By Robert J. Hoffman MD MS, Vincent J. Wang MD MHA, Dr. Richard J. Scarfone MD, Dr. Sandip A. Godambe MD PhD MBA, Dr. Raymond Pitetti MD MPH
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Additional resources for Fleisher and Ludwig’s 5-Minute Pediatric Emergency Medicine Consult
2002;32: 556–560. 3. Lameris ´ W, van Randen A, van Es HW, et al. Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: Diagnostic accuracy study. BMJ. 2009;339:b2431. SURGERY/OTHER PROCEDURES r Immediate surgical consultation is required for any ill-appearing patient with suspected peritonitis from bowel perforation or malrotation with mid-gut volvulus. xml April 15, 2011 13:20 ABRUPTIO PLACENTA Shira Yahalom BASICS DESCRIPTION r Abruptio placenta refers to separation of the placenta from the uterus after 20 wk gestation and prior to delivery.
Xml April 15, 2011 13:20 ABSCESS, DENTOALVEOLAR Kristin S. Stukus Raymond Pitetti BASICS DESCRIPTION r Untreated bacterial caries, gingivitis, and periodontitis may result in infection in the adjacent space surrounding the teeth. r A dentoalveolar abscess is typically characterized by localization of pus in the structures that surround the teeth as well as infection of adjacent soft tissues. r May progress to life-threatening infections of the deep spaces of the neck. EPIDEMIOLOGY Incidence r Decreasing over the last 30 years due to fluoridation of the water supply r More common in lower socioeconomic groups r Exact incidence is unknown, as most cases are not reported.
2006;33(3):727–750. r Francois KE, Foley MR. Antepartum and postpartum hemorrhage. , eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2007. r Sakornbut E, Leeman L, Fontaine P. Late pregnancy bleeding. Am Fam Physician. 2007;75(8): 1199–1206. r Patients may not present with the classic triad. Consider the diagnosis in all patients presenting with preterm labor. r The presenting complaint may only be a decrease in fetal activity per the patient.