Sections
Index
Symptoms
Cardiovascular Disorders
Clinical Pharmacology
Critical Care Medicine
Dental Disorders
Dermatologic Disorders
Ear, Nose, and Throat Disorders
Endocrine and Metabolic Disorders
Eye Disorders
Gastrointestinal Disorders
Genitourinary Disorders
Geriatrics
Gynecology and Obstetrics
Hematology and Oncology
Hepatic and Biliary Disorders
Immunology; Allergic Disorders
Infectious Diseases
Injuries; Poisoning
Musculoskeletal and Connective Tissue Disorders
Neurologic Disorders
Nutritional Disorders
Pediatrics
Psychiatric Disorders
Pulmonary Disorders
Special Subjects
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
Abdominal Pain, Acute
Abdominal pain, Chronic
Alopecia
Amenorrhea
Amnesia
Anosmia
Bleeding, Excessive
Breast Lumps
Chest Pain
Constipation in Adults
Constipation in Children
Cough in Adults
Cough in Children
Crying
Diarrhea in Adults
Diarrhea in Children
Diplopia
Dizziness
Dry Mouth
Dysmenorrhea
Dyspepsia
Dysphagia
Dyspnea
Dysuria
Earache
Ear Discharge
Edema
Edema During Late Pregnancy
Epistaxis
Erectile dysfunction
Eyelid Swelling
Eye Pain
Fever
Fever, Acute, in Adults
Fever, Chronic (FUO)
Fever in Infants and Children
Floaters
Gas
Gastrointestinal Bleeding
Halitosis
Headache
Hearing Loss
Hearing Loss: Sudden Deafness
Hematospermia
Hematuria
Hemoptysis
Hiccups
Hirsutism
Insomnia and Excessive Daytime Sleepiness
Itching
Itching, Anal
Jaundice in Adults
Jaundice in Neonates
Joint Pain, Monarticular
Joint Pain, Polyarticular
Knee pain
Lump in Throat
Nasal Congestion and Rhinorrhea
Nausea and Vomiting During Early pPregnancy
Nausea and Vomiting in Adults
Nausea and Vomiting in Infants and Children
Neck and Back Pain
Neck Mass
Nipple Discharge
Orthostatis Hypotension
Pain
Pain, Chronic
Palpitations
Pelvic Pain
Pelvic Pain During Early Pregnancy
Polyuria
Priapism
Red Eye
Scrotal Pain
Sore Throat
Stomatitis
Stridor
Syncope
Tearing
Tinnitus
Toothache
Tremor
Urinary Frequency
Urinary Incontinence in Adults
Urinary Incontinence in Children
Urinary Retention
Urticaria
Vaginal Bleeding
Vaginal Bleeding During Early Pregnancy
Vaginal Bleeding During Late Pregnancy
Vaginal Itching and Discharge
Vision, Blurred
Vision Loss, Acute
Weakness, Generalized
Wheezing
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Health Care Professionals
Cardiovascular Disorders
Clinical Pharmacology
Critical Care Medicine
Dental Disorders
Dermatologic Disorders
Ear, Nose, and Throat Disorders
Endocrine and Metabolic Disorders
Eye Disorders
Gastrointestinal Disorders
Genitourinary Disorders
Geriatrics
Gynecology and Obstetrics
Hematology and Oncology
Hepatic and Biliary Disorders
Immunology; Allergic Disorders
Infectious Diseases
Injuries; Poisoning
Musculoskeletal and Connective Tissue Disorders
Neurologic Disorders
Nutritional Disorders
Pediatrics
Psychiatric Disorders
Pulmonary Disorders
Special Subjects
Merck Manual
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Health Care Professionals
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Injuries; Poisoning
Injuries; Poisoning
Approach to the Trauma Patient
Approach to the Trauma Patient
Etiology
Pathophysiology
Evaluation and Treatment
Airway
Breathing
Circulation
Disability
Exposure/environmental control
Secondary survey
Testing
Lacerations
Lacerations
Physiology
Evaluation
Treatment
Cleansing
Local anesthesia
Exploration
Debridement
Closure
Materials and methods
Suture technique
Aftercare
Abrasions
Fractures, Dislocations, and Sprains
Overview of Musculoskeletal Injuries
Evaluation
History
Physical examination
