By Joseph Lex

The right Q&A evaluate for the emergency drugs forums Emergency drugs Q&A: Pearls of knowledge comprises greater than 800 multiple-choice inquiries to organize scholars for the written element of their certification examination. perfect for these making plans for certification, recertification, or the once a year in-service examination, it specializes in middle content material required for the forums. Formatted to reflect the fashion of wondering you are going to event at the forums, this newly designed and punctiliously up-to-date consultant enhances different evaluate fabric and works good along with middle textbooks. with a view to increase reminiscence retention, the authors supply in simple terms the right kind resolution, besides a close clarification that will help you overview your wisdom of the fabric. one of the problems lined are stomach, immunological, worrying, psychobehavioral, cutaneous, thoracic, and cardiovascular. good points: Over 800+ a number of selection questions with targeted solutions. NEW bankruptcy on prehospital and administrative points of Emergency drugs. up-to-date bankruptcy on clinical imaging written via an ultrasound professional, with over 20 movies for overview. up to date questions about toxicology from a board-certified toxicologist. extended chapters on Psychobehavioral, Thoracic and respiration, and Pediatric Emergencies with 25% extra questions.

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Extra resources for Emergency Medicine Q&A, 3rd Edition (Pearls of Wisdom)

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Psychogenic factors play a major causative role. CHAPTER 2 Abdominal and Gastrointestinal Emergencies 39 The answer is c. Crohn’s disease involves all the layers of bowel and is discontinuous (“skip” lesions). In 50% of patients with Crohn’s disease, both the small and large bowels are affected. Disease localized to the colon occurs in 20% of patients. There is little data to support psychogenic factors as a cause of Crohn’s disease. The disease is apparently one of a disordered immune response, but the exact pathophysiology is not understood.

CT scan in a patient with suspected pancreatitis helps to rule out other causes of abdominal pain and evaluates potential peripancreatic complications such as hemorrhage, pseudocyst, abscess, or vascular abnormalities. It is also quite accurate at determining the amount of pancreatic necrosis. The Atlanta International Symposium recommends CT in patients with (1) an uncertain diagnosis; (2) severe clinical pancreatitis, abdominal distention, tenderness, temperature higher than 102◦ F, and leukocytosis; (3) a Ranson score of more than 3 or APACHE score of more than 8; (4) no improvement within 72 hours; and (5) acute deterioration.

Entamoeba histolytica. Cryptosporidium. Giardia duodenalis. Naegleria. Trichomonas gastrointestinalis. The answer is c. Symptoms of giardiasis are abdominal pain and distension, postprandial defecatory urgency, and fatty, foul smelling stools as in pancreatic insufficiency. The causative agent recently underwent a name change, from Giardia lamblia to Giardia duodenalis. Diagnosis is by antigen testing of stool or by examination of at least three stool specimens for ova and parasites. Duodenal aspirate may be necessary.

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