Emergency Medicine

ACUTE NEUROLOGICAL CONDITIONS 96 General Medical Emergencies (b) subarachnoid haemorrhage from ruptured berry aneurysm or arteri ...

Headache General Medical Emergencies 97 5 Refer the patient to the medical team or stroke unit for admission and defini- tive ma ...

HEADACHE 98 General Medical Emergencies Escherichia coli), viruses, and Cryptococcus neoformans and tuberculosis (immunosuppress ...

HEADACHE General Medical Emergencies 99 (iii) Add vancomycin 1.5 g i.v. 12-hourly, if patient has known or suspected otitis medi ...

HEADACHE 100 General Medical Emergencies MANAGEMENT 1 Give the patient oxygen and nurse head upwards. Aim for an oxygen satura- ...

HEADACHE General Medical Emergencies 101 MANAGEMENT 1 Give oxygen, and treat seizures with midazolam 0.05–0.1 mg/kg up to 10 mg ...

HEADACHE 102 General Medical Emergencies 3 Examine for focal neurological signs. Seizures and coma may develop later. (i) Look f ...

HEADACHE General Medical Emergencies 103 (iii) Have at least one associated symptom of: (a) nausea and/or vomiting (b) photophob ...

HEADACHE 104 General Medical Emergencies (ii) Sumatriptan is contraindicated in known coronary artery disease (CAD), previous my ...

Acute Arthropathy General Medical Emergencies 105 Disease in other cranial structures DIAGNOSIS AND MANAGEMENT 1 Iritis (see p. ...

ACUTE ARTHROPATHY 106 General Medical Emergencies 3 Check temperature, pulse and blood pressure. There is localized joint pain, ...

ACUTE ARTHROPATHY General Medical Emergencies 107 MANAGEMENT 1 Give the patient an NSAID in a known relapsing case, or if there ...

ACUTE ARTHROPATHY 108 General Medical Emergencies (i) Also perform joint aspiration when septic arthritis cannot be excluded, or ...

ACUTE ARTHROPATHY General Medical Emergencies 109 Rheumatoid arthritis DIAGNOSIS 1 This occasionally presents as a monoarthritis ...

Allergic or Immunological Conditions 110 General Medical Emergencies PERIARTICULAR SWELLINGS See pp. 326–330 in Section X, Muscu ...

ALLERGIC OR IMMUNOLOGICAL CONDITIONS General Medical Emergencies 111 Angioedema DIAGNOSIS 1 This is an urticarial reaction invol ...

112 General Medical Emergencies Skin Disorders The vast majority of skin disorders are managed by GPs and the dermatology depart ...

SKIN DISORDERS General Medical Emergencies 113 (i) This should include any patient with SJS, TEN, SSSS, pemphigus and pemphigoid ...

SKIN DISORDERS 114 General Medical Emergencies (iv) Endocrine: (a) myxoedema (b) thyrotoxicosis. (v) Carcinoma: (a) lung (b) sto ...

SKIN DISORDERS General Medical Emergencies 115 lymphoproliferative disorders hypersplenism. (b) abnormal marrow: leukaemia lymp ...