Taylor's differential diagnosis manual: symptoms and signs in the time-limited encounter

465 Pages·2014·4.62 MB·English

by  Paulman

TAYLOR’S DIFFERENTIAL
DIAGNOSIS MANUAL
SYMPTOMS AND SIGNS
IN THE TIME-LIMITED ENCOUNTER
Third Edition
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TAYLOR’S DIFFERENTIAL
DIAGNOSIS MANUAL
SYMPTOMS AND SIGNS
IN THE TIME-LIMITED ENCOUNTER
Third Edition
Editors
Paul M. Paulman, MD
Professor/Predoctoral Director
Department of Family Medicine
University of Nebraska Medical Center
Omaha, Nebraska
Audrey A. Paulman, MD
Clinical Associate Professor
Department of Family Medicine
University of Nebraska Medical Center
Omaha, Nebraska
Jeffrey D. Harrison, MD
Program Director, Rural Residency Program
Department of Family Medicine
University of Nebraska Medical Center
Omaha, Nebraska
Laeth Nasir, MBBS
Professor and Chairman
Department of Family Medicine
Creighton University School of Medicine
Omaha, Nebraska
Kimberly Jarzynka, MD, FAAFP
Associate Program Director, Residency Program
Department of Family Medicine
University of Nebraska Medical Center
Omaha, Nebraska
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Executive Editor: Rebecca S. Gaertner
Senior Product Manager: Kristina Oberle
Developmental Editor: Red Act Group
Vendor Manager: Alicia Jackson
Manufacturing Manager: Ben Rivera/Beth Welsh
Marketing Manager: Kimberly Schonberger
Designer: Holly McLaughlin
Production Service: Integra Software Services Pvt. Ltd.
© 2014 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business
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1st edition, © 1999 Williams & Wilkins
2nd edition, © 2007 Lippincott Williams & Wilkins
All rights reserved. This book is protected by copyright. No part of this book may be reproduced in
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Printed in China
Library of Congress Cataloging-in-Publication Data
Taylor’s differential diagnosis manual : symptoms and signs in the time-limited encounter / editors,
Paul M. Paulman . . . [et al.]. — 3rd ed.
p. ; cm.
Differential diagnosis manual
Rev. ed. of: Taylor’s 10-minute diagnosis manual. 2nd ed. c2007.
Includes bibliographical references and index.
ISBN 978-1-4511-7367-3 (pbk.)
I. Paulman, Paul M., 1953- II. Taylor, Robert B. III. Taylor’s 10-minute diagnosis manual.
IV. Title: Differential diagnosis manual.
[DNLM: 1. Physical Examination—Handbooks. 2. Diagnosis, Differential—Handbooks.
3. Primary Health Care—Handbooks. 4. Signs and Symptoms—Handbooks. WB 39]
RC69
616.07'5—dc23
2013008379
Care has been taken to confirm the accuracy of the information presented and to describe generally
accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or
for any consequences from application of the information in this book and make no warranty, expressed or
implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application
of the information in a particular situation remains the professional responsibility of the practitioner.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and
dosage set forth in this text are in accordance with current recommendations and practice at the time of
publication. However, in view of ongoing research, changes in government regulations, and the constant
flow of information relating to drug therapy and drug reactions, the reader is urged to check the package
insert for each drug for any change in indications and dosage and for added warnings and precautions.
This is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in the publication have Food and Drug Administration
(FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care
provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
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10 9 8 7 6 5 4 3 2 1
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The editors of Taylor’s Diagnostic Manual would like to
dedicate this book to our chapter authors who worked hard to
provide up-to-date, clinically useful material for our readers.
We would also like to dedicate this book to Makenzie
Lind-Olson who was able to keep us all on task and assure
successful production of the manual.
