Emergency Medicine CAQ Blueprint
Content Area Percentage 1. Cardiovascular System 10 2. Dermatologic System 4 3. Endocrine System 3 4. Eyes, Ears, Nose, & Throat 6 5. Gastrointestinal System/Nutrition 10 6. Genitourinary System (Male and Female) 5 7. Hematologic System 4 8. Musculoskeletal System 9 9. Neurologic System 8 10. Psychobehavioral Disorders 7 11. Pulmonary System 10 12. Renal System 4 13. Reproductive System (Male and Female) 2 14. Environmental Disorders 2 15. Systemic Infectious Disorders 4 16. Toxicologic Disorders 4 17. Traumatic Disorders 6 18. Procedures & Skills 2
1. CARDIOVASCULAR SYSTEM (10%) 2. DERMATOLOGIC SYSTEM (4%) A. Desquamation A. Acute coronary syndrome • Scarlet fever B. Cardiomyopathy • Stevens-Johnson syndrome • Acute/chronic systolic/diastolic • Toxic epidermal necrolysis heart failure B. Diseases/disorders of the hair and C. Conduction disorders/dysrhythmias nails • Atrial C. Exanthems • Ventricular • Erythema infectiosum (fifth D. Congenital heart disease disease) E. Coronary artery disease • Hand-foot-and-mouth disease F. Hypertension • Hypersensitivity reactions • Hypertensive emergency • Measles • Hypertensive urgency D. Infectious diseases G. Hypotension • Bacterial • Cardiogenic shock • Fungal H. Infectious and inflammatory heart • Parasitic conditions • Viral • Cardiac tamponade E. Neoplasms • Endocarditis • Benign • Myocarditis • Malignant • Pericarditis • Premalignant I. Lipid disorders F. Papulosquamous disorders J. Valvular heart disease • Dermatitis K. Vascular disorders • Eczema • Aortic aneurysm/dissection • Pityriasis rosea • Embolism G. Skin integrity • Thrombosis • Dermatitis • Pressure ulcers • Periorbital and orbital cellulitis • Stasis dermatitis • Retinal detachment H. Vesiculobullous disease • Trauma • Pemphigoid B. Ear disorders • Pemphigus • External, middle, and inner ear I. Other dermatologic disorders disorders • Acanthosis nigricans • Hearing loss • Cutaneous manifestations of C. Nose/sinus disorders systemic disease • Epistaxis • Generalized skin disorders • Rhinitis • Hidradenitis suppurativa • Sinusitis D. Oral disorders J. ENDOCRINE SYSTEM (3%) • Candidiasis • Dental disorders • Gingivitis A. Adrenal disorders • Lesions • Adrenal crisis • Ludwig angina • Adrenal insufficiency • Salivary disorders B. Diabetes E. Throat disorders • Diabetic ketoacidosis • Croup/epiglottitis • Hyperosmolar hyperglycemic state • Peritonsillar/retropharyngeal • Hypoglycemia abscess C. Neoplasms F. Foreign bodies • Benign G. Neoplasms • Malignant • Benign D. Parathyroid disorders • Malignant • Hyperparathyroidism • Hypoparathyroidism H. GASTROINTESTINAL SYSTEM/ E. Pituitary disorders NUTRITION (10%) • Diabetes insipidus • Syndrome of inappropriate antidiuretic hormone secretion (SIADH) F. Thyroid disorders • Hyperthyroidism A. Biliary disorders • Hypothyroidism • Biliary tract disease • Myxedema • Cholecystitis • Thyroid storm B. Colorectal disorders • Abscess/fistula G. EYES, EARS, NOSE, & THROAT (6%) • Anal fissure • Colitis • Constipation • Diverticulitis • Hemorrhoids • Ileitis • Inflammatory bowel disease • Obstruction A. Eye disorders • Volvulus • Central retinal artery occlusion C. Esophageal disorders • Glaucoma • Foreign body • Hyphema • Iritis • Gastroesophageal reflux disease D. Prostate disorders • Rupture • Benign prostatic hypertrophy • Stricture • Prostatitis • Varices DI. Testicular disorders • Epididymitis D. Gastric disorders • Orchitis • Gastritis • Testicular torsion • Ulcer disease DII. Urethral disorders DI. Hepatic disorders • Obstruction • Hepatitis • Prolapse • Liver failure • Stricture DII. Hernias • Urethritis • Hiatal • Inguinal DIII. HEMATOLOGIC SYSTEM (4%) • Umbilical • Ventral wall DIII. Mesenteric disorders • Mesenteric ischemia A. Coagulation disorders DIV. Metabolic, nutritional, and vitamin • Bleeding disorders disorders • Disseminated intravascular • G6PD deficiency coagulation • Hypervitaminosis/hypovitaminos is • Emergencies associated with • Obesity anticoagulant therapy • Phenylketonuria • Thrombophilias DV. Neoplasms B. Cytopenia • Benign • Anemias • Malignant • Leukopenia DVI. Pancreatic disorders • Polycythemia • Pancreatitis • Thrombocytopenia DVII. Small intestine disorders C. Hemoglobinopathies • Appendicitis • Hemochromatosis • Enteritis • Sickle cell disease • Gastrointestinal hemorrhage • Thalassemia • Intussusception D. Immunologic disorders • Obstruction • Autoimmune disorders • Transfusion reaction DVIII. GENITOURINARY SYSTEM E. Myelodysplastic disorders (MALE AND FEMALE) (5%)
