Rosen's Emergency Medicine: Concepts and Clinical Practice

Rosen's Emergency Medicine: Concepts and Clinical Practice

2-Volume Set

9th Edition - March 9, 2017

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  • Authors: Ron Walls, Robert Hockberger, Marianne Gausche-Hill
  • Hardcover ISBN: 9780323354790
  • eBook ISBN: 9780323390163

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Description

Since its revolutionary first edition in 1983, Rosen's Emergency Medicine set the standard for reliable, accessible, and comprehensive information to guide the clinical practice of emergency medicine. Generations of emergency medicine residents and practitioners have relied on Rosen’s as the source for current information across the spectrum of emergency medicine practice.. The 9th Edition continues this tradition of excellence, offering the unparalleled clarity and authority you’ve come to expect from the award-winning leader in the field. Throughout the text, content is now more concise, clinically relevant, and accessible than ever before – meeting the needs of today’s increasingly busy emergency medicine practitioner.

Key Features

  • Delivers clear, precise information, focused writing and references; relevant, concise information; and generous use of illustrations provide definitive guidance for every emergency situation.
  • Offers the most immediately relevant content of any emergency medicine reference, providing diagnostic and treatment recommendations with clear indications and preferred actions.

  • Presents the expertise and knowledge of a new generation of editors, who bring fresh insights and new perspectives to the table.
  • Online content includes 1,200 questions and answers, as well as select video clips showing how to best perform key procedures.

