Visual Diagnosis in Emergency and Critical Care Medicine

Copyright © 2006 Blackwell Publishing Ltd

Visual Diagnosis in Emergency and Critical Care Medicine

Editor(s): Christopher P. Holstege, Alexander B. Baer, Jesse M. Pines, William J. Brady

Published Online: 11 JAN 2008

Print ISBN: 9781405134910

Online ISBN: 9780470755921

DOI: 10.1002/9780470755921

About this Book

Product Information

About The Product

Containing high quality images, this book presents the common visual diagnoses that are either pathognomonic or suggestive of specific illnesses. Organized randomly as a patient would present their 'chief complaint' rather than neatly into topics, this book is an invaluable aid for all health care personnel who manage patients in acute care settings. This book is also ideal for national examination review.

Table of contents

    1. You have free access to this content
      Frontmatter (pages i–xiv)

  2. Part 1: Case Presentations and Questions

    1. Chapter 1

      Rash Following Brush Fire (page 3)

      Christopher P. Holstege

    2. Chapter 2

      Herbalist with Bradycardia and Vision Changes (pages 3–4)

      William J. Brady

    3. Chapter 3

      Acute Eye Pain and Blurred Vision in an Elderly Female (page 4)

      Chris S. Bergstrom and Alexander B. Baer

    4. Chapter 4

      Suspicious Hand Pain (pages 4–5)

      Rex Mathew

    5. Chapter 5

      An Elderly Man with Flank Pain (pages 5–6)

      Daniel K. Vining and Anthony J. Dean

    6. Chapter 6

      An Immigrant Child with Skin Lesions (page 6)

      Roger A. Band

    7. Chapter 7

      Wrist Pain Following a Fall (pages 6–7)

      Rex Mathew

    8. Chapter 8

      Rash in a Child with Epilepsy (page 7)

      Alexander B. Baer and Christopher P. Holstege

    9. Chapter 9

      Dark Urine in an Immigrant (page 8)

      Suzanne M. Shepherd, Susan A. O'Malley and William H. Shoff

    10. Chapter 10

      Fever and Drooling in a Child (page 8)

      Sarah G. Winters and Brendan E. Carr

    11. Chapter 11

      Altered Mental Status with an Abnormal Electrocardiogram (page 9)

      William J. Brady

    12. Chapter 12

      Purulent Eye Discharge in an Adult (page 9)

      Chris S. Bergstrom and Alexander B. Baer

    13. Chapter 13

      Wrist Pain in a Young Child (page 10)

      Craig S. Brummer

    14. Chapter 14

      Postprandial Abdominal Pain (pages 10–11)

      Anthony J. Dean

    15. Chapter 15

      An Elderly Man from a House Fire (page 11)

      Christopher P. Holstege

    16. Chapter 16

      Back Pain Following a Fall (pages 11–12)

      Andrew D. Perron and Christopher T. Bowe

    17. Chapter 17

      A Bite to the Leg in Tall Grass (page 12)

      Christopher P. Holstege

    18. Chapter 18

      Facial Swelling in a Patient with Poor Dentition (page 13)

      Alexander B. Baer and Christopher P. Holstege

    19. Chapter 19

      Elbow Pain in a Child after a Fall (page 13)

      Alexander B. Baer

    20. Chapter 20

      A Man with Diffuse Facial Edema (page 14)

      Kevin S. Barlotta and Alexander B. Baer

    21. Chapter 21

      Chest Pain and Hypotension in an Adult Male Patient (pages 14–15)

      William J. Brady

    22. Chapter 22

      Eye Pain after Tree Branch Strike (page 15)

      Chris S. Bergstrom and Alexander B. Baer

    23. Chapter 23

      A Missing Button Battery (pages 15–16)

      Brendan E. Carr and Sarah G. Winters

    24. Chapter 24

      Acute Abdominal Pain in Pregnancy (page 16)

      Anthony J. Dean

    25. Chapter 25

      Painless Penile Ulcer (page 17)

      Andrea L. Neimann

    26. Chapter 26

      Low Back Pain in Car Accident Victim (pages 17–18)

      Edward G. Walsh and William J. Brady

    27. Chapter 27

      A Gardener with a Non-Healing Rash (page 18)

      Roger A. Band

    28. Chapter 28

      An Immigrant with Neck Swelling (pages 18–19)

