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Inaeyanies
MANUAL
Pavan Bhat Department of Medicine
Alexandra Dreier | Washington Unvorsty
Mark Gdowski tiool of Medicine
Rajeev Ramgopal St Louis, Missouri
Dominique Williams
LIPPINCOTT
@®.Wolters Kluwer, SCHOOL OF MEDICINE
Comrighted tateriat
van Bair Rbeces § Gamer
Prades Deira aor Kina ee
Edioricl Coon Kate Sharp
‘Marking Mana Sean Kick
Prion Projet Mere Dai Saab,
Dirage Comknator: Fetes Ml
‘Manafecering Coon nse Beth Wel
‘Pupros Vener Nate Serie, In
Suh sin
‘Cepytght © 2016, 2014, 2010, 2007, 2004, 201 by Deparment of Modi, Rishingon
UUnivenaty School of Medicine
Allsgat rere. Th book promt by cpyrght No pat of thi bok maybe spreduced or
trance in any fore o by ty means inching ae phomcopes of esnnedin cre econ
copies oruilined by any informatie sorage and reser sya wee wren psi ror
the eopright owner. exp or be qapation embeded in cial ack and reves. Maer
sppeanag in thinbosk prepared by incidual a part hi oficial davies ow US. goverment
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Perinionscom,o aout wea wen predacts ad ae)
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Prine in China
‘Mikokbndog
ISBN: 975-1-1698.900441
ISBN; 149890240
Spiel nding
ISBN: 971068.
ISBN; 14963-38510
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Contents
wi
vi
ox
Inpatient Care in Internal Medicine 1
Mark Thoelke, Ere Johnson, and Acam Moyer
(enecal Came ofthe Hospitalized Patent 1
1
\Venous Thromboembolism Propaylan's 1
Decubiue Ulcers 2
Other Precautions. 3
Acute Inpatient Care [ky
Chest Pain
Dyspnea_4
Aeule Hypertensive Episodes 5
Fever 5
Pain 6
Altered Mental Status &
Insomnia and Anxiety 10
Sr 12
‘Preoperative Cardiac Evaluation 12
Perioperative Anticoagulation and Antithrombotic Management | 17
Tie 19
Hypertension 19
Chronic Renal Insufficiency and ESRD 30
‘Acute Renal Failure 31
Nutrition Support 33
Dominic Reeds and Peter H. Yen
Nutrient Requirements 32
[Assessment of Nutritional Status 45
Aeteecing the Severely Mainourished Pationt 54
BY Preventive Cardiology 58
Angela L Brown, Daniel §, Kim, Clare E, Moynihan, and Anne C. Golderg
Hypertension 68
Dyslipidemia 76
Ischemic Heart Disease 89
Mare A Sintok and Philp M. Barger
Coronary Heart Disease and Stable Angina 99
‘eite Coronary Syndromes, Unstable Angina,
Non-ST-Segment Elevation Myocardial Intar
‘ST-Segment Elevation Myocardial Infarction 118
Heart Failure and Cardiomyopathy 140
‘Shane J. LaRue and Justin M. Vader
140
General Principles 140
Diagnosis 142
‘Treatment of Heart Failure 144
‘Special Considerations 154
‘Acute Heart Failure and Cardiogenic Pulmonary Edema 154
156
Dilated Cardiomyopathy 156
Heart Failure with Preserved Ejection Fraction 157
Hypertrophic Cardiomyopathy 158
Cardi 1
Pericardial and Valvular Heart Disease 165
a
Jacob S. Goldstein and Brien R, Lindman
Mitral Regurgitation 175
Dortic Regurgitation 179
Prosthetic Heart Valves 183,
my Cardiac Arrhythmias 185
Daniel H. Cooper and Mitchell N. Faddis
Tachyarrhythmias
Supraventricular Tachyaritythmias 188
‘Atrial Fibillation 191
212