Table of Contents

  • Cover image
  • Title Page
  • Table of Contents
  • Copyright
  • Acknowledgments
  • Contributors
  • Preface to the Ninth Edition
  • How This Medical Textbook Should Be Viewed by the Practicing Clinician and Judicial System
  • Volume 1
  • Part I Fundamental Clinical Concepts
  • Section One Critical Management Principles
  • 1 Airway
  • Principles
  • Management
  • Outcomes
  • References
  • Chapter 1: Questions & Answers
  • 2 Mechanical Ventilation and Noninvasive Ventilatory Support
  • Perspective
  • Principles of Mechanical Ventilation
  • Management
  • Outcomes
  • References
  • Chapter 2: Questions & Answers
  • 3 Pain Management
  • Principles
  • Management
  • Outcomes: Treatment Endpoints
  • References
  • Chapter 3: Questions & Answers
  • 4 Procedural Sedation and Analgesia
  • Principles
  • References
  • Chapter 4: Questions & Answers
  • 5 Monitoring the Emergency Patient
  • Blood Pressure Measurement
  • Pulse Oximetry
  • End-Tidal Carbon Dioxide Monitoring
  • Cerebral Function Monitoring
  • Fetal Monitoring
  • References
  • Chapter 5: Questions & Answers
  • 6 Shock
  • Principles
  • Management
  • Outcomes
  • References
  • Chapter 6: Questions & Answers
  • 7 Brain Resuscitation
  • Principles
  • Management
  • Outcomes
  • Summary
  • References
  • Chapter 7: Questions and Answers
  • 8 Adult Resuscitation
  • Principles
  • Management
  • Pharmacologic Therapy
  • Devices and Techniques
  • Outcomes
  • References
  • Chapter 8: Questions & Answers
  • Section Two Signs, Symptoms, and Presentations
  • 9 Fever in the Adult Patient
  • Perspective
  • Diagnostic Approach and Algorithm
  • Empirical Management
  • Disposition
  • References
  • Chapter 9: Questions and Answers
  • 10 Weakness
  • Perspective
  • Diagnostic Approach and Algorithm
  • Pivotal Findings
  • Management
  • Disposition
  • Reference
  • Chapter 10: Questions and Answers
  • 11 Cyanosis
  • Perspective
  • Diagnostic Approach
  • Differential Algorithms
  • Empirical Management
  • Patient Disposition
  • References
  • Chapter 11: Questions and Answers
  • 12 Syncope
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 12: Questions and Answers
  • 13 Depressed Consciousness and Coma
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 13: Questions & Answers
  • 14 Confusion
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 14: Questions & Answers
  • 15 Seizures
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 15: Questions & Answers
  • 16 Dizziness and Vertigo
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • Disposition
  • References
  • Chapter 16: Questions & Answers
  • 17 Headache
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 17: Questions & Answers
  • 18 Diplopia
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 18: Questions & Answers
  • 19 Red and Painful Eye
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 19: Questions & Answers
  • 20 Sore Throat
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 20: Questions & Answers
  • 21 Hemoptysis
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 21: Questions & Answers
  • 22 Dyspnea
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • References
  • Chapter 22: Questions & Answers
  • 23 Chest Pain
  • Perspective
  • Diagnostic Approach
  • Diagnostic Table
  • Empirical Management
  • References
  • Chapter 23: Questions & Answers
  • 24 Abdominal Pain
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • Bibliography
  • Chapter 24: Questions & Answers
  • 25 Jaundice
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 25: Questions & Answers
  • 26 Nausea and Vomiting
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • Disposition
  • References
  • Chapter 26: Questions & Answers
  • 27 Gastrointestinal Bleeding
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Management
  • Disposition
  • References
  • Chapter 27: Questions & Answers
  • 28 Diarrhea
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 28: Questions & Answers
  • 29 Constipation
  • Principles
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 29: Questions & Answers
  • 30 Acute Pelvic Pain
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • References
  • Chapter 30: Questions & Answers
  • 31 Vaginal Bleeding
  • Perspective
  • Diagnostic Approach
  • Diagnostic Algorithm
  • Empirical Management
  • Disposition
  • References
  • Chapter 31: Questions & Answers
  • 32 Back Pain
  • Perspective
  • II. Diagnostic Approach
  • Ancillary Testing
  • Diagnostic Algorithm
  • Acknowledgments
  • References
  • Chapter 32: Questions & Answers
  • Part II Trauma
  • Section One General Concepts and System Injuries
  • 33 Multiple Trauma
  • Principles
  • Anatomy and Physiology
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 33: Questions & Answers
  • 34 Head Trauma
  • Principles of Disease
  • Moderate and Severe Traumatic Brain Injury
  • Mild Traumatic Brain Injury
  • References
  • Chapter 34: Questions & Answers
  • 35 Facial Trauma
  • Principles
  • Differential Diagnosis Based on Anatomic Site
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 35: Questions & Answers
  • 36 Spinal Injuries
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 36: Questions & Answers
  • 37 Neck
  • Pharyngoesophageal Trauma
  • Laryngotracheal Trauma
  • Vascular Trauma
  • Nervous System, Glandular, and Retropharyngeal Injuries
  • Near Hanging and Strangulation
  • References
  • Chapter 37: Questions & Answers
  • 38 Thoracic Trauma
  • Chest Wall Injury
  • Pulmonary Injuries
  • Tracheobronchial Injury
