Fleisher & Ludwig's 5-Minute Pediatric Emergency Medicine Consult

P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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CONTENTS
Preface v
Foreword vi
Acknowledgments vii
Contributors ix
Abdominal Distention 2
Abscess, Bartholin Gland 4
Abscess, Dentoalveolar 6
Abscess, Gluteal 8
Abscess, Intracranial 10
Abscess, Ludwig Angina 12
Abscess, Perianal/Perirectal 14
Abscess, Peritonsillar 16
Abscess, Retropharyngeal 18
Acne 20
Acute Hemolytic Anemia 22
Acute Kidney Injury 24
Acute Rheumatic Fever 26
Adrenal Insuf?ciency 28
Agitation 30
Altered Level of Consciousness/Coma 32
Altitude Illness 34
Anal Fissure 36
Anaphylaxis 38
Anemia 40
Angioedema 42
Aplastic Anemia 44
Apnea 46
Appendicitis 48
Arthritis, Idiopathic 50
Arthritis, Septic 52
Ascites 54
Asthma 56
Asystole 58
Ataxia 60
Atopic Dermatitis 62
Avascular Necrosis of the Femoral Head 64
Bacteremia 66
Balanitis/Balanoposthitis 68
Barotrauma, Sinus/Ear 70
Biliary Tract Disease 72
Bipolar Disorder/Mania 74
Bites, Human and Animal 76
Blepharitis 78
Blindness 80
Botulism 82
Bradycardia 84
Breast Lesions 86
Brief Resolved Unexplained Event (BRUE) 88
Bronchiolitis 90
Brugada Syndrome 92
Burn, Chemical 94
Burn, Thermal 96
Candidiasis 98
Cardiac Surgery Complications 100
Cardiomyopathy 102
Cat Scratch Disease 104
Cauda Equina Syndrome 106
Cavernous Sinus Thrombosis 108
Cellulitis 110
Central Venous Catheter Infections 112
Cervical Lymphadenitis 114
Chalazion & Hordeolum 116
Chickenpox/Shingles 118
Child Abuse 120
Chlamydia (All Ages) 122
Chronic Lung Disease Exacerbations 124
Clonidine Toxicity 126
Colitis 128
Collagen Vascular Disease 130
Compartment Syndrome 132
Concussion 134
Congenital Adrenal Hyperplasia 136
Congenital Heart Disease 138
Congestive Heart Failure 140
Conjunctival Injury 142
Conjunctivitis 144
Conjunctivitis, Neonatal 146
Constipation 148
Constricting Band/Tourniquet Syndrome 150
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Contact Dermatitis 152
Conversion Disorder 154
Corneal Abrasion 156
Costochondritis 158
Cough 160
Croup 162
Crying/Colic 164
Cushing Syndrome 166
Cyanosis 168
Cyanotic Heart Disease 170
Cyclical Vomiting 172
Cystic Fibrosis: Exacerbation 174
Cystic Fibrosis: New Diagnosis 176
Dacryocystitis/Dacryostenosis 178
Decompression Sickness 180
Deep Vein Thrombosis (Venous Thromboembolism) 182
Dehydration 184
Dengue Fever 186
Depression 188
Dermatomyositis 190
Diabetes Insipidus 192
Diabetic Ketoacidosis 194
Diaper Rash 196
Diarrhea 198
Discitis 200
Dislocation, Elbow 202
Dislocation, Finger/Phalanx 204
Dislocation, Knee 206
Dislocation, Patella 208
Dislocation, Shoulder 210
Dislocation, Temporomandibular Joint 212
Disorders of Energy Metabolism
(Mitochondrial Disease) 214
Disseminated Intravascular Coagulation 216
Diving Injuries 218
Dizziness/Vertigo 220
Drowning 222
Drug Reaction with Eosinophilia and Systemic
Symptoms (DRESS) Syndrome 224
Ductal-Dependent Cardiac Emergencies 226
Dysrhythmia, Atrial 228
Dysrhythmia, Ventricular 230
Dystonia 232
Eating Disorders 234
Ectopic Pregnancy 236
Eczema Herpeticum 238
Edema 240
Electrical Injury 242
Emergency Contraception 244
Emerging Infections (Ebola, Zika, Bird Flu, etc.) 246
Empyema 248
Encephalitis 250
Envenomation, Insect Bites & Stings 252
Envenomation, Marine 254
Envenomation, Scorpion 256
Envenomation, Snake 258
Envenomation, Spider 260
Epididymitis and Orchitis 262
Epidural Hematoma 264
Epiglottitis/Supraglottitis 266
Epistaxis 268
Erythema Infectiosum 270
Erythema Multiforme 272
Erythema Nodosum 274
Esophageal Varices 276
Esophagitis 278
Eye, Red 280
Eye, Strabismus 282
Eye, Visual Disturbance 284
Eye: Unequal Pupils 286
Facial Nerve (Bell’s) Palsy 288
Failure to Thrive 290
Febrile Seizure 292
Felon 294
Fever in Children over 3 Months 296
Fever in Children under 3 Months 298
Fever of Unknown Origin 300
Flail Chest 302
Food Poisoning 304
Foreign Body Aspiration 306
Foreign Body Ingestion 308
Foreign Body, Cornea 310
Foreign Body, Disc Battery 312
Foreign Body, Ear Lobe/Ear Canal 314
Foreign Body, Nose 316
Foreign Body, Rectum 318
Foreign Body, Soft Tissue 320
Fracture, Ankle 322
