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Abdominal trauma Trauma Equipment Drug Diuretics Dye for urethral evaluation Lactated Ringer's solution Mannitol Nonionic contrast solution Nondrug Chest tubes Endotracheal tube Foley catheter IV catheters (large bore) Nasogastric tube [...]

Fighting viral infections: A survey of new agents The only available drug for the prophylaxis and treatment of influenza A is amantadine HCl (Symmetrel). While the first defense against influenza [...]

Drugs and diet in colitis therapy EXPRESS STOP Drug therapy in colitis: In fulminant ulcerative colitis, hydrocortisone sodium succinate and corticotropin are the drugs of choice; in an attack of [...]

Differentiating among the colitides EXPRESS STOP The history: Gradual onset of diarrhea that persists longer than 1-2 weeks suggests inflammatory bowel disease or parasitic infestation. Urgency that produces little stool [...]

Multiple trauma 2 Trauma Initial Assessment THE PATIENT A 27-year-old white male who fell 70 ft (21 m) to the bottom of a dam arrived in the emergency room (ER) [...]

Moderator What percentage of neuropathies are treatable? Dyck To me, all neuropathies are treatable, and the treatments fall into three categories. The first is simply the provision of reliable information [...]

'You have warts--not herpes simplex,' may be the most assuring words a patient can hear. Some patients so fear catching herpes that they cannot ask you directly. The patient with [...]

Moderator I'm often pressured by a parent to treat a hemangioma, or birthmark, on the face or in the neck. When the patient is an infant, I say, 'Let it [...]

Alzheimer's: Helping patient and family EXPRESS STOP Alzheimer-directed therapy: All specific therapy for Alzheimer's disease is experimental. Knowledge of the effects of Alzheimer's is accumulating, and research continues apace to [...]

Zeroing in on Alzheimer's disease EXPRESS STOP Early symptoms and general risk: An inability to keep information in short-term memory is an early finding in Alzheimer's disease. Simple anomia, difficulty [...]

Helping the patient with tremor EXPRESS STOP Treating tremor 'at rest': In Parkinson's disease, tremor is the symptom least improved by medication. Start with an anticholinergic agent and add amantadine [...]

Moderate When a patient comes into your office with what you immediately suspect is carpal tunnel syndrome, Dr. Reed, how does he or she present? Reed Usually, though not always, [...]

Moderator Dr. Krause, let's assume that you have a patient with a neck mass that you have determined is squamous-cell carcinoma. What would be your approach in treating that patient? [...]

Pitfalls in headache management When a patient complains of headaches, the most important questions to start with are how long he or she has had them and whether the episodes [...]

Tracking and treating acute pancreatitis Your patient reports having developed a steady, aching, midepigastric pain suddenly yesterday. He or she says that a few hours ago the pain started 'to [...]

Which types of damage are you most likely to encounter in peripheral neuropathy, and which are the most easily missed? Check the experts' answers here. Moderator The neuropathies you are [...]

Moderator What's your approach to the diagnosis of polyneruropathy in a patient whose primary complaint is distal weakness? Kimura The first step is to determine whether the patient has sensory [...]

Whether the telephone call comes from the home or an emergency department (ED) you have a problem to solve immediately: The patient--usually black--is in excruciating pain. Is it a sickle [...]