Mucocele (Mucous Cyst)
CHAPTER 52 Mucocele (Mucous Cyst) Presentation A patient may be alarmed by the rapid development of a soft, rounded, nontender, fluctuant cyst, most often found inside the lower lip. The…
Periorbital and Conjunctival Edema
CHAPTER 21 Periorbital and Conjunctival Edema Presentation The patient is frightened by facial distortion and itching that appeared either spontaneously or up to 24 hours after being bitten by a…
Dental Pain, Pulpitis
Administer a strong analgesic, such as oxycodone in combination with acetaminophen (Percocet, Tylox), and prescribe additional medication, including nonsteroidal anti-inflammatory drugs (NSAIDs), for home use. Severe pain may necessitate a…
Idiopathic Facial Paralysis (Bell’s Palsy)
CHAPTER 5 Idiopathic Facial Paralysis (Bell’s Palsy) Presentation The patient with this condition is often frightened by his facial disfigurement or fear of having had a stroke. He complains of…
Subconjunctival Hemorrhage
CHAPTER 24 Subconjunctival Hemorrhage Presentation This condition may occur spontaneously or may follow a minor trauma, coughing episode, vomiting, straining at stool, or heavy exercise. There is no pain or…
Hysterical Coma or Pseudoseizure
CHAPTER 4 Hysterical Coma or Pseudoseizure Presentation The patient is unresponsive and brought to the emergency department on a stretcher. There is usually a history of recent emotional upset: an…
Hyperventilation
CHAPTER 3 Hyperventilation Presentation The patient is anxious and complains of shortness of breath and an inability to fill the lungs adequately. The patient also may have palpitations, dizziness, intense…
Dystonic Drug Reaction
Figure 1-1 Patient with dystonic drug reaction. What To Do: Administer 1 to 2 mg of benztropine (Cogentin) or 25 to 50 mg of diphenhydramine (Benadryl) IV, and watch for…
FRACTURES AND DISLOCATIONS
FRACTURES AND DISLOCATIONS A bone fracture (break) may be simple (one clean break) or comminuted (multiple breaks or shattered) (Figure 38). Furthermore, it may be closed (skin intact) or open…