Fracture, Cervical Spine 324P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Fracture, Clavicle 326
Fracture, Digit 328
Fracture, Elbow 330
Fracture, Femur 332
Fracture, Foot 334
Fracture, Forearm 336
Fracture, Humerus 338
Fracture, Mandibular 340
Fracture, Nasal 342
Fracture, Orbital 344
Fracture, Patella 346
Fracture, Pelvic 348
Fracture, Rib 350
Fracture, Scapula 352
Fracture, Skull 354
Fracture, Spine-Thoracic, Lumbar, Sacral, Coccygeal 356
Fracture, Tibia and Fibula 358
Fracture, Wrist 360
Fracture, Zygoma 362
Frostbite 364
Gastritis 366
Gastroenteritis 368
Gastroesophageal Re?ux 370
Gastrointestinal Bleeding: Lower 372
Gastrointestinal Bleeding: Upper 374
Gastrointestinal Obstruction 376
Gastrostomy Tube Problems (GT, GJT, NGT) 378
Giardiasis 380
Globe Rupture 382
Glomerulonephritis 384
Gonorrhea (All Ages) 386
Group B Streptococcal Infection 388
Guillain–Barr´ e Syndrome 390
Gynecomastia 392
Headache 394
Hearing Loss 396
Heart Block 398
Heart Murmur 400
Heat Illness 402
Hemangioma 404
Hematuria 406
Hemolytic Disease of the Newborn 408
Hemolytic Uremic Syndrome 410
Hemophilia 412
Hemoptysis 414
Hemothorax 416
Henoch-Sch¨ onlein Purpura 418
Hepatic Encephalopathy 420
Hepatitis, Acute 422
Hepatomegaly 424
Hernia 426
Herpes Simplex 428
Hirschsprung Disease 430
HIV/AIDS 432
Hydrocephalus 434
Hypercalcemia 436
Hyperemesis Gravidarum 438
Hyperglycemia 440
Hyperkalemia 442
Hypernatremia 444
Hypertension, Hypertensive Crisis 446
Hyperthermia 448
Hyperthyroidism 450
Hyperventilation/Panic Attack 452
Hyphema 454
Hypocalcemia 456
Hypoglycemia 458
Hypokalemia 460
Hyponatremia 462
Hypoparathyroidism 464
Hypotension 466
Hypothermia 468
Immobile Arm 470
Imperforate Hymen 472
Impetigo 474
Inborn Errors of Metabolism 476
Infantile Spasm 478
Infectious Mononucleosis 480
Infective Endocarditis 482
In?ammatory Bowel Disease 484
In?uenza 486
Intussusception 488
Irritable Bowel Syndrome 490
Jaundice, Conjugated Hyperbilirubinemia 492
Jaundice, Unconjugated Hyperbilirubinemia 494
Kawasaki Disease 496
Labial Adhesions 498
Laceration Repair 500P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Laryngomalacia/Tracheomalacia 502
Leukemia 504
Leukopenia 506
Lice (Pediculosis) 508
Limp 510
Lyme Disease 512
Lymphadenopathy 514
Malaria 516
Mass Casualty, Biological Exposures 518
Mass Casualty, Blast Injuries 520
Mass Casualty, Chemical Exposures 522
Mass Casualty, Radiation Exposures 524
Mass, Extremity 526
Mass, Mediastinal 528
Mass, Neck 530
Mass, Scrotal 532
Mastitis 534
Mastoiditis 536
Measles 538
Meckel’s Diverticulum 540
Meningitis 542
Meningococcemia 544
Menses, Dysmenorrhea 546
Menses, Oligomenorrhea 548
Mesenteric Adenitis 550
Metabolic Acidosis 552
Methemoglobinemia 554
Migraine Headaches 556
Molluscum Contagiosum 558
Mumps 560
Munchausen Syndrome by Proxy
(Factitious Illness by Proxy) 562
Muscular Dystrophy 564
Myasthenia Gravis 566
Myocardial Contusion 568
Myocardial Infarction 570
Myocarditis 572
Nail Bed Injuries 574
Neck Stiffness 576
Necrotizing Enterocolitis 578
Necrotizing and Plantar Fasciitis 580
Needle Stick 582
Neoplasm, Bone 584
Neoplasm, Brain 586
Neoplasm, Lymphoma 588
Neoplasm, Neuroblastoma 590
Neoplasm, Retinoblastoma 592
Neoplasm, Wilm’s Tumor 594
Nephrotic Syndrome 596
Neuroleptic Malignant Syndrome 598
Nursemaid’s Elbow 600
Obstructive Sleep Apnea Syndrome 602
Omphalitis 604
Oral Lesions/Stomatitis 606
Orbital Cellulitis 608
Osgood–Schlatter Disease 610
Osteogenesis Imperfecta 612
Osteomyelitis 614
Otitis Externa 616
Otitis Media 618
Ovarian Cyst/Mass 620
Ovarian Torsion 622
Pain, Abdomen 624
Pain, Arm 626
Pain, Back 628
Pain, Chest 630
Pain, Ear 632
Pain, Eye 634
Pain, Leg 636
Pain, Scrotal 638
Pain, Throat 640
Pallor 642
Palpitations 644
Pancreatitis 646
Paraphimosis 648
Paronychia 650
Parotitis 652
Patent Ductus Arteriosus 654
Pelvic In?ammatory Disease 656
Pericardial Effusion/Tamponade 658
Pericarditis 660
Perichondritis, Ear 662
Periorbital Cellulitis 664
Peritonitis 666
Pertussis 668
Pharyngitis/Laryngitis 670
Phimosis 672
Pilonidal Cyst 674
Pityriasis Rosea 676
Placental Abruption 678P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Pleural Effusion 680
