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This is the second part of the article on atypical presentations of stroke and TIAs. We start with the same patient we introduced last time and discuss the differential diagnosis of his myriad complaints.
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Cervical adenitis, otitis externa, and peritonsillar disease are very common diseases that are seen in the emergency department (ED). Early recognition, appropriate treatment and an awareness of potential complications guide the clinician's treatment decisions.
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Bleeding is a common chief complaint in the emergency department. Recognizing excessive bleeding and treating bleeding disorders may be challenging. Awareness of the differential, diagnostic strategies and treatment options is critical. This article presents a comprehensive approach to the patient with a bleeding disorder.
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Hypothermia has been recorded throughout history. Galen, personal physician to Marcus Aurelius, wrote in his treatise "Hygiene" that newborns should be wrapped in swaddling clothes because, "it is necessarily going to come in contact with cold and heat."
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A lot can happen in 20 years, and certainly a lot has happened in the practice of emergency medicine both good and bad. But experts seem to agree that no single event has had more impact on the field than the passage of the Emergency Medical Treatment and Labor Act (EMTALA).
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Emergency medicine experts say the lagging economy is putting additional pressure on EDs that are already stretched to the limit, and that ED managers can look forward to even greater demand from patients while financial woes will lead to staff cuts, further exacerbating the situation.
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The natural excitement and optimism that normally accompany the transition to a new administration are not universally shared by ED experts, judging by their comments to ED Management.
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Will the new Obama administration successfully address emergency medicine's most pressing problems? Some are not hopeful.
