Thomas Ence, M.D.

Conditions Commonly Evaluated or Treated

Within Emergency Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.

Conditions

Abdomen & Digestion

• Appendicitis
• Lower gastrointestinal bleeding
• Vomiting or throwing up blood

Allergy & Immune

• Angioedema

Allergy & Immunology

• Severe Allergic Reaction

Bites & Stings

• Snake Bite or Venomous Sting
• Spider or insect sting reaction

Blood & Circulation

• Deep vein thrombosis

Brain & Nerves

• Delirium
• Fainting and syncope
• Seizure in Child
• Severe headache or sudden migraine
• Status epilepticus
• Stroke
• Transient ischemic attack

Breathing

• Choking or swallowed object
• Coughing up blood
• Severe asthma attack
• Shortness of breath

Digestion & Stomach

• Abdominal Pain
• Acute gallbladder inflammation
• Bowel obstruction

Ear, Nose & Throat

• Nosebleeds

Endocrine & Metabolic

• Dangerous high blood sugar
• Dangerously low blood sugar

Environmental

• Heat stroke
• Hypothermia and frostbite

Eye Care

• Open-globe eye injury

Eye Emergency

• Corneal abrasion

General Emergency

• Severe dehydration
• Uncontrolled bleeding

Heart & Chest

• Acute coronary syndrome
• Heart palpitations

Heart & Circulation

• Dangerous high blood pressure

Heart & Lungs

• Blood Clot in Lung

Infections & Illness

• High fever
• Sepsis or blood infection

Injuries & Trauma

• Animal or dog bite
• Bone fractures
• Deep cut or wound
• Dislocated joint
• Severe burn
• Sprains and muscle strains
• Traumatic brain injury

Lungs & Breathing

• Collapsed lung

Men's Health

• Testicular torsion

Poisoning & Environmental

• Smoke Inhalation

Poisoning & Toxins

• Drug overdose or poisoning

Skin & Infections

• Skin abscess or boil

Spine & Back

• Severe back pain

Urinary & Bladder

• Inability to pee

Urinary & Kidney

• Kidney stones

Women's Health

• Ectopic pregnancy
• Heavy vaginal bleeding

Procedures & services

Abdominal Procedures

• Paracentesis

Airway & Breathing

• Emergency surgical airway

Anesthesia & Sedation

• Moderate dental sedation

Breathing & Airway

• Breathing Treatment
• Emergency intubation

Critical Care

• Blood transfusion
• Central line placement
• Chest tube insertion
• CPR and defibrillation

Diagnostics

• Lumbar puncture
• Rapid blood work

Digestive Care

• Urgent upper endoscopy

Ear, Nose & Throat

• Nasal packing for nosebleed

Eye & ENT

• Eye-pressure measurement
• Foreign Object Removal from Eye
• Superficial foreign-body removal

Eye Care

• Emergency Eye Flushing

Heart & Diagnostics

• Cardioversion for rapid heartbeat
• EKG

Heart Care

• Temporary Pacemaker Placement

Imaging & Diagnostics

• Emergency CT scan
• Emergency MRI scan
• Emergency ultrasound
• Emergency X-ray

Injections & Vaccines

• Rabies shot series
• Tetanus shot

Kidney Care

• Emergency dialysis

Lung & Respiratory

• Chest Needle Decompression
• Draining lung fluid

Medications

• Emergency epinephrine injection
• IV medication for severe nausea
• IV medication for severe pain

Mental Health

• Emergency psychiatric evaluation

Minor Procedures

• Fishhook or embedded splinter removal
• Incision and drainage of an abscess
• Nasal cautery for nosebleeds
• Tick Removal
• Urinary catheter insertion

Minor Trauma

• Stuck ring removal

Orthopedic Procedures

• Joint injection or aspiration

Orthopedics

• Popping a dislocated joint back in place
• Splinting and temporary casting

Poisoning & Toxicology

• Antivenom treatment

Specialized Care

• Sexual assault forensic exam

Stroke & Vascular

• Clot busting medication for stroke

Supportive Care

• IV fluids

Toxicology

• Narcan overdose reversal
• Stomach pumping or activated charcoal

Women's Health

• Emergency pelvic exam

Wound Care

• Burn dressing and care
• Skin glue for cuts
• Stitches and Laceration Repair
• Wound cleaning and debridement
• Wound stapling