      Suzanne M. Shepherd, Anthony J. Dean and William H. Shoff

    29. Chapter 29

      Fall on an Outstretched Hand in a Young Adolescent (page 19)

      William J. Brady and Kevin S. Barlotta

    30. Chapter 30

      Raccoon Eyes (pages 19–20)

      Angela M. Mills

    31. Chapter 31

      Chest Pain and a Confounding Electrocardiogram Pattern (pages 20–21)

      William J. Brady

    32. Chapter 32

      Eye Pain in a Contact Lens Wearer (page 21)

      Chris S. Bergstrom and Alexander B. Baer

    33. Chapter 33

      Heel Pain Following a Fall (pages 21–22)

      David F. Gaieski

    34. Chapter 34

      Fast Evaluation Following Trauma (page 22)

      Bon S. Ku and Anthony J. Dean

    35. Chapter 35

      Skin Lesion in a Heroin Addict (pages 22–23)

      Christopher P. Holstege and Alexander B. Baer

    36. Chapter 36

      Young Athlete with Back Pain (page 23)

      Edward G. Walsh and William J. Brady

    37. Chapter 37

      Skin Lesions in a Comatose Patient (page 24)

      Christopher P. Holstege

    38. Chapter 38

      Chest Pain with Sudden Cardiac Death (pages 24–25)

      William J. Brady

    39. Chapter 39

      Fall on an Outstretched Hand with Wrist Pain (page 25)

      William J. Brady and Kevin S. Barlotta

    40. Chapter 40

      Necrotic Skin Lesion (page 26)

      David A. Kasper, Aradhna Saxena and Kenneth A. Katz

    41. Chapter 41

      Chest Pain with Electrocardiographic ST-Segment/T-Wave Abnormalities (pages 26–27)

      William J. Brady

    42. Chapter 42

      Chemical Eye Exposure (page 27)

      Chris S. Bergstrom and Alexander B. Baer

    43. Chapter 43

      Hand Pain after Striking a Wall (pages 27–28)

      William J. Brady and Kevin S. Barlotta

    44. Chapter 44

      Dyspnea in an Alcoholic (pages 28–29)

      Anthony J. Dean

    45. Chapter 45

      Slash Wound to the Neck (page 29)

      Kevin S. Barlotta and Alexander B. Baer

    46. Chapter 46

      Foot Pain Following Breaking (page 30)

      Munish Goyal

    47. Chapter 47

      Confluent Rash in a Child (pages 30–31)

      Sarah G. Winters and Brendan E. Carr

    48. Chapter 48

      Lost in the Cold (page 31)

      Adam K. Rowden and Christopher P. Holstege

    49. Chapter 49

      Bradycardia Following an Herbal Ingestion (page 32)

      Alexander B. Baer

    50. Chapter 50

      Abdominal Pain in an Alcoholic (page 32)

      Angela M. Mills

    51. Chapter 51

      Pain Out of Proportion to Examination (page 33)

      Adam K. Rowden

    52. Chapter 52

      Pleuritic Chest Pain in a Young Adult Male (pages 33–34)

      William J. Brady

    53. Chapter 53

      Eye Pain Following a Bar Fight (pages 34–35)

      Chris S. Bergstrom and Alexander B. Baer

    54. Chapter 54

      Forearm Fracture after Falling (page 35)

      Alexander B. Baer

    55. Chapter 55

      An Elderly Woman with Groin Pain (page 36)

      Brendan E. Carr

    56. Chapter 56

      Painful Facial Rash (page 36)

      Chris S. Bergstrom and Alexander B. Baer

    57. Chapter 57

      Confusion, Anemia, and Abdominal Pain in a Toddler (page 37)

      Alexander B. Baer and Christopher P. Holstege

    58. Chapter 58

      Cardiotoxic Effects Following Caustic Ingestion (pages 37–38)

      Alexander B. Baer and Christopher P. Holstege

    59. Chapter 59

      Rash and Joint Pain in a Child (pages 38–39)

      Mara Becker

    60. Chapter 60

      X-Ray Findings after Laparoscopy (page 39)

      Munish Goyal

    61. Chapter 61

      Injector Injury to the Hand (page 40)

      Tracy H. Reilly

    62. Chapter 62

      Chest Pain in a Middle-Aged Male Patient with ST Segment Elevation (pages 40–41)

      William J. Brady

    63. Chapter 63

      Deformed Globe Following Trauma (page 41)

