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Minor Emergencies

FOURTH EDITION

Philip M. Buaravoli, MD, FACEP

Emergency Physician, Emergency Department, Veteran’s Administration Medical Center, West Palm Beach, FL

Adjunct Assistant Professor, Division of Emergency Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA

Stephen Leffler, MD, FACEP

President and Chief Operating Officer, University of Vermont Medical Center, Professor of Surgery, Division of Emergency Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA

R. Ramsey Herrington, MD, FACEP

Chief, Division of Emergency Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA

Table of Contents

Cover image

Title page

Copyright

Dedication

List of Contributors

Foreword

Preface

Acknowledgments

PART 1. Neurologic and Psychiatric Emergencies

Chapter 1. Acute Dystonic Drug Reaction

Presentation

What to Do

What Not to Do

Chapter 2. Heat Illness: (Heat Syncope, Heat Cramps, Heat Exhaustion)

Presentation

What to Do

What Not to Do

Chapter3. Hyperventilation

Presentation

What to Do

What Not to Do

Chapter 4. Psychogenic Nonepileptic Aack: (Dissociative Convulsions)

Presentation

What to Do

What Not to Do

Chapter 5. Idiopathic Facial Paralysis (Bell Palsy)

Presentation

What to Do

What Not to Do

Chapter 6. Migraine Headache

Presentation

What to Do

What Not to Do

Chapter 7. Adult Seizures

Presentation

What to Do

What Not to Do

Chapter 8. Seizures (Convulsions, Fits), Febrile and Pediatric

Presentation

What to Do

What Not to Do

Chapter 9. Tension-Type (Muscle Contraction) Headache

Presentation

What to Do

What Not to Do

Chapter 10. Trivial, Minimal, and Minor Head Trauma: (Concussion)

Presentation

What to Do

What Not to Do

Chapter 11. Vasovagal or Neurocardiogenic or Neurally Mediated Syncope: (Faint, Swoon)

Presentation

What to Do

What Not to Do

Chapter 12. Dizziness and Vertigo

Presentation

What to Do

What Not to Do

Chapter 13. Weakness

Presentation

What to Do

What Not to Do

PART 2. Ophthalmologic Emergencies

Chapter 14. Conjunctivitis: (Pink Eye)

Presentation

What to Do

What Not to Do

Chapter 15. Contact Lens Complications

Presentation

What to Do

What Not to Do

Chapter 16. Corneal Abrasion

Presentation

What to Do

What Not to Do

Chapter 17. Floaters

Presentation

What to Do

What Not to Do

Chapter 18. Foreign Body, Conjunctival

Presentation

What to Do

What Not to Do

Chapter 19. Foreign Body, Corneal

Presentation

What to Do

What Not to Do

Chapter 20. Hordeolum: (Stye)

Presentation

What to Do

What Not to Do

Chapter 21. Iritis: (Acute Anterior Uveitis)

Presentation

What to Do

What Not to Do

Chapter22. Periorbital and Conjunctival Edema

Presentation

What to Do

What Not to Do

Chapter 23. Periorbital Ecchymosis: (Black Eye)

Presentation

What to Do

What Not to Do

Chapter 24. Removal of Dislocated Contact Lens

Presentation

What to Do

What Not to Do

Chapter 25. Subconjunctival Hemorrhage

Presentation

What to Do

What Not to Do

Chapter 26. Ultraviolet Keratoconjunctivitis: (Welders or Tanning Bed Burn)

Presentation

What to Do

What Not to Do

PART 3. Ear, Nose, and Throat Emergencies

Chapter 27. Cerumen Impaction: (Earwax Blockage)

Presentation

What to Do

What Not to Do

Chapter 28. Epistaxis: (Nosebleed)

Presentation

What to Do

What Not to Do

Chapter 29. Foreign Body, Ear

Presentation

What to Do

What Not to Do

Chapter 30. Foreign Body, Nose

Presentation

What to Do

What Not to Do

Chapter 31. Foreign Body, Throat

Presentation

What to Do

What Not to Do

Chapter 32. Laryngotracheobronchitis: (Croup)

Presentation

What to Do

What Not to Do

Chapter 33. Mononucleosis: (Glandular Fever)

Presentation

What to Do

What Not to Do

Chapter 34. Nasal Fracture: (Broken Nose)

Presentation

What to Do

What Not to Do

Chapter 35. Otitis Externa (Swimmer’s Ear), Acute

Presentation

What to Do

What Not to Do

Chapter 36. Otitis Media, Acute

Presentation

What to Do

What Not to Do

Chapter 37. Otitis Media With Effusion; Serous (Secretory) Otitis Media (Glue Ear)

Presentation

What to Do

What Not to Do

Chapter 38. Perforated Tympanic Membrane: (Ruptured Eardrum)

Presentation

What to Do

What Not to Do

Chapter 39. Pharyngitis: (Sore Throat)

Presentation

What to Do

What Not to Do

Chapter 40. Rhinitis, Acute: (Runny Nose)

Presentation

What to Do

What Not to Do

Chapter 41. Rhinosinusitis: (Sinusitis)

Presentation

What to Do

What Not to Do

PART 4. Oral and Dental Emergencies

Chapter 42. Aphthous Ulcer, Acute

Presentation

What to Do

What Not to Do

Chapter 43. Avulsed Tooth, Dental Subluxation, and Dental Luxation

Presentation

What to Do

What Not to Do

Chapter 44. Bleeding After Dental Surgery

Presentation

What to Do

What Not to Do

Chapter 45. Burning Mouth Syndrome, Burning Tongue: (Glossodynia)

Presentation

What to Do

What Not to Do

Chapter 46. Dental Pain, Periapical Abscess: (Tooth Abscess)

