0071598626.pdf

164 Emergency Medicine hypovolemia persists in a patient with a major pelvic fracture, despite con- trol of hemorrhage from othe ...

fall onto the face in an elderly person. Patients often have greater sensorimo- tor neurologic deficits in the upper extremities ...

relatively denser fibrous bond between the dura mater and the inner table of the skull in older individuals. (b)There is, howeve ...

Trauma Answers 167 collisions with another vehicle or with pedestrians are the major causes of blunt abdominal trauma. The splee ...

“teardrop sign,” which represents herniated orbital fat and muscle in the roof of the maxillary sinus. There may also be an air- ...

vital signs. Otherwise, patients should go directly to the OR to undergo exploratory laparotomy. 155.The answer is a.(Rosen, pp ...

(b)The patient will certainly require volume resuscitation and pain control, but airway management takes priority. (c and d)It i ...

saturation, and increasing A-a gradient. Hemoptysis may be present in up to 50% of cases. Typical radiographic findings begin to ...

(a)Angiography is a frequently used modality in penetrating extrem- ity trauma and is the study of choice with some injuries tha ...

trauma. It can lead to hypovolemic shock and can significantly reduce vital capacity if it is not recognized. It is associated w ...

resuscitation fluid is blood. ATLS guidelines suggest starting resuscitation with crystalloid solution and adding blood if there ...

164.The answer is d.(Rosen, pp 613-623.)Cauda equina syndromeis an injury to the lumbar, sacral, and coccygeal nerve roots, caus ...

brain injury. (e)Mannitol is the best osmotic agent to reduce ICP. Its onset is within 30 minutes and lasts up to 6 to 8 hours. ...

Fever Questions 167.A 43-year-old man, who currently uses drugs intravenously (IV), pre- sents to the emergency department (ED) ...

168.An 81-year-old woman is brought to the ED by her children who state that the patient is acting more tired than usual, has ha ...

169.A 23-year-old man presents to the ED with left lower-abdominal pain and left testicular pain that started 1 to 2 weeks ago a ...

171.A 55-year-old man with a history of alcoholism and osteoarthritis developed left knee pain several days after a fall from st ...

173.A 30-year-old woman presents to the ED with fever, headache, a “sunburn-like” rash, and confusion. A friend states that the ...

175.A 75-year-old woman is transferred to your ED from the local nursing home for fever, cough, and increasing lethargy. Over th ...

177.A 67-year-old woman presents to the ED with a painful facial rash that has been worsening over the past 2 days. On physical ...