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Stroke is the third leading cause of death in the United States, surpassed only by heart diseases and malignant neoplasms. Part 1 of this series will cover the differential diagnosis of stroke, stroke mimics, and risk factors and prevention. Part II will cover the physical examination, laboratory investigations, imaging, and treatment of stroke.
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This article will review the current literature about blast injuries. Explosions have the potential to cause multi-system injuries involving multiple patients simultaneously. The potential mechanisms of injury, early signs of these injuries, and the natural course of the problems caused by explosive blasts will be discussed.
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Part II of this two-part series focuses on facial nerve palsies and oropharyngeal infections. The authors present a systematic approach to differential diagnosis and identification of etiologic agents responsible for such conditions as peritonsillar abscess, epiglottitis, and pharyngeal infections. Radiographic and bacteriologic findings are emphasized, and appropriate antibiotic therapy is presented. The authors have provided treatment tables that direct emergency practitioners toward outcome-effective therapy.
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Parts I and II of this series discussed general facial wound repair, forehead and scalp trauma, eye trauma, nasal trauma, and midface fractures. This third and final part of the series covers mandible, mouth, ear, and pediatric trauma.
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Although cervical spine injury is uncommon, the implications of a missed injury are profound and may result in many serious complications for the patient and the physician. This issue presents the physician with a thorough discussion of the imaging alternatives available and facilitates clinical decision-making for diagnostic imaging. The author also provides a comprehensive discussion of the evaluation of a patient with a potential ligamentous injury to the cervical spine.