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List of contributors ix
Foreword xii
Preface xiv
Illustration credits xv
Part I Case Presentations and Questions 1
1 Slash Wound to the Neck 3Kevin S. Barlotta MD and Alexander B. Baer MD
2 "I've Got Blood in My Eye" 3Chris S. Bergstrom MD and Alexander B. Baer MD
3 Forearm Fracture After Falling 4Alexander B. Baer MD
4 A Neonate with Fever and Rash 4David L. Eldridge MD
5 A Missing Button Battery 5Brendan G. Carr MD and Sarah E. Winters MD MSCE
6 Anorexia Hair Loss and Fingernail Bands 6Christopher P. Holstege MD
7 Wide Complex Tachycardia in a Young Adult 6William J. Brady MD
8 Wide Complex Tachycardia in an Older Male Patient 7William J. Brady MD
9 Muscle Spasms Following a Spider Bite 8J. Michael Kowalski DO and Adam K. Rowden DO
10 Necrotic Skin Lesion 8David A. Kasper DO MBA Aradhna Saxena MD and Kenneth A. Katz MD
11 Intense Pain Following High-pressure Injection Injury 9David T. Lawrence DO
12 Prenatal Vitamin Overdose 9Christopher P. Holstege MD and Adriana I. Goldberg MD
13 Blurred Vision Following Yard Work 10Allyson Kreshak MD
14 Foot Pain in a Gymnast 11Hoi K. Lee MD
15 A Child with Bruises of Different Ages 11David L. Eldridge MD
16 Sudden Shortness of Breath after Removal of a Central Line 12Christopher P. Holstege MD
17 "My Eyes Are Yellow!" 13David T. Lawrence DO
18 Pleuritic Chest Pain in a Young Adult Male 13William J. Brady MD
19 Exposed During a Blizzard 14Joseph D. Forrester MD and Christopher P. Holstege MD
20 FAST Evaluation of a Trauma Patient 15John S. Rajkumar MD and James H. Moak MD RDMS
21 Chest Pain with Sudden Cardiac Death 15William J. Brady MD
22 Wrist "Sprain" in a Child 16Jennifer S. Boyle PharmD MD
23 Acute Eye Pain and Blurred Vision in an Elderly Female 17Chris S. Bergstrom MD and Alexander Baer MD
24 Heel Pain Following a Fall 17Jennifer S. Boyle PharmD MD
25 Confluent Rash on a Child 18Sarah E. Winters MD MSCE and Brendan G. Carr MD
26 Bradycardia Following an Herbal Ingestion 18Alexander B. Baer MD
27 A Pain-free Adult with Persistent T Wave Abnormalities 19William J. Brady MD
28 Caustic Ingestion with Cardiotoxic Effects 20Heather A. Borek MD and Christopher P. Holstege MD
29 Chemical Eye Exposure 21Chris S. Bergstrom MD and Alexander B. Baer MD
30 Acute Abdominal Pain in Pregnancy 22James H. Moak MD RDMS and John S. Rajkumar MD
31 Coma Following Head Trauma 22Andrew L. Homer MD and William J. Brady MD
32 Tongue Swelling in a Hypertensive Female 23Kevin S. Barlotta MD and Alexander B. Baer MD
33 Purulent Eye Discharge in an Adult 24Chris S. Bergstrom MD and Alexander B. Baer MD
34 Shoulder Pain Following Direct Blow 24Nathan P. Charlton MD
35 A Gagging Child 25Maureen Chase MD and Worth W. Everett MD
36 Adult Male with a Sudden Severe Headache 25Andrew L. Homer MD and William J. Brady MD
37 New Facial Droop 26Andrew D. Perron MD and Christopher T. Bowe MD
38 Eye Pain After Tree Branch Strike 26Chris S. Bergstrom MD and Alexander B. Baer MD
39 An Elderly Woman with Groin Pain 27Brendan G. Carr MD
40 Rash and Joint Pain in a Child 28Mara L. Becker MD
41 Radiology Findings after Laparoscopy 28Munish Goyal MD
42 Postprandial Abdominal Pain in an Elderly Woman 29Hoi K. Lee MD
43 "Pink Eye" in a Contact Lens Wearer 30Chris S. Bergstrom MD and Alexander B. Baer MD
44 Suspicious Hand Pain 30Rex G. Mathew MD
45 Fever and Rash in a Child 31David L. Eldridge MD
46 An Alcoholic with Dyspnea 31James H. Moak MD RDMS and John S. Rajkumar MD
47 Dark Urine from an Immigrant 32Suzanne M. Shepherd MD
48 Chest Pain and Lead aVR ST Segment Elevation 33William J. Brady MD
49 Hand Pain after Striking a Wall 34William J. Brady MD and Kevin S. Barlotta MD
50 A Refugee with Skin Lesions 35Roger A. Band MD and Jeanmarie Perrone MD
51 Pain out of Proportion to Examination 35J. Michael Kowalski DO and Adam K. Rowden DO
52 Leg Pain Following a Motor Vehicle Collision 36Nathan P. Charlton MD
53 Deformed Globe Following Trauma 36Worth W. Everett MD
54 Foot Pain Following Breaking 37Munish Goyal MD
55 Lamp Oil Ingestion 38David L. Eldridge MD
56 Intermittent Abdominal Pain in a Female 38John S. Rajkumar MD and James H. Moak MD RDMS
57 Hallucinations in a Botanist 39Joseph D. Forrester MD and Christopher Holstege MD
58 Altered Mental Status with an Abnormal Electrocardiogram 40William J. Brady MD