      Joseph Robson and Worth W. Everett

    64. Chapter 64

      Adult Male with Atraumatic Lower Back Pain and Leg Weakness (pages 41–42)

      William J. Brady

    65. Chapter 65

      Fever and Rash in a Child (page 42)

      David L. Eldridge

    66. Chapter 66

      Yellow Eyes and Skin (page 43)

      Jane M. Prosser

    67. Chapter 67

      Fishing in the Stomach (page 43)

      Christopher P. Holstege

    68. Chapter 68

      Agitation in a Botanist (page 44)

      Alexander B. Baer and Christopher P. Holstege

    69. Chapter 69

      Skin Target Lesion (page 45)

      Mara Becker

    70. Chapter 70

      Adult Male with a Sudden, Severe Headache (pages 45–46)

      Andrew L. Homer and William J. Brady

    71. Chapter 71

      Get Them Undressed! (page 46)

      Munish Goyal

    72. Chapter 72

      Chest Pain and Subtle ST Segment Elevation (pages 46–47)

      William J. Brady

    73. Chapter 73

      Fluid in My Eye (page 47)

      Chris S. Bergstrom and Alexander B. Baer

    74. Chapter 74

      Coma Following Head Trauma (page 48)

      Andrew L. Homer and William J. Brady

    75. Chapter 75

      Blue Hue Following Endoscopy (pages 48–49)

      Andrew L. Homer and Christopher P. Holstege

    76. Chapter 76

      Shoulder Pain Following Direct Blow (page 49)

      David F. Gaieski

    77. Chapter 77

      An Overdose of Prenatal Vitamins (pages 49–50)

      Christopher P. Holstege and Adam K. Rowden

    78. Chapter 78

      Fever and Rash in a Child (page 50)

      David L. Eldridge

    79. Chapter 79

      Lamp Oil Ingestion (page 51)

      David L. Eldridge

    80. Chapter 80

      Diffuse Ankle Pain Following a Fall (page 51)

      Andrew D. Perron and Christopher T. Bowe

    81. Chapter 81

      Emergency Department Drop-Off (page 52)

      Tracy H. Reilly

    82. Chapter 82

      Weakness and Bradycardia in an Elderly Female Patient (page 52)

      William J. Brady

    83. Chapter 83

      Blurred Vision Following Yard Work (page 53)

      Allyson Kreshak

    84. Chapter 84

      A Gagging Child (pages 53–54)

      Maureen Chase and Worth W. Everett

    85. Chapter 85

      A Child with Bruises of Different Ages (page 54)

      David L. Eldridge

    86. Chapter 86

      Traumatic Eye Pain and Proptosis (pages 54–55)

      Chris S. Bergstrom and Alexander B. Baer

    87. Chapter 87

      Post-Prandial Abdominal Pain in an Elderly Woman (page 55)

      Hoi Lee

    88. Chapter 88

      Hyperthermia, Tachycardia, and Confusion in a Teenager (page 56)

      Alexander B. Baer

    89. Chapter 89

      Acute Onset Double Vision (pages 56–57)

      Chris S. Bergstrom and Alexander B. Baer

    90. Chapter 90

      Ankle Pain and Inability to Walk (pages 57–58)

      Christopher T. Bowe

    91. Chapter 91

      Tongue Swelling in a Hypertensive Female (page 58)

      Kevin S. Barlotta and Alexander B. Baer

    92. Chapter 92

      Wide Complex Tachycardia in an Older Male Patient (pages 58–59)

      William J. Brady

    93. Chapter 93

      Acute Onset Double Vision (page 59)

      Chris S. Bergstrom and Alexander B. Baer

    94. Chapter 94

      Foot Pain in a Gymnast (page 60)

      Hoi Lee

    95. Chapter 95

      New Facial Droop (page 60)

      Andrew D. Perron and Christopher T. Bowe

    96. Chapter 96

      Eye Pain and Swelling (page 61)

      Adam K. Rowden and Chris S. Bergstrom

    97. Chapter 97

      Shortening and Rotation of the Leg Following Trauma (pages 61–62)

      Jane M. Prosser

    98. Chapter 98

      Spider Bite in the Night (page 62)

      Adam K. Rowden and Christopher P. Holstege

    99. Chapter 99

      Wide Complex Tachycardia in a Young Adult (pages 62–63)

      William J. Brady

    100. Chapter 100

      Abdominal Pain in a Trauma Victim (pages 63–64)

