CHAPTER 109 Finger Dislocation (PIP Joint) Presentation The patient will have jammed his finger, causing a hyperextension injury that forces the middle phalanx dorsally and proximally out of articulation with…

CHAPTER 101 Bursitis Presentation Following minimal trauma or repetitive motion, a nonarticular synovial sac or bursa protecting a tendon or prominent bone becomes swollen, possibly fluctuant, and possibly painful and…

CHAPTER 170 Herpes Zoster (Shingles) Presentation There may be prodromal symptoms that include malaise, nausea and vomiting, headache, and photophobia. Less commonly, there may be fever. During this prodromal stage,…

CHAPTER 30 Foreign Body, Throat Presentation The patient is usually convinced that there is a foreign body (FB) stuck in his throat, because he recently swallowed something, such as a…

CHAPTER 166 Erysipelas, Cellulitis, Lymphangitis Presentation Erysipelas is a superficial cutaneous infection that commonly is found on the legs or face and generally does not have an inciting wound or…

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…