Case Studies in Emergency Medicine 1st Edition

Case Studies in Emergency Medicine pdf

Download Case Studies in Emergency Medicine – Case Studies in Emergency Medicine is a case-based book organized by the top 10 common complaints of patients presenting to emergency departments.

Download Case Studies in Emergency Medicine

This approach allows the reader to learn the pathophysiology of the major diseases, and analyze each case in a way that more closely approximates the clinical practice of medicine; not knowing which organ system is damaged or compromised before examining the patient.

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The cases are based on real patients and the diseases are either common in emergency practice, or are dangerous diagnoses not to be missed. The case descriptions include questions regarding the patient’s presentation and basic information about the disease, illustrating key elements from the history, physical, and when necessary ancillary studies that help lead to a diagnosis. Each chapter ends with a flow diagram showing how diseases of different organ systems can present with similar initial complaints. This book is an ideal resource for medical students, residents and trainees in emergency medicine

Table of Content

  1. How to use this book
  2. Abdominal pain
  3. Fever
  4. Chest pain
  5. Shortness of breath
  6. Traumatic injuries
  7. Eye, ear, nose, and throat complaints
  8. Pelvic pain
  9. Headache
  10. Back pain
  11. Altered mental status

How to use this book

Background: There are many case-based books out there, both for emergency medicine and for other disciplines. Most of the time, these books are organized by organ system, with chapters on cardiac complaints, chapters on gastrointestinal complaints, and the like. This is a great way to learn pathophysiology. However, it’s a lousy way to learn clinical medicine. This method presupposes that the healthcare provider or student already knows the organ system involved when approaching a patient (i.e. I know it’s a pulmonary complaint, because the patient’s case is in the pulmonary chapter). Anyone in clinical medicine knows that patients haven’t read the books, and often present in an atypical manner. Patients with the same disease process can present in different ways. Patients with the same chief complaint can have different disease processes.

These simple facts are the reason why deductive and inductive reasoning are so important to medicine in general and emergency medicine in particular, and they are why we wrote this book. Book structure: Rather than organizing these cases by organ systems, we have organized them by chief complaint. This structure approximates real-life emergency medicine, where you don’t know the answer before you walk in the room. It also is illustrative of how diverse diseases can present with the same complaint, and how the clinician can work through the differential diagnosis to arrive at the correct conclusion. There are ten chapters in this book, each representing one of the top ten chief complaints encountered in the emergency department.

Each chapter contains ten to 12 cases with different etiologies of that chief complaint to cover the majority of common and dangerous diseases presenting to the emergency department.The top ten chief complaints encountered in the emergency department are abdominal pain, fever, chest pain, breathing difficulties, traumatic injuries, complaints of the eyes, ears, nose and throat, pelvic discomfort, headache, back pain, and altered mental status. Case structure: Each case in each chapter follows a standard format that mimics the format of the medical record. It is this same format that clinicians use when presenting patients to one another during sign-over or consultation, and is therefore a format worth learning. The case begins with the history of present illness, past medical history, medications, allergies, and social history.

Physical exam findings come next, as well as the results of pertinent ancillary tests. We encourage the reader to pause after reading the case to ponder the “Questions for thought” provided. When seeing a patient, a healthcare provider gathers information and then needs to synthesize this information to diagnose, manage, and care for the patient. These questions for thought are designed to simulate that process. Following the questions for How to use this book thought, the patient’s diagnosis is given. There is discussion about the epidemiology, pathophysiology, and treatment of the disease, and there is a follow-up of the clinical course of the patient. Each case ends with a short list of references for further reading. About the cases: All of the diagnoses in this book are either common or dangerous, making them critical to the knowledge base of an emergency medical provider. In addition, the cases in this book are real. Sometimes the patients are misdiagnosed, sometimes mismanaged, and sometimes there are psychosocial issues that complicate the patient’s care. Emergency medicine providers take care of anyone, anytime, regardless of complaint or ability to pay. This leads to a rich clinical environment from which to draw teaching material. These cases are written by the emergency medicine providers who saw these patients.

The algorithms: Because any given chief complaint may be caused by multiple organ systems, at the end of each chapter there is a basic algorithm to aid in the approach to a patient with a given chief complaint. These algorithms focus on the inductive reasoning used in generating a differential diagnosis and the deductive reasoning used to come up with a final diagnosis. These are not meant to be comprehensive, but rather should be used as a tool to help the reader understand the importance of considering multiple organ systems when faced with a chief complaint prior to narrowing down diagnostic possibilities.

The algorithms for approach to the patient with a given chief complaint can be read and used before, during, or after reading the cases. Index: At the end of the book, there is an index of disease processes. We included this so that the reader could choose to read several presentations for the same disease process, or look up a disease to review the pathophysiology. Since cases and chapters are titled by chief complaint only, the index is the only way to identify the final diagnoses prior to reading the cases. So we hope you find this book enjoyable, but more importantly, we hope you find it educational. This is emergency medicine in its fundamentals, truly: an enjoyable career where you learn something every day

Preface – Case Studies in Emergency Medicine

Welcome to Case Studies in Emergency Medicine. This case-based book is designed to help medical students, physicians-in-training, and practicing clinicians learn many of the fundamentals of emergency medicine in a chief complaint, case-based format. Each of the ten chapters corresponds to one of the top ten chief complaints seen in emergency medicine, and is filled with cases of patients presenting with that chief complaint. The cases are presented as “unknowns,” and the reader is provided with the information necessary to evaluate and treat each patient in a manner similar to that which occurs in clinical practice. Each case is then followed by information regarding the presentation, evaluation, treatment, and follow-up of patients with the disease described. The cases in this book are all real, written by the healthcare providers who saw these patients. Because of this, the cases are not “textbook” cases, but contain the subtle clinical nuances and diagnostic challenges of real practice. The authors of the cases come from a broad range of specialties, and include physicians-in-training, academicians, and clinical physicians. Through this format, you will gain an appreciation of the variety of presentations of disease processes, a good understanding of the pathophysiology of common acute disease entities, and a rational approach to the evaluation of the major complaints seen in the emergency department. Additionally, you will have the opportunity to read many interesting, educational, and sometimes eye-opening cases of real patients evaluated in the emergency department. Enjoy

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    About the Author

    Rebecca Jeanmonod is Assistant Professor, Department of Emergency Medicine, St. Luke’s Hospital and Health Network, Bethlehem, PA, USA.

    Michelle Tomassi is Attending Physician, Department of Emergency Medicine, Stamford Hospital, Stamford, CT, USA.

    Dan Mayer is Professor of Emergency Medicine, Albany Medical College, Albany, NY, USA.

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