Lacerations of the Mouth
Provide appropriate tetanus prophylaxis (see Appendix H), and check for associated injuries, such as loose teeth and mandibular or facial fractures. Crushed ice wrapped in clean gauze and held inside…
Lumbar Strain, Acute (“Mechanical” Low Back Pain, Sacroiliac Dysfunction)
CHAPTER 119 Lumbar Strain, Acute (“Mechanical” Low Back Pain, Sacroiliac Dysfunction) Presentation Suddenly or gradually, after lifting, sneezing, bending, or other movement, the patient develops a steady pain in one…
Annular Ligament Displacement, Radial Head Subluxation (Nursemaid’s Elbow)
CHAPTER 98 Annular Ligament Displacement, Radial Head Subluxation (Nursemaid’s Elbow) Presentation A toddler who is between 1 and 4 years of age has received a sudden jerk on his arm,…
Frostnip, Frostbite, and Mild Hypothermia
CHAPTER 169 Frostnip, Frostbite, and Mild Hypothermia Presentation Frostnip occurs when skin surfaces, such as the tip of the nose and ears, are exposed to an environment cold enough to…
Plantar Fasciitis (“Heel Spur”)
CHAPTER 125 Plantar Fasciitis (“Heel Spur”) Presentation Patients seek help because of gradually increasing inferior heel pain that has progressed to the point of inhibiting their normal daily activities. This…
Tendinopathy: Tendinosis, Paratenonitis (Tendinitis)
CHAPTER 132 Tendinopathy: Tendinosis, Paratenonitis (Tendinitis) Presentation There is pain along an involved tendon, often poorly localized, that worsens with motion, resisted contraction, or passive stretching. A vibratory crepitus may…
“Morning After” Emergency Contraception
CHAPTER 92 “Morning After” Emergency Contraception Presentation A woman had unprotected sexual intercourse in the past 24 to 72 hours and wants to prevent an unplanned pregnancy. Emergency contraception is…
Otitis Externa (Swimmer’s Ear), Acute
CHAPTER 34 Otitis Externa (Swimmer’s Ear), Acute Presentation In acute otitis externa (AOE), the patient complains of ear pain, which is always uncomfortable and sometimes unbearable, often accompanied by drainage…
Patellar Dislocation (Kneecap Dislocation)
CHAPTER 124 Patellar Dislocation (Kneecap Dislocation) Presentation After a direct blow to the medial aspect of the patella or, more commonly, without contact and only after a sudden twisting motion…
Warts (Common Wart, Plantar Wart)
CHAPTER 184 Warts (Common Wart, Plantar Wart) Presentation Patients generally seek medical care when a wart has become painful, partially avulsed, or cosmetically unacceptable and annoying. Common warts usually appear…
