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May 2009

Cover Article

Lumbar Back Pain: From the Common to the Critical
William Alley, MD, and Barry Knapp, MD, FACEP
Emergency department experience teaches that most episodes of low back pain, as severe and temporarily disabling as they may be, are not manifestations of serious pathology—but you cannot afford to miss the ones that are. The authors explain how to make your assessment both sensitive and specific every time.

Click for full text of this Cover Article.

>> View current Table of Contents

>> Coming Soon in future issues


Feature Article

Nonprescription Analgesics: Misunderstood and Abused
Kennon Heard, MD
Illness from failure to comply with the labeling of over-the-counter analgesics containing acetaminophen or a nonsteroidal anti-inflammatory drug is as inevitable as their use is ubiquitous. The author discusses the characteristics of high-risk users, the signs of possible misuse, how to treat toxic effects, and what to tell patients to prevent recurrence.

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Urgent Care Extra

Recognizing and Managing Iron Toxicity
Christian Balmadrid, MD, and Michael Bono, MD
Since urgent care physicians will encounter patients suffering from excess iron intake only occasionally, iron toxicity can be challenging when it does present. The authors review the basic science and the signs, symptoms and course of illness and provide an update on the clinical management of these patients.

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EMERGENCY MEDICINE'S online features are now indexed by topic.

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Editorial
Another ER Closes
Neal E. Flomenbaum, MD, Editor-in-Chief

This unique facility had a remarkably successful 15-year run delivering emergency care—for one hour a week. EM's editor-in-chief pays his respects.

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Emergency Ultrasound

Based on these ultrasound images, what course of treatment would you recommend for this 46-year-old man with a painful, swollen area on his right arm that appeared a short time after he injected intravenous heroin?

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Diagnosis at a Glance

A woman seeks treatment for widespread erythema and vesiculation that
she first noticed on her anterior thighs one week ago.

Click for full text of this Diagnosis at a Glance.


Emergency Imaging

A 42-year-old man with right lower quadrant pain, fever, and mild leukocytosis arrives in your emergency department. After reviewing these CT scan images, would you agree with the presumed diagnosis of acute appendicitis?

Click for full text of this Emergency Imaging.


FREE CME ACTIVITY
Disaster Preparedness:
Emergency Response to Organophosphorus Poisoning

Gary M. Klein, MD, MBA, MPH, CHS-V, Rama B. Rao, MD, Neal E. Flomenbaum, MD, Lewis S. Nelson, MD, and Brenna M. Farmer, MD
This supplement to EMERGENCY MEDICINE features articles on understanding, diagnosing, and treating toxicity from organophosphorus pesticide exposure and other forms of chemical poisoning.

Click the image to download a PDF file of this supplement and study the educational activity. Then, to access the post-test at the CME University Web site, click here and enter 5569 opposite "Search by Course ID."


Departments From
Previous Issues

Editorial

Tricks of the Trade

Emergency Ultrasound

ECG Challenge

Diagnosis at a Glance

Emergency X-Ray

Emergency Imaging

Would You Miss This Diagnosis?

Errors in Emergency Practice

The Toxic Emergency



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