Pneumonia, Aspiration 682
Pneumonia, Bacterial and Atypical 684
Pneumothorax/Pneumomediastinum 686
Poison Ivy/Oak/Sumac 688
Poisoning, Acetaminophen 690
Poisoning, Anticholinergic 692
Poisoning, Anticoagulant 694
Poisoning, Anticonvulsant 696
Poisoning, Beta-Blocker 698
Poisoning, Body Packers and Stuffers
(Ingested Drug Packages) 700
Poisoning, Caffeine/Theophylline 702
Poisoning, Calcium Channel Blocker 704
Poisoning, Carbon Monoxide/Cyanide and
Smoke Inhalation 706
Poisoning, Caustic Exposure 708
Poisoning, Cholinergic 710
Poisoning, Cocaine 712
Poisoning, Digoxin 714
Poisoning, Ethanol 716
Poisoning, Hallucinogen 718
Poisoning, Hydrocarbon 720
Poisoning, Hypoglycemic Agents 722
Poisoning, Inhalant Abuse 724
Poisoning, Iron 726
Poisoning, Lead 728
Poisoning, Nonsteroidal Anti-In?ammatory Drug 730
Poisoning, Opioid 732
Poisoning, Salicylate 734
Poisoning, Selective Serotonin Reuptake Inhibitors
(SSRI) 736
Poisoning, Stimulant 738
Poisoning, Toxic Alcohols 740
Poisoning, Tricyclic Antidepressant 742
Polycystic Kidney Disease 744
Polycystic Ovarian Syndrome 746
Polycythemia 748
Polydipsia 750
Pregnancy 752
Priapism 754
Procedural Sedation and Analgesia 756
Prolonged QT Interval 758
Pseudotumor Cerebri/Idiopathic Intracranial
Hypertension 760
Psoriasis 762
Psychosis 764
Pulmonary Contusion 766
Pulmonary Edema 768
Pulmonary Embolism 770
Pulseless Electrical Activity 772
Pyloric Stenosis 774
Pyogenic and Umbilical Granuloma 776
Rabies and Rabies Prophylaxis 778
Rash, Maculopapular 780
Rash, Neonatal 782
Rash, Petechiae 784
Rash, Purpura 786
Rash, Urticaria 788
Rash, Vesiculobullous 790
Rectal Bleeding 792
Rectal Prolapse 794
Renal Vein Thrombosis 796
Respiratory Failure 798
Reye Syndrome 800
Rhabdomyolysis 802
Rickettsial Disease 804
Roseola Infantum 806
Rubella 808
Salmonella 810
Scabies 812
Scarlet Fever 814
Seborrheic Dermatitis 816
Seizure 818
Sepsis Including Septic Shock 820
Serotonin Syndrome 822
Serum Sickness 824
Sexual Assault 826
Sexually Transmitted Infections 828
Shigella 830
Shock, Cardiogenic 832
Shock, Hypovolemic 834
Shock, Neurogenic 836
Sickle Cell Disease 838
Sinusitis 840
Slipped Capital Femoral Epiphysis (SCFE) 842
Spinal Cord Compression 844
Splenomegaly 846
Staphylococcal Scalded Skin Syndrome 848P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Stevens–Johnson Syndrome/TEN Spectrum 850
Strangulation 852
Stridor 854
Stroke 856
Subarachnoid Hemorrhage 858
Subdural Hematoma 860
Sudden Infant Death Syndrome 862
Suicide 864
Supraventricular Tachycardia 866
Syncope 868
Syndrome of Inappropriate Antidiuretic Hormone
Secretion (SIADH) 870
Syphilis 872
Systemic Lupus Erythematosus 874
Tachycardia 876
Tachypnea 878
Tapeworm and Cestode Infections 880
Teething 882
Tendon Laceration 884
Tendonitis 886
Tenosynovitis 888
Testicular Torsion 890
Tetanus and Tetanus Prophylaxis 892
Tetralogy of Fallot 894
Thrombocytopenia, Including ITP 896
Thrush 898
Tick-Borne Diseases 900
Tinea Capitis 902
Tinea Corporis 904
Tinea Versicolor 906
Tinnitus 908
Toxic Shock Syndrome 910
Tracheitis 912
Tracheostomy Complications 914
Transfusion Reaction 916
Transient Synovitis 918
Transverse Myelitis 920
Trauma, Abdominal 922
Trauma, Ankle 924
Trauma, Chest 926
Trauma, Dental 928
Trauma, Elbow 930
Trauma, Facial 932
Trauma, Foot/Toe 934
Trauma, Hand/Finger 936
Trauma, Head 938
Trauma, Knee 940
Trauma, Neck 942
Trauma, Oropharyngeal 944
Trauma, Penetrating 946
Trauma, Perineal 948
Trauma, Scrotal and Penile 950
Trauma, Shoulder 952
Trauma, Spinal Cord 954
Trauma, Vaginal 956
Tuberculosis 958
T ympanic Membrane Perforation 960
Unusual Odor 962
Upper Respiratory Infection 964
Urethral Prolapse 966
Urethritis 968
Urinary Frequency-Polyuria 970
Urinary Retention 972
Urinary Tract Infection/Pyelonephritis 974
Urolithiasis 976
Uveitis 978
Vaginal Bleeding during Early Pregnancy
(<20 Weeks) 980
Vaginal Bleeding during Pregnancy
(>20 Week Gestation) 982
Vaginal Bleeding, Prepubertal 984
Vaginal Bleeding, Pubertal/Abnormal Uterine
Bleeding 986
Vaginitis 988
Ventriculoperitoneal Shunt Infection 990
Ventriculoperitoneal Shunt Malfunction 992
Volvulus 994
Vomiting 996
Warts 998
Weakness 1000
