By Steven W. Salyer PhD PA-C
Steven W. Salyer, PhD, PA-C and fellow Emergency drugs healthcare professional Assistants current a short, concise, and useful consultant to regularly faced clinical emergencies. crucial Emergency drugs is perfect for the busy PA and NP within the health facility or on web site and for committed EMTs at the entrance strains for fast-access info to emergency motion, prognosis, therapy, and follow-up recommendations.Quick and Concise consultant to emergency medicineSection on Toxicology EmergenciesSection on Pediatric EmergenciesICD and CPT codesOver 30 new subject matters coveredInformation on required radiographs, MRIs, and CTs for every emergencyStep-by-step techniques for ordering applicable assessments and examining the consequences
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Extra info for Essential Emergency Medicine: For the Healthcare Practitioner
Of note, however, no lab test will make or break the diagnosis of cholecystitis. DIAGNOSIS A diagnosis is made using a history, physical examination, and imaging study. Ultrasound, CT, and hepatobiliary scintigraphy (hepatobiliary iminodiacetic acid [HIDA] scans) are imaging options. Symptomatic cholelithiasis is differentiated from cholecystitis by complete resolution of symptoms and an ultrasound scan that reveals no evidence of cholecystitis. The differential diagnosis of gallbladder pain includes pancreatitis, cholangitis, gastritis, peptic ulcer disease, hepatitis, hepatic abscess, pyelonephritis, renal colic, right lower lobe pneumonia, pleural effusion, appendicitis, atypical myocardial infarction, pelvic inflammatory disease, and ectopic pregnancy.
Wound tension should be minimized by undermining the wound edges or by placing subcutaneous sutures. Wound edges should be everted so that the germinating layers of the skin will be in contact with one another. This can be accomplished by ensuring that the needle enters and exits the skin perpendicularly. The suture should be tied just tightly enough to bring the wound edges together. With uneven wounds, care should be taken that the depth of bite should be the same on both sides of the wound. Jagged margins of a wound should be preserved if viable.
Emergency Actions ! Any patient suspected of having an aortic dissection should immediately have two large-gauge IV lines placed, should be placed on the cardiac monitor, and should have an immediate CT angiogram and blood pressure control. If an aortic dissection is present, immediate surgical consult should be obtained. DEFINITION Aortic dissection is a separation between the layers of the aorta caused by the shear forces of blood flow. , the media). , the intima) allows blood to flow between the layers of the wall of the aorta, creating a false lumen.