Table of Contents

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1.0 SIGNS, SYMPTOMS, AND PRESENTATIONS

1.1 Abnormal Vital Sign Physiology

1.2 Pain

1.3 General

2.0 ABDOMINAL AND GASTROINTESTINAL DISORDERS

2.1 Abdominal Wall

2.2 Esophagus

2.3 Liver

2.4 Gall Bladder and Biliary Tract

2.5 Pancreas

2.6 Peritoneum

2.7 Stomach

2.8 Small Bowel

2.9 Large Bowel

2.10 Rectum and Anus

2.11 Spleen

3.0 CARDIOVASCULAR DISORDERS

3.1 Cardiopulmonary Arrest

3.2 Congenital Abnormalities of the Cardiovascular System
3.3 Disorders of Circulation

3.4 Disturbances of Cardiac Rhythm

3.5 Diseases of the Myocardium, Acquired

3.6 Diseases of the Pericardium

3.7 Endocarditis
3.8 Hypertension
3.9 Tumors
3.10 Valvular Disorders

4.0 CUTANEOUS DISORDERS

4.1 Cancers of the Skin

4.2 Ulcerative Lesions

4.3 Dermatitis

4.4 Infections

5.0 ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS

5.1 Acid-base Disturbances

5.2 Adrenal Disease

5.3 Fluid and Electrolyte Disturbances

5.4 Glucose Metabolism

5.5 Nutritional Disorders

5.6 Parathyroid Disease
5.7 Pituitary Disorders

5.8 Thyroid Disorders

5.9 Tumors of Endocrine Glands

6.0 ENVIRONMENTAL DISORDERS

6.1 Bites and Envenomation (See 18.1.3.2)

6.2 Dysbarism

6.3 Electrical Injury (See 18.1.3.3.1)

6.4 High-altitude Illness

6.5 Submersion Incidents

6.6 Temperature-related Illness

6.7 Radiation Emergencies

7.0 HEAD, EAR, EYE, NOSE, THROAT DISORDERS

8.0 HEMATOLOGIC DISORDERS

9.0 IMMUNE SYSTEM DISORDERS

10.0 SYSTEMIC INFECTIOUS DISORDERS

11.0 MUSCULOSKELETAL DISORDERS (NONTRAUMATIC)

11.1 Bony Abnormalities

11.2 Disorders of the Spine

11.3 Joint Abnormalities

11.4 Muscle Abnormalities

11.5 Overuse Syndromes

11.6 Soft Tissue Infections

12.0 NERVOUS SYSTEM DISORDERS

12.1 Cranial Nerve Disorders

12.2 Demyelinating Disorders

12.3 Headache (See 1.2.2)

12.4 Hydrocephalus

12.5 Infections/Inflammatory Disorders

12.6 Movement Disorders

12.7 Neuromuscular Disorders

12.8 Other Conditions of the Brain

12.9 Seizure Disorders

12.10 Spinal Cord Compression
12.11 Stroke

12.12 Transient Cerebral Ischemia
12.13 Tumors

13.0 OBSTETRICS AND GYNECOLOGY

13.1 Female Genital Tract
13.1.1 Cervix
13.1.1.1 Cervicitis and endocervicitis
13.1.1.2 Tumors
13.1.2 Infectious disorders
13.1.2.1 Pelvic inflammatory disease
13.1.2.1.1 Fitz-Hugh-Curtis syndrome
13.1.2.1.2 Tuboovarian abscess
13.1.2.2 Urethritis
13.1.3 Lesions
13.1.3.1 Herpes simplex (See 4.4.4.3, 10.6.4 )
13.1.3.2 Human papillomavirus (HPV) (See 4.4.4.5)
13.1.4 Ovary
13.1.4.1 Cyst
13.1.4.2 Torsion
13.1.4.3 Tumors
13.1.5 Uterus
13.1.5.1 Dysfunctional bleeding
13.1.5.2 Endometriosis
13.1.5.3 Prolapse
13.1.5.4 Tumors
13.1.5.4.1 Gestational trophoblastic disease
13.1.5.4.2 Leiomyoma
13.1.6 Vagina and vulva
13.1.6.1 Bartholin’s cyst
13.1.6.2 Foreign body
13.1.6.3 Vaginitis/Vulvovaginitis
13.2 Normal Pregnancy
13.3 Complications of Pregnancy
13.3.1 Abortion
13.3.2 Ectopic pregnancy
13.3.3 Hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome
13.3.4 Hemorrhage, antepartum
13.3.4.1 Abruptio placentae (See 18.2.1)
13.3.4.2 Placenta previa
13.3.5 Hyperemesis gravidarum
13.3.6 Gestational hypertension
13.3.6.1 Eclampsia
13.3.6.2 Preeclampsia
13.3.7 Infections
13.3.8 Rh isoimmunization
13.3.9 First trimester bleeding
13.3.10 Gestational diabetes
13.4 High-risk Pregnancy
13.4.1 Assisted reproductive therapies
13.5 Normal Labor and Delivery
13.6 Complications of Labor
13.6.1 Fetal distress
13.6.2 Premature labor (See 18.2.3)
13.6.3 Premature rupture of membranes
13.6.4 Rupture of uterus (See 18.2.4)
13.7 Complications of Delivery
13.7.1 Malposition of fetus
13.7.2 Nuchal cord
13.7.3 Prolapse of cord
13.8 Postpartum Complications
13.8.1 Endometritis
13.8.2 Hemorrhage
13.8.3 Mastitis
13.8.4 Pituitary infarction
13.9 Contraception