8. MUSCULOSKELETAL SYSTEM (9%)
A. Chest/rib disorders A. Bladder disorders B. Compartment syndrome C. Inflammatory and infectious diseases • Cystitis • B. Neoplasms Osteoarthritis C. Penile disorders • Osteomyelitis • Paraphimosis/phimosis • Septic arthritis/bursitis • Peyronie disease D. Lower extremity disorders • • Priapism Ankle • Foot • Bell palsy • Hip • Carpal tunnel syndrome • Knee • Complex regional pain syndrome • Leg/thigh • Guillain-Barré syndrome • Peripheral neuropathy E. Neck and spine disorders • Vertigo and dizziness • Degenerative disk disease • Torticollis G. Seizure disorders F. Neoplasms • Febrile seizure • Benign • Status epilepticus • Malignant H. Vascular disorders G. Rheumatologic disorders • Atraumatic intracranial • Fibromyalgia hemorrhage • Gout • Cerebral aneurysm • Osteoporosis • Stroke • Paget disease • Temporal arteritis • Rheumatoid arthritis • Transient ischemic attack • Rickets • Systemic lupus erythematosus I. PSYCHOBEHAVIORIAL H. Upper extremity disorders DISORDERS (7%) • Elbow • Forearm/upper arm • Hand A. Abuse and neglect • Shoulder • Emotional abuse • Wrist • Neglect • Physical abuse I. NEUROLOGIC SYSTEM (8%) • Sexual abuse B. Anxiety disorders • Generalized anxiety disorder • Panic disorder • Phobias A. Central nerve disorders C. Bipolar and related disorders (Mood • Altered mental status (encephalopathies) • Cord syndromes disorders) • Transverse myelitis D. Depressive disorders (Mood • Vertigo and dizziness disorders) B. Headaches • Migraine • Major depressive disorder C. Infectious disorders • Persistent depressive • Encephalitis disorder/dysthymia (Dysthymic • Spinal epidural abscess disorder) D. Neoplasms • Suicidal/homicidal behaviors • Benign E. Disruptive, impulse-control, and • Malignant E. Neuromuscular disorders conduct disorders (Impulse- • Multiple sclerosis control disorders not elsewhere • Myasthenia gravis classified) F. Peripheral nerve disorders • Conduct disorder F. Dissociative disorders G.Feeding and eating disorders (Eating disorders) H. Neurocognitive disorders (Delirium, B. Neoplasms dementia, and amnestic and other • Benign cognitive disorders) • Malignant C. Obstructive pulmonary diseases • Delirium • Asthma • Major/mild neurocognitive • Chronic obstructive pulmonary disorders (Dementias) disease I. Neurodevelopmental disorders • Emphysema (Disorders usually first diagnosed in D. Pleural diseases infancy, childhood, or adolescence) • Pleural effusion • Pneumothorax J.Obsessive-compulsive and related E. Pulmonary circulation disorders (Anxiety disorders) • K.Personality disorders Cor pulmonale L.Schizophrenia spectrum and other • Pulmonary embolism • Pulmonary hypertension psychotic disorders F. Restrictive pulmonary diseases (Schizophrenia and other • Pulmonary fibrosis psychotic disorders) • Pneumoconiosis • Sarcoidosis M. Sexual and gender-related disorders G. Other pulmonary disorders N. Sleep-wake disorders (Sleep
disorders) • Acute respiratory distress • Narcolepsy syndrome • Parasomnias • Cystic fibrosis O. Somatic symptom and related • Foreign body aspiration disorders (Somatoform disorders) • Interstitial lung disease P. Substance-related and addictive • Pulmonary edema • Respiratory failure disorders (Substance-related disorders) H. RENAL SYSTEM (4%) Q. Trauma- and stressor-related disorders (Anxiety disorders) • Adjustment disorders • Post-traumatic stress disorder
