일차진료 응급의학

역자 서문 _ iv
역자 소개 _ v
머리말 _ vi
추천사 _ vii


Part 1 국소해부학(Regional Anatomy)
Chapter 1 두부 및 얼굴 외상(Head and facial trauma)
두개저골절(Basilar skull fracture) _ 4
함몰두개골골절(Depressed skull fracture) _ 7
코손상(Nasal injuries) _ 8
광대뼈골절(Fractures of the zygoma) _ 10
르포르얼굴골절(Lefort facial fracture) _ 11
안와바닥골절(Orbital floor fracture) _ 12
하악골골절(Mandibular fractures) _ 14
외이손상(External ear injuries) _ 16
전두동골절(Frontal sinus fracture) _ 18
외상성안구돌출증(Traumatic exophthalmos) _ 20
얼굴관통상(Penerating facial trauma) _ 22
갈고리이랑탈출(천막뇌탈출)증후군(Uncal herniation syndrome) _ 23

Chapter 2 안과적 질환(Ophthalmologic conditions)
신생아결막염〔Neonatal conjunctivitis (Ophthalmia neonatorum)〕 _ 26
세균성결막염(Bacterial conjunctivitis) _ 28
바이러스결막염(Viral conjunctivitis) _ 29
유행각결막염(Epidemic keratoconjunctivitis) _ 30
알레르기결막염(Allergic conjunctivitis) _ 32
눈물주머니염(Dacryocystitis) _ 33
눈물샘염(Dacryoadenitis) _ 34
결막황반/군날개(Pinguecula/Pterygium) _ 35
다래끼/콩다래끼(Hordeolum/Chalazion) _ 36
공막염(Scleritis) _ 38
상공막염(Episcleritis) _ 39
급성폐쇄각녹내장(Acute angle closure glaucoma) _ 40
전포도막염(홍채염)〔Anterior uveitis (Iritis)〕 _ 42
동공부등(Anisocoria) _ 44
눈대상포진(Herpes zoster ophthalmicus) _ 45
안구단순헤르페스(Ocular herpes simplex) _ 46
각막궤양(Corneal ulcer) _ 48
구심신경동공결손(마크스건동공)〔Afferent pupillary defect (Marcus gunn pupil)〕 _ 50
호너증후군(Horner syndrome) _ 52
제VI 뇌신경마비(Sixth-nerve palsy) _ 53
제III 뇌신경마비(Third-nerve palsy) _ 54

Chapter 3 검안경검사소견(Funduscopic findings)
정상 안저(Normal fundus) _ 58
나이에 따른 황반변성(Age-related macular degeneration) _ 59
삼출물(Exudate) _ 60
망막출혈반(Roth spots) _ 61
색전(Emboli) _ 62
중심망막동맥폐색(Central retinal artery occlusion) _ 63
중심망막정맥폐색(Central retinal vein occlusion) _ 64
고혈압성 망막병증(Hypertensive retinopathy) _ 65
당뇨병성 망막병증(Diabetic retinopathy) _ 66
유리체출혈(Vitreous hemorrhage) _ 68
망막박리(Retinal detachment) _ 69
거대세포바이러스망막염(Cytomegalovirus retinitis) _ 70
유두부종(Papilledema) _ 71
시신경염(Optic neuritis) _ 72
전방허혈성 시신경병증(Anterior ischemic optic neuropathy) _ 73
녹내장(Glaucoma) _ 74
지주막하출혈에서 유리체하출혈(Subhyaloid hemorrhage in subarachnoid hemorrhage) _ 75

Chapter 4 눈의 외상(Ophthalmic trauma)
각막찰과상(Corneal abrasion) _ 78
결막하출혈(Subconjunctival hemorrhage) _ 80
각막이물질(Corneal foreign body) _ 81
전방출혈(Hyphema) _ 82
안구내 이물질(Itraocular foreign body) _ 84
홍채해리(Iridodialysis) _ 85
수정체이탈(Lens dislocation) _ 86
관통성안구손상(Penetrating globe injury) _ 88
안구파열(Globe rupture) _ 90
외상성백내장(Traumatic cataract) _ 91
눈꺼풀열상(Eyelid laceration) _ 92
화학적 노출(Chemical exposure) _ 94

Chapter 5 귀, 코 및 목구멍의 질환(Ear, Nose and Throat conditions)
중이염(Otitis media) _ 99
수포성고막염(Bullous myringtis) _ 100
진주종 및 골종(Cholesteatoma and osetoma) _ 101
고막천공(Tympanic membrane perforation) _ 103
외이도염(Otitis externa) _ 104
유돌염(Mastoiditis) _ 105
귀연골막염(Auricular perichondritis) _ 106
귀대상포진〔Herpes zoster oticus; 람세이-헌트증후군(Ramsay Hunt syndrome)〕 _ 108
안면신경마비(Facial nerve palsy) _ 110
혈관부종(Angioedema) _ 112
인두염(Pharyngitis) _ 114
비중격혈종(Septal hematoma) _ 116
디프테리아(Diphtheria) _ 117
편도주위농양(Peritonsillar abscess) _ 118
후두개염(Epiglottitis) _ 120
목젖염(Uvulitis) _ 122
점액낭종〔Mucocele; 두꺼비종(Ranula)〕 _ 123
침샘염(Sialoadenitis) _ 124
부비동염(Sinustis) _ 126
코연조직염(Nasal cellulitis) _ 128

