Ferri’s Netter Patient Advisor

1049 Pages·2011·355.46 MB·English

by  Fred F. Ferri

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Make clinical decisions efficiently...
solve diagnostic challenges with certainty!
In print and online, these titles by best-selling author Fred F. Ferri, MD, FACP equip you with fast-access
solutions to meet your everyday clinical challenges!
Ferri
Ferri’s Clinical Advisor: 5 Books in 1
Expert Consult – Online and Print

Simply the fastest, most effective way to access current diagnostic and
therapeutic information on over 700 conditions.
• Effortlessly search each thoroughly updated volume online.
• Quickly locate actionable guidance on diseases and disorders, differential
diagnosis, clinical algorithms, laboratory evaluations, and clinical preventive
services...year after year!
2010 ISBN: 978-0-323-05609-0 • 2011 ISBN: 978-0-323-05610-6 • 2012 ISBN: 978-0-323-05611-3
Ferri
Ferri’s Color Atlas and Text of Clinical Medicine
Expert Consult – Online and Print
• Follow a one-of-a-kind approach to facilitate the diagnosis of virtually
every condition encountered in daily practice!
• Review the full range of visual findings associated with any disorder
through nearly 4,000 high-quality photographs complemented by concise
explanatory text.
• Conveniently access the complete contents online—including
downloadable images.
ISBN: 978-1-4160-4919-7.
Order your copies today!
Visit www.elsevierhealth.com or call 1-800-545-2522.
F E R R I ’ S
NETTER PATIENT
ADVISOR
2nd Edition
Fred F. Ferri, MD, FACP
Clinical Professor
Department of Community Health
Alpert Medical School at Brown University
Providence, Rhode Island
Illustrations by Frank H. Netter, MD
Contributing Illustrators
Carlos A. G. Machado, MD
John A. Craig, MD
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
FERRI’S NETTER PATIENT ADVISOR ISBN: 978-1-4160-6038-3
Copyright © 2012 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this book may be produced or transmitted in any form or by any means, electronic
or mechanical, including photocopying, recording or any information storage and retrieval system, without permis-
sion in writing from the publishers.
Permissions for Netter Art figures may be sought directly from Elsevier’s Health Science Licensing Department in
Philadelphia PA, USA: phone [phone], ext. 3276 or [phone]; or email [email protected].
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating
and using any information, methods, compounds, or experiments described herein. In using such informa-
tion or methods they should be mindful of their own safety and the safety of others, including parties for
whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most
current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
administered, to verify the recommended dose or formula, the method and duration of administration, and
contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of
their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient,
and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume
any liability for any injury and/or damage to persons or property as a matter of products liability, negligence
or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
Previous editions copyrighted 2010
International Standard Serial Number (ISSN) 1943-9822
ISBN: 978-1-4160-6038-3
Publishing Manager, Netter Products and Services: Elyse O’Grady
Senior Developmental Editor: Marybeth Thiel
Publishing Services Manager: Julie Eddy
Senior Project Manager: Celeste Clingan
Design Direction: Louis Forgione
Publishing Director, Medical Education: Anne Lenehan
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
PREFACE
As a practicing primary care physician for the past 25 years, I am Knowledge is essential in maintaining good health. I hope
aware of the patient’s needs for reliable, practical, and easy to that this book fulfills your every expectation and provides valu-
understand medical information. The goal of this book is to able learning support to your understanding of the numerous
be a comprehensive, current, and clinically relevant medical illnesses afflicting humanity.
resource for the public.
This medical reference (book and online information) covers
Acknowledgment
hundreds of topics, ranging from common disorders to rare
diseases. Each section follows a similar format and consists of
This product represents a highly collaborative and dynamic effort
an initial description of the medical disorder and its causes, com-
between the Editor and Elsevier. I am greatly indebted to the
mon signs and symptoms, diagnostic methods, recommended
First-Consult department at Elsevier for sharing some of their
treatment, do’s and don’ts in managing the specific disorder, and
patient education material and to Drs. Frank Netter and Carlos
sources of additional information on each topic. Illustrations
Machado for their unparalleled illustrations. I also wish to thank
accompany each topic and facilitate its understanding. Visuals are
Elsevier for their exceptional support and guidance in this project.
the critical language of medical education. The old adage of “a
Finally, I want to express my gratitude to the many authors of the
picture is worth a thousand words” is certainty true in medicine.
