Improve your skills in visual diagnosis

Speed and accuracy of diagnosis is the key to saving lives in emergency and critical care medicine. Careful visual inspection of the patient, the data (radiography, electrocardiogram), and related clues can often help providers choose the right diagnosis and ultimately the best treatment - but this knowledge comes with experience. This book provides 110 randomly presented visual diagnosis cases for self-testing, imitating real-life situations found in the emergency department setting.

Written by distinguished emergency and critical care physicians, and thoroughly revised and updated throughout, this second edition includes 25% new cases and is an ideal aid for trainees preparing for Board examinations as well as an invaluable 'refresher' for qualified emergency and critical care providers. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store.

CHRISTOPHER P. HOLSTEGE MD, Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia

ALEXANDER B. BAER MD, Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia

JESSE M. PINES MD, Center for Health Care Quality, Department of Emergency Medicine and Health Policy, George Washington University

WILLIAM J. BRADY MD, Department of Emergency Medicine, University of Virginia

Speed and accuracy of diagnosis is the key to saving lives in emergency and critical care medicine. Careful visual inspection of the patient, the data (radiography, electrocardiogram), and related clues can often help providers choose the right diagnosis and ultimately the best treatment but this knowledge comes with experience. This book provides 110 randomly presented visual diagnosis cases for self-testing, imitating real-life situations found in the emergency department setting.

Written by distinguished emergency and critical care physicians, and thoroughly revised and updated throughout, this second edition includes 25% new cases and is an ideal aid for trainees preparing for Board examinations as well as an invaluable 'refresher' for qualified emergency and critical care providers.

This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store.

List of contributors ix

Foreword xii

Preface xiv

Illustration credits xv

Part I Case Presentations and Questions 1

1 Slash Wound to the Neck 3
Kevin S. Barlotta MD and Alexander B. Baer MD

2 "I've Got Blood in My Eye" 3
Chris S. Bergstrom MD and Alexander B. Baer MD

3 Forearm Fracture After Falling 4
Alexander B. Baer MD

4 A Neonate with Fever and Rash 4
David L. Eldridge MD

5 A Missing Button Battery 5
Brendan G. Carr MD and Sarah E. Winters MD MSCE

6 Anorexia Hair Loss and Fingernail Bands 6
Christopher P. Holstege MD

7 Wide Complex Tachycardia in a Young Adult 6
William J. Brady MD

8 Wide Complex Tachycardia in an Older Male Patient 7
William J. Brady MD

9 Muscle Spasms Following a Spider Bite 8
J. Michael Kowalski DO and Adam K. Rowden DO

10 Necrotic Skin Lesion 8
David A. Kasper DO MBA Aradhna Saxena MD and Kenneth A. Katz MD

11 Intense Pain Following High-pressure Injection Injury 9
David T. Lawrence DO

12 Prenatal Vitamin Overdose 9
Christopher P. Holstege MD and Adriana I. Goldberg MD

13 Blurred Vision Following Yard Work 10
Allyson Kreshak MD

14 Foot Pain in a Gymnast 11
Hoi K. Lee MD

15 A Child with Bruises of Different Ages 11
David L. Eldridge MD

16 Sudden Shortness of Breath after Removal of a Central Line 12
Christopher P. Holstege MD

17 "My Eyes Are Yellow!" 13
David T. Lawrence DO

18 Pleuritic Chest Pain in a Young Adult Male 13
William J. Brady MD

19 Exposed During a Blizzard 14
Joseph D. Forrester MD and Christopher P. Holstege MD

20 FAST Evaluation of a Trauma Patient 15
John S. Rajkumar MD and James H. Moak MD RDMS

21 Chest Pain with Sudden Cardiac Death 15
William J. Brady MD

22 Wrist "Sprain" in a Child 16
Jennifer S. Boyle PharmD MD

23 Acute Eye Pain and Blurred Vision in an Elderly Female 17
Chris S. Bergstrom MD and Alexander Baer MD

24 Heel Pain Following a Fall 17
Jennifer S. Boyle PharmD MD

25 Confluent Rash on a Child 18
Sarah E. Winters MD MSCE and Brendan G. Carr MD

26 Bradycardia Following an Herbal Ingestion 18
Alexander B. Baer MD

27 A Pain-free Adult with Persistent T Wave Abnormalities 19
William J. Brady MD

28 Caustic Ingestion with Cardiotoxic Effects 20
Heather A. Borek MD and Christopher P. Holstege MD

29 Chemical Eye Exposure 21
Chris S. Bergstrom MD and Alexander B. Baer MD

30 Acute Abdominal Pain in Pregnancy 22
James H. Moak MD RDMS and John S. Rajkumar MD

31 Coma Following Head Trauma 22
Andrew L. Homer MD and William J. Brady MD

32 Tongue Swelling in a Hypertensive Female 23
Kevin S. Barlotta MD and Alexander B. Baer MD

33 Purulent Eye Discharge in an Adult 24
Chris S. Bergstrom MD and Alexander B. Baer MD

34 Shoulder Pain Following Direct Blow 24
Nathan P. Charlton MD

35 A Gagging Child 25
Maureen Chase MD and Worth W. Everett MD

36 Adult Male with a Sudden Severe Headache 25
Andrew L. Homer MD and William J. Brady MD

37 New Facial Droop 26
Andrew D. Perron MD and Christopher T. Bowe MD

38 Eye Pain After Tree Branch Strike 26
Chris S. Bergstrom MD and Alexander B. Baer MD

39 An Elderly Woman with Groin Pain 27
Brendan G. Carr MD

40 Rash and Joint Pain in a Child 28
Mara L. Becker MD

41 Radiology Findings after Laparoscopy 28
Munish Goyal MD

42 Postprandial Abdominal Pain in an Elderly Woman 29
Hoi K. Lee MD

43 "Pink Eye" in a Contact Lens Wearer 30
Chris S. Bergstrom MD and Alexander B. Baer MD

44 Suspicious Hand Pain 30
Rex G. Mathew MD

45 Fever and Rash in a Child 31
David L. Eldridge MD

46 An Alcoholic with Dyspnea 31
James H. Moak MD RDMS and John S. Rajkumar MD

47 Dark Urine from an Immigrant 32
Suzanne M. Shepherd MD

48 Chest Pain and Lead aVR ST Segment Elevation 33
William J. Brady MD

49 Hand Pain after Striking a Wall 34
William J. Brady MD and Kevin S. Barlotta MD

50 A Refugee with Skin Lesions 35
Roger A. Band MD and Jeanmarie Perrone MD

51 Pain out of Proportion to Examination 35
J. Michael Kowalski DO and Adam K. Rowden DO

52 Leg Pain Following a Motor Vehicle Collision 36
Nathan P. Charlton MD

53 Deformed Globe Following Trauma 36
Worth W. Everett MD

54 Foot Pain Following Breaking 37
Munish Goyal MD

55 Lamp Oil Ingestion 38
David L. Eldridge MD

56 Intermittent Abdominal Pain in a Female 38
John S. Rajkumar MD and James H. Moak MD RDMS

57 Hallucinations in a Botanist 39
Joseph D. Forrester MD and C…