  • Diaphragmatic Injury
  • Cardiovascular Trauma
  • Esophageal Perforation
  • References
  • Chapter 38: Questions & Answers
  • 39 Abdominal Trauma
  • Principles
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 39: Questions & Answers
  • 40 Genitourinary System
  • Principles
  • Renal Trauma
  • Ureteral Trauma
  • Bladder Trauma
  • Urethral Trauma
  • Genital Trauma
  • References
  • Chapter 40: Questions & Answers
  • 41 Peripheral Vascular Injury
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 41: Questions & Answers
  • Section Two Orthopedic Lesions
  • 42 General Principles of Orthopedic Injuries
  • Management Principles
  • Fractures
  • Subluxation and Dislocations
  • Soft Tissue Injuries
  • Treatment Modalities
  • References
  • Chapter 42: Questions & Answers
  • 43 Hand
  • Principles
  • Clinical Features
  • Diagnostic Testing
  • Management of Specific Injuries
  • References
  • Chapter 43: Questions & Answers
  • 44 Wrist and Forearm
  • Wrist
  • Forearm
  • References
  • Chapter 44: Questions & Answers
  • 45 Humerus and Elbow
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • References
  • Chapter 45: Questions & Answers
  • 46 Shoulder
  • Principles
  • Clinical Features
  • Diagnostic Testing
  • Specific Injuries
  • References
  • Chapter 46: Questions & Answers
  • 47 Musculoskeletal Back Pain
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 47: Questions & Answers
  • 48 Pelvic Trauma
  • Perspective
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • Acknowledgments
  • References
  • Chapter 48: Questions & Answers
  • 49 Femur and Hip
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Acknowledgments
  • References
  • Chapter 49: Questions & Answers
  • 50 Knee and Lower Leg
  • Knee
  • Leg
  • References
  • Chapter 50: Questions & Answers
  • 51 Ankle and Foot
  • Ankle
  • Foot
  • References
  • Chapter 51: Questions & Answers
  • Section Three Soft Tissue Injuries
  • 52 Wound Management Principles
  • Principles
  • Clinical Features
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 52: Questions & Answers
  • 53 Foreign Bodies
  • Principles
  • Eye
  • Ear
  • Nose
  • Airway
  • Gastrointestinal Tract
  • Genitourinary Tract
  • Soft Tissues
  • References
  • Chapter 53: Questions & Answers
  • 54 Mammalian Bites
  • Principles
  • Dog Bites
  • Cat Bites
  • Other Mammals
  • Domestic Herbivores
  • Wild Animals
  • Human Bites
  • References
  • Chapter 54: Questions & Answers
  • 55 Venomous Animal Injuries
  • Principles
  • Venomous Reptiles
  • Venomous Arthropods
  • Venomous Marine Animals
  • References
  • Chapter 55: Questions & Answers
  • 56 Thermal Burns
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 56: Questions & Answers
  • 57 Chemical Injuries
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • Ocular Injuries
  • Specific Toxins
  • References
  • Chapter 57: Questions & Answers
  • Section Four Violence and Abuse
  • 58 Sexual Assault
  • Principles
  • Clinical Features
  • Diagnostic Considerations
  • Management
  • Special Populations
  • Further Considerations
  • References
  • Chapter 58: Questions & Answers
  • 59 Intimate Partner Violence and Abuse
  • Principles
  • Clinical Features
  • Diagnostic Considerations
  • Management
  • Disposition
  • References
  • Chapter 59: Questions & Answers
  • Part III Medicine and Surgery
  • Section One Head and Neck Disorders
  • 60 Oral Medicine
  • Introduction
  • Disorders of the Tooth
  • Disorders of the Gingiva and Periodontium
  • Disorders Involving Dental Procedures
  • Odontogenic and Deep Neck Infections
  • Dentoalveolar Trauma
  • Temporomandibular Joint Disorder and Dislocation
  • References
  • Chapter 60: Questions & Answers
  • 61 Ophthalmology
  • Traumatic Conditions
  • Inflammatory Conditions
  • Infectious Conditions
  • Acute Angle-Closure Glaucoma
  • Primary Disorders of Vision
  • Diplopia
  • Anisocoria
  • Nystagmus
  • References
  • Chapter 61: Questions & Answers
  • 62 Otolaryngology*
  • Otitis Media
  • Otitis Externa
  • Necrotizing (Malignant) External Otitis
  • Mastoiditis
  • Sudden Hearing Loss
  • Epistaxis
  • Sialolithiasis
  • Neck Masses
  • References
  • Chapter 62: Questions & Answers
  • Section Two Pulmonary System
  • 63 Asthma
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Special Situations
  • Disposition
  • References
  • Chapter 63: Questions & Answers
  • 64 Chronic Obstructive Pulmonary Disease
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 64: Questions & Answers
  • 65 Upper Respiratory Tract Infections
  • Pharyngitis (Tonsillopharyngitis)
  • Lingual Tonsillitis
  • Laryngitis
  • Adult Epiglottis
  • Peritonsillitis (Peritonsillar Cellulitis and Peritonsillar Abscess)
  • Ludwig's Angina
  • Retropharyngeal Abscess
  • Parapharyngeal Abscess
  • Rhinosinusitis
  • References
  • Chapter 65: Questions & Answers
  • 66 Pneumonia
  • Principles
  • Management
  • Disposition
  • References
  • Chapter 66: Questions & Answers
  • 67 Pleural Disease
  • Spontaneous Pneumothorax
  • Pleural Inflammation and Effusion
  • References
  • Chapter 67: Questions & Answers
  • Section Three Cardiac System
  • 68 Acute Coronary Syndrome
  • Principles
  • Epidemiology
  • Pathophysiology
  • Clinical Features
  • Diagnostic Considerations
  • Management
  • Disposition
  • References
  • Chapter 68: Questions & Answers
  • 69 Dysrhythmias
  • Principles
  • Classification of Antidysrhythmic Drugs
  • Approach to Dysrhythmia: Recognition and Management
  • Diagnostic Considerations
  • Management
