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Eugene C. Toy, MD Vice Chair of Academic Affairs and Residency Program Director Department of Obstetrics and Gynecology The Methodist Hospital Houston, Texas The John S. Dunn Senior Academic Chair St Joseph Medical Center, Houston Clinical Professor and Clerkship Director Department of Obstetrics and Gynecology University of Texas Medical School at Houston Houston, Texas Associate Clinical Professor Weill Cornell College of Medicine Barry C. Simon, MD Chairman, Department of Emergency Medicine Clinical Professor of Medicine Alameda County Medical Center/Highland Campus University of California, San Francisco Oakland, California Katrin Y. Takenaka, MD Assistant Professor, Clerkship Director Assistant Residency Program Director Department of Emergency Medicine University of Texas Medical School at Houston Houston, Texas Terrence H. Liu, MD, MHP Professor of Clinical Surgery University of California San Francisco School of Medicine San Francisco, California Program Director, University of California San Francisco East Bay Surgery Residency Attending Surgeon, Alameda County Medical Center Oakland, California Adam J. Rosh, MD, MS Assistant Professor Residency Director Department of Emergency Medicine Wayne State University School of Medicine Detroit Receiving Hospital Detroit, Michigan New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto CASE FILES ® Emergency Medicine THIRD EDITION Copyright © 2013 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. ISBN: 978-0-07-177082-8 MHID: 0-07-177082-8 The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-176854-2, MHID: 0-07-176854-8. All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefi t of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training programs. To contact a representative please e-mail us at