Chapter 6 입(Mouth)
구강외상(Oral trauma) _ 130
치아아탈구(Tooth subluxation) _ 130
치아매복(침입탈구)〔Tooth impaction (Intrusive luxation)〕 _ 131
치아박리(Tooth avulsion) _ 132
치아골절(Tooth fractures) _ 133
치조능선골절(Alveolar ridge fractures) _ 135
악관절탈구(Temporal mandibular joint dislocation) _ 136
혀열상(Tongue laceration) _ 138
입술경계열상(Vermillion border lip laceration) _ 139
치원성감염(Odontogenic infections) _ 140
치은농양(Gingival abscess), 치주농양(Periodontal abscess) _ 140
치아근첨주위농양(Periapical abscess) _ 141
치관주위농양(Pericoronal abscess) _ 143
협부공간농양(Buccal space abscess) _ 144
견치간극농양(Canine space abscess) _ 145
루드비히협심증(Ludwig angina) _ 146
인두곁공간농양(Parapharyngeal space abscess) _ 147
구강질환(Oral conditions) _ 148
참호구강염(Trench mouth), 급성괴사성궤양성치은염(Acute necrotizing urcerative gingivitis) _ 148
산성치아미란(Acid tooth erosion), 폭식증(Bulimia) _ 149
아구창(Thrush), 구강칸디다증(Oral candidiasis) _ 150
구강단순헤르페스바이러스(Oral herpes simplex virus), _
입술포진(Cold sores) _ 151
아프타성궤양(Aphthous ulcers), 구강궤양(Canker sores) _ 152
딸기혀(Strawberry tongue) _ 153
구개융기(Torus palatinus) _ 154
흑색털혀(Black hairy tongue) _ 155
구강피어싱합병증(Oral cavity piercing complications) _ 156

Chapter 7 흉부 및 복부(Chest and Abdomen)
흉부 및 복부 외상(Chest and Abdominal Trauma) _ 158
외상질식(Traumatic asphyxia) _ 158
동요가슴(Flail chest) _ 159
흉쇄관절탈구(Sternoclavicular dislocation) _ 160
긴장성기흉과 바늘흉강천자(Tension pneumothorax with needle thoracentesis) _ 161
심장눌림증과 심장막천자(Cardiac tamponade with pericardiocentesis) _ 162
응급센터의 가슴절개술(Emergency department thoracotomy) _ 163
진단적 복막세척술(Diagnostic peritoneal lavage) _ 164
안전벨트손상(Seat belt injury) _ 165
Grey Turner 징후와 Cullen 징후(Grey Turner sign and Cullen sign) _ 166
천자된 이물질(Impaled foreign body) _ 167
복부내용물탈출(Abdominal evisceration) _ 168
외상성복벽탈장(Traumatic abdominal hernia) _ 170
골반골절(Pelvic fracture) _ 171
비외상성 흉부 및 복부상태(Nontraumatic Chest and Abdominal Conditions) _ 172
호흡성함몰(Respiratory retractions) _ 172
상대정맥증후군(Superior vena cava syndrome) _ 173
좌우바뀜증(Situs inversus) _ 174
폐첨부종괴(Apical lung mass) _ 175
경정맥팽창(Jugulovenous distension) _ 176
메두사머리(Caput medusae) _ 177
복벽탈장(Abdominal hernias) _ 178
배꼽탈장(Umbilical hernia) _ 180
열린요막관(Patent urachal duct) _ 181
배꼽결절(Nodular umbilicus) _ 182
복부팽창(Abdominal distension) _ 183
복벽혈종(Abdominal wall hematoma) _ 185
오목가슴(Pectus excavatum) _ 186
스토마탈출증(Stoma prolapse) _ 187

Chapter 8 비뇨기과질환(Urologic conditions)
고환꼬임(Testicular torsion) _ 190
고환 또는 부고환 부속물의 꼬임(Torsion of a testicular or epididymal appendix) _ 192
급성부고환염(Acute epididymitis) _ 193
고환염(Orchitis) _ 194
음낭수종(Hydrocele) _ 195
고환종양(Testicular tumor) _ 196
음낭농양(Scrotal abscess) _ 197
프르니에 괴저(Fournier gangrene) _ 198
감돈포경(Paraphimosis) _ 200
발기지속증(Priapism) _ 201
요도파열(Urethral rupture) _ 202
음경골절(Fracture of the penis) _ 203
음경모발압박띠(Penile hair tourniquet) _ 204
기마성손상(Straddle injury) _ 205
귀두포피염(Balanoposthitis) _ 206
지퍼손상(Penile zipper injury) _ 208