Wheezing 1002
Withdrawal Syndromes 1004
Index 1007
Online Appendix. Procedural Sedation Drug
Recommendations
*
*
To view this online appendix see the eBook bundled with this text. Access instructions
are listed on the inside front cover.P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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TOPICAL TABLE OF CONTENTS
CardiovascularEmergencies
Asystole 58
Bradycardia 84
Brugada Syndrome 92
Cardiac Surgery Complications 100
Cardiomyopathy 102
Congenital Heart Disease 138
Congestive Heart Failure 140
Cyanosis 168
Cyanotic Heart Disease 170
Ductal-Dependent Cardiac Emergencies 226
Dysrhythmia, Atrial 228
Dysrhythmia, Ventricular 230
Heart Block 398
Heart Murmur 400
Hypertension, Hypertensive Crisis 446
Hypotension 466
Infective Endocarditis 482
Myocardial Contusion 568
Myocardial Infarction 570
Myocarditis 572
Palpitations 644
Patent Ductus Arteriosus 654
Pericardial Effusion/Tamponade 658
Pericarditis 660
Prolonged QT Interval 758
Pulseless Electrical Activity 772
Pulmonary Edema 768
Pulmonary Embolism 770
Sepsis Including Septic Shock 820
Shock, Cardiogenic 832
Shock, Hypovolemic 834
Sudden Infant Death Syndrome 862
Supraventricular Tachycardia 866
Syncope 868
Tachycardia 876
Tetralogy of Fallot 894
Dermatology/SoftTissueEmergencies
Abscess, Bartholin Gland 4
Abscess, Gluteal 8
Abscess, Ludwig Angina 12
Abscess, Perianal/Perirectal 14
Acne 20
Atopic Dermatitis 62
Avascular Necrosis of the Femoral Head 64
Breast Lesions 86
Burn, Chemical 94
Burn, Thermal 96
Candidiasis 98
Cellulitis 110
Cervical Lymphadenitis 114
Constricting Band/Tourniquet Syndrome 150
Contact Dermatitis 152
Diaper Rash 196
Drug Reaction with Eosinophilia and Systemic
Symptoms (DRESS) Syndrome 224
Eczema Herpeticum 238
Erythema Infectiosum 270
Erythema Multiforme 272
Erythema Nodosum 274
Felon 294
Foreign Body, Soft Tissue 320
Gynecomastia 392
Hemangioma 404
Impetigo 474
Lymphadenopathy 514
Mass, Neck 530
Mastitis 534
Molluscum Contagiosum 558
Omphalitis 604
Paronychia 650
Pilonidal Cyst 674
Pityriasis Rosea 676
Poison Ivy/Oak/Sumac 688
Psoriasis 762
Pyogenic and Umbilical Granuloma 776
Rash, Maculopapular 780
Rash, Neonatal 782
Rash, Petechiae 784
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Topical Table of Contents
Rash, Purpura 786
Rash, Urticaria 788
Rash, Vesiculobullous 790
Scabies 812
Seborrheic Dermatitis 816
Staphylococcal Scalded Skin Syndrome 848
Stevens–Johnson Syndrome/TEN Spectrum 850
Tendon Laceration 884
Tinea Capitis 902
Tinea Corporis 904
Tinea Versicolor 906
Warts 998
EndocrineEmergencies
Adrenal Insuf?ciency 28
Congenital Adrenal Hyperplasia 136
Cushing Syndrome 166
Diabetic Ketoacidosis 194
Gynecomastia 392
Hyperthyroidism 450
Hypoparathyroidism 464
Inborn Errors of Metabolism 476
Menses, Oligomenorrhea 548
Polycystic Ovarian Syndrome 746
Syndrome of Inappropriate Antidiuretic Hormone
Secretion (SIADH) 870
EnvironmentalEmergencies
Altitude Illness 34
Barotrauma, Sinus/Ear 70
Bites, Human and Animal 76
Burn, Thermal 96
Contact Dermatitis 152
Decompression Sickness 180
Diving Injuries 218
Drowning 222
Electrical Injury 242
Envenomation, Insect Bites & Stings 252
Envenomation, Marine 254
Envenomation, Scorpion 256
Envenomation, Snake 258
Envenomation, Spider 260
Foreign Body, Soft Tissue 320
Frostbite 364
Heat Illness 402
Hyperthermia 448
Hypothermia 468
Mass Casualty, Biological Exposures 518
Mass Casualty, Blast Injuries 520
Mass Casualty, Chemical Exposures 522
Mass Casualty, Radiation Exposures 524
Poison Ivy/Oak/Sumac 688
Rabies and Rabies Prophylaxis 778
GastrointestinalEmergencies
Abdominal Distention 2
Abscess, Perianal/Perirectal 14
Abscess, Peritonsillar 16
Abscess, Retropharyngeal 18
Anal Fissure 36
Appendicitis 48
Ascites 54
Biliary Tract Disease 72
Botulism 82
Colitis 128
Constipation 148
Cyclical Vomiting 172
Dehydration 184
Diarrhea 198
Esophageal Varices 276
Esophagitis 278
Food Poisoning 304
Foreign Body Ingestion 308
Foreign Body, Disc Battery 312
Foreign Body, Rectum 318
Gastritis 366
Gastroenteritis 368
Gastroesophageal Re?ux 370
Gastrointestinal Bleeding: Lower 372
Gastrointestinal Bleeding: Upper 374
