Cover
Title Page
Copyright Page
Dedication
Contents
Acknowledgments
Editors
Contributors
Introduction
Internal Medicine
Cardiology
1-1 Chest Pain
1-2 Ischemic Chest Pain
1-3 Post-MI Complications
1-4 Non-Ischemic Chest Pain (Cardiac)
1-5 Non-Ischemic Chest Pain (Pulmonary)
1-6 Non-Ischemic Chest Pain (GI)
1-7 Non-Ischemic Chest Pain (Musculoskeletal)
1-8 Congestive Heart Failure
1-9 Acute Decompensated Heart Failure
1-10 Cardiogenic Shock
1-11 Cardiomyopathy
1-12 Dilated Cardiomyopathy
1-13 Restrictive Cardiomyopathy
1-14 Hypertrophic Cardiomyopathy
1-15 ACLS Protocols: Adult Cardiac Arrest (VF/pVT/Asystole/PEA), Adult Bradyarrhythmia, and Adult Tachyarrhythmia with a Pulse
1-16 Bradyarrhythmias
1-17 Supraventricular Tachyarrhythmias
1-18 Ventricular Tachyarrhythmias
1-19 Antiarrhythmic Drugs
1-20 Pericardial Disease
1-21 Valvulopathies
1-22 Syncope
1-23 Syncope (Cardiac)
1-24 Syncope (Non-Cardiac)
1-25 Hypertension
1-26 Hyperlipidemia
Gastroenterology
2-1 Dysphagia
2-2 Diarrhea
2-3 Chronic Inflammatory Diarrhea
2-4 Chronic Non-Inflammatory Diarrhea
2-5 Jaundice
2-6 Elevated Transaminases
2-7 Liver Cirrhosis and its Sequelae
2-8 Abdominal Pain
2-9 Melena
2-10 Hematochezia
2-11 Vitamin and Mineral Deficiencies
Hematology-Oncology
3-1 Anemia
3-2 Microcytic Anemia
3-3 Normocytic Non-Hemolytic Anemia
3-4 Normocytic Hemolytic Anemia
3-5 Macrocytic Anemia
3-6 Bleeding Disorders
3-7 Coagulation Factor Disorders
3-8 Platelet Disorders
3-9 Hypercoagulability
3-10 Acute Deep Vein Thrombosis
3-11 Anticoagulation
3-12 Eosinophilia, Neutropenia, Transplant
3-13 Transfusion Reactions
3-14 Lymphoma
3-15 Leukemia
3-16 Plasma Cell Dyscrasias
3-17 Mediastinal Masses
3-18 Commonly Tested Cancers
3-19 Oncologic Emergencies
Endocrinology
4-1 Hypoglycemia
4-2 Hyperglycemia
4-3 Treatment for Type 2 Diabetes
4-4 Hypothyroidism
4-5 Hyperthyroidism
4-6 Thyroid Malignancies
4-7 Bone Mineral Disorders
4-8 Hypercalcemia
4-9 Hypocalcemia
4-10 Adrenal Insufficiency
4-11 Cushingโs Syndrome
4-12 Etiologies of Secondary Hypertension
Infectious Diseases
5-1 Respiratory Tract Infections
5-2 Pneumonia
5-3 Subacute Pulmonary Infections
5-4 Tongue Lesions
5-5 Throat Pain
5-6 Ear Pain
5-7 Sinusitis
5-8 CNS Infection in an Immunocompetent Host
5-9 CNS Infection in an Immunocompromised Host
5-10 Endocarditis
5-11 Cystitis
5-12 Acute Inflammatory Diarrhea
5-13 Acute Non-Inflammatory Diarrhea
5-14 Roundworm and Tapeworm Infections
5-15 Zoonoses
5-16 Arthropod-Borne Diseases
5-17 Fever in a Returning Traveler
5-18 HIV-AIDS
Nephrology
6-1 Hyponatremia
Diagnosis starts by
If serumosmolality is normal or ห, this indicates that
If isotonic, thisis likely from
If hypertonic
Serum sodium correction for glucose
For every 100 of glucose over 100
If the sodium fails to correct,then
treatment of hyponatremia
1. If euvolemic or hypervolemic
2. If hypovolemic
use hypertonic saline
mayoccur if hyponatremia is too rapidly corrected
To avoid this,
The majority of hyponatremia is
When symptomatic, it may present with
ISOTONIC HYPONATREMIA(PSEUDOHYPONATREMIA)
Management:
HYF:
HYPERTONIC HYPONATREMIA:HYPERGLYCEMIA
Management:
Complications:
HYPERTONIC HYPONATREMIA:EXOGENOUS SOLUTES
Management:
HYF:
6-2 Hypotonic Hyponatremia
PRIMARY (PSYCHOGENIC) POLYDIPSIA
Management:
HYF:
