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Urgent Care Emergencies Avoiding the Pitfalls and Improving the Outcomes
5
Copyright
6
Contents
7
List of Contributors
8
Preface
11
1 HEENT Pitfalls
13
Introduction
13
Eye
13
Throat
15
Ear
18
Lips
19
Nose
20
Acknowledgment
21
References
21
2 Management of Genitourinary Complaints
23
Introduction
23
Pearls for improving patient outcomes
31
References
31
3 Orthopedic Pitfalls of the Upper Extremity
33
Introduction
33
Central slip tear
38
Jersey finger
39
Mallet finger
40
Pearls for iImproving pPatient oOutcomes
41
References
41
4 Orthopedic Pitfalls of the Lower Extremity
44
Introduction
44
Pearls for improving patient outcomes
51
References
51
5 Orthopedic Pitfalls: Pediatrics
53
Introduction
53
Pearls for improving patient outcomes
62
References
62
6 Pitfalls of Wound Management
64
Introduction
64
Wound preparation
64
Foreign bodies
65
Plantar wounds
66
Wound care instructions
67
Zipper injuries
67
Burn management
68
Pearls for improving patient outcomes
69
References
69
7 Emergency Dermatology for the Acute Care Provider
71
Introduction
71
Dermatologic emergencies
71
Rocky Mountain Spotted Fever
73
Meningococcemia
73
Common infectious rashes
77
Summary
79
Pearls to improve patient outcome
80
References
80
8 Management of Common Infections
82
Introduction
82
Bronchitis
86
Pharyngitis
86
Sinusitis
87
Upper respiratory tract infections
87
Pearls to improve patient outcomes
89
References
90
9 Headache
91
Introduction
91
Pearls to improve patient outcomes
97
References
97
10 The Evaluation and Management of Back Pain
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Introduction
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Pediatric back pain
100
Evaluation
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Treatment
101
Specific disease processes
102
Epidural abscess
102
Vertebral osteomyelitis
103
Spinal cord compression
103
Abdominal aortic aneurysm
104
Cancer
105
Spinal compression fractures
105
Spinal stenosis
105
Pregnancy-related low back pain
106
Pearls for improving patient outcomes
106
References
107
11 Pediatric Pitfalls
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Introduction
109
Pearls for improving patient outcomes
118
References
119
12 Geriatric Pitfalls
121
Introduction
121
Peptic ulcer disease
123
Biliary tract disease
124
Appendicitis
124
Mesenteric ischemia
125
Ruptured abdominal aortic aneurysm
125
CNS injuries
126
Fractures
127
Conclusion
128
Pearls for improving patient outcomes
128
References
128
13 Pharmacology Pitfalls and Pearls in Urgent Care Medicine
131
Introduction
131
Pitfalls and pearls in pharmacology of commonly used medications
131
Analgesics
131
Opioids
132
Local anesthetics
133
Antiemetics
134
Ondansetron
134
Prochlorperazine
135
Antibiotics
135
Cephalosporins
136
Important adverse reactions
137
Warfarin
137
Medications with narrow therapeutic index
138
Herbal medicines
138
Pitfalls in special populations
140
Drugs to avoid in the elderly
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Drugs that are contraindicated in pregnancy
140
Pearls for improving patient outcomes
141
References
141
14 Talking the Talk: Effective Communication in Urgent Care
144
Introduction
144
Pearls for improving patient outcomes
152
References
152
Index
153
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