Dysmenorrhea (Menstrual Cramps)
CHAPTER 90 Dysmenorrhea (Menstrual Cramps) Presentation A young woman or female adolescent complains of crampy labor-like pains that began shortly before or at the onset of the visible bleeding of…
Needle (Foreign Body) in Foot
CHAPTER 148 Needle (Foreign Body) in Foot Presentation Although a needle could be embedded under any skin surface, most commonly a patient will have stepped on one while running or…
Esophageal Food Bolus Obstruction (Steakhouse or Café Coronary Syndrome)
CHAPTER 70 Esophageal Food Bolus Obstruction (Steakhouse or Café Coronary Syndrome) Presentation The patient develops symptoms either immediately after swallowing a large mouthful of food (usually inadequately chewed meat) or…
Hemorrhoids (Piles)
CHAPTER 73 Hemorrhoids (Piles) Presentation Patients with external hemorrhoids (Figure 73-1) generally complain of a painful anal lump of sudden onset, which may become intense in severity. It will appear…
Acromioclavicular (Shoulder) Separation
Figure 96-1 A, The most common mechanism of injury to the AC joint results from a direct blow onto the tip of the shoulder. B, An indirect force, such as…
Carpal Tunnel Syndrome
CHAPTER 102 Carpal Tunnel Syndrome Presentation The patient complains of pain, tingling, or a “pins and needles” sensation in the hand or fingers. Onset may have been abrupt or gradual,…
Rhinosinusitis (Sinusitis)
CHAPTER 40 Rhinosinusitis (Sinusitis) Presentation After a viral infection or with chronic allergies, the patient may complain of a dull facial pain, which is usually unilateral, gradually increases over a…
Urinary Retention, Acute
CHAPTER 84 Urinary Retention, Acute Presentation The patient, usually male, may complain of increasing dull, low-abdominal discomfort or pain and the urge to urinate, without having been able to urinate…
Diaper Dermatitis (Diaper Rash)
CHAPTER 165 Diaper Dermatitis (Diaper Rash) Presentation Irritant Diaper Dermatitis An infant, most commonly between 8 and 10 months of age, may be left too long between diaper changes or,…
Allergic Contact Dermatitis
Figure 160-1 Marked eyelid swelling may mimic the angioedema of anaphylaxis, but with ACD there is only localized pruritus and no associated systemic signs or symptoms. This case was caused…