  • Disposition
  • References
  • Chapter 69: Questions & Answers
  • 70 Implantable Cardiac Devices
  • Implantable Cardioverter-Defibrillators
  • Biventricular Pacing
  • Cardiac Assist Devices
  • References
  • Chapter 70: Questions & Answers
  • 71 Heart Failure
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 71: Questions & Answers
  • 72 Pericardial and Myocardial Disease
  • Myocardial Diseases
  • References
  • Chapter 72: Questions & Answers
  • 73 Infective Endocarditis, Rheumatic Fever, and Valvular Heart Disease
  • Infective Endocarditis
  • Rheumatic Fever
  • Valvular Heart Disease
  • References
  • Chapter 73: Questions & Answers
  • Section Four Vascular System
  • 74 Hypertension
  • Principles
  • Clinical Features
  • Diagnostic Considerations
  • Management
  • Disposition
  • References
  • Chapter 74: Questions & Answers
  • 75 Aortic Dissection
  • Principles
  • Clinical Features
  • Diagnostic Considerations
  • Management
  • Disposition
  • References
  • Chapter 75: Questions & Answers
  • 76 Abdominal Aortic Aneurysm
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Late Complications of Repair
  • Disposition
  • References
  • Chapter 76: Questions & Answers
  • 77 Peripheral Arteriovascular Disease
  • Specific Arteriovascular Diseases
  • References
  • Chapter 77: Questions & Answers
  • 78 Pulmonary Embolism and Deep Vein Thrombosis
  • Principles
  • Pulmonary Embolism
  • References
  • Chapter 78: Questions & Answers
  • Section Five Gastrointestinal System
  • 79 Esophagus, Stomach, and Duodenum
  • Dysphagia
  • Foreign Bodies
  • Esophageal Perforation
  • Esophagitis
  • Gastritis and Peptic Ulcer Disease
  • Gastric Volvulus
  • References
  • Chapter 79: Questions & Answers
  • 80 Disorders of the Liver and Biliary Tract
  • Hepatic Disorders
  • Biliary Tract Disorders
  • References
  • Chapter 80: Questions & Answers
  • 81 Pancreas
  • Acute Pancreatitis
  • Chronic Pancreatitis
  • Pancreatic Cancer
  • References
  • Chapter 81: Questions & Answers
  • 82 Disorders of the Small Intestine*
  • Small Bowel Obstruction
  • Acute Mesenteric Ischemia
  • References
  • Chapter 82: Questions & Answers
  • 83 Acute Appendicitis
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 83: Questions & Answers
  • 84 Gastroenteritis
  • Overview
  • Bacterial Gastroenteritis
  • Invasive Bacteria
  • Noninvasive Toxin-Forming Bacteria
  • Viral Gastroenteritis
  • Parasites
  • Food Poisoning
  • Specific Groups with Gastroenteritis
  • References
  • Chapter 84: Questions & Answers
  • 85 Disorders of the Large Intestine
  • Irritable Bowel Syndrome
  • Diverticular Disease
  • Large Bowel Obstruction
  • Volvulus
  • Intussusception
  • Inflammatory Bowel Disease
  • Colonic Ischemia
  • Radiation Proctocolitis
  • References
  • Chapter 85: Questions & Answers
  • 86 Disorders of the Anorectum
  • Principles
  • Clinical Features
  • Specific Anorectal Problems
  • References
  • Chapter 86: Questions & Answers
  • Section Six Genitourinary and Gynecologic Systems
  • 87 Renal Failure
  • Acute Kidney Injury
  • Chronic Kidney Disease
  • Complications of Dialysis
  • References
  • Chapter 87: Questions & Answers
  • 88 Sexually Transmitted Diseases
  • Principles
  • Disorders Characterized by Genital Ulcers
  • Disorders Characterized by Genital Discharge
  • Epithelial Cell Infections
  • Ectoparasites
  • References
  • Chapter 88: Questions & Answers
  • 89 Selected Urologic Disorders
  • Urinary Tract Infection in Adults
  • Prostatitis
  • Renal Calculi
  • Bladder (Vesical) Calculus
  • Acute Scrotal Pain
  • Acute Urinary Retention
  • Hematuria
  • References
  • Chapter 89: Questions & Answers
  • 90 Selected Gynecologic Disorders
  • Ovarian Torsion
  • Ovarian Cysts and Masses
  • Abnormal Uterine Bleeding in the Nonpregnant Patient
  • Emergency Contraception
  • References
  • Chapter 90: Questions & Answers
  • Volume 2
  • Part III Medicine and Surgery
  • Section Seven Neurology
  • 91 Stroke
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 91: Questions & Answers
  • 92 Seizures
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Special Cases
  • Disposition
  • References
  • Chapter 92: Questions & Answers
  • 93 Headache Disorders
  • Primary Headache Disorders
  • Secondary Headache Disorders
  • References
  • Chapter 93: Questions & Answers
  • 94 Delirium and Dementia
  • Overview
  • Delirium
  • Dementia
  • References
  • Chapter 94: Questions & Answers
  • 95 Brain and Cranial Nerve Disorders
  • Trigeminal Neuralgia (Cranial Nerve V)
  • Facial Nerve Paralysis (Cranial Nerve VII)
  • Vestibular Schwannoma (Cranial Nerve VIII)
  • Diabetic Cranial Mononeuropathy
  • Cerebral Venous Thrombosis
  • Multiple Sclerosis
  • References
  • Chapter 95: Questions & Answers
  • 96 Spinal Cord Disorders
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Specific Disease Processes
  • References
  • 97 Peripheral Nerve Disorders
  • Overview
  • Specific Types of Neuropathies
  • References
  • Chapter 97: Questions & Answers
  • 98 Neuromuscular Disorders
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Disorders of the Neuromuscular Junction
  • Disorders of the Muscles
  • References
  • Chapter 98: Questions & Answers
  • 99 Central Nervous System Infections
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 99: Questions & Answers
  • Section Eight Psychiatric and Behavioral Disorders
  • 100 Thought Disorders
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 100: Questions & Answers
  • 101 Mood Disorders
  • Principles
  • Epidemiology
