Hospital Medicine

by Wachter, Robert M.; Goldman, Lee; Hollander, Harry

• ISBN13: 9780781747271
• ISBN10: 0781747279
• Edition: 2nd
• Format: Hardcover
• Copyright: 2005-05-03
• Publisher: LWW

Summary

Thoroughly updated for its Second Edition, Hospital Medicine offers practical, evidence-based guidelines for the care of hospitalized patients. The only book geared directly and exclusively to inpatient management--and edited by the national leaders of the hospitalist field--Hospital Medicine includes indications for admission, guidelines for consultation, procedures for hospital discharge, diagnostic algorithms, and critical paths detailing effective, outcomes-oriented treatment plans for a range of diseases and disorders. New chapters in this edition focus on the hospitalist's increasing role in providing critical care, managing surgical patients with medical co-morbidities, ensuring patient safety and preventing adverse events, and directing hospital systems areas such as informatics, quality improvement, and practice management.

Table of Contents

Contributors	p. xi
Preface to the Second Edition	p. xix
Preface to the First Edition	p. xxi
General Issues in Hospital Medicine	p. 1
Models of Hospital Care	p. 3
The Economics of Hospital Medicine	p. 11
Practice Management in Hospital Medicine	p. 17
Hospital Interfaces	p. 23
Hospital Discharge	p. 31
Bayesian Reasoning and Diagnostic Testing	p. 37
Decision Analysis	p. 43
Evidence-Based Medicine	p. 51
Cost-Effectiveness	p. 59
Hospital Information Systems	p. 63
Effective Clinical Teaching in the Inpatient Setting	p. 71
Assessment and Improvement of Quality and Value	p. 79
Practice Guidelines and Clinical Pathways	p. 87
Patient Satisfaction with Hospital Care	p. 93
Nutritional Issues in the Hospitalized Patient	p. 99
Approach to the Hospitalized Older Patient	p. 111
Ethical Issues in the Hospitalized Patient	p. 119
Pain Management in the Hospitalized Patient	p. 129
End-of-Life Care in the Hospital	p. 139
Patient Safety in the Hospital Setting	p. 147
Medication Safety in the Hospital	p. 157
Critical Care Medicine	p. 161
Approach to the ICU Patient	p. 163
Ventilator Management	p. 173
Acute Respiratory Failure	p. 183
Hypotension, Shock, and Multiple Organ Failure	p. 191
Sepsis Syndrome	p. 201
Procedures in Hospital Medicine	p. 207
Medical Consultation	p. 233
Medical Consultation	p. 235
Key Principles of Anesthesiology	p. 241
Preoperative Evaluation	p. 249
Postoperative Care	p. 261
Medical Complications of Pregnancy	p. 271
Care of Special Populations: Psychiatry	p. 279
Trauma	p. 287
Cardiovascular Medicine	p. 295
Signs, Symptoms, and Laboratory Abnormalities in Cardiovascular Diseases	p. 297
Diagnostic Tests in Cardiology	p. 315
Angina and Unstable Angina	p. 329
Acute Myocardial Infarction	p. 343
Heart Failure	p. 359
Heart Transplantation	p. 373
Valvular Heart Disease	p. 381
Atrial Fibrillation, Atrial Flutter, and Other Supraventricular Tachyarrhythmias	p. 393
Ventricular Arrhythmias and Cardiac Arrest	p. 409
Syncope	p. 423
Bradycardia and Pacemakers	p. 431
Pericardial Disease	p. 441
Vascular Medicine	p. 453
Signs, Symptoms, and Laboratory Abnormalities in Peripheral Arterial Disease	p. 455
Urgent and Emergent Hypertension	p. 463
Aortic Intramural Hematoma and Dissection	p. 471
Aortic Aneurysm	p. 479
Peripheral Arterial Disease	p. 485
Deep Venous Thrombosis	p. 495
