Intraoral Ultrasound in the Diagnosis and Treatment of Suspected Peritonsillar Abscess in the Emergency Department

2005 ◽  
Vol 12 (1) ◽  
pp. 85-88 ◽  
Author(s):  
M. Lyon
Keyword(s):  
Emergency Department ◽  
Peritonsillar Abscess ◽  
Diagnosis And Treatment

Approach to Male Urologic Emergencies

2019 ◽  
Author(s):  
Jonathan E. Davis ◽  
Jeffrey S. Dubin
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Necrotizing Fasciitis ◽  
Testicular Torsion ◽  
Diagnosis And Treatment ◽  
Acute Scrotum ◽  
Scrotal Pain ◽  
Penile Pain ◽  
Emergency Department Setting ◽  
Acute Scrotal Pain

This review details the evaluation and management of the acute scrotum in the emergency department setting and emergent penile complaints in adults, with an emphasis on the most serious and most common conditions. Other emergent conditions include necrotizing fasciitis of the perineum (Fournier disease), incarcerated or strangulated inguinal hernia, and genitourinary (GU) trauma. Emergency practitioners need to be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis. Basic anatomy and bedside evaluation are reviewed. Acute scrotal and penile pain and GU trauma are discussed in terms of assessment and stabilization, diagnosis, and treatment and disposition.  This review contains 5 figures, 19 tables, and 71 references. Keywords: Acute scrotal pain, testicular torsion, priapism, Peyronie disease, paraphimosis, phimosis, balanitis, posthitis, epididymitis

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 13 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor

Transoral ultrasonography in the diagnosis and treatment of peritonsillar abscess

2013 ◽  
Vol 37 (3) ◽  
pp. 465-467 ◽  
Author(s):  
Murat Salihoglu ◽  
Murat Eroglu ◽  
Ali Osman Yildirim ◽  
Adem Cakmak ◽  
Umit Hardal ◽  
...  
Keyword(s):  
Peritonsillar Abscess ◽  
Diagnosis And Treatment

Technology advancements in the diagnosis and treatment of peritonsillar abscess

2014 ◽  
Vol 32 (10) ◽  
pp. 1295.e1-1295.e2
Author(s):  
Robert Gekle ◽  
Christopher Raio ◽  
Max Falkoff ◽  
Jenna Neufeldt
Keyword(s):  
Peritonsillar Abscess ◽  
Diagnosis And Treatment

Conscious Sedation for Pediatric Peritonsillar Abscess: Comparison of Anesthetic Approaches

2019 ◽  
Vol 160 (4) ◽  
pp. 706-711 ◽  
Author(s):  
M. Elise Graham ◽  
Abigail K. Neal ◽  
Ian C. Newberry ◽  
Matthew A. Firpo ◽  
Albert H. Park
Keyword(s):  
Emergency Department ◽  
Chart Review ◽  
Pediatric Patients ◽  
Conscious Sedation ◽  
Case Series ◽  
Dental Trauma ◽  
Primary Outcome Measure ◽  
Peritonsillar Abscess ◽  
Incision And Drainage ◽  
Viable Treatment

Objective To compare the efficacy, safety, and cost of incision and drainage (I&D) for pediatric patients with peritonsillar abscesses (PTAs) under conscious sedation (CS) versus unsedated (awake) and general anesthesia (GA). Study Design Case series with chart review. Setting Tertiary pediatric hospital. Subjects and Methods Records for all pediatric patients (<18 years) treated for PTAs in the emergency department from 2005 to 2015 were reviewed and stratified into awake, CS, and GA groups for comparison. The primary outcome measure was procedure tolerance, with secondary measures including return to the emergency department within 15 days, complications, and facility costs associated with treatment. Results A total of 188 patients were identified. The median age was 14 years (interquartile range, 9-16). Awake drainage with injected local anesthetic was used in 115 children; 62 underwent CS; and 11 underwent GA. Over 92% of the children tolerated I&D regardless of anesthesia, with no difference among groups ( P = .60). None of those who underwent I&D via CS returned to the emergency department within 15 days of the procedure, as compared with 5.2% for the awake group and 9.1% for the GA group ( P = .06). None in the GA or awake group had a complication associated with the procedure, as opposed to 9.6% in the CS group ( P = .02). Complications included apnea and dental trauma (2 children each) and transient hypotension and desaturation (1 each). Cost was highest in the GA group and lowest for the awake group ( P < .0001). Conclusion CS for PTA I&D is a viable treatment option with tolerance and success similar to that of the awake and GA groups. Complications were observed for those who underwent CS, but they were manageable.

Hand infections

2020 ◽  
Vol 81 (11) ◽  
pp. 1-14
Author(s):  
S Pillai ◽  
E Campbell ◽  
A Mifsud ◽  
SV Vamadeva ◽  
GS Pahal
Keyword(s):  
Emergency Department ◽  
Diagnosis And Treatment ◽  
Hand Surgeon ◽  
Serious Infections

The hand is an extremely versatile organ adapted for fine tasks with various clinicoanatomical compartments. This article reviews the types of common hand infections that present to the emergency department and/or hand surgeon, with relevant investigations and strategies for diagnosis and treatment, with the emphasis on distinguishing between superficial and more serious infections.

Guidance for diagnosis and treatment of acute angioedema in the emergency department: consensus statement by a panel of Italian experts

2013 ◽  
Vol 9 (1) ◽  
pp. 85-92 ◽  
Author(s):  
Marco Cicardi ◽  
Paolo Bellis ◽  
Giuliano Bertazzoni ◽  
Mauro Cancian ◽  
Maurizio Chiesa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Consensus Statement ◽  
Diagnosis And Treatment
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