Contributors |
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xi | |
Preface |
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xv | |
Section 1 Taking the Boards |
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1 | (30) |
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Chapter 1 Introduction and Technique |
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3 | (28) |
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4 | (1) |
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4 | (1) |
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Detailed Description of the Exam Day |
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5 | (1) |
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The Oral Board Exam Format |
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5 | (4) |
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9 | (1) |
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9 | (1) |
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9 | (2) |
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11 | (1) |
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11 | (20) |
Section 2 Resuscitation and Procedures |
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31 | (56) |
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Chapter 2 Airway Management |
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33 | (12) |
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34 | (1) |
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35 | (1) |
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Noninvasive Ventilatory Support |
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35 | (1) |
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Indications for Intubation |
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36 | (1) |
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Initial Approach to Intubation |
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36 | (1) |
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Orotracheal Intubation Technique |
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37 | (8) |
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45 | (8) |
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46 | (1) |
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46 | (1) |
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47 | (1) |
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47 | (5) |
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52 | (1) |
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53 | (12) |
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54 | (1) |
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ACLS: Advanced Cardiac Life Support |
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55 | (1) |
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55 | (1) |
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Cardiac Arrest Algorithms |
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56 | (3) |
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Management of Bradycardia |
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59 | (1) |
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Management of Tachycardia |
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60 | (5) |
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65 | (8) |
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66 | (1) |
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66 | (5) |
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71 | (2) |
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Chapter 6 Common Procedures |
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73 | (14) |
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Joint Injuries/Reductions |
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74 | (13) |
Section 3 Cardinal Symptoms |
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87 | (248) |
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89 | (12) |
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90 | (1) |
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Initial History and Physical Examination |
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90 | (1) |
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91 | (1) |
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92 | (1) |
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93 | (1) |
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94 | (1) |
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95 | (2) |
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Cellulitis/Necrotizing Fasciitis |
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97 | (1) |
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98 | (3) |
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101 | (18) |
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102 | (1) |
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Initial History and Physical Examination |
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102 | (1) |
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102 | (1) |
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103 | (5) |
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108 | (4) |
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112 | (2) |
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114 | (5) |
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Chapter 9 Syncope and Palpitations |
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119 | (12) |
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120 | (1) |
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Initial History and Physical Examination |
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120 | (1) |
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121 | (1) |
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122 | (1) |
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Orthostatic Hypotension Syncope |
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123 | (1) |
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124 | (1) |
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125 | (6) |
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Chapter 10 Shortness of Breath |
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131 | (14) |
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132 | (1) |
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Initial History and Physical Examination |
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132 | (1) |
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132 | (1) |
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133 | (3) |
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136 | (1) |
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Congestive Heart Failure/Pulmonary Edema |
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137 | (2) |
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139 | (1) |
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140 | (5) |
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Chapter 11 Sore Throat/Dysphagia |
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145 | (8) |
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146 | (1) |
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Initial History and Physical Examination |
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146 | (1) |
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147 | (2) |
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149 | (1) |
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150 | (1) |
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151 | (2) |
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Chapter 12 Abdominal Pain |
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153 | (26) |
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155 | (1) |
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Initial History and Physical Examination |
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155 | (2) |
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Peritonitis/SBP/PD Related |
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157 | (2) |
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159 | (3) |
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162 | (2) |
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164 | (2) |
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166 | (2) |
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168 | (2) |
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Cholecystitis/Cholangitis |
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170 | (2) |
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172 | (1) |
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173 | (2) |
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175 | (4) |
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179 | (6) |
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180 | (1) |
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Initial History and Physical Examination |
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180 | (1) |
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180 | (1) |
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181 | (1) |
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182 | (3) |
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185 | (8) |
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186 | (1) |
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Initial History and Physical Examination |
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186 | (1) |
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186 | (1) |
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187 | (1) |
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Abdominal Aortic Aneurysm |
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187 | (2) |
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189 | (4) |
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Chapter 15 Painful Extremity |
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193 | (8) |
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194 | (1) |
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Initial History and Physical Examination |
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194 | (1) |
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194 | (1) |
