CHAPTER 177 Scabies (Human Itch Mite) Presentation Patients may rush to the emergency department or call for medical help shortly after having gone to bed, unable to sleep because of…

CHAPTER 161 Arachnid Envenomation (Spider Bite) Presentation Occasionally patients will come in with a dead or captured spider after having rolled over it in bed or finding it in their…

CHAPTER 44 Burning Mouth Syndrome, Burning Tongue (Glossodynia) Presentation The patient is very uncomfortable because of a painful sensation of the tongue or mouth. The pain is variably described as…

CHAPTER 38 Pharyngitis (Sore Throat) Presentation The patient with bacterial pharyngitis complains of a rapid onset of throat pain worsened by swallowing. There is usually sudden onset of the following:…

CHAPTER 90 Dysmenorrhea (Menstrual Cramps) Presentation A young woman or female adolescent complains of crampy labor-like pains that began shortly before or at the onset of the visible bleeding of…

CHAPTER 148 Needle (Foreign Body) in Foot Presentation Although a needle could be embedded under any skin surface, most commonly a patient will have stepped on one while running or…

CHAPTER 70 Esophageal Food Bolus Obstruction (Steakhouse or Café Coronary Syndrome) Presentation The patient develops symptoms either immediately after swallowing a large mouthful of food (usually inadequately chewed meat) or…

CHAPTER 73 Hemorrhoids (Piles) Presentation Patients with external hemorrhoids (Figure 73-1) generally complain of a painful anal lump of sudden onset, which may become intense in severity. It will appear…

Figure 96-1 A, The most common mechanism of injury to the AC joint results from a direct blow onto the tip of the shoulder. B, An indirect force, such as…

CHAPTER 102 Carpal Tunnel Syndrome Presentation The patient complains of pain, tingling, or a “pins and needles” sensation in the hand or fingers. Onset may have been abrupt or gradual,…