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…
Prostatitis, Acute Bacterial
CHAPTER 82 Prostatitis, Acute Bacterial Presentation A man complains of acute onset of malaise, fever, chills, and perineal or low back pain. He also may have dysuria, urinary urgency and…
Irritant Incapacitant Exposure (Lacrimators, Riot Control Agents, Tear Gas)
CHAPTER 64 Irritant Incapacitant Exposure (Lacrimators, Riot Control Agents, Tear Gas) Presentation The patient may have been sprayed with tear gas (e.g., Mace) during a riot being dispersed by the…
Removal of Dislocated Contact Lens
CHAPTER 23 Removal of Dislocated Contact Lens Presentation The patient may know that the lens has dislocated into one of the recesses of the conjunctiva and complains only of the…
Heat Illness (Heat Edema, Heat Syncope, Heat Cramps, Heat Exhaustion)
CHAPTER 2 Heat Illness (Heat Edema, Heat Syncope, Heat Cramps, Heat Exhaustion) Presentation Heat illnesses are a spectrum of illnesses resulting from failure of the body’s normal thermoregulatory mechanisms after…
Locked Knee
CHAPTER 118 Locked Knee Presentation The patient, usually with a history of a previous knee injury, and often with previous knee locking, suddenly develops a mechanical inability to extend her…
Enterobiasis (Pinworm, Threadworm, Seatworm)
CHAPTER 69 Enterobiasis (Pinworm, Threadworm, Seatworm) Presentation The patient complains of severe perianal and/or vaginal irritation and itching, which is worse at night and may contribute to insomnia or superinfection…
Gingivitis and Acute Necrotizing Ulcerative Gingivitis (Trench Mouth)
CHAPTER 50 Gingivitis and Acute Necrotizing Ulcerative Gingivitis (Trench Mouth) Presentation With mild gingivitis, the patient’s gums bleed easily and become red and swollen with increased sensitivity. As symptoms worsen,…
Cutaneous Larva Migrans (Creeping Eruption)
CHAPTER 164 Cutaneous Larva Migrans (Creeping Eruption) Presentation The patient has an intensely pruritic, thin, erythematous, serpiginous, raised eruption on the sole of the foot, hand, or buttock (Figure 164-1)….