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Contributors
Riad Z. Abdelkarim, MD, MHCM Alexis M. Atwater, MD
Instructor of Medicine Resident Physician
Department of Family Medicine Department of Family Medicine & Community
Johns Hopkins Institutions; Health
Senior Consultant Hospital of the University of Pennsylvania
Tawam Hospital in affiliation with Johns Hopkins Philadelphia, Pennsylvania
Medicine 17.7 Hypercalcemia
United Arab Emirates
14.4 Hypothyroidism Elisabeth L. Backer, MD
Clinical Associate Professor
Ahmed Salem Al Dhaheri, MBBS Department of Family Medicine
Dermatology Resident University of Nebraska Medical Center
Tawam Hospital in affiliation with Johns Hopkins Omaha, Nebraska
Medicine 16.3 Erythrocyte Sedimentation Rate and
United Arab Emirates C-Reactive Protein
13.8 Vesicular and Bullous Eruptions
Mandeep Bajwa, MD
Nawar Al Falasi, MD Resident Physician
Specialist Dermatology Department of Family Medicine
Medical Services Administration of Abu Dhabi Police University of Nebraska Medical Center
United Arab Emirates Omaha, Nebraska
13.5 Pruritis 16.7 Thrombocytopenia
Fatima Al Faresi, MD Mohammad Balatay, MM, MBBS
Associate Residency Program Director Izmir Hospital
Specialist Dermatologist Izmir, Turkey
Tawam Hospital in affiliation with Johns Hopkins 13.6 Rash Accompanied by Fever
Medicine
United Arab Emirates Nirmal Bastola, MBBS
13.4 Pigmentation Disorders Resident Physician
Department of Family Medicine
Naama Salem Al Kaabi, MBBS University of Nebraska Medical Center
Dermatology Resident Omaha, Nebraska
Department of Dermatology 9.11 Rectal Bleeding
Tawam Hospital in affiliation with Johns Hopkins
Medicine Sandra B. Baumberger, MD
United Arab Emirates Assistant Professor of Family Medicine
13.3 Maculopapular Rash Creighton University School of Medicine
Omaha, Nebraska
Khawla Rashid Alnuaimi, MBBS 7.12 Raynaud’s Disease
Dermatology Resident
Tawam Hospital in affiliation with Johns Hopkins Ryan Becker, MD
Medicine Resident Physician
United Arab Emirates Department of Family Medicine
13.1 Alopecia University of Nebraska Medical Center
Omaha, Nebraska
Mark D. Andrews, MD 4.4 Dementia
Associate Professor
Director of Procedural Training Michelle L. Benes, MD, FAAFP
Department of Family & Community Medicine Medical Director of Primary Care
Wake Forest School of Medicine Alegent Creighton Clinic
Winston-Salem, North Carolina Omaha, Nebraska
6.1 Halitosis 14.2 Gynecomastia
vi
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Contributors vii
Kevin K. Benson, MD Christopher W. Bunt, MD, FAAFP
Clinical Instructor Assistant Professor, Associate Residency Program
Department of Family Medicine Director, Pre-Doctoral Education Director
Mayo Clinic University of Nebraska Medical Center/Ehrling
Scottsdale, Arizona Bergquist Family Medicine Residency
12.9 Shoulder Pain Omaha, Nebraska
8 Respiratory Problems
Matt Bogard, MD K. John Burhan, MD
Resident Physician Faculty
Department of Family Medicine Department of Family Medicine
University of Nebraska Medical Center Creighton University Medical Center
Omaha, Nebraska Omaha, Nebraska
7.5 Cardiomegaly 7.9 Hypertension
Daniela Cardozo, MD
Deepa J. Borde, MD Family Medicine Resident
Assistant Professor University of Nebraska Medical Center
Division of Hospital Medicine Omaha, Nebraska
University of Florida
9.6 Epigastric Distress
Gainesville, Florida
10.6 Oliguria and Anuria Lisa Cassidy-Vu, MD
Assistant Residency Director
Assistant Professor
Joshua P. Brautigam, MD
Department of Family and Community Medicine
Resident Physician
Wake Forest School of Medicine
Department of Family Medicine
Winston-Salem, North Carolina
University of Nebraska Medical Center
6.8 Tinnitus
Omaha, Nebraska
17.8 Hyperkalemia Frank S. Celestino, MD
Professor and Director of Geriatrics Education
Department of Family & Community Health
Dorota Brilz, MD
Wake Forest School of Medicine
Faculty
Winston-Salem, North Carolina
Department of Clarkson Family Medicine
Physician 6 Ear, Nose, and Throat Problems
Department of Family Medicine Chia L. Chang, PharmD
The Nebraska Medical Center Clinical Assistant Professor
Omaha, Nebraska University of Nebraska Medical Center College
2.1 Anorexia of Pharmacy;
2.6 Fever Pharmacist Coordinator
Nebraska Medical Center
Michael J. Bryan, MD Omaha, Nebraska
Instructor of Family Medicine 7.2 Anticoagulation
