... Attending Staff Physician, Department of Emer-
gency Medicine, Saint Luke’s Hospital, Milwaukee, Wisconsin (Chap-
ters 10 1, 10 4, 11 9 12 1, 12 5, 13 5)
Rodney McCaskill, M.D., WakeMed, Department of Emergency ... and the In- Training Exam. For the most
up-to-date information concerning these exams,
review the ABEM web site: www.abem.org.
• The American Board of Osteopathic...
... refractory to
IV fluid.
12
• If blood pressure remains Ͻ70 mmHg despite pre-
ceding measures, a norepinephrine 8- to 1 2- g/
min loading dose and a 2- to 4- g/min infusion
to maintain mean arterial blood ... 2 1- 1 ).
TABLE 2 1- 1 Timing for Removal of Cutaneous Sutures
and Staples
AREA NUMBER OF DAYS
Face 4–5
Scalp 7 10
Trunk 10
Arm (surface) 10
Arm (joint) 10 14
Hand...
... dif -
cile in 10 to 25 percent of cases.
• Broad-spectrum antibiotics—most notably clin-
damycin, cephalosporins, and ampicillin/amoxicil-
lin—alter the gut flora in such a way that toxin-
producing ... delayed
repair of reduced incarcerated inguinal hernias in the
pediatric population. J Pediatr Surg 31: 12 18, 19 96.
For further reading in Emergency Medicine: A Com-
preh...
... regarding an
initial insulin bolus of 0 .1 U/kg and most authori-
ties begin with a continuous infusion. If the acido-
sis has not improved after2hofinsulin therapy
the insulin infusion should be increased ... pathogenesis of insulin-dependent di-
abetes mellitus. N Engl J Med 3 31: 1428, 19 94.
For further reading in Emergency Medicine: A Com-
prehensive Study Guide, 5th ed., see...
... lithium poisoning? A kinetic
study in 14 cases of lithium poisoning. Clin Toxicol
31: 429, 19 93.
For further reading in Emergency Medicine: A Com-
prehensive Study Guide, 5th ed., see Chap. 15 2,
‘‘Tricyclic ... Clin Infect Dis 12 :11 18, 19 95.
11 . Woodward TE: Rocky Mountain spotted fever: Epide-
miological and early clinical signs are keys to treatment
and reduced mortality...
... 17 :99, 19 96.
10 . Cherington M: Lightning injuries. Ann Emerg Med
25: 517 , 19 95.
For further reading in Emergency Medicine: A Com-
prehensive Study Guide, 5th ed., see Chap. 19 6,
‘‘Electrical Injuries,’’ ... immediately
receive equine-derived antivenin (Crotalidae)
polyvalent.
• An intradermal skin test (0.03 mL of 1 : 10 anti-
venin) must be placed before the patient is t...
... 49:33, 19 89.
6. Privitera MC, Strawsburg RH: Electroencephalographic
monitoring in the emergency department. Emerg Med
Clin North Am 12 :10 89, 19 94.
For further reading in Emergency Medicine: A Com-
prehensive ... in the emergency
department, the tooth should be gently rinsed
CHAPTER 13 8
•
HEADACHE AND FACIAL PAIN 4 21
Table 13 8-3 Diagnosis of Migraine Headache...
... Trauma 31: 116 1, 19 91.
10 . Arkovitz MS, Johnson N, Garcia VF: Pancreatic trauma
in children: Mechanisms of injury. J Trauma 42:49,
19 97.
11 . Abou-Jaoude WA, Sugarman JM, Fallat ME, et al: Indi-
cators ... injury with subsequent increase in
pain and swelling as the patient continues to am-
bulate suggests a sprain rather than a fracture.
• On physical examination, significant find...
... management of
Chapter 064. The Practice of Genetics
in Clinical Medicine
(Part 1)
Harrison's Internal Medicine > Chapter 64. The Practice of Genetics in
Clinical Medicine
Implications of ... though they
may be seeing other specialists.
The internist has an important role in educating patients about the
indications, benefits, risks, and limitations of ge...