Periorbital Ecchymosis (Black Eye)
CHAPTER 22 Periorbital Ecchymosis (Black Eye) Presentation The patient has suffered blunt trauma to the eye, most often resulting from a blow inflicted during a fistfight, a fall, a sports…
Friction Blister
CHAPTER 168 Friction Blister Presentation After wearing a pair of new or ill-fitting shoes or having gone on an unusually long hike or run, the patient complains of an uncomfortable…
Mononucleosis (Glandular Fever)
CHAPTER 32 Mononucleosis (Glandular Fever) Presentation The patient is usually an adolescent or a young adult between the ages of 15 and 25 who complains of several days of fever,…
Perforated Tympanic Membrane (Ruptured Eardrum)
CHAPTER 37 Perforated Tympanic Membrane (Ruptured Eardrum) Presentation The patient experiences ear pain after barotrauma, such as a blow or slap on the ear, an exploding firecracker, a fall while…
Bleeding after Dental Surgery
CHAPTER 43 Bleeding after Dental Surgery Presentation The patient who had an extraction or other dental surgery performed earlier in the day now has excessive bleeding at the site and…
Cerumen Impaction (Earwax Blockage)
When excessive cerumen causes pain, hearing loss, vertigo, or disequilibrium, it must be removed. Another indication for removal is when it obscures visualization of a symptomatic tympanic membrane. Irrigation and…
Contact Lens Complications
CHAPTER 15 Contact Lens Complications Presentation A patient who wears hard, impermeable, or rigid gas permeable contact lenses comes to the emergency department in the early morning complaining of severe…
Coccyx Fracture (Tailbone Fracture)
CHAPTER 106 Coccyx Fracture (Tailbone Fracture) Presentation The patient slipped and fell on his buttocks or tailbone, was kicked or injured during an athletic activity, directly impacting the sacrococcygeal synchondrosis,…
Innocuous Ingestions
CHAPTER 74 Innocuous Ingestions Presentation Frightened parents call or arrive in the ED or clinic with a 2-year-old child who has just swallowed some household product, such as laundry bleach….
Muscle Cramps (Charley Horse)
CHAPTER 121 Muscle Cramps (Charley Horse) Presentation The patient complains of painful, visible, palpable muscle contractions, often affecting the gastrocnemius muscle or small muscles of the foot or hand. Ordinary…