Mayo Clinic Ku-Lang Chang, MBBCh
Scottsdale, Arizona Assistant Professor
12.2 Calf Pain Family Medicine
University of Florida
Jennifer J. Buescher, MD, MSPH Gainesville, Florida
Faculty Physician 10.2 Hematuria
Clarkson Family Medicine N. Corry Clinton, MD
Omaha, Nebraska Resident Physician
2.3 Edema Department of Family and Community Health
2.8 Hypersomnia University of Pennsylvania
2.9 Insomnia Philadelphia, Pennsylvania
2.10 Nausea and Vomiting 17.2 Aminotransferase Levels, Elevated
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viii Contributors
Curtiss B. Cook, MD Allison M. Cullan, MD
Professor of Medicine Assistant Professor
Division of Endocrinology Department of Family Medicine
Mayo Clinic College of Medicine Creighton University
Mayo Clinic Omaha, Nebraska
Scottsdale, Arizona 12 Musculoskeletal Problems
14.1 Diabetes Mellitus L. Gail Curtis, MPAS, PA-C
Lauri Costello, MD Associate Professor and Vice Chair
Family Physician Department of P.A. Studies
Assistant Professor Department of Family and Community
Introduction to Clinical Medicine Department Medicine-Clinical
Ross University Wake Forest Medical School
Dominica, West Indies Winston-Salem, North Carolina
18.2 Bone Cyst 6.4 Nosebleed
Ronnie Coutinho, MD Ophelia E. Dadzie, BSc (Hons), MBBS, MRCP
Consultant Dermatologist and
Associate Professor
Dermatopathologist
Ross University School of Medicine
Centre for Clinical Science and Technology
Dominica, West Indies
University College London Division of Medicine
18.3 Mediastinal Mass
(Whittington Campus)
Carlton J. Covey, MD, MEd London, United Kingdom
Assistant Clinical Professor 13.2 Erythema Multiforme
Uniformed Services University of Health Sciences
Mario P. DeMarco, MD, MPH
Bethesda, Maryland;
Assistant Professor of Clinical Medicine
Faculty
Department of Family Medicine and Community
Nellis Family Medicine Residency
Health
99th Medical Group
Perelman School of Medicine at the University of
Nellis Air Force Base
Pennsylvania
Las Vegas, Nevada
Philadelphia, Pennsylvania
8.6 Pneumothorax 17.7 Hypercalcemia
Peter F. Cronholm, MD, MSCE Michel B. Diab, MD
Assistant Professor Clinical Assistant Professor
Department of Family Medicine and Department of Community Health and Family
Community Health; Medicine
Affiliate Faculty University of Florida College of Medicine;
Graduate Program in Public Health Studies; Medical Director
Senior Fellow Eastside Community Practice
Center for Public Health Initiatives; Gainesville, Florida
Senior Scholar 10.3 Erectile Dysfunction
Leonard Davis Center for Healthcare Economics;
Kristy D. Edwards, MD
Associate
Assistant Professor
Firearm and Injury Center at Penn;
Department of Family Medicine
Associate
University of Nebraska
Philadelphia Collaborative Violence Prevention
Nebraska Medical Center;
Center;
Omaha, Nebraska
Affiliate
15.1 Lymphadenopathy, Generalized
Evelyn Jacobs Ortner-Unity Program in Family
15.2 Lymphadenopathy, Localized
Violence;
Senior Fellow Richard L. Engle, MD
Center for Health Behavior Research; Assistant Professor of Family Medicine
University of Pennsylvania Mayo Clinic College of Medicine;
Philadelphia, Pennsylvania Vice Chair
17.1 Alkaline Phosphatase, Elevated Department of Family Medicine
17.2 Aminotransferase Levels, Elevated Mayo Clinic
17.3 Antinuclear Antibody Titer, Elevated Scottsdale, Arizona
17.7 Hypercalcemia 12.7 Neck Pain
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Contributors ix
Bradley H. Evans, MD N. Benjamin Fredrick, MD
Senior Resident Associate Professor
Family Medicine Residency Department of Family and Community Medicine
Wake Forest School of Medicine Penn State Hershey College of Medicine
Winston-Salem, North Carolina Hershey, Pennsylvania
6.7 Stomatitis 5.1 Blurred Vision
Ashley J. Falk, MD 5.3 Diplopia
Assistant Professor Toby D. Free, MD
Department of Family Medicine Assistant Professor
University of Nebraska Medical Center Department of Family Medicine
Omaha, Nebraska University of Nebraska Medical Center;
15 Vascular and Lymphatic System Problems Medical Director
Bellevue Medical Center
Nathan Falk, MD, CAQSM
Omaha, Nebraska
Assistant Professor
Department of Family Medicine 4.6 Paresthesia and Dysesthesia
University of Nebraska Medical Center 14.6 Thyroid Enlargement/Goiter
Omaha, Nebraska; Richard Fruehling, MD, FAAFP
Chief
Associate Director Rural Training Track
