CHAPTER 65 Rib Fracture and Costochondral Separation (Broken Rib) Presentation A patient with an isolated rib fracture or a minor costochondral separation usually has recently fallen, injuring the side of…
Provide appropriate tetanus prophylaxis (see Appendix H), and check for associated injuries, such as loose teeth and mandibular or facial fractures. Crushed ice wrapped in clean gauze and held inside…
CHAPTER 119 Lumbar Strain, Acute (“Mechanical” Low Back Pain, Sacroiliac Dysfunction) Presentation Suddenly or gradually, after lifting, sneezing, bending, or other movement, the patient develops a steady pain in one…
CHAPTER 98 Annular Ligament Displacement, Radial Head Subluxation (Nursemaid’s Elbow) Presentation A toddler who is between 1 and 4 years of age has received a sudden jerk on his arm,…
CHAPTER 169 Frostnip, Frostbite, and Mild Hypothermia Presentation Frostnip occurs when skin surfaces, such as the tip of the nose and ears, are exposed to an environment cold enough to…
CHAPTER 125 Plantar Fasciitis (“Heel Spur”) Presentation Patients seek help because of gradually increasing inferior heel pain that has progressed to the point of inhibiting their normal daily activities. This…
CHAPTER 132 Tendinopathy: Tendinosis, Paratenonitis (Tendinitis) Presentation There is pain along an involved tendon, often poorly localized, that worsens with motion, resisted contraction, or passive stretching. A vibratory crepitus may…
CHAPTER 92 “Morning After” Emergency Contraception Presentation A woman had unprotected sexual intercourse in the past 24 to 72 hours and wants to prevent an unplanned pregnancy. Emergency contraception is…
CHAPTER 34 Otitis Externa (Swimmer’s Ear), Acute Presentation In acute otitis externa (AOE), the patient complains of ear pain, which is always uncomfortable and sometimes unbearable, often accompanied by drainage…
CHAPTER 124 Patellar Dislocation (Kneecap Dislocation) Presentation After a direct blow to the medial aspect of the patella or, more commonly, without contact and only after a sudden twisting motion…
