Perforated Tympanic Membrane (Ruptured Eardrum)
CHAPTER 37 Perforated Tympanic Membrane (Ruptured Eardrum) Presentation The patient experiences ear pain after barotrauma, such as a blow or slap on the ear, an exploding firecracker, a fall while…
Bleeding after Dental Surgery
CHAPTER 43 Bleeding after Dental Surgery Presentation The patient who had an extraction or other dental surgery performed earlier in the day now has excessive bleeding at the site and…
Cerumen Impaction (Earwax Blockage)
When excessive cerumen causes pain, hearing loss, vertigo, or disequilibrium, it must be removed. Another indication for removal is when it obscures visualization of a symptomatic tympanic membrane. Irrigation and…
Contact Lens Complications
CHAPTER 15 Contact Lens Complications Presentation A patient who wears hard, impermeable, or rigid gas permeable contact lenses comes to the emergency department in the early morning complaining of severe…
Coccyx Fracture (Tailbone Fracture)
CHAPTER 106 Coccyx Fracture (Tailbone Fracture) Presentation The patient slipped and fell on his buttocks or tailbone, was kicked or injured during an athletic activity, directly impacting the sacrococcygeal synchondrosis,…
Innocuous Ingestions
CHAPTER 74 Innocuous Ingestions Presentation Frightened parents call or arrive in the ED or clinic with a 2-year-old child who has just swallowed some household product, such as laundry bleach….
Muscle Cramps (Charley Horse)
CHAPTER 121 Muscle Cramps (Charley Horse) Presentation The patient complains of painful, visible, palpable muscle contractions, often affecting the gastrocnemius muscle or small muscles of the foot or hand. Ordinary…
Flexor Digitorum Profundus Tendon Avulsion—Distal Phalanx (Splay Finger)
CHAPTER 112 Flexor Digitorum Profundus Tendon Avulsion—Distal Phalanx (Splay Finger) Presentation The patient has injured his finger tip by falling backward and striking it on the floor or hitting it…
Costochondritis and Musculoskeletal Chest Pain
CHAPTER 62 Costochondritis and Musculoskeletal Chest Pain Presentation The patient, usually between the ages of 15 and 39, complains of a day or more of steady aching with intermittent stabbing…
Contact Vulvovaginitis
CHAPTER 89 Contact Vulvovaginitis Presentation Patients complain of severe vulvar itching that may be accompanied by edematous swelling. Occasionally, there will be tenderness, pain, burning, and dysuria severe enough to…