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195 | (1) |
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196 | (1) |
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197 | (1) |
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Acute Compartment Syndrome |
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198 | (3) |
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Chapter 16 Altered Mental Status: Toxicology Emergencies |
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201 | (48) |
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Initial Assessment/Intervention |
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204 | (1) |
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Initial History and Physical Examination |
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204 | (11) |
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215 | (2) |
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217 | (1) |
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Beta-Blocker/Calcium Channel Blocker |
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218 | (2) |
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Cardiac Glycoside (Digoxin) |
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220 | (1) |
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221 | (2) |
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Valproic Aid (Depacon, Depakene, Depakote) |
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223 | (1) |
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Tricyclic Antidepressants |
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224 | (2) |
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226 | (1) |
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227 | (1) |
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228 | (2) |
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230 | (2) |
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232 | (1) |
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233 | (1) |
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234 | (2) |
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Hydrocarbon and Petroleum Distillates |
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236 | (1) |
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Organophosphates/Nerve Agents |
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237 | (1) |
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238 | (1) |
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239 | (2) |
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241 | (1) |
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242 | (1) |
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Cocaine and Amphetamines (Methylphenidate, Metamphetamine) |
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243 | (2) |
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245 | (1) |
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Neuroleptic Malignant Syndrome |
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246 | (3) |
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Chapter 17 Altered Mental Status: Environment and Endocrine |
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249 | (18) |
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Initial Assessment/Intervention |
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251 | (1) |
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Initial History and Physical Examination |
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251 | (1) |
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252 | (1) |
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253 | (1) |
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254 | (2) |
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256 | (2) |
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258 | (1) |
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259 | (1) |
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Acute Adrenal Insufficiency |
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260 | (1) |
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261 | (2) |
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Hyperosmolar Hyperglycemic State |
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263 | (1) |
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264 | (1) |
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265 | (2) |
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267 | (10) |
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268 | (1) |
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Initial History and Physical Examination |
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268 | (1) |
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269 | (1) |
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269 | (1) |
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270 | (1) |
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271 | (1) |
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271 | (2) |
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Hypertensive Encephalopathy |
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273 | (1) |
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Idiopathic Intracranial Hypertension AKA Pseudotumor Cerebri |
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273 | (1) |
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Meningitis and Encephalitis |
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274 | (3) |
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277 | (10) |
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278 | (1) |
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Initial History and Physical Examination |
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278 | (1) |
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278 | (1) |
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279 | (2) |
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281 | (2) |
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283 | (1) |
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284 | (3) |
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287 | (10) |
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288 | (1) |
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Initial History and Physical Examination |
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288 | (1) |
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288 | (1) |
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289 | (3) |
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292 | (1) |
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293 | (1) |
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293 | (4) |
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297 | (10) |
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298 | (1) |
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Initial History and Physical Examination |
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298 | (1) |
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299 | (1) |
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Generalized Seizure Disorders |
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299 | (1) |
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300 | (2) |
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302 | (1) |
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303 | (1) |
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303 | (1) |
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304 | (1) |
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304 | (2) |
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306 | (1) |
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307 | (12) |
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308 | (1) |
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Initial History and Physical Examination |
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308 | (1) |
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309 | (3) |
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Acute Angle-Closure Glaucoma |
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312 | (1) |
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313 | (1) |
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Anterior Uveitis (Iritis) |
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314 | (1) |
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315 | (1) |
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Central Retinal Artery Occlusion |
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316 | (3) |
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Chapter 23 Rash and Skin Complaints |
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319 | (12) |
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320 | (1) |
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Initial History and Physical Examination |
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320 | (1) |
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321 | (4) |
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325 | (1) |
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326 | (1) |
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327 | (1) |
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328 | (3) |
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Chapter 24 Acid-Base Derangements |
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331 | (4) |
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Stepwise Approach to Acid-Base Interpretation |
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332 | (1) |
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333 | (1) |
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333 | (1) |
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333 | (1) |
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334 | (1) |
Section 4 Special Populations |
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335 | (78) |
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Chapter 25 Trauma Patients |
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337 | (24) |
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Initial Trauma Assessment and Resuscitation |
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338 | (2) |
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System-Based Approach to the Trauma Patient: Head Injuries |
