Diagnostic Testing in Emergency Medicine

Author: Allan B. Wolfson
Published: January 1996
Publisher: Saunders W B Co
ISBN: 0721645399
Paperback Book
Number of Pages: 626

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In this era of litigation and high medical care costs, it's more important than ever to be certain about the value of the tests that you order. That's why you should always carry Diagnostic Testing in Emergency Medicine in your pocket - for instant referral! This comprehensive handbook offers you reliable, at-a-glance advice on which tests are most appropriate and economical for diagnosing the vast majority of patients seen in the emergent care setting. The practitioners responsible for Diagnostic Testing in Emergency Medicine represent the best expertise in the field. Rely on the information they provide to help you make the kind of quick, confident decisions that are called for in the busy emergency department! Wolfson, Allan B., MD, FACEP, FACP (Univ of Pittsburgh); Paris, Paul M., MD, FACEP (Univ of Pittsburgh)The contributors are emergency medicine specialists from universities, hospitals, and medical centers in the U.S. Institutions prominently represented include Univ of Pittsburgh, Harvard, and Univ of Rochester.

Table of Contents
Ch. 1 Diagnostic Testing in the Emergency Department: An Introduction 1
Ch. 2 Cost Analysis 15
Ch. 3 Modifying Physician Test-Ordering Behavior 19
Ch. 4 The Pediatric Patient 28
Ch. 5 The Pregnant Patient 38
Ch. 6 The Elderly Patient 42
Ch. 7 Ischemic Chest Pain 51
Ch. 8 Dyspnea 60
Ch. 9 Acute Abdominal Pain 69
Ch. 10 Suspected Pregnancy 77
Ch. 11 Headache 84
Ch. 12 Altered Mental Status 91
Ch. 13 Seizure 109
Ch. 14 The Febrile Adult 112
Ch. 15 Fever in Neonates 128
Ch. 16 Diarrhea 136
Ch. 17 Nausea and Vomiting 144
Ch. 18 Deep Venous Thrombosis 150
Ch. 19 Evaluation of the Sore Throat 159
Ch. 20 Urinary Tract Infection 171
Ch. 21 The Acute Scrotum 177
Ch. 22 Urologic Trauma 185
Ch. 23 Blunt Abdominal Trauma 193
Ch. 24 Traumatic Aortic Disruption and Aortic Dissection 200
Ch. 25 Trauma 211
Ch. 26 Soft Tissue Infection 218
Ch. 27 Superficial Foreign Bodies 227
Ch. 28 Preoperative and Routine Preadmission Chest Radiography and Electrocardiography 233
Ch. 29 Complete Blood Count 241
Ch. 30 Arterial Blood Gas Analysis 253
Ch. 31 Serum Electrolyte Determination 262
Ch. 32 Blood Urea Nitrogen and Creatinine 273
Ch. 33 Glucose Testing 279
Ch. 34 Liver Function Tests 288
Ch. 35 Serum Calcium 298
Ch. 36 Serum Magnesium Determination 302
Ch. 37 Muscle Enzymes and Myoglobin 308
Ch. 38 Amylase and Lipase 318
Ch. 39 Erythrocyte Sedimentation Rate 324
Ch. 40 Prothrombin Time and Partial Thromboplastin Time 330
Ch. 41 Toxicology Laboratory Testing 339
Ch. 42 Type, Screen, and Crossmatch 350
Ch. 43 Uric Acid Level 357
Ch. 44 Urinalysis - Dipstick and Microscopic Examination 359
Ch. 45 Thoracentesis and Analysis of Pleural Effusions 368
Ch. 46 Cerebrospinal Fluid 377
Ch. 47 Synovial Fluid Analysis 387
Ch. 48 Ascitic Fluid 393
Ch. 49 Guaiac and Gastroccult 396
Ch. 50 Blood Cultures 400
Ch. 51 Vaginal Wet and KOH Preparations 414
Ch. 52 Gonorrheal Culture 418
Ch. 53 Chlamydial Culture and Immunoassay 425
Ch. 54 Sputum Gram Stain 438
Ch. 55 Chest Radiography 448
Ch. 56 Rib Radiographs 462
Ch. 57 Cervical Spine Radiography 464
Ch. 58 Spine Radiography for Low Back Pain 474
Ch. 59 Imaging After Head Trauma 484
Ch. 60 Cranial Computed Tomography for Nontraumatic Conditions 498
Ch. 61 Extremity Radiography 510
Ch. 62 Imaging of the Sinuses 524
Ch. 63 Abdominal Plain Films 531
Ch. 64 Intravenous Pyelography 540
Ch. 65 Ultrasonography 548
Ch. 66 Ventilation/Perfusion Nuclear Lung Scan 561
Ch. 67 Cholescintigraphy 570
Ch. 68 The 12-Lead Electrocardiogram in Acute Chest Pain 579
Ch. 69 Pulse Oximetry 590
Index 599

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