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  • WikEM
    WikEM, The Global Emergency Medicine Wiki, is the world's largest and most popular emergency medicine open-access reference resource Our highly acclaimed content is freely available via the internet and our dedicated mobile applications
  • MDM for different chief complaints - WikEM
    This page is for adult patients For pediatric patients, see: MDM for different chief complaints (peds)
  • Laceration repair - WikEM
    Overview This page is for general approach to lacerations and their repair See "See Also" section below for specific special laceration types Indications Skin or mucosal laceration Contraindications Body laceration >12 hours old Face scalp wounds >24 hours old When to Call a Consultant Signs of neurovascular or tendon injury Facial wounds that cross cosmetic boundaries Tissue loss Equipment
  • Epistaxis - WikEM
    Background The arteries that supply Kiesselbach's plexus (responsible for anterior nosebleeds) Schematic arterial supply of the sinonasal cavity The majority of the posterior epistaxis episodes arise from the septum The arterial branches involved in epistaxis include the internal maxillary artery, the facial artery, and the ophthalmic artery Types Anterior 90% of nosebleeds Occur in
  • Septic arthritis - WikEM
    ↑ Mathews CJ, et al Bacterial septic arthritis in adults Lancet 2010;375 (9717):846-855 PMID 20206778 ↑ Long B, et al Evaluation and Management of Septic Arthritis and its Mimics in the Emergency Department West J Emerg Med 2019;20 (2):331-341 PMID 30881554
  • Conjunctivitis - WikEM
    Differential Diagnosis Unilateral red eye Nontraumatic Acute angle-closure glaucoma ^ Anterior uveitis Conjunctivitis Corneal erosion Corneal ulcer ^ Endophthalmitis ^ Episcleritis Herpes zoster ophthalmicus Inflamed pinguecula Inflamed pterygium Keratoconjunctivitis Keratoconus Nontraumatic iritis Scleritis ^ Subconjunctival hemorrhage Orbital trauma Caustic keratoconjunctivitis ^^ Corneal
  • Pneumonia (main) - WikEM
    Background Lobes of the lung with related anatomy Definition: infection of lung parenchyma Most common infectious cause of death in the United States; >1 5 million adults hospitalized annually for CAP [1] Up to 50% of cases have no pathogen identified even with extensive workup [1] Empirically classified based upon location risk factors Pneumonia Empiric Categories The term "health care
  • Dizziness - WikEM
    Background Dizziness is one of the most common chief complaints in the ED, accounting for approximately 4% of ED visits The term "dizziness" is nonspecific and can refer to several distinct sensations: Vertigo — sensation of movement (room spinning or self-spinning); suggests vestibular pathology Presyncope lightheadedness — feeling of impending faint; suggests cardiovascular or systemic
  • Epididymitis - WikEM
    Background Scrotal anatomy Adult testicle with epididymis (left is posterior): A Head of epididymis, B Body of epididymis, C Tail of epididymis, and D Vas deferens Inflammation infection of the epididymis; due to retrograde ascent of pathogens (usually bacterial), the type of which is associated with age Sexually active men <35yo → consider STI organisms including chlamydia, gonorrhea
  • Hypomagnesemia - WikEM
    Background Hypokalemia, Hypocalcemia and hypophosphatemia are often also present Clinical Features CNS Muscle weakness Ataxia Confusion Seizures Coma GI Dysphagia Cardiovascular CHF Dysrhythmias Hypotension Miscellaneous Hypokalemia Hypocalcemia Anemia Differential Diagnosis Causes of hypomagnesemia ETOH Malnutrition Cirrhosis Pancreatitis After DKA GI loss (especially diarrhea) Renal wasting





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