      Esther H. Chen

  3. Part 2: Answers, Diagnoses, and Discussion

    1. Chapter 1

      Rash Following Brush Fire (pages 65–67)

    2. Chapter 2

      Herbalist with Bradycardia and Vision Changes (pages 67–68)

    3. Chapter 3

      Acute Eye Pain and Blurred Vision in an Elderly Female (page 68)

    4. Chapter 4

      Suspicious Hand Pain (page 69)

    5. Chapter 5

      An Elderly Man with Flank Pain (pages 69–70)

    6. Chapter 6

      An Immigrant Child with Skin Lesions (pages 70–71)

    7. Chapter 7

      Wrist Pain Following a Fall (pages 71–72)

    8. Chapter 8

      Rash in a Child with Epilepsy (pages 72–73)

    9. Chapter 9

      Dark Urine in an Immigrant (page 73)

    10. Chapter 10

      Fever and Drooling in a Child (pages 73–74)

    11. Chapter 11

      Altered Mental Status with an Abnormal Electrocardiogram (pages 74–76)

    12. Chapter 12

      Purulent Eye Discharge in an Adult (page 76)

    13. Chapter 13

      Wrist Pain in a Young Child (pages 76–77)

    14. Chapter 14

      Postprandial Abdominal Pain (pages 77–78)

    15. Chapter 15

      An Elderly Man from a House Fire (pages 78–79)

    16. Chapter 16

      Back Pain Following a Fall (pages 79–80)

    17. Chapter 17

      A Bite to the Leg in Tall Grass (pages 80–81)

    18. Chapter 18

      Facial Swelling in a Patient with Poor Dentition (pages 81–82)

    19. Chapter 19

      Elbow Pain in a Child after a Fall (page 82)

    20. Chapter 20

      A Man with Diffuse Facial Edema (page 83)

    21. Chapter 21

      Chest Pain and Hypotension in an Adult Male Patient (pages 83–85)

    22. Chapter 22

      Eye Pain after Tree Branch Strike (page 85)

    23. Chapter 23

      A Missing Button Battery (pages 85–87)

    24. Chapter 24

      Acute Abdominal Pain in Pregnancy (pages 87–88)

    25. Chapter 25

      Painless Penile Ulcer (pages 88–89)

    26. Chapter 26

      Low Back Pain in Car Accident Victim (page 89)

    27. Chapter 27

      A Gardener with a Non-Healing Rash (page 90)

    28. Chapter 28

      An Immigrant with Neck Swelling (pages 90–91)

    29. Chapter 29

      Fall on an Outstretched Hand in a Young Adolescent (pages 91–92)

    30. Chapter 30

      Raccoon Eyes (page 92)

    31. Chapter 31

      Chest Pain and a Confounding Electrocardiogram Pattern (pages 93–94)

    32. Chapter 32

      Eye Pain in a Contact Lens Wearer (page 94)

    33. Chapter 33

      Heel Pain Following a Fall (pages 94–95)

    34. Chapter 34

      Fast Evaluation Following Trauma (pages 95–96)

    35. Chapter 35

      Skin Lesion in a Heroin Addict (pages 96–97)

    36. Chapter 36

      Young Athlete with Back Pain (page 98)

    37. Chapter 37

      Skin Lesions in a Comatose Patient (page 99)

    38. Chapter 38

      Chest Pain with Sudden Cardiac Death (page 100)

    39. Chapter 39

      Fall on an Outstretched Hand with Wrist Pain (pages 101–102)

    40. Chapter 40

      Necrotic Skin Lesion (pages 102–103)

    41. Chapter 41

      Chest Pain with Electrocardiographic ST-Segment/T-Wave Abnormalities (pages 103–104)

    42. Chapter 42

      Chemical Eye Exposure (page 104)

    43. Chapter 43

      Hand Pain after Striking a Wall (pages 104–105)

    44. Chapter 44

      Dyspnea in an Alcoholic (pages 105–107)

    45. Chapter 45

      Slash Wound to the Neck (pages 107–108)

    46. Chapter 46

      Foot Pain Following Breaking (page 108)

    47. Chapter 47

      Confluent Rash in a Child (page 109)

    48. Chapter 48

      Lost in the Cold (pages 109–110)

    49. Chapter 49

      Bradycardia Following an Herbal Ingestion (page 110)

    50. Chapter 50

      Abdominal Pain in an Alcoholic (page 111)

