The text's practical approach to inpatient problems provides the answers with easy-to-remember approaches, algorithms, and mnemonics. Tables are included to organize important information in a convenient format. The material is presented in a problem-oriented style that lets the reader interpret and respond to symptoms, signs, abnormal lab tests, and EKGs. Thus the emphasis is on working toward a diagnosis instead of starting with the disease and working backwards. It's an excellent preparation tool for the Boards.

Contributors

xiii

(2)

Preface

xv

(2)

Acknowledgments

xvii

PART I: GENERAL APPROACH TO MEDICAL PROBLEMS

3

(10)

1. APPROACH TO DIFFERENTIAL DIAGNOSIS

3

(2)

2. APPROACH TO MEDICAL DECISION MAKING

5

(8)

PART II: CARDIOLOGY

13

(88)

3. CARDIAC EXAMINATION

13

(8)

4. ELECTROCARDIOGRAM INTERPRETATION

21

(9)

5. SYNCOPE

30

(4)

6. ARRHYTHMIAS

34

(16)

7. ATRIAL FIBRILLATION

50

(6)

8. CHEST PAIN

56

(8)

9. ANGINA

64

(9)

10. MYOCARDIAL INFARCTION

73

(12)

11. CONGESTIVE HEART FAILURE

85

(6)

12. SHOCK

91

(10)

PART III: PULMONARY AND CRITICAL CARE

101

(54)

13. ACUTE DYSPNEA

101

(4)

14. MASSIVE HEMOPTYSIS

105

(4)

15. APPROACH TO THE CHEST RADIOGRAPH

109

(4)

16. HYPOXEMIA

113

(4)

17. PULMONARY FUNCTION TESTS

117

(3)

18. OBSTRUCTIVE LUNG DISEASE

120

(3)

19. RESTRICTIVE LUNG DISEASE

123

(6)

20. COMMUNITY-ACQUIRED PNEUMONIA

129

(3)

21. PULMONARY HYPERTENSION

132

(6)

22. PULMONARY EMBOLISM

138

(6)

23. RESPIRATORY FAILURE

144

(3)

24. MECHANICAL VENTILATION

147

(8)

PART IV: GASTROENTEROLOGY

155

(48)

25. ABDOMINAL PAIN

155

(7)

26. LIVER TESTS

162

(4)

27. ACUTE DIARRHEA

166

(3)

28. ACUTE GASTROINTESTINAL BLEEDING

169

(6)

29. SPLENOMEGALY

175

(4)

30. ASCITES

179

(6)

31. ACUTE PANCREATITIS

185

(4)

32. ALCOHOLIC LIVER DISEASE

189

(3)

33. LIVER FAILURE

192

(11)

PART V: RENAL/ACID-BASE

203

(50)

34. OVERVIEW OF NEPHROLOGY

203

(2)

35. ACUTE RENAL FAILURE

205

(12)

36. NEPHROTIC SYNDROME

217

(3)

37. NEPHRITIC SYNDROME

220

(4)

38. RENAL TUBULAR DEFECTS

224

(3)

39. URINARY TRACT INFECTIONS

227

(5)

40. APPROACH TO ACID-BASE DISORDERS

233

(9)

41. HYPONATREMIA

242

(4)

42. HYPERTENSION

246

(7)

PART VI: INFECTIOUS DISEASE

253

(50)

43. APPROACH TO FEVER

253

(6)

44. APPROACH TO MICROBIOLOGY

259

(5)

45. FEVER AND RASH

264

(6)

46. FEVER OF UNKNOWN ORIGIN

270

(5)

47. ACUTE RHEUMATIC FEVER

275

(3)

48. INFECTIVE ENDOCARDITIS

278

(6)

49. CD4 COUNTS AND COMPLICATIONS OF HIV INFECTION

284

(3)

50. PULMONARY DISEASE IN HIV-INFECTED PATIENTS

287

(4)

51. GASTROINTESTINAL MANIFESTATIONS OF HIV DISEASE

291

(4)

52. NEUROLOGIC MANIFESTATIONS OF HIV DISEASE

295

(8)

PART VII: HEMATOLOGY/ONCOLOGY

303

(84)

53. PANCYTOPENIA

303

(6)

54. THROMBOCYTOPENIA

309

(6)

55. THROMBOCYTOSIS

315

(2)

56. ANEMIA

317

(6)

57. POLYCYTHEMIA

323

(4)

58. LEUKOCYTOSIS

327

(3)

59. EOSINOPHILIA

330

(3)

60. BLEEDING DISORDERS

333

(12)

61. HYPERCOAGULABLE STATES

345

(4)

62. LYMPHADENOPATHY

349

(4)

63. LYMPHOMA

353

(8)

64. MYELOPROLIFERATIVE VERSUS MYELODYSPLASTIC SYNDROMES

361

(8)

65. ACUTE LEUKEMIA

369

(6)

66. PLASMA CELL DYSCRASIAS

375

(6)

67. METASTATIC NEOPLASMS

381

(6)

PART VIII: RHEUMATOLOGY

387

(18)

68. MONOARTICULAR ARTHRITIS

387

(5)

69. POLYARTICULAR ARTHRITIS

392

(4)

70. VASCULITIS

396

(9)

PART IX: ENDOCRINOLOGY

405

(26)

71. HYPERCALCEMIA

405

(3)

72. HYPOCALCEMIA

408

(3)

73. DIABETIC KETOACIDOSIS

411

(7)

74. THYROID DISEASE

418

(6)

75. ADRENOCORTICAL INSUFFICIENCY

424

(7)

PART X: NEUROLOGY

431

(36)

76. ALTERED MENTAL STATUS

431

(4)

77. PERIPHERAL NEUROPATHY

435

(5)

78. VERTIGO

440

(4)

79. SINGULTUS

444

(2)

80. STROKE

446

(7)

81. MENINGITIS

453

(8)

82. SPINAL CORD COMPRESSION

461

(6)

PART XI: DERMATOLOGY

467

(12)

83. EXANTHEMS

467

(4)

84. PRURITUS

471

(3)

85. CLUBBING

474

(5)

PART XII: TOXICOLOGY

479

(10)

86. ALCOHOL INTOXICATION AND WITHDRAWAL

479

(3)

87. TOXICOLOGIC EMERGENCIES

482

(7)

Summary of Mnemonics

489

(20)

Index

509

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