Pulmonary Embolism	p. 505
Pulmonary Medicine	p. 515
Signs, Symptoms, and Laboratory Abnormalities in Pulmonary Medicine	p. 517
Chronic Obstructive Pulmonary Disease	p. 531
Exacerbations of Asthma	p. 539
Interstitial Lung Disease	p. 549
Lung Transplantation and Lung Volume Reduction Surgery	p. 561
Pulmonary Hypertension	p. 569
Pleural Effusion and Pneumothorax	p. 577
Pulmonary Nodules and Mass Lesions	p. 587
Infectious Diseases	p. 595
Signs, Symptoms, and Laboratory Abnormalities in Infectious Diseases	p. 597
Infections in Immunocompromised Hosts	p. 613
Parenteral Antibiotics and Antibiotic Resistance	p. 623
Community-Acquired Pneumonia	p. 633
Hospital-Acquired Pneumonia	p. 645
Tuberculosis	p. 655
Urinary Tract Infection	p. 667
Cellulitis and Necrotizing Fasciitis	p. 675
Meningitis	p. 683
Endocarditis	p. 693
Catheter-Associated Infection and Bacteremia	p. 703
Bioterrorism	p. 711
HIV Disease	p. 719
Signs, Symptoms, and Laboratory Abnormalities in HIV Disease	p. 721
Pulmonary Manifestations of HIV Infection	p. 729
Neurologic Complications of HIV Disease	p. 739
Gastroenterology	p. 749
Signs, Symptoms, and Laboratory Abnormalities in Gastrointestinal Disease	p. 751
Acute Gastrointestinal Bleeding	p. 767
Esophageal Disorders	p. 781
Peptic Ulcer Disease and Stress-Related Mucosal Disease	p. 789
Inflammatory Bowel Disease	p. 799
Acute Hepatitis and Liver Failure	p. 809
Cirrhosis and Its Complications	p. 819
Disorders of The Biliary System	p. 829
Liver Transplantation	p. 839
Acute Pancreatitis	p. 849
Other Abdominal Emergencies: Appendicitis, Diverticulitis, and Ischemic Bowel	p. 859
Ileus and Obstruction of the Gastrointestinal Tract	p. 873
Hematology-Oncology	p. 883
Signs, Symptoms, and Laboratory Abnormalities in Hematology-Oncology	p. 885
Principles of Chemotherapy	p. 897
Principles of Transfusion Medicine	p. 907
Oncologic Emergencies	p. 917
Leukemia	p. 929
Lymphoma	p. 937
Chronic Myeloproliferative Disorders	p. 947
Hematopoietic Cell Transplantation	p. 955
Sickle Cell Disease	p. 965
Hemorrhagic and Thrombotic Disorders	p. 975
Renal Disease	p. 993
Signs, Symptoms, and Laboratory Abnormalities in Renal Disease	p. 995
Acute Renal Failure	p. 1007
Management of the Hospitalized Patient on Dialysis	p. 1017
Renal Transplantation	p. 1027
Renal Stone Disease and Obstruction	p. 1037
Common Electrolyte Disorders	p. 1045
Common Acid-Base Disorders	p. 1055
Endocrinology	p. 1067
Signs, Symptoms, and Laboratory Abnormalities in Endocrinology	p. 1069
The Management of Hyperglycemia and Diabetes Mellitus in Hospitalized Patients	p. 1079
Acute Presentations of Thyroid Disease	p. 1093
Adrenal Insufficiency and Crisis	p. 1103
Rheumatology	p. 1109
Signs, Symptoms, and Laboratory Abnormalities in Rheumatology	p. 1111
Vasculitis	p. 1121
Acute Presentations of Selected Rheumatic Disorders	p. 1135
Acute Arthritis	p. 1143
Back Pain	p. 1153
Neurology and Psychiatry	p. 1161
Signs, Symptoms, and Diagnostic Tests in Neurology	p. 1163
Stroke	p. 1175
Central Nervous System Hemorrhage and Increased Intracranial Pressure	p. 1185
Seizures	p. 1199
Depression in the Hospitalized Patient	p. 1209
Toxicology and Allergy	p. 1219
Allergic Reactions and Anaphylaxis	p. 1221
Drug Overdoses and Dependence	p. 1229
Acute Alcohol Intoxication and Alcohol Withdrawal	p. 1243
Index	p. 1251
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