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340 | (3) |
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343 | (2) |
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345 | (2) |
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347 | (3) |
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350 | (3) |
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353 | (3) |
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356 | (2) |
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358 | (3) |
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361 | (10) |
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362 | (1) |
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Initial History and Physical Examination |
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362 | (1) |
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363 | (1) |
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364 | (2) |
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366 | (2) |
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368 | (3) |
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Chapter 27 Pregnant Patients |
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371 | (10) |
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372 | (1) |
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Initial History and Physical Examination |
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372 | (1) |
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Differential Diagnosis/Common Emergency Presentations of Pregnancy |
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372 | (2) |
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374 | (2) |
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376 | (1) |
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377 | (1) |
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Pre-Eclampsia/Eclampsia/HELLP Syndrome |
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378 | (3) |
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Chapter 28 The Dialysis Patient |
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381 | (10) |
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382 | (1) |
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Initial History and Physical Examination |
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382 | (1) |
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383 | (1) |
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384 | (2) |
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386 | (1) |
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387 | (1) |
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Bleeding From Vascular Access Site |
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388 | (3) |
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Chapter 29 Emergencies in Sickle Cell Patients |
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391 | (8) |
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392 | (1) |
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Initial History and Physical Examination |
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392 | (1) |
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393 | (1) |
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393 | (2) |
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395 | (1) |
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395 | (1) |
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396 | (1) |
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396 | (3) |
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Chapter 30 Bleeding Disorders |
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399 | (6) |
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400 | (1) |
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Initial History and Physical Examination |
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400 | (1) |
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400 | (1) |
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Acquired Bleeding Disorders |
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401 | (1) |
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Hereditary Bleeding Disorders |
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402 | (3) |
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Chapter 31 Psychiatric Emergencies |
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405 | (8) |
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406 | (1) |
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Initial History and Physical Examination |
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406 | (1) |
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Differential Diagnosis (DDX) |
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406 | (1) |
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407 | (1) |
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408 | (1) |
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409 | (4) |
Section 5 Pediatric Patients |
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413 | (100) |
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Chapter 32 Pediatric Fever |
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415 | (18) |
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416 | (1) |
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Initial History and Physical Examination |
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416 | (1) |
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417 | (7) |
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Fever of Unknown Etiology: |
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418 | (1) |
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419 | (4) |
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423 | (1) |
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Fever Associated With Rash |
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424 | (1) |
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424 | (2) |
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Rocky Mountain Spotted Fever |
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426 | (1) |
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427 | (2) |
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429 | (1) |
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430 | (1) |
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430 | (3) |
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Chapter 33 Pediatric Shortness of Breath |
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433 | (16) |
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434 | (1) |
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Initial History and Physical Examination |
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434 | (2) |
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436 | (3) |
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Congenital Cardiac Abnormalities |
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439 | (2) |
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441 | (1) |
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442 | (1) |
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443 | (1) |
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444 | (1) |
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Acute Events in Infancy Including Brief Resolved Unexplained Events (BRUE) |
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445 | (4) |
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Chapter 34 Pediatric Sore Throat |
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449 | (12) |
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450 | (1) |
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Initial History and Physical Examination |
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450 | (1) |
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451 | (1) |
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Acute Bacterial Pharyngitis |
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452 | (2) |
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454 | (1) |
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454 | (2) |
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456 | (1) |
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456 | (2) |
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458 | (3) |
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Chapter 35 Pediatric Abdominal Pain |
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461 | (14) |
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462 | (1) |
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Initial History and Physical Examination |
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462 | (1) |
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462 | (1) |
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Infantile Hypertrophic Pyloric Stenosis |
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463 | (2) |
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465 | (2) |
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467 | (2) |
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469 | (2) |
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471 | (4) |
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Chapter 36 Pediatric Joint Pain |
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475 | (12) |
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476 | (1) |
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Initial History and Physical Examination |
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476 | (1) |
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476 | (1) |
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Mechanical Causes of Joint Pain or Limping |
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477 | (1) |
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Systemic/Inflammatory Causes of Joint Pain or Limping |
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477 | (1) |
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Common Fractures and Dislocations in Children |
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478 | (3) |
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Slipped Capital Femoral Epiphysis |
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481 | (1) |