Primary Care Sports Medicine
Department of Family Medicine
Offutt Air Force Base, Nebraska
University of Nebraska Medical Center
17 Laboratory Abnormalities: Blood Chemistry Omaha, Nebraska;
and Immunology St. Francis Medical Center
17.5 Elevated Creatinine Grand Island, Nebraska
17.8 Hyperkalemia 9 Gastrointestinal Problems
17.9 Hypokalemia 9.1 Abdominal Pain
Sandra B. Farland, RN, MD 9.3 Constipation
Clinical Instructor 9.5 Dysphagia
Family & Community Medicine Hassan Galadari, MD, FAAD
Wake Forest Baptist Health Assistant Professor of Dermatology
Winston-Salem, North Carolina Dermatology Residency Program Director
6.7 Stomatitis Faculty of Medicine and Health Science
Daniel S. Felix, MS United Arab Emirates University;
Behavioral Science Faculty Consultant Dermatologist
Department of Family Medicine Tawam Hospital in affiliation with Johns Hopkins
Indiana University School of Medicine Medicine
Indianapolis, Indiana United Arab Emirates
3.2 Bipolar Disorder 13 Dermatologic Problems
13.1 Alopecia
David B. Feller, MD
13.8 Vesicular and Bullous Eruptions
Associate Professor
Department of Community Health & Family Reshma Gandhi, MBBS, MPH
Medicine Resident Physician
University of Florida Department of Family Medicine
College of Medicine Creighton University School of Medicine
Gainesville, Florida Omaha, Nebraska
10.7 Priapism 14.3 Hirsutism
Enrique S. Fernandez, MD, MSBD, FAAFP Kathryn K. Garner, MD
Senior Associate Dean for Clinical Sciences Resident Physician
Professor of Family Medicine Family Medicine
Ross University School of Medicine Offutt Air Force Base Residency Program
Dominica, West Indies University of Nebraska Medial Center
18 Diagnostic Imaging Abnormalities Omaha, Nebraska
18.3 Mediastinal Mass 4.8 Stroke
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x Contributors
Stephen L. George, MD Michael J. Gravett, MD
Resident Physician Resident Physician
Department of Family Medicine Ehrling Bergquist Family Medicine Residency
University of Nebraska Medical Center Offutt Air Force Base, Nebraska;
Omaha, Nebraska Department of Family Medicine
7.11 Pericardial Friction Rub University of Nebraska Medical Center
Omaha, Nebraska
Umar Ghaffar, MD, MBBS 8.2 Cyanosis
Clinical Assistant Professor
University of Florida College of Medicine Michael L. Grover, DO
Gainesville, Florida Assistant Professor
Vice Chair of Research
10.5 Nocturia
Department of Family Medicine
Nasreen Ghazi, MD Mayo Clinic
Assistant Professor Scottsdale, Arizona
Department of Family Medicine & Community 12.4 Knee Pain
Health John D. Hallgren, MD
University of Pennsylvania Health System
55th Medical Group
Philadelphia, Pennsylvania
Offutt Air Force Base, Nebraska;
17.1 Alkaline Phosphatase, Elevated Adjunct Assistant Professor
Department of Family Medicine
Mark D. Goodman, MD
University of Nebraska Medical Center
Associate Professor of Family Medicine
Omaha, Nebraska
Creighton University School of Medicine
4.5 Memory Impairment
Omaha, Nebraska
7.4 Bradycardia Iriana Hammel, MD, FACP
Associate Professor
Aaron Goodrich, MD Internal Medicine & Geriatrics
Resident Physician Ross University School of Medicine
Family Medicine Dominica, West Indies
University of Nebraska Medical Center 18.4 Osteopenia
Omaha, Nebraska
Thomas J. Hansen, MD
17.5 Elevated Creatinine
Associate Dean for Medical Education
Mark D. Goodwin, MD, FAAFP Creighton University School of Medicine;
Assistant Program Director Associate Professor
Clarkson Family Practice Residency Department of Family Medicine
Omaha, Nebraska Creighton University
Omaha, Nebraska
2.7 Headaches
2.12 Syncope 7.1 Atypical Chest Pain
M. Jawad Hashim, MD
David K. Gordon II, MD Assistant Professor
Family Physician
Department of Family Medicine
Flight Surgeon
Faculty of Medicine and Health Sciences
Pentagon Flight Medicine Clinic
UAE University
Arlington, Virginia
United Arab Emirates
8.7 Shortness of Breath
14.7 Thyroid Nodule
Health A. Grames, PhD, LMFT Kenisha R. Heath, MD
Assistant Professor/Program Director Chief of Medical Staff
Marriage and Family Therapy Program Beale Air Force Base, California;
Department of Child and Family Studies Uniformed Services University of the Health
The University of Southern Mississippi Sciences (USUHS)
Hattiesburg, Mississippi Bethesda, Maryland
3.4 Suicide Risk 8.4 Pleural Effusion
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