Presentation

What to Do

What Not to Do

Chapter 47. Dental Pain, Pericoronitis

Presentation

What to Do

What Not to Do

Chapter 48. Dental Pain, Postextraction Alveolar Osteitis: (Dry Socket, Septic Socket, Necrotic Socket, Localized Osteitis)

Presentation

What to Do

What Not to Do

Chapter 49. Dental Pain, Pulpitis

Presentation

What to Do

What Not to Do

Chapter 50. Dental Trauma: (Fracture, Subluxation, and Displacement)

Presentation

What to Do

What Not to Do

Chapter 51. Gingivitis and Acute Necrotizing Ulcerative Gingivitis: (Trench Mouth)

Presentation

What to Do

What Not to Do

Chapter 52. Lacerations of the Mouth

Presentation

What to Do

What Not to Do

Chapter 53. Oral Candidiasis: (Thrush or Yeast Infection)

Presentation

What to Do

What Not to Do

Chapter 54. Oral Herpes Simplex: (Cold Sore, Fever Blister)

Presentation

What to Do

What Not to Do

Chapter 55. Orthodontic Complications

Presentation

What to Do

What Not to Do

Chapter 56. Perlèche: (Angular Cheilitis)

Presentation

What to Do

What Not to Do

Chapter 57. Sialolithiasis: (Salivary Duct Stones)

Presentation

What to Do

What Not to Do

Chapter 58. Temporomandibular Disorder

Presentation

What to Do

What Not to Do

Chapter 59. Temporomandibular Joint Dislocation: (Jaw Dislocation)

Presentation

What to Do

What Not to Do

Chapter 60. Uvular Edema, Acute

Presentation

What to Do

What Not to Do

PART 5. Pulmonary and Thoracic Emergencies

Chapter 61. Bronchitis (Chest Cold), Acute

Presentation

What to Do

What Not to Do

Chapter 62. Costochondritis and Musculoskeletal Chest Pain

Presentation

What to Do

What Not to Do:

Chapter 63. Inhalation Injury: (Smoke Inhalation)

Presentation

What to Do

What Not to Do

Chapter 64. Irritant Incapacitant Exposure: (Lacrimators, Riot Control Agents, Tear Gas)

Presentation

What to Do

What Not to Do

Chapter 65. Rib Fracture and Costochondral Separation: (Broken Rib)

Presentation

What to Do

What Not to Do

PART 6. Gastrointestinal Emergencies

Chapter 66. Anal Fissure

Presentation

What to Do

What Not to Do

Chapter 67. Blocked Tubes: (G-Tube, J-Tube)

Presentation

What to Do

What Not to Do

Chapter 68. Constipation, Irritable Bowel Syndrome, and Colic: (Stomach Cramps)

Presentation

What to Do

What Not to Do

Chapter 69. Diarrhea: (Acute Gastroenteritis)

Presentation

What to Do

What Not to Do

Chapter 70. Enterobiasis: (Pinworm, Seatworm, Threadworm)

Presentation

What to Do

Chapter 71. Esophageal Food Bolus Obstruction: (Steakhouse Syndrome)

Presentation

What to Do

What Not to Do

Chapter 72. Foreign Body, Rectal

Presentation

What to Do

What Not to Do

Chapter 73. Foreign Body, Swallowed

Presentation

What to Do

What Not to Do

Chapter 74. Hemorrhoids: (Piles)

Presentation

What to Do

What Not to Do

Chapter 75. Singultus: (Hiccups)

Presentation

What to Do

What Not to Do

Chapter 76. Vomiting: (Food Poisoning, Gastroenteritis)

Presentation

What to Do

What Not to Do

PART 7. Urologic Emergencies

Chapter 77. Blunt Scrotal Trauma

Presentation

What to Do

What Not to Do

Chapter 78. Colorful Urine

Presentation

What to Do

What Not to Do

Chapter 79. Epididymitis

Presentation

What to Do

What Not to Do

Chapter 80. Genital Herpes Simplex

Presentation

What to Do

What Not to Do

Chapter 81. Phimosis and Paraphimosis

Presentation

What to Do

What Not to Do

Chapter 82. Prostatitis, Acute Bacterial

Presentation

What to Do

What Not to Do

Chapter 83. Urethritis: (Drip, Clap)

Presentation

What to Do

What Not to Do

Chapter 84. Urinary Retention, Acute

Presentation

What to Do

What Not to Do

Chapter 85. Urinary Tract Infection, Lower (Cystitis), Uncomplicated

Presentation

What to Do

What Not to Do

PART 8. Gynecologic Emergencies

Chapter 86. Bartholin Abscess

Presentation

What to Do

What Not to Do

Chapter 87. Condylomata Acuminata: (Genital Warts)

Presentation

What to Do

What Not to Do

Chapter 88. Contact Vulvovaginitis

Presentation

What to Do

What Not to Do

Chapter 89. Dysmenorrhea: (Menstrual Cramps)

Presentation

What to Do

What Not to Do

Chapter 90. Foreign Body, Vaginal

Presentation

What to Do

What Not to Do

Chapter 91. Pelvic Inflammatory Disease (PID)

Presentation

What to Do

What Not to Do

Chapter 92. Prophylaxis Following Sexual Exposure

Presentation

What to Do

What Not to Do

Chapter 93. Vaginal Bleeding

Presentation

What to Do

What Not to Do

Chapter 94. Vaginitis

Presentation

What to Do

What Not to Do

PART 9. Musculoskeletal Emergencies

Chapter 95. Acromioclavicular (Shoulder) Separation

Presentation

What to Do

What Not to Do

Chapter 96. Ankle Sprain: (Twisted Ankle)

Presentation

What to Do

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