14.0 PSYCHOBEHAVIORAL DISORDERS

14.1 Addictive Behavior
14.1.1 Alcohol dependence
14.1.2 Drug dependence
14.1.3 Eating disorders
14.1.4 Substance abuse
14.1.5 Tobacco dependence
14.2 Mood Disorders and Thought Disorders
14.2.1 Acute psychosis
14.2.2 Bipolar disorder
14.2.3 Depression
14.2.3.1 Suicidal risk
14.2.4 Grief reaction
14.2.5 Schizophrenia
14.3 Factitious Disorders
14.3.1 Drug-diversion behavior
14.3.2 Munchausen syndrome/Munchausen by proxy
14.4 Neurotic Disorders
14.4.1 Anxiety/Panic
14.4.2 Obsessive compulsive
14.4.3 Phobic
14.4.4 Post-traumatic stress
14.5 Organic Psychoses
14.5.1 Chronic organic psychotic conditions
14.5.1.1 Alcoholic psychoses
14.5.1.2 Drug psychoses
14.5.2 Delirium
14.5.3 Dementia (See 12.8.1)
14.5.4 Intoxication and/or withdrawal
14.5.4.1 Alcohol (See 17.1.2)
14.5.4.2 Hallucinogens (See 17.1.17)
14.5.4.3 Opioids (See 17.1.1.3)
14.5.4.4 Sedatives/Hypnotics/Anxiolytics (See 17.1.35)
14.5.4.5 Sympathomimetics and cocaine (See 17.1.36;17.1.15)
14.5.4.6 Anticholinergic (See 17.1.4)
14.6 Patterns of Violence/Abuse/Neglect
14.6.1 Interpersonal violence
14.6.1.1 Child, intimate partner, elder
14.6.2 Homicidal Risk
14.6.3 Sexual assault
14.6.4 Staff/Patient safety
14.7 Personality Disorders
14.8 Psychosomatic Disorders
14.8.1 Hypochondriasis
14.8.2 Hysteria/Conversion

15.0 RENAL AND UROGENITAL DISORDERS

15.1 Acute and Chronic Renal Failure
15.2 Complications of Renal Dialysis
15.3 Glomerular Disorders

15.4 Infection

15.5 Male Genital Tract

15.6 Nephritis

15.7 Structural Disorders

15.8 Tumors

16.0 THORACIC-RESPIRATORY DISORDERS

16.1 Acute Upper Airway Disorders

16.2 Disorders of Pleura, Mediastinum, and Chest Wall

16.3 Noncardiogenic Pulmonary Edema
16.4 Obstructive/Restrictive Lung Disease

16.5 Physical and Chemical Irritants/Insults

16.6 Pulmonary Embolism/Infarct

16.7 Pulmonary Infections

16.8 Tumors

16.9 Pulmonary Hypertension

17.0 TOXICOLOGIC DISORDERS

17.1 Drug and Chemical Classes

18.0 TRAUMATIC DISORDERS

18.1 Trauma

18.2 Trauma in Pregnancy

18.3 Multi-system Trauma

19.0 PROCEDURES AND SKILLS INTEGRAL TO THE PRACTICE OF EMERGENCY MEDICINE

19.1 Airway Techniques

19.2 Resuscitation

19.3 Anesthesia and Acute Pain Management

19.4 Diagnostic and Therapeutic Procedures

19.5 Other Diagnostic and Therapeutic Procedures

20.0 OTHER CORE COMPETENCIES OF THE PRACTICE OF EMERGENCY MEDICINE

20.1 Interpersonal and Communication Skills

20.2 Practice-based Learning and Improvement

20.3 Professionalism

20.4 Systems-based Practice