Imaging
Treatment
RICE
Immobilization
Fractures
Pathophysiology
Symptoms and Signs
Diagnosis
Treatment
Geriatrics Essentials
Specific Fractures
Stress fractures
Growth plate fractures
Rib fractures
Clavicle fractures
Proximal humeral fractures
Distal humeral fractures
Radial head fractures
Distal radial fractures
Metacarpal neck fractures (except thumb)
Scaphoid (navicular) fractures
Fingertip (tuft of the distal phalanx) fractures
Pelvic fractures
Hip fractures
Femoral shaft fractures
Ankle fractures
Fractures of the 2nd metatarsal bone base with dislocation (Lisfranc's fracture-dislocation)
Fractures of the 5th metatarsal bone base (dancer's fracture)
Fractures of the 5th metatarsal bone diaphysis (Jones fracture)
Toe fractures
Compartment Syndrome
Etiology
Symptoms and Signs
Diagnosis
Treatment
Dislocations
Specific Dislocations
Glenohumeral (shoulder) dislocations
Elbow dislocations
Radial head subluxations (nursemaid's elbow)
Proximal interphalangeal (PIP) joint dislocations
Hip dislocations
Knee (tibiofemoral) dislocations
Lateral patellar dislocations
Sprains, Strains, and Tendon Tears
Diagnosis
Treatment
Specific Sprains and Tendon Tears
Acromioclavicular joint sprains (separation)
Ulnar collateral ligament sprains (gamekeeper's thumb)
Quadriceps tendon injuries
Ankle sprains
Achilles tendon tears
Knee Sprains and Meniscal Injuries
Symptoms and Signs
Diagnosis
Treatment
Traumatic Brain Injury (TBI)
Traumatic Brain Injury
Pathology
Concussion
Brain contusions
Diffuse axonal injury
Hematomas
Skull fractures
Pathophysiology
Symptoms and Signs
Long-term symptoms
Diagnosis
Initial measures
Complete clinical evaluation
Neuroimaging
Prognosis
Treatment
Mild injury
Moderate and severe injury
Increased intracranial pressure
Seizures
Skull fractures
Surgery
Rehabilitation
Spinal Trauma
Spinal Trauma
Etiology
Cord injury
Vertebral injury
Cauda equina injury
Symptoms and Signs
Complete cord injury
Incomplete cord injury
Cauda equina lesions
Complications
Diagnosis
Prognosis
Treatment
Immediate care
Long-term care
Key Points
Spinal Cord Injury in Children
Diagnosis
Treatment
Facial Trauma
Introduction to Facial Trauma
External Ear Trauma
Subperichondral hematomas
Lacerations
Avulsions
Trauma secondary to mandibular fractures
Fractures of the Jaw and Contiguous Structures
Treatment
Tooth socket fractures
Mandible fractures
Midface fractures
Fractures of the Nose
Symptoms and Signs
Diagnosis
Treatment
Key Points
Temporal Bone Fractures
Diagnosis
Treatment
Key Points
Eye Trauma
Overview of Eye Trauma
Ocular Burns
Thermal burns
Chemical burns
Corneal Abrasions and Foreign Bodies
Symptoms and Signs
Diagnosis
Treatment
Abrasions
Intraocular foreign bodies
Key Points
Eye Contusions and Lacerations
Eyelids
Globe
Hyphema (anterior chamber hemorrhage)
Blowout fracture
Key Points
Posttraumatic Iridocyclitis
Abdominal Trauma
Overview of Abdominal Trauma
Etiology
Classification
Associated injuries
Pathophysiology
Complications
Symptoms and Signs
Inspection
Palpation
Diagnosis
Penetrating trauma
Complications
Treatment
Observation
Laparotomy
Angiographic embolization
Hepatic Injury
Etiology
Classification
Pathophysiology
Complications
Symptoms and Signs
Diagnosis
Treatment
Splenic Injury
Etiology
Classification
Pathophysiology
Symptoms and Signs
Diagnosis
Treatment
Genitourinary Tract Trauma
Introduction to Genitourinary Tract Trauma
Bladder Trauma
Symptoms and Signs
Diagnosis
Treatment
Genital Trauma
Symptoms and Signs
Diagnosis
Treatment
Renal Trauma
Diagnosis
Treatment
Ureteral Trauma