  • Pathophysiology
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 101: Questions & Answers
  • 102 Anxiety Disorders*
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 102: Questions & Answers
  • 103 Somatoform Disorders
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • References
  • Chapter 103: Questions & Answers
  • 104 Factitious Disorders and Malingering
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Management
  • Disposition
  • References
  • Chapter 104: Questions & Answers
  • 105 Suicide
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 105: Questions & Answers
  • Section Nine Immunologic and Inflammatory
  • 106 Arthritis
  • Principles
  • Clinical Features
  • Diagnostic Testing
  • Differential Diagnosis and Management
  • Disposition
  • References
  • Chapter 106: Questions & Answers
  • 107 Tendinopathy and Bursitis
  • Tendinopathy
  • Bursitis
  • References
  • Chapter 107: Questions & Answers
  • 108 Systemic Lupus Erythematosus and the Vasculitides
  • Systemic Lupus Erythematosus
  • Vasculitides
  • References
  • Chapter 108: Questions & Answers
  • 109 Allergy, Hypersensitivity, and Anaphylaxis
  • Allergy
  • Anaphylaxis
  • Urticaria and Angioedema
  • References
  • Chapter 109: Questions & Answers
  • 110 Dermatologic Presentations
  • Overview
  • Infectious Disorders
  • Allergic Reactions
  • Drug Reactions
  • Inflammatory Conditions
  • Autoimmune Disorders
  • Cutaneous Malignancies
  • Skin Conditions Associated With Systemic Disease
  • Management
  • Disposition
  • References
  • Chapter 110: Questions & Answers
  • Section Ten Hematology and Oncology
  • 111 Blood and Blood Components
  • Principles
  • Management
  • Outcomes
  • References
  • Chapter 111: Questions & Answers
  • 112 Anemia and Polycythemia
  • Anemia
  • Anemias Due to Decreased Red Blood Cell Production
  • Increased Red Blood Cell Destruction
  • Polycythemia
  • References
  • Chapter 112: Questions & Answers
  • 113 White Blood Cell Disorders
  • White Blood Cell Disorders
  • Chronic Myeloid Leukemia
  • Lymphocytic Leukocytosis
  • Leukopenia
  • References
  • Chapter 113: Questions & Answers
  • 114 Disorders of Hemostasis
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 114: Questions & Answers
  • 115 Selected Oncologic Emergencies
  • Introduction
  • Febrile Neutropenia
  • Metastatic Spinal Cord Compression
  • Malignant Pericardial Disease
  • Hypercalcemia
  • Tumor Lysis Syndrome
  • Leukostasis
  • Superior Vena Cava Syndrome
  • Conclusion
  • References
  • Chapter 115: Questions & Answers
  • Section Eleven Metabolism and Endocrinology
  • 116 Acid-Base Disorders
  • Principles
  • Specific Acid-Base Disorders
  • Diagnostic Testing and Mixed Disorders
  • Management
  • References
  • Chapter 116: Questions & Answers
  • 117 Electrolyte Disorders
  • Hyperkalemia
  • Hypokalemia
  • Hypernatremia
  • Hyponatremia
  • Hypercalcemia
  • Hypocalcemia
  • Hypermagnesemia
  • Hypomagnesemia
  • Hyperphosphatemia
  • Hypophosphatemia
  • References
  • Chapter 117: Questions & Answers
  • 118 Diabetes Mellitus and Disorders of Glucose Homeostasis
  • Diabetes Mellitus
  • Diabetic Ketoacidosis
  • Hyperglycemic Hyperosmolar State
  • Late Complications of Diabetes
  • Diabetes in Pregnancy
  • Hypoglycemia
  • References
  • Chapter 118: Questions & Answers
  • 119 Rhabdomyolysis
  • Principles
  • Clinical Features
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 119: Questions & Answers
  • 120 Thyroid and Adrenal Disorders
  • Hyperthyroidism
  • Hypothyroidism
  • Adrenal Insufficiency
  • References
  • Chapter 120: Questions & Answers
  • Section Twelve Infectious Diseases
  • 121 Bacteria
  • Diphtheria
  • Pertussis
  • Tetanus
  • Botulism
  • Pneumococcemia
  • Meningococcemia
  • Toxic Shock Syndrome
  • References
  • Chapter 121: Questions & Answers
  • 122 Viruses
  • Perspective
  • Vaccine-Preventable Infections of Childhood
  • Viral Infections With Vesicular Rash
  • Viral Infections Causing Nonspecific Febrile Illness
  • Viruses Associated With Respiratory Infections
  • Viruses Associated With Diarrheal Illness
  • Viral Infections With Neurologic Manifestations
  • Viral Hemorrhagic Fevers
  • References
  • Chapter 122: Questions & Answers
  • 123 Rabies
  • Principles
  • Diagnostic Considerations
  • Prophylaxis and Vaccination
  • Management of Human Rabies Infection
  • References
  • Chapter 123: Questions & Answers
  • 124 HIV Infection and AIDS
  • Principles
  • Clinical Features
  • Diagnosticconsiderations
  • Management
  • Disposition
  • References
  • Chapter 124: Questions & Answers
  • 125 Parasites
  • Overview
  • Presentations
  • Parasitic Co-Infections in Patients With HIV Infection and AIDS
  • References
  • Chapter 125: Questions & Answers
  • 126 Tickborne Illnesses
  • Overview
  • Lyme Disease
  • Relapsing Fever
  • Tularemia
  • Rocky Mountain Spotted Fever
  • Q Fever
  • Ehrlichioses
  • Babesiosis
  • Colorado Tick Fever
  • Other Tickborne Viruses
  • Tick Paralysis
  • Tick Bite Prophylaxis With Insect Repellents
  • References
  • Chapter 126: Questions & Answers
  • 127 Tuberculosis
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • Prevention of Transmission in the Emergency Department
  • References
  • Chapter 127: Questions & Answers
  • 128 Bone and Joint Infections
  • Principles
  • Osteomyelitis
  • Septic Arthritis
  • References
  • Chapter 128: Questions & Answers
  • 129 Skin Infections
  • Principles
  • Differential Diagnosis and Diagnostic Testing
  • Cellulitis
  • Abscess
  • Impetigo