R. PULMONARY SYSTEM (10%) A. Acute disorders A. Infectious disorders • Acute kidney injury/acute renal failure • Acute bronchiolitis • Pyelonephritis • Acute bronchitis • Urinary tract infection • Croup • Urosepsis • Empyema B. Chronic kidney disease and end-stage renal disease • Influenza C. Congenital or structural renal disorders • Lung abscess • Polycystic kidney disease • Pertussis D. Fluid and electrolyte disorders • Pneumonias • Acid-base disorders • Respiratory syncytial virus • Dehydration/hypervolemia infection • Tuberculosis • Hyperkalemia/hypokalemia • Prolapse • Hypernatremia/hyponatremia • Vaginitis E. Neoplasms • Renal cell carcinoma 14. ENVIRONMENTAL DISORDERS • Wilms tumor (2%) F. Nephrolithiasis/urolithiasis A. Altitude sickness B. Dive emergencies C. Exposure illnesses 13. REPRODUCTIVE SYSTEM (MALE • Hyperthermia AND FEMALE) (2%) • Hypothermia A. Breast disorders D. Near-drowning • Mastitis B. Cervical disorders C. Complicated pregnancy/obstetric 15. SYSTEMIC INFECTIOUS emergencies DISORDERS (4%) • Abortion • Breech presentation A. Bacterial • Cesarean delivery • Lyme disease • Cord prolapse • Meningitis • Ectopic pregnancy • Rocky Mountain spotted fever • Placenta previa • Sepsis • Placental abruption • Tetanus • Postpartum hemorrhage B. Fungal • Preeclampsia/eclampsia C. Parasitic • Premature rupture of membranes D. Viral • • Rh incompatibility HIV/AIDS D. Contraception • Infectious mononucleosis E. Menstrual disorders • Influenza F. Neoplasms of the breast and reproductive • Meningitis tract • Rabies • Benign • West Nile virus • Malignant • Zika virus G. Ovarian disorders • Cysts E. TOXICOLOGIC DISORDERS (4%) • Torsion • Tubo-ovarian abscess H. Sexually transmitted infections/pelvic inflammatory disease I. Uncomplicated pregnancy/normal labor and delivery A. Allergic reactions J. Uterine disorders • Anaphylaxis • Endometritis • Hypersensitivity reactions B. Effects of biological/chemical • Leiomyoma terrorism • Prolapse C. Envenomation and arthropod bite K. Vaginal/vulvar disorders reactions • Bartholin cyst/abscess D. Ingestion of toxic substances or foreign bodies • Illicit substances • Medications • Metals E. Inhalation of toxins • Diet • Ammonia • Exercise • Carbon monoxide • Smoking cessation • Chlorine B. Managing delivery of a newborn C. Performing abdominal and F. TRAUMATIC DISORDERS (6%) gastrointestinal procedures • Anoscopy A. Animal/human bites • Focused assessment with B. Electrical injuries sonography for trauma (FAST) • Electrocution • Gastric lavage • Lightning strike • Placement of a gastrostomy tube C. Facial injuries • Placement of a nasogastric tube • Eyes D. Performing advanced airway • Ears management • Nose • Cricothyrotomy • Teeth • Managing difficult airways • Soft tissue • Intubation D. Head and spinal injuries o Endotracheal • Closed head injuries o Nasal o Concussion o Rapid sequence o Postconcussion syndrome E. Performing advanced wound o Traumatic brain injury management • Paralysis • Multilayer closure E. Impaired skin integrity • Tendon repair • Burns • Wound debridement • Lacerations F. Performing cardiovascular and thoracic F. Multisystem injuries procedures • Blast injuries • Cardioversion • Blunt trauma • Central venous access • Falls • Defibrillation • Injuries from motor vehicle • Focused assessment with collisions sonography for trauma (FAST) • Penetrating injuries • Interpretation of o Gunshot wounds electrocardiography o Stab wounds • Pericardiocentesis G. Musculoskeletal trauma • Thoracostomy H. Physical/sexual assault • Ultrasound-guided vascular access I. Strangulation G. Performing musculoskeletal procedures J. Trauma in pregnancy • Arthrocentesis K. Traumatic cardiac injuries • Fracture/dislocation reduction • Cardiac tamponade • Measurement of compartment pressure L. PROCEDURES & SKILLS (2%) H. Performing resuscitation
A. Conducting education on modifiable risk factors with an emphasis on primary and secondary prevention • Cardiopulmonary resuscitation • Psychiatric • Fluid and blood component screening/examinations therapy L. Triage and resource management I. Performing toxicologic procedures • Disaster management • Decontamination • Emergency medical services II. Providing anesthesia • Homeless and at-risk population • Local and regional nerve block LI. Using epidemiologic techniques to • Procedural sedation evaluate the spread of disease III. Providing psychobehavioral care • Exposure • Management of a violent patient • Risk • Transmission