Diagnosis
Treatment
Urethral Trauma
Symptoms and Signs
Diagnosis
Treatment
Burns
Burns
Etiology
Pathophysiology
Burn depth
Complications
Systemic
Local
Symptoms and Signs
Diagnosis
Treatment
Initial treatment
Intravenous fluids
Initial wound care
Supportive measures
Hospitalization and referral
Infection
Surgery
Physical and occupational therapy
Outpatient treatment
Key Points
Electrical and Lightning Injuries
Electrical Injuries
Pathophysiology
Kouwenhoven's factors
Electrical field strength
Pathology
Symptoms and Signs
Diagnosis
Treatment
Prehospital care
Resuscitation
Other measures
Prevention
Lightning Injuries
Symptoms and Signs
Diagnosis
Treatment
Prevention
Radiation Exposure and Contamination
Radiation Exposure and Contamination
Types of radiation
Measurement of radiation
Types of exposure
Sources of exposure
Pathophysiology
Factors affecting response
Cancer and teratogenicity
Symptoms and Signs
Acute radiation syndromes (ARS)
Focal injury
Diagnosis
Contamination
Prognosis
Treatment
Preparation
External decontamination
Internal decontamination
Specific management
Prevention
Public response
Preventive drugs
Heat Illness
Overview of Heat Illness
Pathophysiology
Etiology
Prevention
Heat Cramps
Treatment
Heat Exhaustion
Symptoms and Signs
Diagnosis
Treatment
Heatstroke
Symptoms and Signs
Diagnosis
Prognosis
Treatment
Cooling techniques
Other measures
Malignant Hyperthermia
Pathophysiology
Complications
Symptoms and Signs
Diagnosis
Susceptibility testing
Treatment
Prevention
Neuroleptic Malignant Syndrome
Etiology
Symptoms and Signs
Diagnosis
Treatment
Serotonin Syndrome
Symptoms and Signs
Diagnosis
Treatment
Cold Injury
Overview of Cold Injury
Prevention
Nonfreezing Tissue Injuries
Frostnip
Immersion (trench) foot
Chilblains (pernio)
Frostbite
Symptoms and Signs
Diagnosis
Treatment
Prehospital care
Acute care
Ongoing care
Key Points
Hypothermia
Etiology
Pathophysiology
Symptoms and Signs
Diagnosis
Prognosis
Treatment
Active rewarming
CPR
Key Points
Altitude Diseases
Altitude Diseases
Risk factors
Pathophysiology
Acclimatization
Symptoms and Signs
Acute mountain sickness (AMS)
High-altitude pulmonary edema (HAPE)
High-altitude cerebral edema (HACE)
Other manifestations
Diagnosis
Treatment
AMS
HAPE and HACE
Prevention
Ascent
Drugs
Key Points
Motion Sickness
Motion Sickness
Etiology
Risk factors
Symptoms and Signs
Diagnosis
Treatment
Scopolamine
Antihistamines
Antidopaminergic drugs
Nondrug measures
Alternative therapies
Drowning
Drowning
Pathophysiology
Hypoxia
Hypothermia
Fluid aspiration
Associated injuries
Symptoms and Signs
Diagnosis
Prognosis
Treatment
Resuscitation
Hospital care
Discharge
Prevention
Key Points
Injury During Diving or Work in Compressed Air
Overview of Diving Injuries
Barotrauma
Treatment
Key Points
Pulmonary Barotrauma
Diagnosis
Treatment
Prevention
Key Points
Gastrointestinal Barotrauma
Ear and Sinus Barotrauma
Diagnosis
Treatment
Prevention
Key Points
Other Types of Barotrauma
Arterial Gas Embolism
Symptoms and Signs
Diagnosis
Treatment
Key Points
Immersion Pulmonary Edema
Decompression Sickness
Risk factors
Classification
Symptoms and Signs
Diagnosis
Treatment
Prevention
Key Points
Gas Toxicity During Diving
Oxygen toxicity
Nitrogen narcosis
Carbon dioxide poisoning
Carbon monoxide poisoning
High-pressure neurologic syndrome
Recompression Therapy
Recompression protocols
Complications and contraindications
Key Points
Diving Precautions and Prevention of Diving Injuries
Diving safety
Contraindications to diving
Sports Injury
Screening for Sports Participation