Gastrointestinal Obstruction 376
Gastrostomy Tube Problems (GT, GJT, NGT) 378
Giardiasis 380
Hepatic Encephalopathy 420
Hepatitis, Acute 422
Hepatomegaly 424
Hernia 426
Hirschsprung Disease 430
In?ammatory Bowel Disease 484
Intussusception 488
Irritable Bowel Syndrome 490P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Jaundice, Conjugated Hyperbilirubinemia 492
Jaundice, Unconjugated Hyperbilirubinemia 494
Meckel’s Diverticulum 540
Mesenteric Adenitis 550
Necrotizing Enterocolitis 578
Pain, Abdomen 624
Pancreatitis 646
Peritonitis 666
Pyloric Stenosis 774
Rectal Bleeding 792
Rectal Prolapse 794
Reye Syndrome 800
Salmonella 810
Splenomegaly 846
Tapeworm and Cestode Infections 880
Thrush 898
Trauma, Abdominal 922
Volvulus 994
Vomiting 996
GenitourinaryEmergencies
Balanitis/Balanoposthitis 68
Epididymitis and Orchitis 262
Gonorrhea (All Ages) 386
Herpes Simplex 428
MASS, Scrotal 532
Pain, Scrotal 638
Paraphimosis 648
Phimosis 672
Priapism 754
Sexually Transmitted Infections 828
Syphilis 872
Testicular Torsion 890
Trauma, Perineal 948
Trauma, Scrotal and Penile 950
Urethral Prolapse 966
Urethritis 968
Urinary Frequency-Polyuria 970
Urinary Retention 972
Urinary Tract Infection/Pyelonephritis 974
Urolithiasis 976
Gynecologic/ObstetricEmergencies
Abscess, Bartholin Gland 4
Chlamydia (All Ages) 122
Ectopic Pregnancy 236
Emergency Contraception 244
Gonorrhea (All Ages) 386
Herpes Simplex 428
Hyperemesis Gravidarum 438
Imperforate Hymen 472
Labial Adhesions 498
Menses, Dysmenorrhea 546
Menses, Oligomenorrhea 548
Ovarian Cyst/Mass 620
Ovarian Torsion 622
Pelvic In?ammatory Disease 656
Placental Abruption 678
Pregnancy 752
Sexually Transmitted Infections 828
Syphilis 872
Trauma, Perineal 948
Trauma, Vaginal 956
Urethritis 968
Vaginal Bleeding during Early Pregnancy
(<20 Weeks) 980
Vaginal Bleeding during Pregnancy (>20 Week
Gestation) 982
Vaginal Bleeding, Prepubertal 984
Vaginal Bleeding, Pubertal/Abnormal Uterine
Bleeding 986
Vaginitis 988
Head/NeckEmergencies
Abscess, Dentoalveolar 6
Abscess, Intracranial 10
Abscess, Ludwig Angina 12
Abscess, Peritonsillar 16
Abscess, Retropharyngeal 18
Cavernous Sinus Thrombosis 108
Cervical Lymphadenitis 114
Dislocation, Temporomandibular Joint 212
Dizziness/Vertigo 220
Epistaxis 268
Facial Nerve (Bell’s) Palsy 288
Foreign Body, Ear Lobe/Ear Canal 314
Foreign Body, Nose 316
Fracture, Mandibular 340
Fracture, Nasal 342
Fracture, Orbital 344P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Topical Table of Contents
Fracture, Skull 354
Fracture, Zygoma 362
Mastoiditis 536
Oral Lesions/Stomatitis 606
Otitis Externa 616
Otitis Media 618
Pain, Ear 632
Parotitis 652
Perichondritis, Ear 662
Pharyngitis/Laryngitis 670
Sinusitis 840
Strangulation 852
Stridor 854
Teething 882
Tracheitis 912
Trauma, Dental 928
Trauma, Facial 932
Trauma, Head 938
Trauma, Neck 942
Trauma, Oropharyngeal 944
Upper Respiratory Infection 964
Hematologic/OncologicEmergencies
Acute Hemolytic Anemia 22
Anemia 40
Aplastic Anemia 44
Cavernous Sinus Thrombosis 108
Central Venous Catheter Infections 112
Disseminated Intravascular Coagulation 216
Epistaxis 268
Fever of Unknown Origin 300
Hemolytic Disease of the Newborn 408
Hemolytic Uremic Syndrome 410
Hemophilia 412
Leukemia 504
Leukopenia 506
Mass, Mediastinal 528
Methemoglobinemia 554
Neoplasm, Bone 584
Neoplasm, Brain 586
Neoplasm, Lymphoma 588
Neoplasm, Neuroblastoma 590
Neoplasm, Retinoblastoma 592
Neoplasm, Wilm’s Tumor 594
Pallor 642
Polycythemia 748
Renal Vein Thrombosis 796
Sickle Cell Disease 838
Spinal Cord Compression 844
Splenomegaly 846
Thrombocytopenia, Including ITP 896
Transfusion Reaction 916
ImmunologicEmergencies
Acute Rheumatic Fever 26
Anaphylaxis 38
Angioedema 42
Collagen Vascular Disease 130
Dermatomyositis 190
Drug Reaction with Eosinophilia and Systemic
Symptoms (DRESS) Syndrome 224
Erythema Multiforme 272
Erythema Nodosum 274
Hemolytic Disease of the Newborn 408
Kawasaki Disease 496
Lymphadenopathy 514
Serum Sickness 824
Stevens–Johnson Syndrome/TEN Spectrum 850
Systemic Lupus Erythematosus 874
Transfusion Reaction 916
InfectiousDisease
Abscess, Bartholin Gland 4
Abscess, Dentoalveolar 6