  • Infections of the Pilosebaceous Follicle
  • Necrotizing Skin and Soft Tissue Infections
  • Toxic Shock Syndromes
  • Other Infections With Skin Manifestations
  • References
  • Chapter 129: Questions & Answers
  • 130 Sepsis Syndromes
  • Principles
  • Clinical Features
  • Diagnostic Considerations
  • Management
  • Disposition
  • References
  • Chapter 130: Questions & Answers
  • Part IV Environment and Toxicology
  • Section One Environment
  • 131 Frostbite and Nonfreezing Cold Injuries
  • Frostbite
  • Nonfreezing Cold Injuries
  • References
  • Chapter 131: Questions & Answers
  • 132 Accidental Hypothermia
  • Principles
  • Clinical Features
  • Diagnostic Considerations
  • Management
  • Disposition
  • References
  • Chapter 132: Questions & Answers
  • 133 Heat Illness
  • Principles
  • Minor Heat Illness
  • Major Heat Illness
  • References
  • Chapter 133: Questions & Answers
  • 134 Lightning and Electrical Injuries
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 134: Questions & Answers
  • 135 Scuba Diving and Dysbarism
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Management
  • Disposition
  • References
  • Chapter 135: Questions & Answers
  • 136 High-Altitude Medicine
  • Principles
  • Acute Mountain Sickness
  • High-Altitude Pulmonary Edema
  • High-Altitude Cerebral Edema
  • Special Considerations
  • Altitude and Underlying Medical Conditions
  • Acknowledgment
  • References
  • Chapter 136: Questions & Answers
  • 137 Drowning
  • Principles
  • Clinical Features
  • Differential Diagnosis
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 137: Questions & Answers
  • 138 Radiation Injuries
  • Principles
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • Additional Resources
  • References
  • Chapter 138: Questions & Answers
  • Section Two Toxicology
  • 139 Approach to the Poisoned Patient
  • Principles of Toxicity
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Syrup of Ipecac
  • Gastric Lavage
  • Single-Dose Activated Charcoal
  • Whole Bowel Irrigation
  • Multiple-Dose Activated Charcoal
  • Serum Alkalinization
  • Intravenous Fat Emulsion (Intralipid)
  • Disposition
  • References
  • Chapter 139: Questions & Answers
  • 140 Substance Abuse
  • Principles of Toxicity
  • Epidemiology
  • Pharmacology
  • Clinical Features
  • Complications
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 140: Questions & Answers
  • 141 Toxic Alcohols
  • Methanol
  • Ethylene Glycol
  • Isopropyl Alcohol
  • Other Alcohols of Clinical Significance
  • References
  • Chapter 141: Questions & Answers
  • 142 Alcohol-Related Disease
  • Principles of Toxicity
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management Considerations
  • Disposition
  • References
  • Chapter 142: Questions & Answers
  • 143 Acetaminophen
  • Principles of Toxicity
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 143: Questions & Answers
  • 144 Aspirin and Nonsteroidal Agents
  • Aspirin
  • Nonsteroidal Agents
  • References
  • Chapter 144: Questions & Answers
  • 145 Anticholinergics
  • Principles of Toxicology
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 145: Questions & Answers
  • 146 Antidepressants
  • Principles of Toxicity
  • Monoamine Oxidase Inhibitors
  • Tricyclic Antidepressants
  • Selective Serotonin Reuptake Inhibitors
  • Serotonin-Norepinephrine Reuptake Inhibitors and Norepinephrine Reuptake Inhibitors
  • Miscellaneous Antidepressants
  • Serotonin Syndrome
  • Discontinuation Syndromes
  • References
  • Chapter 146: Questions & Answers
  • 147 Cardiovascular Drugs
  • Cardioactive Steroids (Digoxin)
  • Beta-Adrenergic Blockers
  • Calcium Channel Blockers
  • Clonidine
  • Nitrates and Nitrites
  • References
  • Chapter 147: Questions & Answers
  • 148 Caustics
  • Principles of Toxicity
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • Special Cases
  • References
  • Chapter 148: Questions & Answers
  • 149 Cocaine and Other Sympathomimetics
  • Principles of Toxicity
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 149: Questions & Answers
  • 150 Hallucinogens
  • Serotonergic Agents
  • Dissociative Agents
  • References
  • Chapter 150: Questions & Answers
  • 151 Iron and Heavy Metals
  • Iron
  • Lead
  • Arsenic
  • Mercury
  • References
  • Chapter 151: Questions & Answers
  • 152 Hydrocarbons
  • Principles of Toxicology
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 152: Questions & Answers
  • 153 Inhaled Toxins
  • Simple Asphyxiants
  • Pulmonary Irritants
  • Smoke Inhalation
  • Cyanide and Hydrogen Sulfide
  • Carbon Monoxide
  • References
  • Chapter 153: Questions & Answers
  • 154 Lithium
  • Principles of Toxicity
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 154: Questions & Answers
  • 155 Antipsychotics
  • Principles of Toxicity
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • References
  • Chapter 155: Questions & Answers
  • 156 Opioids
  • Principles of Toxicity
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Disposition
  • Withdrawal
  • References
  • Chapter 156: Questions & Answers
  • 157 Pesticides
  • Organophosphate Insecticides
  • Substituted Phenols
  • Chlorophenoxy Herbicides
  • Bipyridyl Herbicides
  • Pyrethrin and Pyrethroid Insecticides
  • Glyphosate
  • DEET
  • Rodenticides
  • References
  • Chapter 157: Questions & Answers
  • 158 Plants, Mushrooms, and Herbal Medications
  • Plants
  • Mushrooms
  • Herbal Medications
  • References
  • Chapter 158: Questions & Answers
  • 159 Sedative Hypnotics
  • Barbiturates
  • Benzodiazepines
  • Special Considerations