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Legg-Calve-Perthes Disease |
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482 | (1) |
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483 | (1) |
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484 | (3) |
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Chapter 37 Pediatric Seizure |
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487 | (12) |
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488 | (1) |
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Initial History and Physical Examination |
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488 | (1) |
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489 | (1) |
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Generalized Seizure Disorder |
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490 | (1) |
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491 | (1) |
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492 | (1) |
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493 | (1) |
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494 | (1) |
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495 | (4) |
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Chapter 38 Pediatric Trauma |
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499 | (14) |
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500 | (1) |
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500 | (1) |
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Differential Diagnoses and Considerations: The Secondary Survey |
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501 | (1) |
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502 | (2) |
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504 | (2) |
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506 | (2) |
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508 | (1) |
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509 | (1) |
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510 | (1) |
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511 | (2) |
Section 6. The Cases |
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513 | (344) |
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1 55 y/o Male With Chest Pain |
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515 | (7) |
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2 44 y/o Female With Headache |
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522 | (5) |
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3 20 y/o Male Pedestrian Struck by a Car |
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|
527 | (7) |
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4 A 24 y/o Female With Vaginal Bleeding |
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534 | (5) |
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5 55 y/o Male With Mental Status Changes |
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|
539 | (5) |
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6 A 50 y/o Female With Syncope |
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|
544 | (6) |
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7 35 y/o Male With Head Injury |
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550 | (7) |
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8 70 y/o Female With Abdominal Pain |
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|
557 | (6) |
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9 1 mo/o Male With Fever of Unknown Origin |
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563 | (5) |
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10 6 y/o Female With Abdominal Pain |
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568 | (4) |
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11 90 y/o Male With Headache |
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572 | (6) |
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12 50 y/o Female Dialysis Patient With Fever |
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578 | (5) |
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13 44 y/o Male With Hypotension |
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|
583 | (6) |
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14 16 y/o Female With Mental Status Change |
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589 | (6) |
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15 40 y/o Male With Chest Pain |
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|
595 | (8) |
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16 28 y/o Female With HIV, Back Pain, and Fever |
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|
603 | (6) |
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17 85 y/o Male With Abdominal Pain |
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|
609 | (6) |
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18 45 y/o Female With Shortness of Breath |
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615 | (9) |
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19 2 y/o Fussy Male With Abdominal Pain |
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624 | (7) |
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20 24 y/o Female Who Has a Fall |
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|
631 | (5) |
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21 55 y/o Male With Sore Throat |
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636 | (6) |
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22 33 y/o Female With Headache and Weakness |
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|
642 | (4) |
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23 11/2 y/o Male With SOB |
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646 | (5) |
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24 35 y/o Female Pedestrian Struck by an Auto |
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651 | (6) |
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25 24 y/o Male With Gunshot Wound to Chest and Neck |
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657 | (6) |
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26 5 y/o Female With Abdominal Pain |
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|
663 | (6) |
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27 7 y/o Male With Asthma |
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|
669 | (4) |
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28 A 22 y/o Female With Abdominal Pain |
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|
673 | (5) |
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29 A 68 y/o Male With Shortness of Breath |
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|
678 | (5) |
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30 28 y/o Female in an MVA |
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|
683 | (6) |
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31 2 y/o Female With Seizure |
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|
689 | (8) |
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32 8 mo/o Female With SIDS/PALS |
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|
697 | (9) |
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33 38 y/o Male With Thermal Burns |
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|
706 | (5) |
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34 44 y/o Female With Fever and Bizarre Behavior |
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711 | (8) |
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35 88 y/o Male With Fever and Change in Mental Status |
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|
719 | (7) |
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36 80 y/o Female With Weakness |
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726 | (7) |
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37 38 y/o Male With Sore Throat and Fever |
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|
733 | (6) |
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38 55 y/o Female With Hematemesis |
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|
739 | (6) |
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39 28 y/o Male With Sickle Cell Disease and Chest Pain |
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745 | (5) |
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40 68 y/o Female With Palpitations |
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750 | (9) |
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41 58 y/o Male With Shortness of Breath |
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759 | (6) |
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42 35 y/o Female With Depression and Suicide Attempt |
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|
765 | (6) |
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43 44 y/o Male With Weakness |
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771 | (7) |
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44 78 y/o Female With Paralysis |
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778 | (6) |
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45 A 2 y/o Male Near Drowning |
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|
784 | (11) |
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46 Situation Encounter: A 14 y/o Male With a Limp, a 45 y/o Male With Shoulder Pain, and a Woman With Abdominal Pain |
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|
795 | (12) |
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47 Situation Encounter: A 24 y/o Male With a Hand Laceration, a 62 y/o Female With SOB, and a 2 y/o Male With. SOB |
|
|
807 | (12) |
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48 Situation Encounter: A 74 y/o Female With Mental Status Changes, a 45 y/o Male With a Headache and Syncope, and an 8 y/o Male With SOB |
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|
819 | (12) |
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49 Situation Encounter: A 10 y/o Male Struck by a Car, a 22 y/o Male With Hemophilia and a Hand Laceration, and a 36 y/o Female With Acute Abdominal Pain |
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|
831 | (12) |
|
50 Situation Encounter: A 2 y/o Febrile Child, an 85 y/o Male With Eye Pain, and a 48 y/o Male With CP |
|
|
843 | (14) |
Index |
|
857 | |