall with Ankle Pain – Christopher T. Bowe. 71. Traumatic Eye Pain and Proptosis – Chris S. Bergstrom & Alexander B. Baer. 72. Diffuse Ankle Pain following a Fall – Andrew D. Perron & Christopher T. Bowe. 73. Rash Following Brush Fire – Christopher P. Holstege & Alejandro C. Stella. 74. Abdominal Pain in a Trauma Victim – Esther H. Chen. 75. Skin Target Lesion – Mara L. Becker. 76. Chest Pain and a Confounding Electrocardiogram Pattern – William J. Brady. 77. Sudden Sedation in a Student – David T. Lawrence. 78. Skin Lesions in a Comatose Patient – Christopher P. Holstege & Matthew D. Wilson. 79. Raccoon Eyes – Angela M. Mills. 80. Fall on an Outstretched Hand in a Young Adolescent – William J. Brady & Kevin S. Barlotta. 81. Eye Pain and Facial Swelling – Adam K. Rowden & Chris S. Bergstrom. 82. Wrist Pain following Fall on an Outstretched Hand – William J. Brady & Kevin S. Barlotta. 83. Rash on a Child with Epilepsy – Heather A. Borek & Christopher P. Holstege. 84. Abdominal Pain in an Alcoholic – Angela M. Mills. 85. Chest Pain with Electrocardiographic ST Segment & T–Wave Abnormalities – William Brady. 86. A Heroin Abuser with Multiple Skin Lesions – Christopher P. Holstege & Ashley L. Harvin. 87. Chest Pain in a Middle–aged Male Patient with ST Segment Elevation – William J. Brady. 88. Fire Victim with Hoarseness – Kathryn Mutter & Christopher P. Holstege. 89. A Gardener with a Non–Healing Rash – Roger A. Band. 90. A Bite to the Leg in Tall Grass – Alejandro C. Stella, MD & Christopher P. Holstege. 91. An Elderly Man with Diffuse Facial Edema – Kevin S. Barlotta & Andrew B. Baer. 92. Acute Onset Double Vision – Chris S. Bergstrom & Alexander B. Baer. 93. Low Back Pain in Car Accident Victim – Edward G. Walsh & William J. Brady. 94. Pain and Rash following Contact with Caterpillar – Nathan P. Charlton & Mairin Smith. 95. Moonshine–induced Intracranial Bleed and Metabolic Acidosis – Nathan P. Charlton & Christopher P. Holstege. 96. A Rock Climber with Finger Pain, Swelling, and Redness – Joseph D. Forrester & Christopher P. Holstege. 97. Vomiting and Syncope following Ingestion of Ramps – Christopher P. Holstege & Justin H. Price. 98. Chest Pain and Subtle ST Segment Elevation – William J. Brady. 99. Herbalist with Bradycardia and Vision Changes – William Brady. 100. Painless Penile Ulcer – Andrea L. Neimann. 101. Hyperthermia, Autonomic Instability, and Confusion in a Traveler – Christopher P. Holstege, MD & Alexander B. Baer. 102. An Immigrant with Neck Swelling – Suzanne M. Shepherd. 103. Eyelid Laceration following a Brawl – Chris S. Bergstrom & Alexander B. Baer. 104. Young Athlete with Back Pain – Edward G. Walsh & William J. Brady. 105. Chest Pain and Hypotension in an Adult Male Patient – William J. Brady. 106. Adult Male with Atraumatic Lower Back Pain and Leg Weakness – William J. Brady. 107. Wide Complex Tachycardia in an Older Male Patient – William J. Brady. 108. Facial Swelling in a Patient with Poor Dentition – Alexander B. Baer & Christopher P. Holstege. 109. Weakness and Bradycardia in an Elderly Female Patient – William J. Brady. 110. Lightning Strike–induced Rash – Christopher P. Holstege.