SOFT TISSUE FOREIGN BODIES
Only a small percentage of wounds contain a foreign body. Most but not all foreign bodies may be discovered with thorough wound examination. PATHOPHYSIOLOGY Retained foreign bodies may lead to…
RHABDOMYOLYSIS
Conditions associated with rhabdomyolysis are listed in Table 53-1. Comatose patients are at risk for rhabdomyolysis due to prolonged immobilization with continual pressure on gravity-dependent parts of the body. TABLE…
ANTICHOLINERGICS
Anticholinergic toxicity is encountered because of the common use of phenothiazines, mydriatics, skeletal muscle relaxants, antihistamines (particularly diphenhydramine), antidepressants, antispasmotics, and antiparkinsonian drugs. Jimsonweed is a plant associated with anticholinergic…
HERNIA IN ADULTS AND CHILDREN
Nearly 10% of the population develops a hernia during their lifetime. Hernias are classified by anatomic location, hernia contents, and the status of those contents (eg, reducible, incarcerated, or strangulated)….
CARDIOGENIC SHOCK
Cardiogenic shock is the most common cause of in-hospital mortality from acute myocardial infarction (AMI). Approximately 6% to 8% of patients with AMI will develop cardiogenic shock. Cardiogenic shock usually…
SPONTANEOUS AND IATROGENIC PNEUMOTHORAX
The most common risk factor for spontaneous pneumothorax is smoking, although chronic lung disease and infections are predisposing factors. History of prior pneumothorax is common since 20% to 30% of…
HEMOPTYSIS
Hemoptysis is defined somewhat arbitrarily as mild (less than 20 mL of blood loss in 24 hours), moderate, or massive (greater than 600 mL of blood loss in 24 hours)….
EVALUATION OF ANEMIA AND THE BLEEDING PATIENT
Anemia is due to loss of red blood cells (RBCs) by hemorrhage, increased destruction of RBCs, or impaired production of RBCs. Bleeding disorders from congenital or acquired abnormalities in the…
OCCLUSIVE ARTERIAL Jv DISEASE
The disease prevalence is 4.3% in Americans under age 40 years; prevalence climbs to 15.5% in those >70 years of age. High-risk individuals include those over 70 years of age,…
THERAPUTIC APPROACH TO THE HYPOTENSIVE PATIENT
Shock is circulatory insufficiency that creates an imbalance between tissue oxygen supply and demand. Tissue hypoperfusion is associated with decreased venous O2 content and metabolic acidosis. Shock is classified into…