  • Chloral Hydrate
  • Over-the-Counter Sleep Aids
  • Gamma-Hydroxybutyrate
  • References
  • Chapter 159: Questions & Answers
  • Part V Special Populations
  • Section One The Pediatric Patient
  • 160 General Approach to the Pediatric Patient
  • Principles
  • Evaluation
  • Specific Disorders
  • Other Considerations
  • References
  • Chapter 160: Questions & Answers
  • 161 Airway Management for the Pediatric Patient
  • Principles
  • Anatomy
  • Physiology
  • Equipment
  • Management
  • Devices and Techniques
  • Outcomes
  • References
  • Chapter 161: Questions & Answers
  • 162 Procedural Sedation and Analgesia for the Pediatric Patient
  • Sedation
  • Pain Management
  • References
  • Chapter 162: Questions & Answers
  • 163 Pediatric Resuscitation
  • Cardiac Arrest
  • Septic Shock in the Pediatric Patient
  • Acute Life-Threatening Events
  • References
  • Chapter 163: Questions & Answers
  • 164 Neonatal Resuscitation
  • Principles
  • Pathophysiology
  • Indications for Resuscitation
  • Special Anatomic Anomalies
  • Preparation
  • Management
  • Disposition
  • Outcomes
  • References
  • Chapter 164: Questions & Answers
  • 165 Pediatric Trauma
  • Principles
  • Clinical Features
  • Management and Diagnostic Testing
  • Specific Disorders and Injuries
  • Disposition
  • References
  • Chapter 165: Questions & Answers
  • 166 Pediatric Fever
  • Principles
  • References
  • Chapter 166: Questions & Answers
  • 167 Pediatric Respiratory Emergencies
  • Principles
  • Clinical Features
  • Diagnostic Considerations
  • References
  • Chapter 167: Questions & Answers
  • 168 Pediatric Respiratory Emergencies
  • Asthma
  • Bronchiolitis
  • References
  • Chapter 168: Questions & Answers
  • 169 Pediatric Respiratory Emergencies
  • Pneumonia
  • Other Respiratory Emergencies
  • References
  • Chapter 169: Questions & Answers
  • 170 Cardiac Disorders
  • Principles
  • Clinical Features and Diagnostic Testing: the Cardiac Evaluation
  • Specific Disorders
  • References
  • Chapter 170: Questions & Answers
  • 171 Gastrointestinal Disorders
  • Principles
  • Specific Disorders
  • References
  • Chapter 171: Questions & Answers
  • 172 Infectious Diarrheal Disease and Dehydration
  • Perspective
  • Dehydration
  • References
  • Chapter 172: Questions & Answers
  • 173 Genitourinary and Renal Tract Disorders
  • Priapism
  • Phimosis
  • Paraphimosis
  • Balanoposthitis
  • Complications of Circumcision
  • Penile Entrapment and Tourniquet Injuries
  • Epididymitis
  • Orchitis
  • Testicular Torsion
  • Varicocele
  • Idiopathic Scrotal Edema
  • Hydrocele
  • Inguinal Hernia
  • Testicular Carcinoma
  • Urinary Tract Infections
  • Hematuria
  • Renal Stones
  • Renal Tumors
  • Proteinuria
  • Poststreptococcal Glomerulonephritis
  • Nephrotic Syndrome
  • Acute Kidney Injury
  • Hypertension
  • Henoch-Schönlein Purpura
  • Hemolytic-Uremic Syndrome
  • References
  • Chapter 173: Questions & Answers
  • 174 Neurologic Disorders
  • Disorders of Balance
  • References
  • Chapter 174: Questions & Answers
  • 175 Musculoskeletal Disorders
  • Principles
  • Specific Disorders
  • References
  • Chapter 175: Questions & Answers
  • 176 Drug Therapy for the Pediatric Patient
  • Principles
  • Pharmacokinetic Considerations in Children
  • Other Considerations
  • References
  • Chapter 176: Questions & Answers
  • 177 Child Abuse
  • Physical Abuse
  • Sexual Abuse
  • References
  • Chapter 177: Questions & Answers
  • Section Two The Pregnant Patient
  • 178 Acute Complications of Pregnancy
  • Problems in Early Pregnancy
  • Complications of Late Pregnancy
  • Medical and Surgical Problems in the Pregnant Patient
  • Acknowledgment
  • References
  • Chapter 178: Questions & Answers
  • 179 Comorbid Medical Emergencies During Pregnancy
  • Principles
  • Asthma
  • Cardiovascular Disorders
  • Hematologic Disorders
  • Neurologic Disorders
  • Renal Disorders
  • Metabolic and Endocrine Disorders
  • Obesity
  • Thyroid Disorders
  • Systemic Infections
  • Inflammatory Disorders
  • Psychiatric Disorders
  • References
  • Chapter 179: Questions & Answers
  • 180 Drug Therapy in Pregnancy
  • Principles
  • Pharmacologic Therapy
  • References
  • Chapter 180: Questions and Answers
  • 181 Labor and Delivery and Their Complications
  • Principles
  • Normal Delivery
  • Third-Trimester Complications Associated With Delivery
  • Complicated Delivery
  • Multiple Gestations
  • Umbilical Cord-Related Emergencies
  • Maternal Complications of Labor and Delivery
  • Postpartum Problems
  • References
  • Chapter 181: Questions & Answers
  • 182 Trauma in Pregnancy*
  • Principles
  • Anatomy and Physiology
  • Specific Disorders
  • Diagnostic Testing
  • Changes in Laboratory Values With Pregnancy
  • Special Procedures
  • Management
  • Disposition
  • References
  • Chapter 182: Questions & Answers
  • Section Three The Geriatric Patient
  • 183 Approach to the Geriatric Patient
  • Principles
  • Specific Disorders and Chief Complaints
  • References
  • Chapter 183: Questions & Answers
  • 184 Geriatric Trauma
  • Principles
  • Clinical Features
  • Specific Disorders
  • Disposition: End-of-Life Considerations
  • References
  • Chapter 184: Questions & Answers
  • 185 Drug Therapy in the Geriatric Patient
  • Principles
  • Specific Disorders
  • References
  • Chapter 185: Questions & Answers
  • 186 Abuse and Neglect of the Geriatric Patient
  • Principles
  • Clinical Features
  • Differential Diagnoses
  • Diagnostic Testing
  • Management
  • Specific Disorders
  • Disposition
  • References
