Perlèche (Angular Cheilitis)
CHAPTER 56 Perlèche (Angular Cheilitis) Presentation The patient complains of inflammation and soreness of the skin and contiguous labial mucous membranes at the angles of the mouth (Figure 56-1). On…
Ultraviolet Keratoconjunctivitis (Welder’s or Tanning Bed Burn)
CHAPTER 25 Ultraviolet Keratoconjunctivitis (Welder’s or Tanning Bed Burn) Presentation The patient arrives in the ED or clinic complaining of severe, intense, burning eye pain, usually bilateral, beginning 6 to…
Trivial, Minimal, and Minor Head Trauma (Concussion)
CHAPTER 10 Trivial, Minimal, and Minor Head Trauma (Concussion) Presentation Trivial or minimal head injuries are those that occur when an individual has been struck by a lightweight stick, has…
Dental Pain, Postextraction Alveolar Osteitis (Dry Socket)
Treatment is optimized by first administering an anesthetic nerve block with a long-acting local anesthetic, such as bupivacaine (Marcaine) 0.5% (see Appendix D). Irrigate the socket with warm normal saline…
Hordeolum (Stye)
CHAPTER 19 Hordeolum (Stye) Presentation The patient complains of redness, nodular swelling, and pain in the eyelid, perhaps at the base of an eyelash (stye or external hordeolum) or deep…
Mucocele (Mucous Cyst)
CHAPTER 52 Mucocele (Mucous Cyst) Presentation A patient may be alarmed by the rapid development of a soft, rounded, nontender, fluctuant cyst, most often found inside the lower lip. The…
Periorbital and Conjunctival Edema
CHAPTER 21 Periorbital and Conjunctival Edema Presentation The patient is frightened by facial distortion and itching that appeared either spontaneously or up to 24 hours after being bitten by a…
Dental Pain, Pulpitis
Administer a strong analgesic, such as oxycodone in combination with acetaminophen (Percocet, Tylox), and prescribe additional medication, including nonsteroidal anti-inflammatory drugs (NSAIDs), for home use. Severe pain may necessitate a…
Idiopathic Facial Paralysis (Bell’s Palsy)
CHAPTER 5 Idiopathic Facial Paralysis (Bell’s Palsy) Presentation The patient with this condition is often frightened by his facial disfigurement or fear of having had a stroke. He complains of…
Subconjunctival Hemorrhage
CHAPTER 24 Subconjunctival Hemorrhage Presentation This condition may occur spontaneously or may follow a minor trauma, coughing episode, vomiting, straining at stool, or heavy exercise. There is no pain or…
