COVER ARTICLE

Unmasking Anthrax and Smallpox
Carl H. Schultz, MD, and Christopher Eric McCoy, MD
The authors show you how to apply some clinical assessment tools that may enhance your diagnostic accuracy when confronted with these illnesses caused by bioterrorism agents, which can all too easily be mistaken for common pulmonary or skin diseases.

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FEATURE ARTICLES

How to Prevent Harmful Drug Interactions
Collin S. Goto, MD, Sing-Yi Feng, MD, and Robert A. Wiebe, MD
To help you stay alert to pharmaceutical pitfalls, the authors discuss and illustrate red-flag issues ranging from grapefruit juice effects to warfarin potentiation.

Procedural Sedation for Children
Jon D. Mason, MD, FACEP, FAAP, and Brigid Linnan, MD
Here's how to achieve maximum safety and minimal stress in the preparation of young patients for potentially painful procedures.

CASE STUDIES IN INFECTIOUS DISEASE: Mononucleosis
Praveen K. Mullangi, MD, and Julia Garcia-Diaz, MD, FACEP
The authors explore the case of a patient who presents to the emergency department with classic signs and symptoms--fever, fatigue, swollen lymph nodes, and an enlarged spleen.

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DEPARTMENTS

Editorial
Hard times, soft data

Tricks of the trade
Readers share their favorite strategies and innovations for terminating ventricular tachycardia, keeping intoxicated patients from leaving the ED prematurely, and preventing hypoglycemia.

Diagnosis at a Glance
An elderly woman wants treatment for a dome-shaped, enlarging lesion on her upper arm; a 49-year-old woman has a white plaque on her lower lip.

Emergency X-Ray
A 30-year-old man presents with abdominal pain after a fall. What diagnosis does this scout film suggest to you?