59 Fishing in the Stomach 41Joseph D. Forrester MD and Christopher P. Holstege MD
60 Overdose-induced Boiled Lobster Skin 41Heather A. Borek MD and Christopher P. Holstege MD
61 Back Pain Following a Fall 42Andrew D. Perron MD and Christopher T. Bowe MD
62 Painful Facial Rash 42Chris S. Bergstrom MD and Alexander B. Baer MD
63 Intense Wrist Pain Following Trauma 43Rex G. Mathew MD
64 Fever and Drooling in a Child 44Sarah E. Winters MD MSCE and Brendan G. Carr MD
65 Syncope and Flank Pain in an Elderly Man 44John S. Rajkumar MD and James H. Moak MD RDMS
66 Get Them Undressed! 45Munish Goyal MD
67 A "Blue Hue" Following Endoscopy 46Saumil Vaghela PharmD and Christopher P. Holstege MD
68 Acute-onset Blurred Vision 46Chris S. Bergstrom MD and Alexander B. Baer MD
69 Elbow Pain in a Child After a Fall 47Elizabeth Cochran Ward MD and Alexander B. Baer MD
70 Confusion Anemia and Abdominal Pain in a Toddler 47Christopher P. Holstege MD and Joseph T. Vance
71 A Ground-level Fall with Ankle Pain 48Christopher T. Bowe MD
72 Traumatic Eye Pain and Proptosis 49Chris Bergstrom MD and Alexander Baer MD
73 Diffuse Ankle Pain Following a Fall 49Andrew D. Perron MD and Christopher T. Bowe MD
74 Rash Following Brush Fire 50Christopher P. Holstege MD and Alejandro C. Stella MD
75 Abdominal Pain in a Trauma Victim 51Esther H. Chen MD
76 Skin Target Lesion 51Mara L. Becker MD
77 Chest Pain and a Confounding Electrocardiogram Pattern 52William J. Brady MD
78 Sudden Sedation in a Student 53David T. Lawrence DO
79 Skin Lesions in a Comatose Patient 53Christopher P. Holstege MD and Matthew D. Wilson MD
80 Raccoon Eyes 54Angela M. Mills MD
81 Fall on an Outstretched Hand in a Young Adolescent 55William Brady MD and Kevin S. Barlotta MD
82 Eye Pain and Facial Swelling 55Adam K. Rowden DO and Chris S. Bergstrom MD
83 Wrist Pain Following Fall on an Outstretched Hand 56William J. Brady MD and Kevin S. Barlotta MD
84 Rash on a Child with Epilepsy 56Heather A. Borek MD and Christopher P. Holstege MD
85 Abdominal Pain in an Alcoholic 57Angela M. Mills MD
86 Chest Pain with Electrocardiographic ST Segment and T Wave Abnormalities 58William J. Brady MD
87 A Heroin Abuser with Multiple Skin Lesions 58Christopher P. Holstege MD and Ashley L. Harvin MD
88 Chest Pain in a Middle-aged Male Patient with ST Segment Elevation 59William J. Brady MD
89 Fire Victim with Hoarseness 60Kathryn Mutter MD and Christopher P. Holstege MD
90 A Gardener with a Non-healing Rash 60Roger A. Band MD and Steve Larson MD
91 A Bite to the Leg in Tall Grass 61Alejandro C. Stella MD and Christopher P. Holstege MD
92 An Elderly Man with Diffuse Facial Edema 62Kevin S. Barlotta MD and Alexander B. Baer MD
93 Acute-onset Double Vision 62Chris S. Bergstrom MD and Alexander B. Baer MD
94 Low Back Pain in a Car Accident Victim 63Edward G. Walsh MD and William J. Brady MD
95 Pain and Rash Following Contact with a Caterpillar 64Nathan P. Charlton MD and Mairin Smith MD
96 Moonshine-induced Basal Ganglion Necrosis and Metabolic Acidosis 64Nathan P. Charlton MD and Christopher P. Holstege MD
97 A Rock Climber with Finger Pain Swelling and Redness 65Joseph D. Forrester MD and Christopher P. Holstege MD
98 Vomiting and Syncope Following Ingestion of Ramps 66Christopher P. Holstege MD and Justin H. Price MD
99 Chest Pain and Subtle ST Segment Elevation 66William J. Brady MD
100 Herbalist with Bradycardia and Vision Changes 67William J. Brady MD
101 Painless Penile Ulcer 68Andrea L. Neimann MD
102 Hyperthermia Autonomic Instability and Confusion in a Traveler 68Christopher P. Holstege MD and Alexander B. Baer MD
103 An Immigrant with Neck Swelling 69Suzanne M. Shepherd MD and William H. Shoff MD
104 Eyelid Laceration Following a Brawl 70Chris S. Bergstrom MD and Alexander B. Baer MD
105 Young Athlete with Back Pain 71Edward G. Walsh MD and William J. Brady MD
106 Chest Pain and Hypotension in an Adult Male Patient 71William J. Brady MD
107 Adult Male with Atraumatic Lower Back Pain and Leg Weakness 72William J. Brady MD
108 Facial Swelling in a Patient with Poor Dentition 73Alexander B. Baer MD and Christopher P. Holstege MD
109 Weakness and Bradycardia in an Elderly Female Patient 73William J. Brady MD
110 Lightning Strike Induced Skin Changes 74Christopher P. Holstege MD
Part II Answers Diagnoses and Discussion 75
Index 183
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