Onset (min) Initial dose (mg) Considerations Benzodiazepines Diazepam 30 5–10 IV Avoid IM because of unpredictable absorption. Useful in the setting of alcohol withdrawal Lorazepam 2–5 IV, 15–30 IM…

(a) Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance)…

FDA-approved sedative-hypnotics Flurazepam Quazepam Triazolam Estazolam Temazepam Pitfalls 1. Prescribing for pregnant patients.   2. Prescribing for poorly treated patients with sleep apnea.   3. Prescribing for patients with history…

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_24 24. Skin Problems Gail A. Knight1   and Cheri N. Adgerson2   (1) Emergency Medicine, UF Health Shands Hospital, Gainesville, FL 32610, USA (2) Dermatology, UF Health…

Radiologic procedure Ratinga Comments X-ray lumbar spine 7 Initial study of choice especially in setting of osteoporosis or osteoporosis risk factors CT lumbar spine without contrast 7 If suspicion for…

Fig. 21.1 Primary vs. secondary dysmenorrhea flow diagram. [3] 21.7 Introduction to Treatment Increased levels of circulating PGF2α and PGE2 lead to increased myometrial contraction, vasoconstriction, and hypersensitization of pain…

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_17 17. Constipation Alpa Desai1   and Bobby Desai2   (1) Community Health and Family Medicine, University of Florida, Newberry, FL, USA (2) Emergency Medicine,…

Agent Brief clinical tidbits Treatment Campylobacter, Shigella, Salmonella, Yersinia Invasive diarrhea characterized by fever, bloody stools TMP/SMX or fluoroquinolone for 3 days (may reduce duration of shedding); see below for…

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_19 19. Hemorrhoids Run Gan1   (1) Family Medicine, UF Health, Gainesville, FL 32669, USA     Run Gan Email: rungan@ufl.edu KeywordsHemorrhoidsInternal and external hemorrhoidsProlapse…