Alterations of Consciousness in the Emergency Department, An by Chad Kessler MD FACEP FAAEM

By Chad Kessler MD FACEP FAAEM

Visitor editor Chad Kessler has assembled a professional panel of authors relating to changes of cognizance. Articles contain: The psychological prestige exam in Emergency perform, Dizzy and careworn: A step by step evaluate of the Clinician’s favourite leader grievance, prognosis and review of Syncope within the Emergency division, The Emergency division method of Syncope: Evidence-based guidance and Prediction principles, Pediatric Syncope: instances from the Emergency division, Seizures as a reason behind Altered psychological prestige, principal apprehensive process Infections as a reason behind an Altered psychological prestige? what's the Pathogen growing to be on your primary worried System?, irritating changes in awareness: stressful mind damage, and extra!

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Extra resources for Alterations of Consciousness in the Emergency Department, An Issue of Emergency Medicine Clinics (The Clinics: Internal Medicine)

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They may also have an S3 and S4. Murmurs are especially important to identify structural or valvular heart disease. About 30% to 40% of patients with hypertrophic cardiomyopathy have midsystolic ejection murmurs, thought to be secondary to the systolic anterior motion of the mitral valve on the thickened interventricular septum, producing high-velocity flow. 47 Aortic stenosis is yet another urgent diagnosis that can be easily diagnosed in the ED with a careful cardiac examination. Classically, aortic stenosis produces a harsh crescendo-decrescendo murmur heard loudest at the right upper sternal border, which increases with squatting and radiates to both carotid arteries.

Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an acute care setting. Mayo Clin Proc 2007;82(11):1329–40. 9. Chawla N, Olshaker JS. Diagnosis and management of dizziness and vertigo. Med Clin North Am 2006;90(2):291–304. 10. Keane JR. Internuclear ophthalmoplegia: unusual causes in 114 of 410 patients. Arch Neurol 2005;62(5):714–7. 11. Goldstein LB, Simel DL. Is this patient having a stroke? JAMA 2005;293(19): 2391–402. 12. Kerber KA, Brown DL, Lisabeth LD, et al.

Rehman HU. Methemoglobinemia. West J Med 2001;175(3):193–6. 52. Bradberry SM. Occupational methaemoglobinaemia. Mechanisms of production, features, diagnosis and management including the use of methylene blue. Toxicol Rev 2003;22(1):13–27. 53. Coleman MD, Coleman NA. Drug-induced methaemoglobinaemia. Treatment issues. Drug Saf 1996;14(6):394–405. 54. Seger D. Anticonvulsants. In: Shannon MW, Borron SW, Burns MJ, editors. Haddad and Winchester’s clinical management of poisoning and drug overdose.

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