Urgent Care Emergencies (eBook)

Urgent Care Emergencies Avoiding the Pitfalls and Improving the Outcomes 5
Copyright 6
Contents 7
List of Contributors 8
Preface 11
1 HEENT Pitfalls 13
Introduction 13
Eye 13
Throat 15
Ear 18
Lips 19
Nose 20
Acknowledgment 21
References 21
2 Management of Genitourinary Complaints 23
Introduction 23
Pearls for improving patient outcomes 31
References 31
3 Orthopedic Pitfalls of the Upper Extremity 33
Introduction 33
Central slip tear 38
Jersey finger 39
Mallet finger 40
Pearls for iImproving pPatient oOutcomes 41
References 41
4 Orthopedic Pitfalls of the Lower Extremity 44
Introduction 44
Pearls for improving patient outcomes 51
References 51
5 Orthopedic Pitfalls: Pediatrics 53
Introduction 53
Pearls for improving patient outcomes 62
References 62
6 Pitfalls of Wound Management 64
Introduction 64
Wound preparation 64
Foreign bodies 65
Plantar wounds 66
Wound care instructions 67
Zipper injuries 67
Burn management 68
Pearls for improving patient outcomes 69
References 69
7 Emergency Dermatology for the Acute Care Provider 71
Introduction 71
Dermatologic emergencies 71
Rocky Mountain Spotted Fever 73
Meningococcemia 73
Common infectious rashes 77
Summary 79
Pearls to improve patient outcome 80
References 80
8 Management of Common Infections 82
Introduction 82
Bronchitis 86
Pharyngitis 86
Sinusitis 87
Upper respiratory tract infections 87
Pearls to improve patient outcomes 89
References 90
9 Headache 91
Introduction 91
Pearls to improve patient outcomes 97
References 97
10 The Evaluation and Management of Back Pain 99
Introduction 99
Pediatric back pain 100
Evaluation 101
Treatment 101
Specific disease processes 102
Epidural abscess 102
Vertebral osteomyelitis 103
Spinal cord compression 103
Abdominal aortic aneurysm 104
Cancer 105
Spinal compression fractures 105
Spinal stenosis 105
Pregnancy-related low back pain 106
Pearls for improving patient outcomes 106
References 107
11 Pediatric Pitfalls 109
Introduction 109
Pearls for improving patient outcomes 118
References 119
12 Geriatric Pitfalls 121
Introduction 121
Peptic ulcer disease 123
Biliary tract disease 124
Appendicitis 124
Mesenteric ischemia 125
Ruptured abdominal aortic aneurysm 125
CNS injuries 126
Fractures 127
Conclusion 128
Pearls for improving patient outcomes 128
References 128
13 Pharmacology Pitfalls and Pearls in Urgent Care Medicine 131
Introduction 131
Pitfalls and pearls in pharmacology of commonly used medications 131
Analgesics 131
Opioids 132
Local anesthetics 133
Antiemetics 134
Ondansetron 134
Prochlorperazine 135
Antibiotics 135
Cephalosporins 136
Important adverse reactions 137
Warfarin 137
Medications with narrow therapeutic index 138
Herbal medicines 138
Pitfalls in special populations 140
Drugs to avoid in the elderly 140
Drugs that are contraindicated in pregnancy 140
Pearls for improving patient outcomes 141
References 141
14 Talking the Talk: Effective Communication in Urgent Care 144
Introduction 144
Pearls for improving patient outcomes 152
References 152
Index 153