CHAPTER 123 Myofascial Pain Syndrome, Fibromyalgia (Trigger Points) Presentation In myofascial pain syndrome, the patient, who is generally 25 to 50 years of age, will be troubled by the gradual…
CHAPTER 88 Condylomata Acuminata (Genital Warts) Presentation Patients may complain of perineal itching, burning, pain, and tenderness, although they are commonly asymptomatic, especially with cervical and vaginal involvement. Distinctive fleshy…
CHAPTER 120 Monarticular Arthritis, Acute Presentation The patient complains of one joint that has become acutely red, swollen, hot, painful, and stiff, with pain on minimal range of motion. Rapid…
CHAPTER 71 Foreign Body, Rectal Presentation Rectal foreign bodies may present with abdominal pain, anorectal pain, obstipation, acute urinary retention, or blood or mucus discharge from the rectum. Such foreign…
CHAPTER 115 Knee Sprain Presentation After twisting the knee from a slip and fall or sports injury, the patient complains of knee pain and variable ability to bear weight. There…
CHAPTER 131 Shoulder Dislocation Presentation The patient arrives holding one arm with the opposite hand, complaining of severe pain, stating that his “shoulder is out,” unable to move it without…
CHAPTER 174 Pediculosis (Lice, Crabs) Presentation Patients arrive with emotions ranging from annoyance to sheer disgust at the discovery of an infestation with lice or crabs and request acute medical…
CHAPTER 145 Marine Envenomations Presentation After swimming in the ocean and coming into contact with marine life, the patient may seek medical attention because of local pain, swelling, or skin…
CHAPTER 140 Fishhook Removal Presentation The patient has been snagged with a fishhook and arrives with it embedded in the skin (Figure 140-1). This most commonly occurs on the hand,…
