By Francis Morris, Alan Fletcher
A pragmatic advisor to the analysis and therapy of acute signs and stipulations, the ABC of Emergency Differential analysis offers a step by step advisor to emergency differential prognosis for non-specialists in a health facility or basic care setting.
This new name within the ABC sequence covers the evaluation, analysis, remedy, and administration of the most typical signs with 'walk through' analysis, transparent studying results, and simple to discover therapy options.
Using the time-honored problem-based educating procedure for swift assimilation of data, case reviews in every one bankruptcy let the reader to make sure that they have got synthesised the knowledge given and will use it on scientific instances.
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Additional resources for ABC of Emergency Differential Diagnosis
McGraw-Hill, New York, 2003. Wyatt JP, Illingworth R, Graham C, et al. Oxford Handbook of Emergency Medicine, Third Edition. Oxford University Press, Oxford, 2006. 1 Causes of thunderclap headache A 39-year-old woman suddenly develops a severe generalised headache which still persists when you assess her. She vomited at the onset of the headache and still feels nauseated. She has felt generally unwell for the last 24 hours and thinks she had a fever. She has a long history of migraines. These are usually preceded by alterations in her vision following which she gradually develops a throbbing left-sided headache, associated with vomiting.
A pregnancy test is positive. Question: Given the history and examination findings what is your principal working diagnosis? Principal working diagnosis – Incomplete miscarriage with associated cervical shock This woman is pregnant, has heavy vaginal bleeding, and is in shock with a bradycardia. Such findings strongly suggest that she has retained tissue in the os giving rise to cervical shock. Management The patient should be resuscitated with oxygen and intravenous fluid via two large bore, proximal cannulae.
3 Placental abruption. 4 Placenta praevia. (a) Normal placenta. (b) Minor placenta praevia. (c) Major placenta praevia. 5/13/2009 10:07:56 AM Vaginal Bleeding Examination On examination she looks distressed, pale and cool. Vital signs are pulse 40 beats/ minute, blood pressure 86/40 mmHg, respiratory rate 22/minute. Her abdomen is not distended but she is tender suprapubically. Bowel sounds are normal. A pregnancy test is positive. Question: Given the history and examination findings what is your principal working diagnosis?