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Dermatologic complaints commonly are seen in emergency medicine and may pose a diagnostic dilemma for the clinician. Although a detailed understanding of all dermatologic conditions is beyond the scope of practice of emergency physicians, recognition of categories of disease, particularly emergent conditions, is essential. Knowledge of basic disease lesions, patterns, diagnostic tests, and emergent management is crucial to the appropriate treatment of patients with cutaneous disease. This article presents an organized approach to the diagnosis and management of cutaneous conditions, including brief discussions of selected dermatologic complaints.
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Emergency personnel care for innumerable victims of domestic violence. None of these victims are more vulnerable than the infants who have been abused by their caretakers. Although signs of abuse sometimes can be very apparent, this months article reminds emergency clinicians that we must be alert to more subtle signs of abuse that can be indicators of substantial injury to infants. Though the presenting complaints and histories may be inaccurate or frankly deceptive, the physical and diagnostic findings of infants with shaken baby syndrome will assist in identifying these victims of domestic abuse.
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Neurologic emergencies of pregnancy range from life-threatening conditions such as eclamptic seizures to self-limiting disorders like meralgia paresthetica. This discussion will include those neurologic disorders directly resulting from pregnancy or the puerperium, those that are pre-existing conditions but now affect the pregnant patient or are affected by the gravid state of the patient, and those disorders that are not directly related to the pregnancy but may first become apparent during the gravid state.
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Infants with an apparent life-threatening event (ALTE) present for medical attention because an acute and unexpected incident has alarmed the caregivers. These frightening episodes of apnea and color change in infants have generated considerable concern in both professional and lay groups. This article reviews the presentation, recognition, diagnosis and ED management for children who present with an ALTE.
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Part I of this series focused on hypertensive syndromes and clinical evaluation. This second and final part will cover antihypertensive medications and management of hypertension in specific disease processes.
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