Pediatric Fever
Key Points Print Section Listen Regardless of age, all toxic-appearing infants and children with fever require a full septic work-up, urgent treatment with broad-spectrum antibiotics, and admission. Initial management of…
The Pediatric Patient
Key Points Print Section Listen Inherent differences exist between pediatric and adult patients. Physicians have to treat both the parent and the child. The older the child, the more reliable…
Penile Disorders
Key Points Print Section Listen Priapism and paraphimosis are urologic emergencies. Prolonged priapism (>6 hours) may result in impotence. Paraphimosis may lead to glans ischemia and necrosis. Corpus cavernosum aspiration…
Soft Tissue Infections
Key Points Print Section Listen Most cases of cellulitis can be safely managed as outpatients with oral antibiotics, elevation, and recheck in 24-48 hours. All abscesses require drainage. Most patients…
Preeclampsia and Eclampsia
Key Points Print Section Listen Gestational hypertension, preeclampsia, and eclampsia represent a spectrum of potentially life-threatening diseases that must be diagnosed and treated aggressively. Consider preeclampsia in any pregnant patient…
Vaginal Bleeding
Key Points Print Section Listen Obtain a pregnancy test in any woman of childbearing age who presents with vaginal bleeding or abdominal pain. Risk factors are absent in more than…
Nephrolithiasis
Key Points Print Section Listen Analgesic administration should not be delayed while obtaining laboratory and radiology studies. Abdominal aortic aneurysm should be considered in the differential of elderly patients being…
Testicular Torsion
Key Points Print Section Listen Consider the diagnosis of testicular torsion in any male with abdominal pain. Perform a genitourinary (GU) examination on males complaining of abdominal pain, even if…
Emergency Delivery
Key Points Print Section Listen Assemble sufficient staff and supplies to care for both the mother and newborn. When vaginal bleeding is present, defer the pelvic examination until placenta previa…
Vaginal Discharge
Key Points Print Section Listen Vaginal discharge is a common presenting complaint in reproductive-age women. Possible diagnoses include vaginitis, cervicitis, or pelvic inflammatory disease (PID). Clinical evaluation for the diagnosis…