Abscess, Gluteal 8
Abscess, Intracranial 10
Abscess, Ludwig Angina 12
Abscess, Perianal/Perirectal 14
Abscess, Peritonsillar 16
Abscess, Retropharyngeal 18
Acute Rheumatic Fever 26
Arthritis, Septic 52
Bacteremia 66
Biliary Tract Disease 72
Botulism 82
Bronchiolitis 90
Candidiasis 98
Cat Scratch Disease 104
Cellulitis 110
Central Venous Catheter Infections 112
Cervical Lymphadenitis 114P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Chickenpox/Shingles 118
Chlamydia (All Ages) 122
Conjunctivitis, Neonatal 146
Croup 162
Dengue Fever 186
Discitis 200
Eczema Herpeticum 238
Emerging Infections (Ebola, Zika, Bird Flu, etc.) 246
Empyema 248
Encephalitis 250
Epididymitis and Orchitis 262
Epiglottitis/Supraglottitis 266
Erythema Infectiosum 270
Eye, Red 280
Febrile Seizure 292
Felon 294
Fever in Children over 3 Months 296
Fever in Children under 3 Months 298
Fever of Unknown Origin 300
Food Poisoning 304
Gastroenteritis 368
Giardiasis 380
Gonorrhea (All Ages) 386
Group B Streptococcal Infection 388
Hematuria 406
Hepatitis, Acute 422
Herpes Simplex 428
HIV/AIDS 432
Impetigo 474
Infectious Mononucleosis 480
Infective Endocarditis 482
In?uenza 486
Lice (Pediculosis) 508
Lyme Disease 512
Malaria 516
Mastitis 534
Mastoiditis 536
Measles 538
Meningitis 542
Meningococcemia 544
Mesenteric Adenitis 550
Molluscum Contagiosum 558
Mumps 560
Myocarditis 572
Neck Stiffness 576
Needle Stick 582
Necrotizing and Plantar Fasciitis 580
Omphalitis 604
Orbital Cellulitis 608
Osteomyelitis 614
Otitis Externa 616
Otitis Media 618
Paronychia 650
Parotitis 652
Pelvic In?ammatory Disease 656
Pericarditis 660
Perichondritis, Ear 662
Periorbital Cellulitis 664
Peritonitis 666
Pertussis 668
Pharyngitis/Laryngitis 670
Pilonidal Cyst 674
Pneumonia, Aspiration 682
Pneumonia, Bacterial and Atypical 684
Rabies and Rabies Prophylaxis 778
Rash, Petechiae 784
Rash, Purpura 786
Rash, Vesiculobullous 790
Reye Syndrome 800
Rickettsial Disease 804
Roseola Infantum 806
Rubella 808
Salmonella 810
Scabies 812
Scarlet Fever 814
Sepsis Including Septic Shock 820
Sexually Transmitted Infections 828
Shigella 830
Sinusitis 840
Staphylococcal Scalded Skin Syndrome 848
Stridor 854
Syphilis 872
Tapeworm and Cestode Infections 880
Tetanus and Tetanus Prophylaxis 892
Thrush 898
Tick-Borne Diseases 900
Tinea Capitis 902
Tinea Corporis 904P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Tinea Versicolor 906
Toxic Shock Syndrome 910
Tracheitis 912
Tuberculosis 958
Upper Respiratory Infection 964
Urethritis 968
Urinary Retention 972
Urinary Tract Infection/Pyelonephritis 974
Vaginitis 988
Ventriculoperitoneal Shunt Infection 990
Ventriculoperitoneal Shunt Malfunction 992
Vomiting 996
Warts 998
MetabolicEmergencies
Adrenal Insuf?ciency 28
Congenital Adrenal Hyperplasia 136
Cyclical Vomiting 172
Diabetic Ketoacidosis 194
Disorders of Energy Metabolism (Mitochondrial
Disease) 214
Hepatic Encephalopathy 420
Hypercalcemia 436
Hyperglycemia 440
Hyperkalemia 442
Hypernatremia 444
Hypocalcemia 456
Hypoglycemia 458
Hypokalemia 460
Hyponatremia 462
Hypoparathyroidism 464
Rhabdomyolysis 802
Nephrology
Acute Kidney Injury 24
Diabetes Insipidus 192
Glomerulonephritis 384
Hematuria 406
Henoch-Sch¨ onlein Purpura 418
Metabolic Acidosis 552
Nephrotic Syndrome 596
Polycystic Kidney Disease 744
Renal Vein Thrombosis 796
Urinary Tract Infection/Pyelonephritis 974
Urolithiasis 976
NeurologicEmergencies
Abscess, Intracranial 10
Altered Level of Consciousness/Coma 32
Apnea 46
Ataxia 60
Blindness 80
Botulism 82
Cauda Equina Syndrome 106
Cavernous Sinus Thrombosis 108
Concussion 134
Dizziness/Vertigo 220
Dystonia 232
Encephalitis 250
Epidural Hematoma 264
Eye, Strabismus 282
Eye, Visual Disturbance 284
Facial Nerve (Bell’s) Palsy 288
Febrile Seizure 292
Fracture, Cervical Spine 324
Fracture, Skull 354
Guillain–Barr´ e Syndrome 390
Headache 394
Hearing Loss 396
Hepatic Encephalopathy 420
Hydrocephalus 434
Infantile Spasm 478
Meningococcemia 544
Migraine Headaches 556
Muscular Dystrophy 564
Myasthenia Gravis 566
Neuroleptic Malignant Syndrome 598
Pseudotumor Cerebri/Idiopathic Intracranial
Hypertension 760
Seizure 818
Shock, Neurogenic 836
Stroke 856
