Get Case files. Emergency medicine PDF

By Toy, Eugene C.

ISBN-10: 0071770828

ISBN-13: 9780071770828

"Real lifestyles situations for the emergency medication clerkship and shelf-exam. Case records: Emergency medication offers 50 real-life situations that illustrate crucial thoughts in emergency drugs. each one case incorporates a whole dialogue, medical pearls, references, definitions of key words, and USMLE-style evaluation questions. With the program, you are going to study within the context of genuine sufferers, rather than purely memorize evidence. 60  Read more...

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Extra resources for Case files. Emergency medicine

Sample text

Viruses are the most common cause of pharyngitis. Group A streptococcus causes pharyngitis in 5% to 10% of adults and 15% to 30% of children who seek medical care with the complaint of sore throat. It is often clinically indistinguishable from other etiologies, yet it is the major treatable cause of pharyngitis. Primary HIV infection may also cause acute pharyngitis, and its recognition can be beneficial because early antiretroviral therapy can be started. Infectious mononucleosis is also important to exclude because of the risk of splenomegaly and splenic rupture.

2009; 151(11):812-815. Cooper RJ, Hoffman JR, Bartlett, JG, et al. Principles of appropriate antibiotic use for acute pharyngitis in adults: background. Ann Intern Med. 2001;134:509-517. Lee JL, Naguwa SM, Cesma GS, Gerhwin ME. Acute rheumatic fever and its consequences: A persistent threat to developing nations in the 21st century. Autoimmunity Reviews. 2009;9:117-123. Linder JA, Chan JC, Bates DW et al. Evaluation and treatment of pharyngitis in primary care: the difference between guidelines is largely academic.

Results are point-of-care and available in minutes. Many experts recommend confirmation of negative RAT with throat culture. Individuals with positive RAT results should be treated. Newer technologies, such as the optical immunoassay, may prove to be as sensitive as throat cultures while providing results within minutes; its cost-effectiveness has not been established. If RAT is available, then one accepted algorithm is given in Figure 1–1. Centor criteria (see Table 1–1) 2 to 3 points 4 points 0 to 1 point RAT Treat with antibiotic; no further testing No further tests No antibiotic + – Treat with antibiotic Figure 1–1.

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Case files. Emergency medicine by Toy, Eugene C.


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