Chapter 9 성매개감염과 항문직장질환(Sexually transmitted infections and anorectal conditions)
성매개감염(Sexually transmitted infections) _ 210
일차매독(Primary syphilis) _ 210
2기 매독(Secondary syphilis) _ 211
임질(Gonorrhea) _ 213
클라미디아감염(Chlamydial infection) _ 215
생식기헤르페스(Genital herpes) _ 216
성병림프육아종(Lymphogranuloma venereum) _ 218
무른궤양(Chancroid) _ 219
첨형콘딜로마(Condyloma acuminata); 생식기사마귀(Genital warts) _ 220
이감염증(Pediculosis) _ 222
항문열창(Anal fissure) _ 223
항문주위 및 직장주위 농양(Perianal-Perirectal abscess) _ 224
내·외치질(Internal-External hemorrhoids) _ 226
직장탈출(Prolapsed rectum) _ 228
털뭉치농양(Pilonidial abscess) _ 229
직장이물질(Rectal foreign body) _ 230
흑색변(Melena) _ 231

Chapter 10 산부인과질환(Gynecologic and obstetric conditions)
부인과질환(Gynecologic Conditions) _ 234
질염(Vaginitis) _ 234
점액화농성경부염(Mucopurulent cervicitis) _ 236
자궁경부용종(Cervical polyps) _ 237
바르톨린샘농양(Bartholin gland abscess) _ 238
자연유산(Spontaneous abortion) _ 239
생식기외상과 성폭행(Genital trauma and sexual assault) _ 240
자궁탈출증(Uterine prolapse) _ 242
방광탈출증(Cyxtocele) _ 243
곧창자탈출증(Rectocele) _ 244
처녀막막힘증(Imperforate hymen) _ 245
자궁외임신: 초음파소견(Ectopic pregnancy: ultrasonographic imaging) _ 246
기태임신(포상기태)〔Molar pregnancy (Hydatidiform mole)〕 _ 248
산과질환(Obstetric Conditions) _ 249
임신 제3분기 복부둔상(Third-trimester blunt abdominal trauma) _ 249
응급분만: 절박두위분만-머리출현(배림)(Emergency delivery: Imminent vertex delivery-crowning) _ 251
응급분만: 정상 분만순서(Emergency delivery: normal delivery sequence) _ 252
둔위분만(Breech delivery) _ 255
응급분만에서 제대탈출(Umbilical cord prolapse in emergency delivery) _ 256
응급분만에서 경부제대(Nuchal cord in emergency delivery) _ 258
응급분만에서 어깨난산(Shoulder dystocia in emergency delivery) _ 259
분만 후 회음열상(Postpartum perineal lacerations) _ 260
자궁내 태아사망(Intrauterine fetal demise) _ 262

Chapter 11 사지외상(Extremity trauma)
견봉쇄골관절분리(Acromioclavicular joint separation) _ 264
견관절탈구(Shoulder dislocation) _ 266
주관절골절(Elbow fractures) _ 268
주관절탈구(Elbow dislocation) _ 270
상완이두근건파열(Biceps tendon rupture) _ 271
전완골골절(Forearm fractures) _ 272
원위요골골절(Fractures of the distal radius) _ 274
수근 및 수근중수 관절탈구(Carpal and carpometacarpal dislocations) _ 276
주먹꽉쥔손상(격투교상)〔Clenched fist injury (Fight bite)〕 _ 279
복서골절(Boxer's fracture) _ 280
말초신경손상(Peripheral nerve injury) _ 281
베넷 및 롤란드 골절(Bennett and Rolando fractures) _ 282
단추구멍변형 및 백조목변형(Boutonni?re and Swan-neck deformities) _ 284
고압력충혈손상(High-pressure injection injury) _ 286
사냥터지기엄지〔Gamekeepe's thumb (skier's thumb)〕 _ 287
지골탈구(Phalangeal dislocations) _ 288
망치손가락 및 저지손가락(Mallet finger and Jersey finger) _ 290
구획증후군(Compartment syndrome) _ 292
조갑하혈종(Subungual hematoma) _ 294
고관절탈구(Hip dislocations) _ 295
고관절골절(Hip fracture) _ 296
슬관절신전근손상(Knee extensor injuries) _ 298
슬개골탈구(Patellar dislocations) _ 300
슬관절탈구(Knee dislocations) _ 301
대퇴골골절(Femur fracture) _ 302
경골 및 비골 골절(Tibial-Fibular fractures) _ 303
골절수포(Fracture blisters) _ 304
아킬레스건파열(Achilles tendon rupture) _ 305
족관절탈구(Ankle dislocation) _ 306
종골골절(Calcaneus fracture) _ 308
발목염좌(Ankle sprain) _ 309
5번째 중족골기저부골절(Fractures of the fifth metatarsal base) _ 310
리스프랑 골절 및 탈구(Lisfranc fracture-dislocation) _ 312
절단(Amputations) _ 314

