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,…

CHAPTER 95 Vaginitis Presentation A woman complains of a vaginal discharge, possibly with itching and/or irritation of the labia and vagina. Odor, external dysuria, vague low abdominal discomfort, or dyspareunia…

CHAPTER 173 Partial-Thickness (Second-Degree) Burns and Tar Burns Presentation Partial-thickness burns can occur in a variety of ways. Spilled or splattered hot water and grease are among the most common…

CHAPTER 152 Ring Removal Presentation A ring has become tight on the patient’s finger after an injury (usually a sprain of the proximal interphalangeal [PIP] joint) or after some other…

CHAPTER 11 Vasovagal or Neurocardiogenic or Neurally Mediated Syncope (Faint, Swoon) Presentation The patient experiences a brief loss of consciousness, preceded by a sense of warmth and nausea and awareness…

CHAPTER 12 Vertigo (Dizziness, Lightheadedness) Presentation The patient who has dizziness may have a nonspecific complaint that must be further differentiated into either an altered somatic sensation (giddiness, wooziness, disequilibrium),…

CHAPTER 163 Cutaneous Abscess or Pustule Presentation A patient with an abscess may or may not have a history of minor trauma (such as an embedded foreign body or a…

CHAPTER 137 Contusion (Bruise) Presentation The patient has fallen, has been thrown against an object, or has been struck on his or her body. Though the initial pain has subsided,…