Pediatrics/Pediatric Surgery 18.1 Bronchiolitis/RSV Peds 1999;104:1334; Nejm 2001;344:1917; Am Fam Phys 2004;69:325 Cause: Respiratory Syncytial Virus (RSV). Epidem: Peak incidence from November-April. Major issue in immunocompromised, premature infants, and cardiopulmonary…
Otolaryngology 17.1 Barotrauma Am Fam Phys 1992;45:1777 Blast Injury Nejm 2005;352:1335 Cause: Direct blows to the external ear with pressure wave damage to the tympanic membrane; closed space bomb explosion…
Orthopedics 16.1 Bursitis/Tendonitis Med Sci Sports Exerc 1998;30:1183 Cause: Inflammation of bursa or tendons; may be infectious in etiology—especially olecranon and prepatellar areas (Septic Arthritis p340). Epidem: Common. Pathophys: Overuse…
Ophthalmology 15.1 Acute Glaucoma (Angle Closure) Aust N Z J Ophthalm 1999;27:358 Cause: Genetic predisposition, hyperopia (farsightedness); after LASIK procedure (J Cataract Refract Surg 2000;26:620); intranasal cocaine (J Laryngol Otol…
Obstetrics 14.1 Abdominal Trauma/Uterine Rupture Clin Obgyn 1990;33:432; Obgyn Cl N Am 1999;26:419; Am Fam Phys 2002;66:823 Cause: Multiple causes, but usually motor vehicle accidents; uterine rupture may be spontaneous…
Neurology/Neurosurgery 13.1 Acute Serotonin Syndrome Nejm 2005;352:1112; J Psychopharm 1999;13:100 Cause: MAO inhibitors (Hypericum perforatum, aka St. John’s Wort, is a weak MAO inhibitor), SSRIs (selective serotonin reuptake inhibitors), and…
Nephrology 12.1 Acute Renal Failure Am Fam Phys 2000;61:2077; Jama 2003;289:747 Cause: Pre-renal: Hypovolemia, anemia. Renal: Drug toxicity [eg, NSAIDs (Am J Epidem 2000;151:488)—even topical (BMJ 2000;320:93)] and salicylates and…
Infectious Disease Med Lett Drugs Ther 2001;43:69; 2002;44:9 10.1 Fournier Gangrene Cause: Polymicrobial infection of scrotum from skin, urethral or perianal nidus. Epidem: Uncommon; mortality rate from 20-42% in adults;…
Hematology/Oncology 9.1 Acute Leukemia Cause: Lymphocytic and non-lymphocytic varieties. This will focus on acute lymphocytic (blastic) leukemia, or ALL. Two types of ALL, child and adult. Adult type is probably…
