Main description:

Many primary care clinicians are busy to the point of being overwhelmed and there is not time to do thorough evaluations on every patient. The outpatient clinician must be able to quickly identify and manage the overtly ill but also those with potential or even hidden issues that require a referral to the emergency department.
This book provides a concise yet comprehensive summary of the various conditions the primary care practitioner could encounter in his/her office that require emergency department referral. Organized system by system, this manual provides short, readable yet detailed descriptions of situations where the clinician must make the quick decision to escalate the level of care.

The book is comprised of thirteen main sections, each detailing a medical specialty and is further broken down into specific conditions within these specialties. The specialties that are featured are cardiology, dermatology, endocrinology, gastroenterology, HEENT, hematology and oncology, infectious disease, nephrology, neurology, gynecology, ophthalmology, psychiatry, pulmonology and urology. The chapters are broken down into five key aspects. First, a brief synopsis of the problem is identified covering the incidence, the risk factors and general information to give the clinician the insight to manage the situation. Next, there is a review of key elements of the history that can elucidate whether the patient has or does not have the emergent condition. Physical exam findings that the clinician can look for during the evaluation are then discussed followed by diagnostics that the clinician can get quickly the same day to help evaluate the situation. Lastly, treatments that can be provided while waiting for the urgent or emergent condition to be evaluated are identified.
Written by experts in the field, Managing Emergencies in the Outpatient Setting is a valuable resource for primary care physicians, physician assistants and nurse practitioners alike.

Contents:

Cardiovascular - Some of the most common conditions that cause chest pain and/or shortness of breath are covered. Several other miscellaneous conditions requiring hospitalizations are discussed.

Ischemia

Congestive Heart Failure

Arrhythmias

Syncope

Hypertensive Emergency

Pulmonary Embolus and DVT

Peripheral Vascular Disease

Mesenteric Ischemia

Aneurysms

Thoracic

Abdominal

Pericarditis

Rheumatic Fever

Endocarditis

Miscellaneous

Dermatologic - Two conditions will be discussed that can result in ED referral.

Stevens Johnson Syndrome

DRESS

Endocrinology - A discussion of how to handle hyperglycemia in the office will be had. Brief discussions of other conditions will also be addressed. Diabetes

Post parathyroidectomy/thyroidectomy

Thyroid Storm

Miscellaneous

Gastrointestinal - A focus on abdominal pain will be made.

Appendicitis

Cholecystitis

Diverticulitis

Acute liver failure

Spontaneous Bacterial Peritonitis

GI Bleed

Hernias

Obstruction

Volvulus

Miscellaneous - thrombosed hemorrhoid

HEENT - The conditions in this organ system (mostly infections) are briefly discussed.

Epiglottitis

Retropharyngeal and Peri-tonsillar Abscess

Lemierres Disease

Mastoiditis

Epistaxis

Miscellaneous

Hematology and Oncology - There will be a brief discussion of heme/onc emergencies.

Severe Anemia

ITP

Hemarthrosis

Leukemia

Miscellaneous

Infectious Disease - Various infectious conditions necessitating ED referral will be discussed.

Cellulitis

Diabetic Foot

Pyelonephritis

Sepsis

Septic Joint

Nephrology - A discussion of renal failure will be had. Various lab findings that may be encountered that require ED referral will be covered.

Acute Renal Failure

Hyponatremia

Hyperkalemia

Hypercalcemia

Miscellaneous

Neurology - Various conditions will be discussed focusing on the evaluation of stroke and headache. Multiple sclerosis and seizure will be briefly discussed in addition to several more rare conditions.

Embolic CVA

Hermorrhagic CVA

TBI (concussion)

Meningitis

Pseudotumor Cerebri

Temporal Arteritis

Seizure

Bells Palsy

Mutiple Sclerosis Flare

Myasthenia Crisis

Miscellaneous

OB/GYN - The conditions in this specialty are discussed and some will headed under abdominal pain in an index of possible conditions by particular symptom.

Ectopic Pregnancy

Vaginal Bleeding - in pregnancy and post-partum

Pre-eclampsia

Ovarian Cysts and Torsion

PID and Tubulo-ovarian Abscess

Miscellaneous

Ophthalmology- A brief discussion of the painful red eye with and without vision loss will be had.

Corneal Abrasion

Chemical Exposure

Optic Neuritis

Orbital Cellulitis

Endophthalmitis

Amaurosis Fugax

Acute Angle Closure Glaucoma

Central Vein thrombosis

Homonymous Hemianopsia

Miscellaneous

Psychiatry - A brief discussion of psychiatric emergencies will be made.

Suicidal Ideation

Psychosis

Ethanol Withdrawal

Benzodiazapine Withdrawal

Pulmonary - Emergencies primary to the lung will be discussed.

Pneumonia

COPD

Asthma

Urology - The common issue of nephrolithiasis will be discussed. There will be brief discussion of other more rare conditions.

Nephrolithiasis

Ureteral Outlet Obstruction and Anuria

Priapism

Testicular Torsion

Testicular Abscess

Fourniers Gangrene

Miscellaneous