    51. Chapter 51

      Pain Out of Proportion to Examination (pages 111–112)

    52. Chapter 52

      Pleuritic Chest Pain in a Young Adult Male (page 112)

    53. Chapter 53

      Eye Pain Following a Bar Fight (pages 112–113)

    54. Chapter 54

      Forearm Fracture after Falling (page 113)

    55. Chapter 55

      An Elderly Woman with Groin Pain (page 114)

    56. Chapter 56

      Painful Facial Rash (page 114)

    57. Chapter 57

      Confusion, Anemia, and Abdominal Pain in a Toddler (page 115)

    58. Chapter 58

      Cardiotoxic Effects Following Caustic Ingestion (pages 115–116)

    59. Chapter 59

      Rash and Joint Pain in a Child (pages 116–117)

    60. Chapter 60

      X-Ray Findings after Laparoscopy (page 117)

    61. Chapter 61

      Injector Injury to the Hand (pages 117–118)

    62. Chapter 62

      Chest Pain in a Middle-Aged Male Patient with ST Segment Elevation (pages 118–119)

    63. Chapter 63

      Deformed Globe Following Trauma (pages 119–120)

    64. Chapter 64

      Adult Male with Atraumatic Lower Back Pain and Leg Weakness (pages 120–121)

    65. Chapter 65

      Fever and Rash in a Child (pages 121–122)

    66. Chapter 66

      Yellow Eyes and Skin (page 122)

    67. Chapter 67

      Fishing in the Stomach (pages 122–123)

    68. Chapter 68

      Agitation in a Botanist (pages 123–124)

    69. Chapter 69

      Skin Target Lesion (page 124)

    70. Chapter 70

      Adult Male with a Sudden, Severe Headache (page 125)

    71. Chapter 71

      Get Them Undressed! (pages 125–126)

    72. Chapter 72

      Chest Pain and Subtle ST Segment Elevation (page 126)

    73. Chapter 73

      Fluid in My Eye (pages 126–127)

    74. Chapter 74

      Coma Following Head Trauma (pages 127–128)

    75. Chapter 75

      Blue Hue Following Endoscopy (page 128)

    76. Chapter 76

      Shoulder Pain Following Direct Blow (page 129)

    77. Chapter 77

      An Overdose of Prenatal Vitamins (pages 129–130)

    78. Chapter 78

      Fever and Rash in a Child (page 131)

    79. Chapter 79

      Lamp Oil Ingestion (pages 131–132)

    80. Chapter 80

      Diffuse Ankle Pain Following a Fall (pages 132–133)

    81. Chapter 81

      Emergency Department Drop-Off (page 133)

    82. Chapter 82

      Weakness and Bradycardia in an Elderly Female Patient (pages 133–134)

    83. Chapter 83

      Blurred Vision Following Yard Work (pages 134–135)

    84. Chapter 84

      A Gagging Child (pages 135–136)

    85. Chapter 85

      A Child with Bruises of Different Ages (page 136)

    86. Chapter 86

      Traumatic Eye Pain and Proptosis (pages 136–137)

    87. Chapter 87

      Post-Prandial Abdominal Pain in an Elderly Woman (page 137)

    88. Chapter 88

      Hyperthermia, Tachycardia, and Confusion in a Teenager (pages 137–138)

    89. Chapter 89

      Acute Onset Double Vision (pages 138–139)

    90. Chapter 90

      Ankle Pain and Inability to Walk (pages 139–140)

    91. Chapter 91

      Tongue Swelling in a Hypertensive Female (pages 140–141)

    92. Chapter 92

      Wide Complex Tachycardia in an Older Male Patient (pages 141–142)

    93. Chapter 93

      Acute Onset Double Vision (pages 142–144)

    94. Chapter 94

      Foot Pain in a Gymnast (pages 144–145)

    95. Chapter 95

      New Facial Droop (pages 145–146)

    96. Chapter 96

      Eye Pain and Swelling (pages 146–147)

    97. Chapter 97

      Shortening and Rotation of the Leg Following Trauma (pages 147–148)

    98. Chapter 98

      Spider Bite in the Night (page 148)

    99. Chapter 99

      Wide Complex Tachycardia in a Young Adult (pages 149–150)

    100. Chapter 100

      Abdominal Pain in a Trauma Victim (page 150)

    1. You have free access to this content
      Index (pages 153–156)

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