Contributors |
|
xi | |
Preface |
|
xv | |
Acknowledgments |
|
xvii | |
SECTION 1 CARE OF THE HOSPITALIZED PATIENT |
|
|
1 Initial Evaluation and Admission Orders for the General Medicine Patient |
|
|
1 | |
|
2 Electrolytes/Acid-Base Balance |
|
|
3 | |
|
3 Diagnostic Imaging in Internal Medicine |
|
|
22 | |
|
4 Procedures Commonly Performed by Internists |
|
|
25 | |
|
5 Principles of Critical Care Medicine |
|
|
30 | |
|
6 Pain and Its Management |
|
|
34 | |
|
7 Assessment of Nutritional Status |
|
|
39 | |
|
8 Enteral and Parenteral Nutrition |
|
|
41 | |
|
9 Transfusion and Pheresis Therapy |
|
|
44 | |
|
10 Palliative and End-of-Life Care |
|
|
46 | |
SECTION 2 MEDICAL EMERGENCIES |
|
|
11 Cardiovascular Collapse and Sudden Death |
|
|
55 | |
|
|
58 | |
|
13 Sepsis and Septic Shock |
|
|
63 | |
|
|
66 | |
|
15 Acute Respiratory Distress Syndrome |
|
|
69 | |
|
|
71 | |
|
17 Confusion, Stupor, and Coma |
|
|
74 | |
|
|
79 | |
|
19 Subarachnoid Hemorrhage |
|
|
88 | |
|
20 Increased Intracranial Pressure and Head Trauma |
|
|
90 | |
|
21 Spinal Cord Compression |
|
|
94 | |
|
22 Hypoxic-Ischemic Encephalopathy |
|
|
96 | |
|
|
98 | |
|
24 Diabetic Ketoacidosis and Hyperosmolar Coma |
|
|
100 | |
|
|
103 | |
|
26 Infectious Disease Emergencies |
|
|
105 | |
|
|
112 | |
|
|
116 | |
|
29 Bites, Venoms, Stings, and Marine Poisonings |
|
|
117 | |
|
30 Hypothermia and Frostbite |
|
|
127 | |
|
31 Poisoning and Drug Overdose |
|
|
130 | |
|
|
160 | |
SECTION 3 COMMON PATIENT PRESENTATIONS |
|
|
|
175 | |
|
|
179 | |
|
|
183 | |
|
|
189 | |
|
37 Fever, Hyperthermia, Chills, and Rash |
|
|
199 | |
|
38 Pain and Swelling of Joints |
|
|
203 | |
|
|
207 | |
|
|
211 | |
|
41 Acute Visual Loss and Double Vision |
|
|
215 | |
|
42 Weakness and Paralysis |
|
|
218 | |
|
43 Tremor and Movement Disorders |
|
|
222 | |
|
44 Aphasias and Related Disorders |
|
|
224 | |
|
|
226 | |
|
|
231 | |
|
|
233 | |
|
|
239 | |
|
|
240 | |
|
50 Nausea, Vomiting, and Indigestion |
|
|
244 | |
|
|
247 | |
|
|
249 | |
|
53 Diarrhea, Constipation, and Malabsorption |
|
|
253 | |
|
54 Gastrointestinal Bleeding |
|
|
259 | |
|
55 Jaundice and Evaluation of Liver Function |
|
|
263 | |
|
|
271 | |
|
57 Azotemia and Urinary Abnormalities |
|
|
274 | |
|
58 Anemia and Polycythemia |
|
|
280 | |
|
59 Lymphadenopathy and Splenomegaly |
|
|
283 | |
|
|
288 | |
SECTION 4 OPHTHALMOLOGY AND OTOLARYNGOLOGY |
|
|
61 Common Disorders of Vision and Hearing |
|
|
293 | |
|
62 Sinusitis, Pharyngitis, Otitis, and Other Upper Respiratory Infections |
|
|
301 | |
SECTION 5 DERMATOLOGY |
|
|
63 General Examination of the Skin |
|
|
309 | |
|
64 Common Skin Conditions |
|
|
314 | |
SECTION 6 HEMATOLOGY AND ONCOLOGY |
|
|
65 Examination of Blood Smears and Bone Marrow |
|
|
321 | |
|
66 Red Blood Cell Disorders |
|
|
323 | |
|
67 Leukocytosis and Leukopenia |
|
|
329 | |
|
68 Bleeding and Thrombotic Disorders |
|
|
332 | |
|
|
339 | |
|
70 Myeloid Leukemias, Myelodysplasia, and Myeloproliferative Syndromes |
|
|
344 | |
|
|
352 | |
|
|
364 | |
|
|
367 | |
|
|
368 | |
|
|
374 | |
|
76 Tumors of the Gastrointestinal Tract |
|
|
379 | |
|
77 Genitourinary Tract Cancer |
|
|
391 | |
|
|
395 | |
|
79 Prostate Hyperplasia and Carcinoma |
|
|
399 | |
|
