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June 2008


COVER ARTICLE

How to Recognize the Top Three STDs in Women
Bisan Salhi, MD
Elusive and often misleading, these infections can have serious consequences if not caught in time. Here’s how to diagnose and treat them.

Click for full text of this Cover Article.


FEATURE ARTICLES

Halting Heat Illness Before It Turns Deadly
Christopher B. Colwell, MD
Excessive heat kills more Americans than all other natural disasters combined, but recognizing and treating heat illness quickly can save lives. The author discusses how to diagnose, treat, and prevent this dangerous sequela of summer.

Corticosteroid Use in the Emergency Department
Sam Kini, MD, FACEP, and Charles Gilman, MD, FACEP
The authors review 11 presentations commonly seen by emergency physicians and discuss how steroids can improve patient outcomes in these conditions.


DEPARTMENTS

Editorial
Diurnal dichotomies


Tricks of the Trade
Readers share their favorite strategies and innovations for diagnosing peritonitis in a young child, performing a gentler rectal exam, draining an infected hair follicle, and more.


Diagnosis at a Glance
A 47-year-old woman presents with progressive, symmetrical loss of pigment involving her hands, axillae, shoulders, and groin; an elderly man seeks treatment for erythematous, scaly patches and plaques on his trunk and extremities.


Emergency Ultrasound
A patient cannot tolerate palpation of her painful, reddened inner thigh during physical exam, so instead you opt for a bedside sonogram. What diagnosis does this ultrasound image suggest?


Emergency X-Ray
A 16-year-old boy complains of hip pain. What diagnosis can you make based on this frontal film of his pelvis?



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