Petechiae and Purpura

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Petechiae and Purpura

HIGH-YIELD FACTS Print Section Listen Purpura may be a sign of an underlying life-threatening illness that requires immediate attention. Petechiae above the nipple line with a history of cough or…

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Sexually Transmitted Diseases

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Sexually Transmitted Diseases

HIGH-YIELD FACTS Print Section Listen Chlamydia and gonorrhea are most common among 15- to 19-year-old women. Throughout the United States, medical care for sexually transmitted diseases (STDs) can be provided…

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Male Genitourinary Problems

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Male Genitourinary Problems

HIGH-YIELD FACTS Print Section Listen Acute scrotal pain is usually caused by testicular torsion, epididymitis, or torsion of the appendix testis, and should be considered a surgical emergency until proven…

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Urinary Tract Diseases

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Urinary Tract Diseases

HIGH-YIELD FACTS Print Section Listen Signs and symptoms of a urinary tract infection (UTI) may be nonspecific in neonates and young infants. Urinary catheterization is the preferred method for obtaining…

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Specific Renal Syndromes

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Specific Renal Syndromes

HIGH-YIELD FACTS Print Section Listen Edema, hematuria, and oliguria suggest acute glomerulonephritis. Children with nephrotic syndrome are usually immunocompromised and are at risk for life-threatening infection. Patients with hemolytic uremic…

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Hypo- and Hypernatremia Abnormalities

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Hypo- and Hypernatremia Abnormalities

HIGH-YIELD FACTS Print Section Listen Sodium concentration reflects both the sodium and water contents of the body. Arginine vasopressin (AVP) is one of the primary regulatory hormones for sodium concentration….

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Hypo- and Hyperkalemia Abnormalities

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Hypo- and Hyperkalemia Abnormalities

HIGH-YIELD FACTS Print Section Listen Serum potassium levels reflect only 2% of total body potassium. Therapy for hyperkalemia is aimed at halting intake, stabilizing cellular membranes, intracellular translocation, and enhancing…

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Fluid and Electrolyte Disorders

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Fluid and Electrolyte Disorders

HIGH-YIELD FACTS Print Section Listen Fluid therapy is guided by knowledge of the composition, distribution, and movement of body water. Fluid requirements are divided into three parts: Maintenance fluids Deficit…

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Acid–Base Disturbances in Children

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Acid–Base Disturbances in Children

HIGH-YIELD FACTS Print Section Listen Metabolic acidosis is usually accompanied by respiratory compensation (tachypnea). Chronic respiratory acidosis is usually accompanied by gradual metabolic compensation (increases in serum bicarbonate). Acute respiratory…

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