Critical ¢. 225
Catherine Chen, Viadimir Despotovic, and Marin H. Kallet
Obstructive Lung Disease 249
Jeffrey J. Atkinson, Junfang Jiao, and Mario Castro
Chronic Obstructive Pulmonary Disease 249
Asthma 262
Pulmonary Diseases 279
‘Murali Chakinala, Tonya D. Russell, Patrick Aguilar, Adrian Shitren,
‘Andrea Loiselle, Alexander Chen, All Sadoughi, Alen Burks, Praveen
henna, Brad Bemiss, and Daniel B, Rosenbluth
Pulmonary Hypertension 279
Obstructive Sleep Apnea-Hypopnea Syndrome 290
Interstitial Lung Disease 295
Solitary Pulmonary Nodule 304
Allergy and Immunology 332
‘Sean Brady, Juntang Jiao, Jenniter M. Monroy, and Andrew L. Kau
Immunodeficiency 350
Fluid and Electrolyte Management 354
Anubha Mutneja, Steven Cheng, and Judy L. Jang
Fluid Management and
in Volume Status
‘The Ewvolemic Patient 354
‘The Hypovolemic Patient 355
Try 354
Hypokalemia 967
Hyperkalemia 369
Cy 371
Hypercalcemia 371
Hypocalcemia 374
316
Hyperphorphatemia 377
Hypophosphatemia 378
379
Hypermagnesemia 379
Hypomagnesemia 380
381
Metabolic Acidosis 384
Metabolic Alkalosis 386
Respiratory Acidosis 987
(Respiratory Alkalosis 308
Renal Diseases 389
Rajesh Rajan, Seth Goicberg and Daniel W. Coyne
Evaluation of the Patient with Renal Disease 369
Acute Kidney Injury 391
Miia Chong Dare 08
Focal Segmental Glomerulasclerosis 399
Deposition Disorders/Dysproteinemias 400
au
Approach to Dialysis 411
Hemodialysis 412
Peritoneal Dialysis 413
Transplantation 415
Treatment of Infectious Diseases 416
Allison L. Nazinitsky, Stephen Y. Liang, and Nigar Kirmani
Principles of Therapy 418
[oT 417
Closteidium difficile infection 417
Tetanus 418
oP 419
‘Staphylococcal Toxic Shock Syndrome 420
‘Streptococcal Toxic Shock Syndrome 420
Sia ee 420
Purulent Skin and Soft Tissue Infections
(Furuncles, Carbuncles. and Abscesses) 421
‘Nonpurulent Skin and Soft Tissue Infections,
(Erysipelas and Cellulitis) 421
Erysipelas 421
Cellulitis_421
Complicated Skin and Soft Tissue Infections 422
Infected Decubitus Ulcers and Limb-Threatening Diabetic Foot Ulcers 422
Necrotizing Fasciitis 422
Brain Abscess 428
Neurocysticercosis 429
Cardiovascular Infections [7x]
Infective Endocarditis 428
Myocarditis 434
Peticanditis 435
436
Pharyngitis 436
Epigtottitis 437
Rhinosinusitis 437
Influenza Virus atc
Lower I Ernie 439
cramer danind Pomme 440
Lang Abscess 441
Tuberculosis 442
ERTIMn eee 445
Perkonitis 445
Hepatobiliary Infections 446
EAs 447
Asymptomatic bacteria 448
Cystitis 448
Genitourinary Infections in Men 451
Cathoter-Associated Urinary Tract Infaction 451
Pyelonephiitis 452
452
Candidisie 453
Cyptococcosis 453
Histoplasmosis 457
stonyeesis. 437
Coccidiidonycosis 457
Aspertilesis 458
Sporotrichosis 458
Mucomycosis 459
Nocardicsis 459
Actinomyeosis 480
Avypical(Nontuberculous) Mycobacteria 460
Borne Infection:
Lyme Borreliosis (Lyme Disease) 461
Rocky Mountain Spotted Fever 461
Enulichiosis and Anaplasmosis 462
‘Tularemia 463
‘Bahesiosis 463
[tices 464
‘Multidrug-Resistant Gram-Negative Infections 471
an
Anthrax 472
Smalipox 473
Plague 473
Botulism 474
Hemorrhagic Fever 475
Chikungunya 477
