Emergency Medicine – July 2010

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VOLUME 42, NUMBER 7 B R E L A E T C OVER 40 I N G YEARS w® THE PRACTICE JOURNAL FOR EMERGENCY PHYSICIANS JULY 2010 A PEER-REVIEWED JOURNAL www.emedmag.com Acute Surgical The Basics Brian H. Campbell, MD Moss H. Mendelson, MD VOLUME 42, NUMBER 7 </a> VOLUME 42, NUMBER 7 <a title="Emergency Medicine – July 2010 page 2" href="http://viewer.zmags.com/publication/05f07a63?page=2">© Ton Koene</a> © Ton Koene<a title="Emergency Medicine – July 2010 page 3" href="http://viewer.zmags.com/publication/05f07a63?page=3">www.emedmag.comEDITORIALEditorial Director: Ma</a> www.emedmag.comEDITORIALEditorial Director: Ma<a title="Emergency Medicine – July 2010 page 4" href="http://viewer.zmags.com/publication/05f07a63?page=4">For more than 125 years, we've put ourselves in d</a> For more than 125 years, we've put ourselves in d<a title="Emergency Medicine – July 2010 page 5" href="http://viewer.zmags.com/publication/05f07a63?page=5">JULY 2010VOLUME 42, NUMBER 7FEATURE ARTICLES</a> JULY 2010VOLUME 42, NUMBER 7FEATURE ARTICLES<a title="Emergency Medicine – July 2010 page 6" href="http://viewer.zmags.com/publication/05f07a63?page=6">EDITORIAL BOARDEDITOR-IN-CHIEF EDITOR-IN-CH</a> EDITORIAL BOARDEDITOR-IN-CHIEF EDITOR-IN-CH<a title="Emergency Medicine – July 2010 page 7" href="http://viewer.zmags.com/publication/05f07a63?page=7">>> EDITORIAL Neal Flomenbaum, MDEDITOR-IN-</a> >> EDITORIAL Neal Flomenbaum, MDEDITOR-IN-<a title="Emergency Medicine – July 2010 page 8" href="http://viewer.zmags.com/publication/05f07a63?page=8">Acute Surgical </a> Acute Surgical <a title="Emergency Medicine – July 2010 page 9" href="http://viewer.zmags.com/publication/05f07a63?page=9">ACUTE SURGICAL ABDOMENcan present atypically </a> ACUTE SURGICAL ABDOMENcan present atypically <a title="Emergency Medicine – July 2010 page 10" href="http://viewer.zmags.com/publication/05f07a63?page=10">ACUTE SURGICAL ABDOMENTABLE 1. Selected Cause</a> ACUTE SURGICAL ABDOMENTABLE 1. Selected Cause<a title="Emergency Medicine – July 2010 page 11" href="http://viewer.zmags.com/publication/05f07a63?page=11">ACUTE SURGICAL ABDOMENdiffuse or periumbilica</a> ACUTE SURGICAL ABDOMENdiffuse or periumbilica<a title="Emergency Medicine – July 2010 page 12" href="http://viewer.zmags.com/publication/05f07a63?page=12">ACUTE SURGICAL ABDOMEN symptom8 </a> ACUTE SURGICAL ABDOMEN symptom8 <a title="Emergency Medicine – July 2010 page 13" href="http://viewer.zmags.com/publication/05f07a63?page=13">ACUTE SURGICAL ABDOMEN It is particularl</a> ACUTE SURGICAL ABDOMEN It is particularl<a title="Emergency Medicine – July 2010 page 14" href="http://viewer.zmags.com/publication/05f07a63?page=14">ACUTE SURGICAL ABDOMEN with AA</a> ACUTE SURGICAL ABDOMEN with AA<a title="Emergency Medicine – July 2010 page 15" href="http://viewer.zmags.com/publication/05f07a63?page=15">>>DIAGNOSISAT A GLANCEStephen M. Schleicher, M</a> >>DIAGNOSISAT A GLANCEStephen M. Schleicher, M<a title="Emergency Medicine – July 2010 page 16" href="http://viewer.zmags.com/publication/05f07a63?page=16">>> DIAGNOSIS AT A GLANCE CONTINUEDCASE 1This p</a> >> DIAGNOSIS AT A GLANCE CONTINUEDCASE 1This p<a title="Emergency Medicine – July 2010 page 17" href="http://viewer.zmags.com/publication/05f07a63?page=17">>>EMERGENCYULTRASOUNDPhillips Perera, MD, RDMS, </a> >>EMERGENCYULTRASOUNDPhillips Perera, MD, RDMS, <a title="Emergency Medicine – July 2010 page 18" href="http://viewer.zmags.com/publication/05f07a63?page=18">>>EMERGENCY ULTRASOUNDRapid Ultrasound in SHock</a> >>EMERGENCY ULTRASOUNDRapid Ultrasound in SHock<a title="Emergency