Chapter 12 사지질환(Extremity conditions)
연조직염(Cellulitis) _ 318
생인손(Felon) _ 319
괴저(Gangrene) _ 320
가스괴사(근육괴사)〔Gas gangrene (Myonecrosis)〕 _ 321
괴사성근막염(Necrotizing fasciitis) _ 322
결정체유발활액막염(통풍 및 가성통풍)〔Crystal-induced synovitis (Gout and Pseudogout)〕 _ 323
발톱 내성장(감입발톱)〔Ingrown toenail (Onychocryptosis)〕 _ 324
림프관염(Lymphangitis) _ 325
림프부종(Lymphedema) _ 326
팔꿈치머리윤활낭염 및 무릎앞윤활낭염(Olecranon and Prepatellar bursitis) _ 327
손바닥감염(Palmar space infection) _ 328
건초염(Tenosynovitis) _ 329
혈전정맥염(Thrombophlebitis) _ 330
손톱주위염(Paronychia) _ 331
쇄골하정맥혈전증(Subclavian vein thrombosis) _ 332
목신경근병증(Cervical radiculopathy) _ 333
가락곤봉증(Digital clubbing) _ 334
백색통증다리염(Phlegmasia dolens) _ 335
심부정맥혈전증(Deep venous thrombosis) _ 336
뒤퓌트랑구축(Dupuytren contracture) _ 338
아킬레스건염(Achilles tendonitis) _ 339
신경절낭종〔Ganglion (synovial; 윤활막) cyst〕 _ 340
레이노병(Raynaud disease) _ 341
동맥색전(Arterial embolus) _ 342

Chapter 13 피부질환(Cutaneous conditions)
스티븐-존슨증후군/중독성표피융해(Stevens-Johnson syndrome/toxic epidermal necrolysis) _ 344
다형홍반(Erythema multiforme) _ 346
고정약물발진(Fixed drug eruption) _ 347
약물발진(Drug eruptions) _ 348
화농성한선염(Hidradenitis suppurativa) _ 349
화농성육아종(Pyogenic granuloma) _ 350
괴저화농피부증(Pyoderma gangrenosum) _ 351
지루피부염(Seborrheic dermatitis) _ 352
건선(Psoriasis) _ 353
화폐상습진/건성습진(Nummular eczema/Xerotic eczema) _ 354
한포진(Dyshydrotic eczema) _ 355
속진반응(Id reaction) _ 356
아토피피부염(Atopic dermatitis) _ 357
울체피부염(Stasis dermatitis) _ 358
보통여드름(Acne vulgaris) _ 359
혈관염(백혈구파괴혈관염)〔Vasculitis (Leukocytoclatic vasculitis)〕 _ 360
특발성저혈소판자색반병(Idiopathic thrombocytopenic purpura) _ 362
혈전성저혈소판자색반병(Thrombotic thrombocytopenic purpura) _ 363
장미색비강진(Pityriasis rosea) _ 364
그물울혈반(Livedo reticularis) _ 365
두드러기, 피부그림증 및 혈관부종(Urticaria, Dermatographism, and Angioedema) _ 366
알레르기성접촉피부염(Allergic contact dermatitis) _ 368
식물성광피부염 및 광독성약물반응(Phytophotodermatitis and Phototoxic drug reactions) _ 369
결절홍반(Erythema nodosum) _ 370
만성유주성홍반(Erythema chronicum migrans) _ 371
록키산반점열(Rocky mountain spotted fever) _ 372
파종성임균증(Disseminated gonococcus) _ 373
감염성심내막염(Infective endocarditis) _ 374
단독(Erysipelas) _ 376
온탕모낭염(Hot tub folliculitis) _ 377
괴저성농창(Ecthyma gangrenosum) _ 378
제2기 매독(Secondary syphilis) _ 379
두피의 박리성연조직염(Dissecting cellulitis of the scalp) _ 380
편평세포암종(Squamous cell carcinoma) _ 381
기저세포암종(Basal cell carcinoma) _ 382
흑색종(Melanoma) _ 383
대상포진(Herpes zoster) _ 384
비성기 단순포진감염(Nongenital herpes simplex infections) _ 385
자가면역수포성질환(Autoimmune bullous diseases) _ 386
Sweet 증후군(Sweet syndrome) _ 387
피부사상균감염(Dermatophyte infections) _ 388
어루러기〔Tinea (잔비늘증: pityriasis) versicolor〕 _ 390
손발톱진균증(Onychomycosis) _ 391
백반증(Vitiligo) _ 392
옴 및 노르웨이옴(Scabies and Norwegian scabies) _ 393
요독서리(Uremic frost) _ 394
탄저균〔Bacillus anthracis; 탄저병(anthrax)〕 _ 395
간찰진(Intertrigo) _ 396
복부선〔Abdominal striae; 선위축증(striae atrophicae)〕 _ 397
기미(Melasma) _ 398
황달(Jaundice) _ 399
탈모증(Alopecia) _ 400
전신성홍반성루푸스(Systemic lupus erythematosus) _ 401
지연피부포르피린증(Porphyria cutanea tarda) _ 402