80 Cancer of Unknown Primary Site |
|
|
401 | |
|
81 Paraneoplastic Endocrine Syndromes |
|
|
405 | |
|
82 Neurologic Paraneoplastic Syndromes |
|
|
407 | |
SECTION 7 INFECTIOUS DISEASES |
|
|
83 Diagnosis of Infectious Diseases |
|
|
411 | |
|
|
422 | |
|
85 Health Care-Associated Infections |
|
|
428 | |
|
86 Infections in the Immunocompromised Host |
|
|
432 | |
|
87 Infective Endocarditis |
|
|
440 | |
|
88 Intraabdominal Infections |
|
|
448 | |
|
|
451 | |
|
90 Sexually Transmitted Diseases and Reproductive Tract Infections |
|
|
462 | |
|
91 Infections of the Skin, Soft Tissues, Joints, and Bones |
|
|
477 | |
|
92 Pneumococcal Infections |
|
|
486 | |
|
93 Staphylococcal Infections |
|
|
489 | |
|
94 Streptococcal/Enterococcal Infections, Diphtheria, and Other Infections Caused by Corynebacteria and Related Species |
|
|
496 | |
|
95 Meningococcal and Listerial Infections |
|
|
504 | |
|
96 Infections Caused by Haemophilus, Bordetella, Moraxella, and HACEK Group Organisms |
|
|
508 | |
|
97 Diseases Caused by Gram-Negative Enteric Bacteria, Pseudomonas, and Legionella |
|
|
513 | |
|
98 Infections Caused by Miscellaneous Gram-Negative Bacilli |
|
|
522 | |
|
|
528 | |
|
100 Nocardiosis and Actinomycosis |
|
|
535 | |
|
101 Tuberculosis and Other Mycobacterial Infections |
|
|
538 | |
|
102 Lyme Disease and Other Nonsyphilitic Spirochetal Infections |
|
|
549 | |
|
|
554 | |
|
104 Mycoplasma Infections |
|
|
560 | |
|
105 Chlamydial Infections |
|
|
561 | |
|
106 Herpesvirus Infections |
|
|
564 | |
|
107 Cytomegalovirus and Epstein-Barr Virus Infections |
|
|
572 | |
|
108 Influenza and Other Viral Respiratory Diseases |
|
|
577 | |
|
109 Rubeola, Rubella, Mumps, and Parvovirus Infections |
|
|
584 | |
|
110 Enteroviral Infections |
|
|
588 | |
|
111 Insect- and Animal-Borne Viral Infections |
|
|
592 | |
|
112 HIV Infection and AIDS |
|
|
600 | |
|
|
618 | |
|
114 Pneumocystis Infections |
|
|
633 | |
|
|
636 | |
|
116 Helminthic Infections and Ectoparasite Infestations |
|
|
648 | |
SECTION 8 CARDIOLOGY |
|
|
117 Physical Examination of the Heart |
|
|
661 | |
|
|
665 | |
|
119 Noninvasive Examination of the Heart |
|
|
669 | |
|
120 Congenital Heart Disease in the Adult |
|
|
674 | |
|
121 Valvular Heart Disease |
|
|
678 | |
|
122 Cardiomyopathies and Myocarditis |
|
|
684 | |
|
|
688 | |
|
|
693 | |
|
|
699 | |
|
126 ST-Segment Elevation Myocardial Infarction (STEM!) |
|
|
700 | |
|
127 Unstable Angina and Non-ST-Elevation Myocardial Infarction |
|
|
709 | |
|
128 Chronic Stable Angina |
|
|
712 | |
|
|
717 | |
|
|
720 | |
|
131 Congestive Heart Failure and Cor Pulmonale |
|
|
730 | |
|
132 Diseases of the Aorta |
|
|
736 | |
|
133 Peripheral Vascular Disease |
|
|
739 | |
|
134 Pulmonary Hypertension |
|
|
742 | |
SECTION 9 PULMONOLOGY |
|
|
135 Respiratory Function and Pulmonary Diagnostic Procedures |
|
|
747 | |
|
|
753 | |
|
137 Environmental Lung Diseases |
|
|
756 | |
|
138 Chronic Obstructive Pulmonary Disease |
|
|
759 | |
|
139 Pneumonia and Lung Abscess |
|
|
764 | |
|
140 Pulmonary Thromboembolism and Deep-Vein Thrombosis |
|
|
769 | |
|
141 Interstitial Lung Disease |
|
|
772 | |
|
142 Diseases of the Pleura and Mediastinum |
|
|
777 | |
|
143 Disorders of Ventilation |
|
|
781 | |
|
|
