By Mary Jo Wagner, Susan Promes
This new learn advisor offers the entire very important issues coated on emergency drugs assessments with a different emphasis on evaluating and contrasting sickness displays and coverings to each other. Written by means of specialists in residency schooling, final Minute Emergency medication offers an excellent ultimate tune-up to board evaluation.
Read or Download Last Minute Emergency Medicine: A Concise Review for the Specialty Boards (Last Minute Series) PDF
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Additional info for Last Minute Emergency Medicine: A Concise Review for the Specialty Boards (Last Minute Series)
Example text
Cough is a significant pathway for the spread of infectious disease. Hemoptysis Hemoptysis, the expectoration of blood from the bronchopulmonary system, is generally classified as minor or major based on the amount of blood involved. Major hemoptysis is generally due to advanced pulmonary malignancy (erosion into blood vessels), trauma (pulmonary contusion, tracheobronchial disruption), or vasculitides (Goodpasture’s syndrome, Wegner’s granulomatosis). Minor hemoptysis is generally caused by repetitive coughing, irritation of the airways, or pulmonary infection.
Drainage and bleeding may occur spontaneously. Swelling and discoloration will be visible, and fever may be present. These, as well as other inflammatory bowel conditions, may lead to the development of fistula in ano, with a persistent bloody, foul smelling discharge present. Carcinoma of the rectum or sigmoid colon should be considered in all patients over age 40 with pain, bleeding, or a change in stool size. Rectal prolapse presents with an obvious protruding mass, bleeding, and pain. A history of foreign bodies in the rectum is often not readily elicited, but should be considered.
Urinary Retention The patient most likely to present with acute urinary retention is an elderly male with BPH. Urinary retention in these patients may present as overflow incontinence, confounding the history. Prostate cancer, severe prostatitis, and bladder neck contracture are other causes. In females, the most common cause of urinary retention is an atonic bladder, resulting from years of infrequent voiding. In younger patients, consider multiple sclerosis, tabes dorsalis, diabetes mellitus, and syringomyelia.