Part 2 특별한 영역(Specialty Areas)
Chapter 14 소아과질환(Pediatric conditions)
신생아질환(Newborn Conditions) _ 406
신생아중독성홍반(Erythema toxicum neonatorum) _ 406
연어반(Salmon patchs)(단순모반; nevus simplex) _ 407
신생아황달(Neonatal jaundice) _ 408
신생아젖분비〔Neonatal milk production _
(마유; witch's milk)〕 _ 409
신생아유방염(Neonatal mastitis) _ 410
제대육아종(Umbilical granuloma) _ 411
비대유문협착(Hypertrophic pyloric stenosis) _ 412
발진 및 병변(Rashes and Lesions) _ 414
감염홍반〔Erythema infectiosum(제5병; fifth disease)〕 _ 414
소아장미진, 돌발피진〔Roseola infantum (exanthem subitum)〕 _ 415
농가진(Impetigo) _ 416
홍역(Measles) _ 417
수두〔Varicella (chickenpox)〕 _ 418
대상포진(Herpes zoster) _ 419
수족구병(Hand, foot, and mouth disease) _ 420
한랭지방층염〔Cold panniculitis (popsicle panniculitis)〕 _ 421
헤르페스치은구내염(Herpetic gingivostomatitis) _ 422
수막구균혈증(Meningococcemia) _ 423
두드러기(Urticaria) _ 424
포도알균화상피부증후군(Staphylococcal scalded skin syndrome) _ 425
성홍열(Scarlet fever) _ 426
수포성원위손발가락염(Blistering distal dactylitis) _ 428
헤노호-쉔라인자색반(Henoch-Scho..nlein purpura) _ 429
딸기혈관종(Strawberry hemangioma) _ 430
안와 및 안와 주위 연조직염〔Orbital and Periorbital (preseptal) cellulitis〕 _ 431
인두틈새낭(Branchial cleft cyst) _ 432
갑상설관낭(Thyroglossal duct cyst) _ 433
낭성림프관종〔Cystic hygroma(림프관종; lymphangiomas)〕 _ 434
고양이할큄병(Cat-scratch disease) _ 435
전신적 질환(General Conditions) _ 436
후두개염(Epiglottitis) _ 436
후인두농양(Retropharyngeal abscess) _ 437
단추건전지삼킴(Button battery ingestion) _ 439
세균성기관염(막성기관염) _
〔Membranous (Bacterial) tracheitis〕 _ 440
골단판골절(Physeal fractures: salter-harris classification) _ 441
손발증후군〔급성겸상손발가락염; Acute sickle dactylitis (hand-foot syndrome)〕 _ 443
헤어토니켓(Hair tournizuet) _ 444
성장장애(Failure to thrive) _ 445
젖병치아우식증(Nursing bottle caries) _ 446
요골두아탈구〔Nursemaid's elbow (radial head subluxation)〕 _ 447
서혜탈장(Inguinal hernia) _ 449
요충감염〔Pinworm infection(요충증; enterobiasis)〕 _ 451
안구운동발작(Oculogyric crisis) _ 452
가와사키병(Kawasaki disease) _ 453

Chapter 15 아동학대(Child abuse)
신체적학대(Physical abuse) _ 458
인위적 화상(Inflicted burns) _ 458
인위적인 타박상과 연조직손상(Inflicted Bruises and Soft-tissue injuries) _ 460
신체학대로 오인되는 병변(Lesions mistaken for physical abuse) _ 464
신체학대가 의심되는 골절(Fractures suggestive of physical abuse) _ 466
인위적 두부손상(Inflicted head injury) _ 468
성적학대(Sexual abuse) _ 470
소아 성학대검진(The child sexual abuse examination) _ 470
관통상에 의한 생식기 및 항문 손상 및 소견(Injuries and findings indicative of penetrating genital or anal trauma) _ 476
성적학대로 오인되는 소견(Findings mistaken for sexual abuse) _ 480
기마손상(Straddle injuries) _ 480
소음순협착(Labial adhesions) _ 481
요도탈출(Urethral prolapse) _ 482
변기뚜껑손상(Toilet seat injuries) _ 483
항문주위 연쇄구균감염(Perianal streptococcal infection) _ 484
위축성경화태선(Lichen sclerosus atrophicus) _ 485

Chapter 16 환경의학(Environmental conditions)
고소망막출혈(High-altitude retinal hemorrhage) _ 488
고소폐부종(High-altitude pulmonary edema) _ 489
고소뇌부종(High-altitude cerebral edema) _ 490
저체온증(Hypothermia) _ 491
동상(Frostbite) _ 492
동창(Pernio) _ 494
침수손상(참호족)〔Immersion injury (trench foot)〕 _ 495
자외선노출(Ultraviolet radiation exposure) _ 496
번개손상(Lightning injuries) _ 498
대형동물의 공격(Large terrestrial animal attacks) _ 500
산호뱀독소중독증(Coral snake envenomation) _ 501
살무사독소중독증(Pit viper envenomation) _ 502
검은과부거미독소중독증(Black widow spider envenomation) _ 505
갈색은둔자거미독소중독증(Brown recluse spider envenomation) _ 506
전갈독소중독증(Scorpion envenomation) _ 508
진드기(Ticks) _ 510
막시목독소중독증(Hymenoptera envenomation) _ 512
애벌레, 진드기 및 지네 독소중독증(Caterpillar, mite, and centipede envenomation) _ 514
중이압착손상(Middle ear squeeze) _ 516
마스크압착손상(Mask squeeze) _ 517
가오리독소중독증(Stingray envenomation) _ 518
성게독소중독증(Sea urchin envenomation) _ 520
강장동물독소중독증(Coelenterate envenomation) _ 522
해양피부염(Marine dermatitis) _ 525
쏨뱅이쏘임독소중독증(Scorpion fish sting) _ 526
바다뱀독소중독증(Sea snake envenomation) _ 527
두족류동물독소중독증(Cephalopod envenomation) _ 528
유사단독증(Erysipeloid) _ 529
옻나무류의 노출(Toxicodendron exposure) _ 530
스포로트릭스증(Sporotrichosis) _ 532

