Catastrophic Neurologic Disorders in the Emergency Department , 2nd Edition

Appendix

Color Plates

Color Figure 3.5 Exophthalmos and chemosis and red eye in traumatic carotid-cavernous fistula. The abnormality is barely seen but becomes clear with further retraction of the eyelids.

Color Figure 4.1 Vesicles in the external auditory canal (A) and eardrum (B) in a patient with herpes zoster oticus.

Color Figure 6.3 Tube in a patient with subarachnoid hemorrhage (bloody cerebrospinal fluid) compared with water (left). Note subtle xanthochromia after sedimentation, obscured by viewing in daylight (middle) most evident with strong light source (right).

Color Figure 8.2 Excoriated coma blisters at compression points. They are found in patients with barbiturate overdose, carbon monoxide exposure, amitriptyline, theophylline, and diabetic ketoacidosis.

Color Figure 8.3 Axilla petechiae due to fat emboli.

Color Figure 8.10 Examples of funduscopic findings. A: Subhyaloid hemorrhage in sub-arachnoid hemorrhage. B: Papilledema in increased intracranial pressure (typical “champagne cork” configuration).

Color Figure 13.2 Terson's syndrome in aneurysmal subarachnoid hemorrhage. Funduscopy of retinal hemorrhage A: Absent red reflex due to vitreous hemorrhage (“black eye”). B: One year later, the patient had marked improvement in vision, and red reflex is beginning to reappear. After vitrectomy, vision improved considerably. C: Normal red reflex, shown by retroillumination with fundus camera.

Color Figure 15.17 Blotchy fingers in antiphospholipid antibody syndrome.

Color Figure 16.2 Purpura in meningococcal meningitis.

Color Figure 17.6 Rash and purpuric lesions associated with Rocky Mountain spotted fever.

Color Figure 19.1 Typical perioibital edema (raccoon eyes) and ecchymosis.


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