Medicine – July 2010 page 19" href="http://viewer.zmags.com/publication/05f07a63?page=19">EMERGENCY X-RAY >>EMERGENCY ULTRASOUNDRapid Ul</a> EMERGENCY X-RAY >>EMERGENCY ULTRASOUNDRapid Ul<a title="Emergency Medicine – July 2010 page 20" href="http://viewer.zmags.com/publication/05f07a63?page=20">>>EMERGENCY ULTRASOUNDRapid Ultrasound in SHock</a> >>EMERGENCY ULTRASOUNDRapid Ultrasound in SHock<a title="Emergency Medicine – July 2010 page 21" href="http://viewer.zmags.com/publication/05f07a63?page=21">CASE STUDIES IN TOXICOLOGY Series Editor: Lewi</a> CASE STUDIES IN TOXICOLOGY Series Editor: Lewi<a title="Emergency Medicine – July 2010 page 22" href="http://viewer.zmags.com/publication/05f07a63?page=22">CASE STUDIES IN TOXICOLOGY</a> CASE STUDIES IN TOXICOLOGY<a title="Emergency Medicine – July 2010 page 23" href="http://viewer.zmags.com/publication/05f07a63?page=23">FIGURE 2. The unbranched chemicalstructure of n-</a> FIGURE 2. The unbranched chemicalstructure of n-<a title="Emergency Medicine – July 2010 page 24" href="http://viewer.zmags.com/publication/05f07a63?page=24">A PEER-REVIEWED JOURNALNow Available:A Dig</a> A PEER-REVIEWED JOURNALNow Available:A Dig<a title="Emergency Medicine – July 2010 page 25" href="http://viewer.zmags.com/publication/05f07a63?page=25">>>EMERGENCYIMAGINGKeith D. Hentel, MDKevin Me</a> >>EMERGENCYIMAGINGKeith D. Hentel, MDKevin Me<a title="Emergency Medicine – July 2010 page 26" href="http://viewer.zmags.com/publication/05f07a63?page=26">>>EMERGENCY IMAGING CONTINUEDANSWER </a> >>EMERGENCY IMAGING CONTINUEDANSWER <a title="Emergency Medicine – July 2010 page 27" href="http://viewer.zmags.com/publication/05f07a63?page=27">>>EMERGENCY IMAGINGANSWERnial fluid (cerebrosp</a> >>EMERGENCY IMAGINGANSWERnial fluid (cerebrosp<a title="Emergency Medicine – July 2010 page 28" href="http://viewer.zmags.com/publication/05f07a63?page=28">For more than 125 years, we've put ourselves in d</a> For more than 125 years, we've put ourselves in d<a title="Emergency Medicine – July 2010 page 29" href="http://viewer.zmags.com/publication/05f07a63?page=29">DERMDILEMMAMark A. Bechtel, MDMatthew Zirwas, M</a> DERMDILEMMAMark A. Bechtel, MDMatthew Zirwas, M<a title="Emergency Medicine – July 2010 page 30" href="http://viewer.zmags.com/publication/05f07a63?page=30">DERM DILEMMACASE 1Urgent Care SectionThe dia</a> DERM DILEMMACASE 1Urgent Care SectionThe dia<a title="Emergency Medicine – July 2010 page 31" href="http://viewer.zmags.com/publication/05f07a63?page=31">CLASSIFIED ADVERTISING—URGENT CARECAREER OPPORTU</a> CLASSIFIED ADVERTISING—URGENT CARECAREER OPPORTU<a title="Emergency Medicine – July 2010 page 32" href="http://viewer.zmags.com/publication/05f07a63?page=32">CLASSIFIED ADVERTISING—EMERGENCY MEDICINECAREER </a> CLASSIFIED ADVERTISING—EMERGENCY MEDICINECAREER <a title="Emergency Medicine – July 2010 page 33" href="http://viewer.zmags.com/publication/05f07a63?page=33">CLASSIFIED ADVERTISING—EMERGENCY MEDICINECAREER </a> CLASSIFIED ADVERTISING—EMERGENCY MEDICINECAREER <a title="Emergency Medicine – July 2010 page 34" href="http://viewer.zmags.com/publication/05f07a63?page=34">CLASSIFIED ADVERTISING—EMERGENCY MEDICINECAREER </a> CLASSIFIED ADVERTISING—EMERGENCY MEDICINECAREER <a title="Emergency Medicine – July 2010 page 35" href="http://viewer.zmags.com/publication/05f07a63?page=35">CLASSIFIED ADVERTISING—EMERGENCY MEDICINECAREER </a> CLASSIFIED ADVERTISING—EMERGENCY MEDICINECAREER <a title="Emergency Medicine – July 2010 page 36" href="http://viewer.zmags.com/publication/05f07a63?page=36">NOT TO LIVE WHERE YOU WANT.! % &#!! '''# ) " +</a> NOT TO LIVE WHERE YOU WANT.! % &#!! '''# ) " +