783 | |
SECTION 10 NEPHROLOGY |
|
|
145 Approach to the Patient with Renal Disease |
|
|
785 | |
|
|
789 | |
|
147 Chronic Kidney Disease and Uremia |
|
|
794 | |
|
|
796 | |
|
149 Renal Transplantation |
|
|
798 | |
|
|
801 | |
|
151 Renal Tubular Disease |
|
|
808 | |
|
152 Urinary Tract Infections |
|
|
815 | |
|
|
820 | |
|
|
826 | |
|
155 Urinary Tract Obstruction |
|
|
829 | |
SECTION 11 GASTROENTEROLOGY |
|
|
156 Peptic Ulcer and Related Disorders |
|
|
831 | |
|
157 Inflammatory Bowel Diseases |
|
|
836 | |
|
158 Colonic and Anorectal Diseases |
|
|
840 | |
|
159 Cholelithiasis, Cholecystitis, and Cholangitis |
|
|
844 | |
|
|
849 | |
|
|
854 | |
|
|
859 | |
|
163 Cirrhosis and Alcoholic Liver Disease |
|
|
868 | |
|
|
872 | |
SECTION 12 ALLERGY, CLINICAL IMMUNOLOGY, AND RHEUMATOLOGY |
|
|
165 Diseases of Immediate Type Hypersensitivity |
|
|
877 | |
|
166 Primary Immune Deficiency Diseases |
|
|
881 | |
|
167 SLE, RA, and Other Connective Tissue Diseases |
|
|
885 | |
|
|
891 | |
|
169 Ankylosing Spondylitis |
|
|
895 | |
|
|
897 | |
|
|
899 | |
|
|
900 | |
|
173 Gout, Pseudogout, and Related Diseases |
|
|
903 | |
|
174 Other Musculoskeletal Disorders |
|
|
907 | |
|
|
910 | |
|
|
913 | |
SECTION 13 ENDOCRINOLOGY AND METABOLISM |
|
|
177 Disorders of the Anterior Pituitary and Hypothalamus |
|
|
917 | |
|
178 Diabetes Insipidus and SIADH |
|
|
923 | |
|
179 Thyroid Gland Disorders |
|
|
925 | |
|
180 Adrenal Gland Disorders |
|
|
933 | |
|
|
939 | |
|
|
942 | |
|
183 Disorders of the Male Reproductive System |
|
|
947 | |
|
184 Disorders of the Female Reproductive System |
|
|
952 | |
|
185 Hypercalcemia and Hypocalcemia |
|
|
959 | |
|
186 Osteoporosis and Osteomalacia |
|
|
965 | |
|
187 Hypercholesterolemia and Hypertriglyceridemia |
|
|
968 | |
|
188 Hennochronnatosis, Porphyrias, and Wilson's Disease |
|
|
975 | |
SECTION 14 NEUROLOGY |
|
|
189 The Neurologic Examination |
|
|
979 | |
|
|
986 | |
|
191 Seizures and Epilepsy |
|
|
988 | |
|
192 Alzheimer's Disease and Other Dementias |
|
|
995 | |
|
|
1002 | |
|
|
1007 | |
|
195 ALS and Other Motor Neuron Diseases |
|
|
1010 | |
|
196 Autonomic Nervous System Disorders |
|
|
1013 | |
|
197 Trigeminal Neuralgia, Bell's Palsy, and Other Cranial Nerve Disorders |
|
|
1020 | |
|
|
1026 | |
|
199 Tumors of the Nervous System |
|
|
1031 | |
|
200 Multiple Sclerosis (MS) |
|
|
1035 | |
|
201 Acute Meningitis and Encephalitis |
|
|
1042 | |
|
|
1052 | |
|
203 Peripheral Neuropathies, Including Guillain-Barre Syndrome (GBS) |
|
|
1055 | |
|
204 Myasthenia Gravis (MG) |
|
|
1065 | |
|
|
1068 | |
SECTION 15 PSYCHIATRY AND SUBSTANCE ABUSE |
|
|
206 Psychiatric Disorders |
|
|
1077 | |
|
207 Psychiatric Medications |
|
|
1085 | |
|
|
1093 | |
|
|
1095 | |
|
|
1099 | |
SECTION 16 DISEASE PREVENTION AND HEALTH MAINTENANCE |
|
|
211 Routine Disease Screening |
|
|
1103 | |
|
212 Immunization and Advice to Travelers |
|
|
1107 | |
|
213 Cardiovascular Disease Prevention |
|
|
1118 | |
|
214 Prevention and Early Detection of Cancer |
|
|
1121 | |
|
|
1126 | |
|
|
1128 | |
SECTION 17 ADVERSE DRUG REACHONS |
|
|
217 Adverse Drug Reactions |
|
|
1131 | |
SECTION 18 LABORATORY VALUES |
|
|
218 Laboratory Values of Clinical Importance |
|
|
1141 | |
Index |
|
1173 | |