Subarachnoid Hemorrhage 858
Subdural Hematoma 860
Syncope 868
Syndrome of Inappropriate Antidiuretic Hormone
Secretion (SIADH) 870
Tinnitus 908
Transverse Myelitis 920
Trauma, Head 938
Trauma, Spinal Cord 954P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Ventriculoperitoneal Shunt Infection 990
Ventriculoperitoneal Shunt Malfunction 992
Weakness 1000
Withdrawal Syndromes 1004
NontraumaticMusculoskeletalEmergencies
Acute Rheumatic Fever 26
Arthritis, Idiopathic 50
Arthritis, Septic 52
Costochondritis 158
Deep Vein Thrombosis (Venous Thromboembolism) 182
Discitis 200
Dystonia 232
Immobile Arm 470
Limp 510
Lyme Disease 512
Mass, Extremity 526
Necrotizing and Plantar Fasciitis 580
Osteomyelitis 614
Slipped Capital Femoral Epiphysis (SCFE) 842
Spinal Cord Compression 844
Tenosynovitis 888
Transient Synovitis 918
OphthalmologicEmergencies
Blepharitis 78
Blindness 80
Chalazion & Hordeolum 116
Conjunctival Injury 142
Conjunctivitis 144
Conjunctivitis, Neonatal 146
Corneal Abrasion 156
Dacryocystitis/Dacryostenosis 178
Eye, Red 280
Eye, Strabismus 282
Eye, Visual Disturbance 284
Eye: Unequal Pupils 286
Foreign Body, Cornea 310
Fracture, Orbital 344
Globe Rupture 382
Hyphema 454
Orbital Cellulitis 608
Periorbital Cellulitis 664
Uveitis 978
OrthopedicInjuries
Compartment Syndrome 132
Dislocation, Elbow 202
Dislocation, Finger/Phalanx 204
Dislocation, Knee 206
Dislocation, Patella 208
Dislocation, Shoulder 210
Dislocation, Temporomandibular Joint 212
Fracture, Ankle 322
Fracture, Cervical Spine 324
Fracture, Clavicle 326
Fracture, Digit 328
Fracture, Elbow 330
Fracture, Femur 332
Fracture, Foot 334
Fracture, Forearm 336
Fracture, Humerus 338
Fracture, Patella 346
Fracture, Pelvic 348
Fracture, Scapula 352
Fracture, Spine-Thoracic, Lumbar, Sacral, Coccygeal 356
Fracture, Tibia and Fibula 358
Fracture, Wrist 360
Immobile Arm 470
Nursemaid’s Elbow 600
Osgood–Schlatter Disease 610
Osteogenesis Imperfecta 612
Pain, Arm 626
Pain, Leg 636
Slipped Capital Femoral Epiphysis (SCFE) 842
Trauma, Ankle 924
Trauma, Elbow 930
Trauma, Foot/Toe 934
Trauma, Hand/Finger 936
Trauma, Knee 940
Trauma, Neck 942
Trauma, Shoulder 952
Trauma, Spinal Cord 954
PresentingSignsandSymptoms
Abdominal Distention 2
Altered Level of Consciousness/Coma 32
Apnea 46
Blindness 80
Breast Lesions 86P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Brief Resolved Unexplained Event (BRUE) 88
Constipation 148
Cough 160
Croup 162
Crying/Colic 164
Cyanosis 168
Dehydration 184
Diaper Rash 196
Diarrhea 198
Dizziness/Vertigo 220
Dystonia 232
Edema 240
Epistaxis 268
Esophagitis 278
Eye, Red 280
Eye, Strabismus 282
Eye, Visual Disturbance 284
Facial Nerve (Bell’s) Palsy 288
Failure to Thrive 290
Fever in Children over 3 Months 296
Fever in Children under 3 Months 298
Fever of Unknown Origin 300
Gastritis 366
Gynecomastia 392
Headache 394
Hearing Loss 396
Heart Murmur 400
Hematuria 406
Hemoptysis 414
Hepatomegaly 424
Hypertension, Hypertensive Crisis 446
Hyperthermia 448
Hypotension 466
Hypothermia 468
Hyperventilation/Panic Attack 452
Immobile Arm 470
Limp 510
Lymphadenopathy 514
Mass, Neck 530
Neck Stiffness 576
Oral Lesions/Stomatitis 606
Pain, Abdomen 624
Pain, Back 628
Pain, Chest 630
Pain, Eye 634
Pain, Scrotal 638
Pain, Throat 640
Palpitations 644
Pharyngitis/Laryngitis 670
Polydipsia 750
Procedural Sedation and Analgesia 756
Rectal Bleeding 792
Rectal Prolapse 794
Respiratory Failure 798
Supraventricular Tachycardia 866
Syncope 868
Tachycardia 876
Teething 882
Unusual Odor 962
Urinary Frequency-Polyuria 970
Vomiting 996
Weakness 1000
Wheezing 1002
PsychiatricEmergencies
Agitation 30
Bipolar Disorder/Mania 74
Child Abuse 120
Conversion Disorder 154
Depression 188
Eating Disorders 234
Munchausen Syndrome by Proxy
(Factitious Illness by Proxy) 562
Psychosis 764
Suicide 864
RespiratoryEmergencies
Abscess, Retropharyngeal 18
Apnea 46
Asthma 56
Bronchiolitis 90
Chronic Lung Disease Exacerbations 124
Cough 160
Croup 162
Cyanosis 168
Cystic Fibrosis: Exacerbation 174
Cystic Fibrosis: New Diagnosis 176
Drowning 222
Empyema 248
Epiglottitis/Supraglottitis 266P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Flail Chest 302