Cardiovascular screening
Other screening measures
Contraindications
Approach to Sports Injuries
Overuse
Blunt trauma
Sprains and strains
Symptoms and Signs
Diagnosis
Treatment
RICE
Pain control
Activity
Prevention
Rotator Cuff Injury
Etiology
Symptoms and Signs
Diagnosis
Treatment
Glenoid Labral Tear
Symptoms and Signs
Diagnosis
Treatment
Lateral Epicondylitis
Symptoms and Signs
Diagnosis
Treatment
Medial Epicondylitis
Symptoms and Signs
Diagnosis
Treatment
Piriformis Syndrome
Symptoms and Signs
Diagnosis
Treatment
Knee Pain
Etiology
Evaluation
Treatment
Shin Splints
Symptoms and Signs
Diagnosis
Treatment
Achilles Tendinitis
Symptoms and Signs
Diagnosis
Treatment
Stress Fractures
Symptoms and Signs
Diagnosis
Treatment
Popliteus Tendinitis
Hamstring Strain
Symptoms and Signs
Diagnosis
Treatment
Bites and Stings
Introduction to Bites and Stings
Centipede and Millipede Bites
Human and Mammal Bites
Infection
Diagnosis
Treatment
Wound care
Antimicrobials
Key Points
Insect Stings
Symptoms and Signs
Diagnosis
Treatment
Prevention
Key Points
Puss Moth Caterpillar (Asp) Stings
Marine Bites and Stings
Cnidaria (Coelenterates, such as jellyfish and sea anemones)
Symptoms and Signs
Treatment
Seabather's eruption
Stingrays
Symptoms and Signs
Treatment
Mollusks
Conus californicus
Cone snails
Octopi
Squid
Sea Urchins
Mite Bites
Symptoms and Signs
Diagnosis
Treatment
Key Points
Scorpion Stings
Diagnosis
Treatment
Snakebites
Pathophysiology
Pit vipers
Coral snakes
Symptoms and Signs
Pit vipers
Coral snakes
Diagnosis
Snake identification
Severity of envenomation
Treatment
General approach
Antivenom
Adjunctive measures
Key Points
Other Reptile Bites
Venomous lizards
Alligators and crocodiles
Iguanas
Spider Bites
Symptoms and Signs
Diagnosis
Treatment
Key Points
Tick Bites
Diagnosis
Treatment
Lyme disease prophylaxis
Tick Paralysis
Other Arthropod Bites
Poisoning
General Principles of Poisoning
Symptoms and Signs
Diagnosis
Testing
Treatment
Initial stabilization
Topical decontamination
Activated charcoal
Gastric emptying
Whole-bowel irrigation
Alkaline diuresis
Dialysis
Specific antidotes
Ongoing supportive measures
Hospital admission
Prevention
Key Points
Acetaminophen Poisoning
Pathophysiology
Acute Acetaminophen Poisoning
IV acetaminophen
Symptoms and Signs
Diagnosis
Prognosis
Treatment
Key Points
Chronic Acetaminophen Poisoning
Diagnosis
Treatment
Aspirin and Other Salicylate Poisoning
Pathophysiology
Symptoms and Signs
Diagnosis
Treatment
Key Points
Carbon Monoxide Poisoning
Pathophysiology
Symptoms and Signs
Diagnosis
Treatment
Prevention
Key Points
Caustic Ingestion
Pathophysiology
Symptoms and Signs
Diagnosis
Treatment
Key Points
Mushroom Poisoning
Early GI symptoms
Early neurologic symptoms
Early muscarinic symptoms
Delayed GI symptoms
Plant Poisoning
Castor beans and jequirity beans
Oleander and foxglove
Hemlock
Fish and Shellfish Poisoning
Ciguatera poisoning
Scombroid poisoning
Tetrodotoxin poisoning
Shellfish poisoning
Hydrocarbon Poisoning
Symptoms and Signs
Diagnosis
Treatment
Organophosphate and Carbamate Poisoning
Pathophysiology
Symptoms and Signs
Acute
Delayed
Diagnosis
Treatment
In-hospital treatment
Out-of-hospital exposure
Key Points
Iron Poisoning
Pathophysiology
Symptoms and Signs
Diagnosis
Treatment
Key Points
Lead Poisoning
Etiology
Symptoms and Signs
In children
In adults
In children and adults
Diagnosis
Provocative testing
Treatment
Regimens
Drugs
Lower lead levels
Prevention
Key Points
Specific Poisons
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