Patient Teaching Guides in Ferri’s Clinical Advisor, and Dr. Peter
Recognition of disorders from illustrations remains crucial to
Petropoulos in particular, for their superb contributions and
early diagnosis and treatment, both of which are usually essential
friendship.
to improve prognosis. The use of thousands of illustrations from
Dr. Frank Netter, an outstanding physician and perhaps the best Fred F. Ferri, MD, FACP
medical illustrator of all time, makes this book unique amongst Clinical Professor
medical texts for the general public. Alpert Medical School
No book can replace the consultation and physical examina- Brown University
tion by a qualified physician; but by providing the reader with Providence, Rhode Island
better understanding of his or her medical condition, this
medical guide is far superior its competitors and will certainly
enhance communication between patients and physicians.
v
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FERRI’S NETTER PATIENT ADVISOR Full book online at www.NetterReference.com. See inside front cover for pin code.
CONTENTS Plus, available online only:
Spanish translations Bonus handouts
Endocarditis (infective endocarditis; subacute bacterial
Cardiology endocarditis) 513
Exercises and cardiovascular health
Abdominal aortic aneurysm (AAA) 1
Heart attack (myocardial infarction) 29
Acute coronary syndrome (ACS)
female
Aldosteronism (hyperaldosteronism) 171
Heart, anatomy of
Angina (angina pectoris) 3
High blood pressure (hypertension) 33
Angina, unstable 63
child
Aortic dissection
High cholesterol (hyperlipidemia; hypercholesterolemia)
Aortic insufficiency (aortic regurgitation) 5
31
Aortic stenosis 7
High triglyceride levels (high blood lipid levels)
Aortic valve disease
Hypertension (high blood pressure) 33
Atrial fibrillation 9
pulmonary
Atrial flutter (AFL)
Hypertrophic cardiomyopathy 35
Atrial myxoma
Hypothermia
Atrial septal defect (ASD) 11
Long QT syndrome (LQTS)
Bundle branch block 13
Lymphedema (lymphatic obstruction)
Cardiac pacemaker and debrillator
Marfan’s syndrome, child 857
Cardiac tamponade 15
Mitral regurgitation 37
Cardiopulmonary circulation
Mitral stenosis 39
Carotid stenosis
Mitral valve disease
Claudication (poor circulation) 17
Mitral valve prolapse (MVP) 41
Coarctation of aorta
Myocarditis 43
Complete heart block
Percutaneous coronary intervention
(third-degree heart block) 19
Pericarditis 45
Congestive heart failure (CHF) 21
Peripheral arterial disease (PAD) 47
Coronary artery bypass surgery
Pheochromocytoma 217
Coronary artery disease (CAD) 23
Preeclampsia (toxemia; pregnancy-induced hypertension)
Deep vein thrombosis (DVT) 25
407
Diagnostic heart catheterization
Premature ventricular contractions (PVCs) 49
Dilated cardiomyopathy 27
Pulmonary embolism (PE) 51
Electrical injury
Pulmonary hypertension
vii
Pulmonary hypertension and thromboembolic disease Dermatomyositis 935
Renal artery stenosis 53 Diaper rash 87
Restrictive cardiomyopathy 55 Eczema 91
Rheumatic fever 587 Ehlers-Danlos syndrome 939
Second-degree heart block 57 Erysipelas 93
Sleep disorder and heart disease Erythema multiforme 95
Stasis dermatitis 147 Erythema nodosum (EN) 941