Chapter 17 독성학적 질환(Toxicological conditions)
메탐페타민독성(Methamphetamine toxicity) _ 534
코카인독성(Cocaine toxicity) _ 536
항콜린성(항무스카린성)중독증상〔Anticholinergic (antimuscarinic) toxidrome〕 _ 539
헤로인 및 아편유사제 독성(Heroin and Opioid toxicity) _ 540
삼환계항우울제 중독(Tricyclic antidepressant poisoning) _ 542
베타차단제 및 칼슘통로차단제 중독(Poisoning by-blocker and Calcium channel blocker agents) _ 544
살리실산염중독(Salicylate poisoning) _ 546
아세트아미노펜중독(Acetaminophen poisoning) _ 548
부식제 음독(Caustic ingestion) _ 549
독성알코올음독(Toxic alcohol ingestion) _ 550
세포질식제(Cellular asphyxiants) _ 552
메트헤모글로빈혈증(Methemoglobinemia) _ 554
흡입제남용(Inhalant abuse) _ 556
불화수소산 화상(Hydrofluoric acid purns) _ 558
보툴리누스중독증(Botulism) _ 560
비소중독(Arsenic poisoning) _ 562
수은중독(Mercury poisoning) _ 564
납중독(Lead poisoning) _ 566
철음독(Iron ingestion) _ 568
아마톡신 섭취(Amatoxin ingestion) _ 569
강심배당체식물 섭취(Cardiac glycoside plant ingestion) _ 570
디펜바키아 섭취(Dieffenbachia ingestion) _ 572
흰독말풀 섭취(Jimsonweed ingestion) _ 573
페요테 선인장 섭취(Peyote ingestion) _ 574
독성알부민음독(Toxalbumin ingestion) _ 575
반코마이신유발 레드맨증후군(Vancomycin-induced red man syndrome) _ 576

Chapter 18 상처와 연조직손상(Wounds and soft tissue injuries)
상처 정화 및 세척(Wound cleaning and irrigation) _ 578
상처평가(Wound assessment) _ 580
상처이물질(Wound foreign bodies) _ 581
외상성 상처(traumatic wounds) _ 584
귓바퀴열상(Ear lacerations) _ 588
입술열상(Lip lacerations) _ 589
힘줄(건)열상(Tendon lacerations) _ 590
동물교상(Animal bite wounds) _ 592
낚싯바늘손상(Fishhook injuries) _ 594
단순 상처봉합(Simple wound closures) _ 596
복잡한 상처봉합(Complex wound closures) _ 600
상처치료합병증(Wound care complications) _ 604
화상(Burns) _ 606
욕창(Decubitus ulcers) _ 608
전기손상(Electrical injury) _ 609

Chapter 19 법의학(Forensic medicine)
총상(Gunshot wounds) _ 612
가정내 폭력, 폭행의 손상형태 및 남용(Pattern injuries of domestic violence, assault, and abuse) _ 618
예기손상(Sharp-force-pattern injuries) _ 618
둔력손상(Blunt-force-pattern injuries) _ 620
열손상(Thermal-pattern injuries) _ 622

Chapter 20 사람면역결핍바이러스감염질환(HIV conditions)
원발성 HIV감염(Primary HIV infection) _ 624
구강털백판증(Oral hairy leukoplakia) _ 625
HIV 환자의 칸디다증(Candidiasis associated with HIV) _ 626
카포시육종(Kaposi sarcoma) _ 628
톡소포자충감염(Toxoplasma gondii infection) _ 630
크립토콕쿠스감염(Cryptococcal infections) _ 632
거대세포바이러스감염(Cytomegalovirus infections) _ 634
리슈만편모충증(Leishmaniasis) _ 635
HIV 환자의 대상포진(Herpes zoster in HIV patients) _ 636
호산구증가모낭염(Eosinophilic folliculitis) _ 638
HIV 환자에서 단순헤르페스바이러스(Herpes simplex virus in HIV patients) _ 639
옴(Scabies) _ 640
전염물렁종(물사마귀)(Molluscum contagiosum) _ 642
피부사상균(백선증)감염〔Dermatophyte (tinea) infections〕 _ 643
폐포자충(Pneumocystis) _ 644
혈소판감소증(Thrombocytopenia) _ 645
약물반응(Drug reactions) _ 646
급성괴사궤양잇몸염(Acute necrotizing ulcerative gingivitis) _ 647

