Pencil Point Puncture
CHAPTER 150 Pencil Point Puncture Presentation The patient presents after being stabbed or stuck with a sharp pencil point. He may be openly or unconsciously worried about lead poisoning. A…
Fingertip (Tuft) Fractures
CHAPTER 111 Fingertip (Tuft) Fractures Presentation The patient seeks help after a crushing injury to the fingertip, such as catching it in a closing car door. The finger tip will…
Foreign Body Beneath Nail
CHAPTER 141 Foreign Body Beneath Nail Presentation The patient complains of a paint chip or wooden sliver under the nail. There may be only mild discomfort, but frequently there is…
Nasal Fracture (Broken Nose)
CHAPTER 33 Nasal Fracture (Broken Nose) Presentation After a direct blow to the nose from a fight, fall, sports injury, or motor vehicle crash, the patient usually arrives at the…
Pityriasis Rosea
CHAPTER 175 Pityriasis Rosea Presentation Patients with this rash often seek acute medical help because of the worrisome sudden spread of a rash that began with one local skin lesion….
Uvular Edema, Acute
CHAPTER 60 Uvular Edema, Acute Presentation The patient complains of a foreign body sensation or a lump or fullness in the throat, possibly associated with a slightly muffled voice and…
Polymyalgia Rheumatica
CHAPTER 127 Polymyalgia Rheumatica Presentation An elderly patient (more commonly female) complains of aching pain and stiffness of the proximal extremities. Shoulder pain and stiffness are most common, followed by…
Aphthous Ulcer (Canker Sore)
Figure 41-1 Aphthous ulcers. A gray-white oval ulcer with a bright red margin is typical. These lesions are usually quite painful. (From White G, Cox N: Diseases of the skin,…
Temporomandibular Joint Dislocation (Jaw Dislocation)
CHAPTER 59 Temporomandibular Joint Dislocation (Jaw Dislocation) Presentation The patient’s jaw is “out” and will not close, usually after yawning, taking a large bite of food, or perhaps after laughing,…
Otitis Media, Acute
CHAPTER 35 Otitis Media, Acute Presentation In acute otitis media (AOM), adults and older children will complain of ear pain. There may or may not be accompanying symptoms of upper…