Fracture, Rib 350
Hemoptysis 414
Hemothorax 416
Hyperventilation/Panic Attack 452
In?uenza 486
Laryngomalacia/Tracheomalacia 502
Obstructive Sleep Apnea Syndrome 602
Pertussis 668
Pleural Effusion 680
Pneumonia, Aspiration 682
Pneumonia, Bacterial and Atypical 684
Pneumothorax/Pneumomediastinum 686
Pulmonary Contusion 766
Pulmonary Edema 768
Pulmonary Embolism 770
Respiratory Failure 798
Strangulation 852
Stridor 854
Sudden Infant Death Syndrome 862
Tachypnea 878
Tracheostomy Complications 914
Tuberculosis 958
Wheezing 1002
SurgicalEmergencies
Abdominal Distention 2
Abscess, Ludwig Angina 12
Appendicitis 48
Arthritis, Septic 52
Colitis 128
Compartment Syndrome 132
Ectopic Pregnancy 236
Epidural Hematoma 264
Foreign Body Aspiration 306
Gastrointestinal Bleeding: Lower 372
Gastrointestinal Bleeding: Upper 374
Hirschsprung Disease 430
Intussusception 488
MASS, Scrotal 532
Meckel’s Diverticulum 540
Necrotizing Enterocolitis 578
Orbital Cellulitis 608
Ovarian Torsion 622
Pain, Abdomen 624
Pericardial Effusion/Tamponade 658
Pericarditis 660
Pneumothorax/Pneumomediastinum 686
Pyloric Stenosis 774
Rectal Bleeding 792
Spinal Cord Compression 844
Testicular Torsion 890
Trauma, Abdominal 922
Ventriculoperitoneal Shunt Malfunction 992
Volvulus 994
Toxicology/Poisoning
Botulism 82
Burn, Chemical 94
Clonidine Toxicity 126
Envenomation, Insect Bites & Stings 252
Envenomation, Marine 254
Envenomation, Scorpion 256
Envenomation, Snake 258
Envenomation, Spider 260
Food Poisoning 304
Foreign Body, Disc Battery 312
Mass Casualty, Biological Exposures 518
Mass Casualty, Blast Injuries 520
Mass Casualty, Chemical Exposures 522
Mass Casualty, Radiation Exposures 524
Methemoglobinemia 554
Poisoning, Acetaminophen 690
Poisoning, Anticholinergic 692
Poisoning, Anticoagulant 694
Poisoning, Anticonvulsant 696
Poisoning, Beta-Blocker 698
Poisoning, Body Packers and Stuffers
(Ingested Drug Packages) 700
Poisoning, Caffeine/Theophylline 702
Poisoning, Calcium Channel Blocker 704
Poisoning, Carbon Monoxide/Cyanide and
Smoke Inhalation 706
Poisoning, Caustic Exposure 708
Poisoning, Cholinergic 710
Poisoning, Cocaine 712
Poisoning, Digoxin 714
Poisoning, Ethanol 716
Poisoning, Hallucinogen 718
Poisoning, Hydrocarbon 720P1: OSO/OVY P2: OSO/OVY QC: OSO/OVY T1: OSO
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Poisoning, Hypoglycemic Agents 722
Poisoning, Inhalant Abuse 724
Poisoning, Iron 726
Poisoning, Lead 728
Poisoning, Nonsteroidal Anti-In?ammatory Drug 730
Poisoning, Opioid 732
Poisoning, Salicylate 734
Poisoning, Selective Serotonin Reuptake Inhibitors
(SSRI) 736
Poisoning, Stimulant 738
Poisoning, Toxic Alcohols 740
Poisoning, Tricyclic Antidepressant 742
Serotonin Syndrome 822
Withdrawal Syndromes 1004
Trauma
Barotrauma, Sinus/Ear 70
Bites, Human and Animal 76
Child Abuse 120
Compartment Syndrome 132
Concussion 134
Conjunctival Injury 142
Corneal Abrasion 156
Decompression Sickness 180
Dislocation, Knee 206
Dislocation, Patella 208
Diving Injuries 218
Electrical Injury 242
Fracture, Clavicle 326
Fracture, Femur 332
Fracture, Foot 334
Fracture, Forearm 336
Fracture, Humerus 338
Fracture, Mandibular 340
Fracture, Nasal 342
Fracture, Orbital 344
Fracture, Patella 346
Fracture, Pelvic 348
Fracture, Scapula 352
Fracture, Skull 354
Fracture, Wrist 360
Fracture, Zygoma 362
Globe Rupture 382
Hemothorax 416
Laceration Repair 500
Myocardial Contusion 568
Nail Bed Injuries 574
Needle Stick 582
Nursemaid’s Elbow 600
Pericardial Effusion/Tamponade 658
Pulmonary Contusion 766
Sexual Assault 826
Shock, Neurogenic 836
Strangulation 852
Subdural Hematoma 860
Tendon Laceration 884
Tendonitis 886
Tetanus and Tetanus Prophylaxis 892
Trauma, Abdominal 922
Trauma, Ankle 924
Trauma, Chest 926
Trauma, Dental 928
Trauma, Elbow 930
Trauma, Facial 932
Trauma, Foot/Toe 934
Trauma, Hand/Finger 936
Trauma, Head 938
Trauma, Knee 940
Trauma, Neck 942
Trauma, Oropharyngeal 944
Trauma, Penetrating 946
Trauma, Perineal 948
Trauma, Scrotal and Penile 950
Trauma, Shoulder 952
Trauma, Spinal Cord 954
Trauma, Vaginal 956
T ympanic Membrane Perforation 960
VascularEmergencies
Collagen Vascular Disease 130
Esophageal Varices 276