Stress test used to predict heart attack risk Fifth disease 97
Supraventricular tachycardia Folliculitis 99
Syncope (fainting; loss of consciousness; passing 59 Granuloma annulare 101
out)
Granuloma inguinale 377
Tetralogy of Fallot, child 61
Hand-foot-mouth disease (HFMD) 103
Thoracic outlet syndrome (TOC)
Henoch-Schonlein purpura (allergic purpura; anaphylactic
Thromboangiitis obliterans (Buerger’s disease) purpura)
Thrombophlebitis (phlebitis) 569 adult
Tricuspid regurgitation child 105
Tricuspid stenosis Hives (urticaria; wheals, or bumps) 161
Ventricular septal defect (VSD) 65 Hyperhydrosis (excessive sweating) 611
Wolff-Parkinson-White syndrome (WPW) Impetigo 107
Impetigo, child
Dermatology
Jellyfish and other marine animals stings and bites
Acne 67 Kaposi sarcoma
Alopecia (hair loss) 69 Kawasaki disease (KD) 947
Angioedema 71 Keloids (hypertrophic scars) 109
Athlete’s foot (tinea pedis; ringworm of foot) 157 Leprosy (Hansen’s disease) 111
Basal cell skin cancer 75 Lice (pediculosis) 543
Bechet’s syndrome 77 Lichen planus (LP) 113
Bedbugs Lichen sclerosus
Blisters Measles (rubeola) 115
Boils 519 Melanoma 117
Bullous pemphigoid Molluscum contagiosum
Cellulitis 499 adult 119
Chickenpox (varicella) 81 child
Contact dermatitis 83 Nail fungus (onychomycosis; tinea ungulum) 559
Dermatitis herpetiformis 85 Neurofibromatosis type 1 (NF1) 121
Neurofibromatosis type 2 (NF-2)
viii Contents
Oral herpes (HSV-1; herpes labialis) 561
Aldosteronism (hyperaldosteronism) 171
Paronychia 123
Amenorrhea
Pemphigus vulgaris 125
Carcinoid syndrome
Pityriasis rosea 129
Cushing’s syndrome 173
Poison ivy (Rhus dermatitis) 251
Delayed puberty
Polymyositis 935
Diabetes insipidus (DI)
Porphyria
Diabetes mellitus type 1 (type 1 diabetes)
Pressure ulcers (decubitus ulcers) 607
adolescent
Psoriasis 131
adult
Ringworm (tinea corporis) 133
child 175
Rosacea 135
Diabetes mellitus type 2 (type 2 diabetes)
Roseola (sixth disease; exanthem subitum)
adolescent
Rubella (German measles) 521
adult 177
Scabies 137
child
Scarlet fever, child 139
Diabetic retinopathy 179
Scleroderma 141
Erectile dysfunction (ED; impotence; sexual dysfunction)
Seborrheic dermatitis 181
Shingles (herpes zoster) 143 Galactorrhea 183
Squamous cell carcinoma (skin cancer) 145 Gastrinoma (Zollinger-Ellison syndrome)
prevention and screening Gestational diabetes (GD) 375
Stasis dermatitis 147 Graves’ disease 185
Steven-Johnson syndrome (SJS) 149 Gynecomastia 187
Sun poisoning (photodermatitis; sunburn) 127 Hirsutism 189
Systemic lupus erythematosus (SLE; lupus) 957 Hot flashes 191
Tinea capitis (ringworm) 149 Hydration (for athletes)
Tinea cruris (jock itch) 153 Hyperparathyroidism 193
Tinea infections (ringworm) 155 Hyperthyroidism 195
Tinea versicolor 159 Hypoglycemia, in diabetes 197
Tuberous sclerosis Hypopituitarism (pituitary insufficiency; underactive pituitary)
199
Vitiligo 163
Hypothyroidism 201
Warts (plantar warts; flat warts; genital warts) 165
Infertility 205
Klinefelter’s syndrome 207
Endocrinology
Menopause 209
Acromegaly 167
Metabolic syndrome 211
Addison’s disease (adrenal insufficiency) 169
Nutrition (for athletes)
Contents ix