Chapter 21 열대의학(Tropical medicine)
자유생활아메바감염(Free-living ameba infection) _ 650
열대지방의 빈혈(Anemia in the tropics) _ 651
콜레라(Cholera) _ 652
회충증(Ascariasis) _ 654
피부유충이행증(Cutaneous larva migrans) _ 655
낭미충증(Cysticercosis) _ 656
뎅기열(Dengue fever) _ 658
코끼리피부병(Elephantiasis) _ 660
유행성수막염(Epidemic meningitis) _ 662
갑상샘종(Goiter) _ 663
리슈만편모충증(Leishmaniasis) _ 664
포충낭(Hydatid cyst) _ 666
비결핵성 미코박테륨감염(Nontuberculosis mycobacteria infectins) _ 667
나병(Leprosy) _ 668
말라리아(Malaria) _ 670
균종(Mycetoma) _ 672
구더기증(Myiasis) _ 674
단백에너지영양실조-단백열량부족증 및 소모증(Protein energy malnutrition?kwashiorkor and marasmus) _ 676
광견병(Rabies) _ 678
열대스포로트릭스증(Tropical sporotrichosis) _ 679
결핵(Tuberculosis) _ 680
파상풍(Tetanus) _ 683
트라코마(Trachoma) _ 684
열대뱀독주입중독(Tropical snake envenomations) _ 685
열대지역의 전통의학(Traditional medicine in the tropics) _ 686

Chapter 22 기도관리술기(Airway procedures)
기도관리에 관한 격언 1 (Airway maxim one) _ 690
기도관리에 관한 격언 2 (Airway maxim two) _ 692
기도관리에 관한 격언 3 (Airway maxim three) _ 693
기도관리에 관한 격언 4 (Airway maxim four) _ 694
기도관리에 관한 격언 5 (Airway maxim five) _ 695
후두경을 이용한 구강기관삽관(Laryngoscopic orotracheal intubation) _ 969
부지를 이용한 삽관(Bougie-assisted intubation) _ 703
광학속심을 이용한 삽관(Optical stylet-assisted intubation) _ 706
광학후두경을 이용한 삽관(Optical laryngoscope-assisted intubation) _ 708
발광속심(Lighted stylets and wands) _ 710
글라이드스코프를 이용한 삽관(Glidescope assisted intubation) _ 713
손가락(촉각)삽관〔Digital (tactile) intubation〕 _ 714
후두마스크 기도기(Laryngeal mask airway) _ 715
삽관용 후두마스크 기도기(Intubating Laryngeal mask airway) _ 717
삽관용 후두기도기(Intubating Laryngeal airway) _ 718
식도-인후 콤비튜브기도기(Esophageal-pharyngeal combitube airway) _ 720
맹목코기관삽관(Blind nasotracheal intubation) _ 722
굴곡경을 이용한 코기관삽관(Nasal flexible fiberoptic intubation) _ 725
경기관 제트환기(Transtracheal jet ventilation) _ 727
윤상갑상연골절개술(셀딩거 술기)〔Cricothyrotomy (seldinger technique)〕 _ 729
외과적 윤상갑상연골절개술(Open cricothyrotomy) _ 731

Chapter 23 심전도 이상(ECG abnormalities)
Part 1. ST-T 분절 이상 _ 734
급성전벽심근경색(Acute anterior myocardial infarction) _ 734
급성하벽심근경색(Acute inferior myocardial infarction) _ 735
급성우심실심근경색(Acute right ventricular myocardial infarction) _ 736
급성후벽심근경색(Acute posterior myocardial infarction) _ 737
좌측주관상동맥병변(Left main lesion) _ 738
좌각차단상태에서 급성심근경색 진단을 위한 Sgarbossa 기준(Sgarbossa criteria for ami in setting of LBBB) _ 739
심내막하경색(Subendocardial ischemia) _ 740
초급성 T파(Hyperacute T waves) _ 741
웰렌스파(Wellens waves) _ 742
뇌손상과 연관된 T파(‘Cerebral’ T waves) _ 743
조기재분극(Early repolarization) _ 744
좌심실동맥류(Left ventricular aneurysm) _ 745
심장막염(Pericarditis) _ 746
Par 2. 전도장애 _ 747
1도 방실차단(First-degree av block) _ 747
Type 1 2도 방실차단〔Type 1 second-degree av block (Mobitz I, wenckebach)〕 _ 748
Type 2 2도 방실차단〔Type 2 second-degree av block (Mobitz II)〕 _ 749
3도(완전) 방실차단〔Third-degree (complete) av block〕 _ 750
QT 간격 연장(QT Interval prolongation) _ 751
우각차단(Right bundle branch block) _ 752
좌각차단(Left bundle branch block) _ 753
좌전섬유속차단(Left anterior fascicular block) _ 754
좌후섬유속차단(Left posterior fascicular block) _ 755
아슈만현상(Ashman phenomenon) _ 756
Part 3. 리듬 장애 _ 757
접합부리듬(Junctional rhythm) _ 757
심실리듬(Ventricular rhythm) _ 758
조율박동(Paced rhythm) _ 759
심방세동(Atrial fibrillation) _ 760
심방조동(Atrial flutter) _ 761
다소성심방빈맥(Multifocal atrial tachycardia) _ 762
상심실성빈맥〔Supraventricular tachycardia (SVT)〕 _ 763
변향전도를 가진 상심실성빈맥(SVT with aberrancy) _ 764
심실성빈맥(Ventricular tachycardia) _ 765
심실조동(Ventricular flutter) _ 766
염전성심실성빈맥(Torsades de pointes) _ 767
Part 4. 구조적 이상 _ 768
우심증(Dextrocardia) _ 768
좌심실비대(Left ventricular hypertrophy) _ 769
우심실비대(Right ventricular hypertrophy) _ 770
좌심방비대(Left atrial hypertrophy) _ 771
우심방비대(Right atrial hypertrophy) _ 772
비후성심근병증(Hypertrophic cardiomyopathy) _ 773
브루가다증후군(Brugada syndrome) _ 774
WPW증후군(Woleff-Parkinson-White syndrome) _ 775
Part 5. 비심장성 원인에 의한 심전도 이상 _ 776
저체온증(Hypothermia) _ 776
저칼륨혈증(Hypokalemia) _ 777
고칼륨혈증(Hyperkalemia) _ 778
폐색전증(Pulmonary embolism) _ 780
심낭삼출(Pericardial effusion) _ 781
디곡신효과, 독성(Digoxin effect, toxicity) _ 782
삼환계항우울제 효과(Tricyclic antidepressant effect) _ 783
사지유도역전(Limb lead reversal) _ 784
저전압(Low voltage) _ 785