  • Chapter 186: Questions & Answers
  • Section Four Special Clinical Circumstances
  • 187 The Immunocompromised Patient
  • Principles
  • Specific Disorders
  • Immunosuppressive Therapy
  • References
  • Chapter 187: Questions & Answers
  • 188 The Solid Organ Transplant Patient
  • Principles
  • Specific Disorders
  • Disposition
  • References
  • Chapter 188: Questions & Answers
  • 189 The Combative and Difficult Patient*
  • The Combative Patient
  • The Difficult Patient
  • References
  • Chapter 189: Questions & Answers
  • Part VI Emergency Medical Services and Disaster Preparedness
  • 190 Emergency Medical Services
  • Principles
  • Oversight
  • Out-of-Hospital Medical Care and Controversies in Management
  • Interfacility and Specialized Transports
  • References
  • Chapter 190: Questions & Answers
  • 191 Air Medical Transport
  • Principles
  • Specific Issues in Air Medical Transport
  • Clinical Concepts and Patient Care
  • Efficacy and Cost-Effectiveness
  • Future of Air Medical Transport
  • References
  • Chapter 191: Questions & Answers
  • 192 Disaster Preparedness
  • Specific Issues in Disaster Management
  • References
  • Chapter 192: Questions & Answers
  • 193 Weapons of Mass Destruction
  • Specific Disorders
  • References
  • Chapter 193: Questions & Answers
  • Chapter e1 Forensic Emergency Medicine
  • Perspective
  • Forensic Aspects of Gunshot Wounds
  • Forensic Aspects of Physical Assault
  • Forensic Aspects of Motor Vehicle Trauma
  • References
  • Chapter e1: Questions & Answers
  • Chapter e2 Injury Prevention and Control
  • Principles
  • Specific Issues and Disorders
  • References
  • Chapter e2: Questions & Answers
  • Chapter e3 Global and Humanitarian Emergency Medicine
  • Principles
  • Specific Types of Humanitarian Emergencies
  • References
  • Chapter e3: Questions & Answers
  • Chapter e4 Tactical Emergency Medical Support and Urban Search and Rescue
  • Principles
  • Special Issues
  • Urban Search and Rescue
  • References
  • Chapter e4: Questions & Answers
  • Chapter e5 Emergency Ultrasound
  • Principles
  • History
  • Training, Credentialing, and Accreditation
  • Applied Ultrasound Physics and Instrumentation
  • Equipment and Safety
  • Applications and Categorization
  • Specific Ultrasound Uses
  • Integration Into Emergency Medicine Practice
  • References
  • Chapter e5: Questions & Answers
  • Chapter e6 Observation Medicine and Clinical Decision Units
  • Principles of Observation Medicine
  • The Observation Approach
  • Clinical Conditions
  • Summary
  • References
  • Chapter e6: Questions & Answers
  • Chapter e7 Multiculturalism and Care Delivery
  • Principles
  • Rationale for Cultural Competence
  • Culturally Competent Approach to Language Barriers
  • Multiculturalism, Culture Competence, and Health Disparities: Progress to Date
  • Cultural Competence and Patient-Centered Care: New Models
  • Education
  • Recommendations
  • Summary
  • References
  • Chapter e7: Questions & Answers
  • Chapter e8 The Geriatric Emergency Department
  • Principles
  • Geriatric Emergency Department Guidelines
  • References
  • Chapter e8: Questions & Answers
  • Chapter e9 End of Life
  • Principles
  • Specific Disorders and Concerns
  • References
  • Chapter e9: Questions & Answers
  • Chapter e10 Bioethics
  • Principles
  • Bioethics and the Law
  • Values
  • Fundamental Bioethical Principles
  • Medical and Moral Imperatives in Emergency Medicine
  • Codifying Professional Values: Ethical Oaths and Codes
  • Applying Bioethics
  • Medical Imperatives and Bioethical Dilemmas
  • Rapid Ethical Decision-Making Model
  • Advance Directives
  • Consent, Decision-Making Capacity, and Surrogate Decision Makers
  • Resuscitation Ethics
  • Public Policy and Bioethics
  • References
  • Chapter e10: Questions & Answers
  • Chapter e11 Emergency Medical Treatment and Active Labor Act and Medicolegal Issues
  • Principles
  • Specific Issues—Emergency Medical Treatment and Active Labor Act
  • Consent for Medical Care
  • Refusal of Medical Care
  • Reporting Requirements
  • References
  • Chapter e11: Questions & Answers
  • Chapter e12 Process Improvement and Patient Safety
  • Principles
  • Sources of Failure in Emergency Care
  • Problem Areas in Emergency Care
  • Summary
  • References
  • Chapter e12: Questions & Answers
  • Chapter e13 Wellness, Stress, and the Impaired Physician
  • Principles
  • Specific Issues Related to Emergency Clinician Wellness
  • Consequences of Lack of Wellness and the Impaired Physician
  • Wellness Strategies
  • References
  • Index

Product details

  • No. of pages: 2688
  • Language: English
  • Copyright: © Elsevier 2017
  • Published: March 9, 2017
  • Imprint: Elsevier
  • Hardcover ISBN: 9780323354790
  • eBook ISBN: 9780323390163

About the Authors

Ron Walls

Affiliations and Expertise

Executive Vice President and Chief Operating Officer, Brigham and Women’s Health Care; Neskey Family Professor of Emergency Medicine, Harvard Medical School, Boston, Massachusetts

Robert Hockberger

Affiliations and Expertise

Chair Emeritus, Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California; Emeritus Professor of Medicine, David Geffen School of Medicine, Westwood, California

Marianne Gausche-Hill

Affiliations and Expertise

Medical Director, Los Angeles County EMS Agency, Professor of Clinical Emergency Medicine and Pediatrics, David Geffen School of Medicine at UCLA, Clinical Faculty, Harbor-UCLA Medical Center, Departments of Emergency Medicine and Pediatrics

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