Foreign Body, Swallowed
CHAPTER 72 Foreign Body, Swallowed Presentation Parents bring in a young child (usually between the ages of 6 months and 6 years) shortly after the child has swallowed a coin,…
Nail Bed Laceration
CHAPTER 146 Nail Bed Laceration Presentation The patient has either cut into his nail with a sharp edge or crushed his finger (commonly in a door). With shearing forces, the…
Arthropod Bites (Bug Bites, Insect Bites)
CHAPTER 162 Arthropod Bites (Bug Bites, Insect Bites) Presentation Patients with bug or insect bites seek medical help, because they are miserable with itching or secondary infection, or they are…
Urticaria, Acute (Hives)
CHAPTER 183 Urticaria, Acute (Hives) Presentation The patient is generally very uncomfortable with intense itching. There may be a history of similar episodes and perhaps a known precipitating agent (bee…
Torn/Split Earlobe
CHAPTER 157 Torn/Split Earlobe Presentation A patient comes to the emergency department or clinic with an earlobe torn by a sudden pull on an earring. Contributing factors might include previous…
Tinea Pedis, Tinea Cruris, Tinea Corporis (Athlete’s Foot, Jock Itch, Ringworm)
CHAPTER 181 Tinea Pedis, Tinea Cruris, Tinea Corporis (Athlete’s Foot, Jock Itch, Ringworm) Presentation Patients usually seek medical care for “athlete’s foot,” “jock itch,” or “ringworm” when pruritus is severe…
Gouty Arthritis, Acute
CHAPTER 114 Gouty Arthritis, Acute Presentation Usually, a middle-aged male patient with an established diagnosis of gout or hyperuricemia rapidly develops an intensely painful monarticular arthritis, often in the middle…
Subungual Hematoma
CHAPTER 156 Subungual Hematoma Presentation After a blow or crushing injury to the fingernail or toenail (i.e., stubbing one’s toe or having one’s finger closed in a door), the patient…
Zipper Entrapment (Penis or Chin)
CHAPTER 159 Zipper Entrapment (Penis or Chin) Presentation Usually a child has dressed too quickly and, possibly not wearing underpants, has accidentally pulled penile skin into his zipper. The skin…
Toxicodendron (Rhus), Allergic Contact Dermatitis (Poison Ivy, Oak, or Sumac)
CHAPTER 182 Toxicodendron (Rhus) Allergic Contact Dermatitis (Poison Ivy, Oak, or Sumac) Presentation The patient is troubled with an intensely pruritic rash that often consists of raised lesions that develop…