Chapter 24 응급초음파(Emergency ultrasound)
응급초음파(Emergency ultrasound) _ 788
외상초음파(trauma ultrasound) _ 790
E-FAST Window 1: 검상돌기하 심장검사(늑골하 검사)〔E-FAST Window 1: Subxiphoid-cardiac (subcostal view)〕 _ 791
E-FAST Window 2: 우상복부(모리슨낭)〔E-FAST Window 2: Right upper quadrant (morison pouch)〕 _ 793
E-FAST Window 3: 좌상복부(비장신장영상)〔Left upper quadrant (splenorenal view)〕 _ 794
E-FAST Window 4: 치골상부(E-FAST WINDOW 4: Suprapubic) _ 796
E-FAST Window 5: 흉부(우측과 좌측)〔Thorax (right and left)〕 _ 798
심장초음파(Cardiac ultrasound) _ 800
심초음파영상 1: 검상하심장(늑골하영상)〔Echo window 1: Subxiphoid-cardiac (subcostal view)〕 _ 801
심초음파영상 2: 흉골연 장축단면도〔Echo window 2: Parasternal long-axis view (PSLAx)〕 _ 802
심초음파영상 3: 흉골연 단축단면도〔Echo window 3: Parasternal short-axis view (PSSAx)〕 _ 803
심초음파영상 4: 심첨 4방 단면도〔Echo window 4: Apical four-chamber view (A4C)〕 _ 804
초음파영상 5: 검상하 장축단면도(하대정맥)〔Echo window 5: Subxiphoid long-axis (IVC)〕 _ 806
담낭초음파(Gallbladder ultrasound) _ 808
비정상 대동맥초음파(Abdominal aorta ultrasound) _ 812
신장초음파(Renal ultrasound) _ 815
골반초음파(Pelvic ultrasound) _ 817
심부정맥혈전증의 초음파(Deep venous thrombosis ultrasound) _ 822
초음파를 이용한 혈관접근(Ultrasound-guided venous access) _ 826
안구초음파(Ocular ultrasound) _ 829
표면초음파(Superficial ultrasound) _ 831

Chapter 25 현미경검사소견(Microscopic findings)
현미경적 요분석(Microscopic urinalysis) _ 836
결정체에서 윤활액분석(Synovial fluid analysis for crystals) _ 838
그람염색(Gram stain) _ 840
암시야검사(Dark-field examination) _ 841
질액 습식마운트(Vaginal fluid wet mount) _ 842
수산화칼륨마운트(Potassium hydroxide mount) _ 843
대변백혈구검사(Stool examination for fecal leukocytes) _ 844
피부병과 감염을 위한 피부부스러기(Skin scraping for dermatoses and infestations) _ 845
뇌척수액검사: 인디아잉크표본(Cerebrospinal fluid examination: India ink preparation) _ 846
뇌척수액검사: 말라리아를 위한 라이트염색(Cerebrospinal fluid examination: wright stain-thin smear for malaria) _ 847
양치상의 양수(Ferning pattern for amniotic fluid) _ 848
분열적혈구를 위한 말초혈액도말(Peripheral blood smear for schistocytes) _ 849
요충유충을 위한 테이프검사(Tape test for enterobias vermicularis EGGS) _ 850
창크표본(Tzanck preparation) _ 852

찾아보기(국문) _ 853
찾아보기(영문) _ 867