TRUE HYPOVOLEMIA
Management:
Complications:
If hyponatremia persists despite IV fluids
HEART FAILURE, CIRRHOSIS
On exam
Management:
Complications:
DIURETIC-INDUCED HYPONATREMIA
Labs
Management:
Complications:
HYF:
SYNDROME OF INAPPROPRIATEANTIDIURETIC HORMONE SECRETION(SIADH)
May be associated with
labs
Usually the following labs are seen:
Management:
Complications:
DECREASED SOLUTE INTAKE
HYF:
Classically occurs in
May also occur in
Management:
Complications:
6-3 Hypernatremia
6-4 Hypokalemia
6-5 Hyperkalemia
6-6 Acid-Base Disorders
6-7 Acidosis
6-8 Respiratory Acidosis
6-9 Anion Gap Metabolic Acidosis
6-10 Non-Anion Gap Metabolic Acidosis
6-11 Metabolic Alkalosis
6-12 Acute Kidney Injury
6-13 Prerenal Acute Kidney Injury
6-14 Intrinsic Acute Kidney Injury
6-15 Post-Renal Acute Kidney Injury
6-16 Glomerular Disease
6-17 Nephritic Syndrome
6-18 Nephrotic Syndrome
6-19 Dysuria in Men
6-20 Dysuria in Women
6-21 Renal Cysts
Pulmonology
7-1 Dyspnea
7-2 Acute Dyspnea
7-3 Acute-on-Chronic Dyspnea
7-4 Chronic Dyspnea
7-5 Wheezing
7-6 Stridor
7-7 Hypoxemia
7-8 V/Q Mismatch: Shunt
7-9 V/Q Mismatch: Other Causes
7-10 Pulmonary Hypertension
7-11 Approach to Pulmonary Function Tests
7-12 Pulmonary Function Tests
7-13 Acute Cough
7-14 Chronic Cough
7-15 Hemoptysis
7-16 Pulmonary Nodules
7-17 Pulmonary Vascular Diseases
7-18 Pleural Disease
7-19 Cavitary Pulmonary Lesion
Rheumatology
8-1 Polyarticular Joint Pain
8-2 Chronic Inflammatory Polyarticular Joint Pain
8-3 Rheumatologic Serologies
8-4 Petechiae
8-5 Additional Rheumologic Diagnoses
8-6 Progressive Generalized Weakness
Dermatology
9-1 Hyperpigmented Macules
9-2 Hypopigmented Lesions
9-3 Papular Skin Lesions
9-4 Flesh-Toned Papular Lesions
9-5 Cystic Skin Lesions
9-6 Vascular Malformations
9-7 Erythroderma
9-8 Generalized Erythema
9-9 Localized Erythema
9-10 Pediatric Rashes
9-11 Vesicular Lesions
9-12 Bullous Lesions
9-13 Pustular Lesions
9-14 Lichenified Plaque Lesions
9-15 Scaling and Crusted Lesions
9-16 Ulcerous Lesions
9-17 Nodular Skin Lesions
9-18 Skin Necrosis
9-19 Genital Lesions
9-20 Scalp Pathologies
9-21 Oral Lesions
9-22 Pruritis
9-23 Nail Pathologies
Surgery
Trauma
10-1 Trauma ABCs
10-2 Head Trauma
10-3 Shock
10-4 Chest Trauma
10-5 Abdominal Trauma
10-6 Pelvic Injury
10-7 Neck Trauma
10-8 Extremity Trauma
10-9 Burns
10-10 Bites and Stings
10-11 Toxicology
10-12 Major Drug Reactions
10-13 Spinal Cord Trauma
Pre- & Post-Op Care
11-1 Post-Op Abdominal Distention
11-2 Peri-Op Chest Pain
11-3 Post-Op Fever
11-4 Post-Op Altered Mental Status
Gastrointestinal
12-1 Esophagus
12-2 Stomach
12-3 Small Bowel
12-4 Colorectal
12-5 Hepatic Disease
12-6 Biliary Disease
12-7 Pancreas
12-8 Hernia
Endocrine
13-1 Pancreatic Neuroendocrine Tumors
13-2 Adrenals
13-3 Parathyroids
Urology
14-1 Lower Urinary Tract Symptoms
14-2 Lower Urinary Tract Symptoms (Irritative)
14-3 Lower Urinary Tract Symptoms (Obstructive)
14-4 Retention
14-5 Incontinence
14-6 Kidney Stone Types
14-7 Kidney Stone Management
14-8 Urologic Emergencies
14-9 Male GU Cancers
14-10 Hematuria
14-11 Erectile Dysfunction
OtolaryngologyโHead and Neck
15-1 ENT: Neck Masses โ Lymphadenopathy
15-2 ENT: Other Masses
15-3 ENT: Emergencies
Orthopedic
16-1 Adult Fractures
16-2 Knee Injuries
16-3 Ankle Injuries
16-4 Hand Injuries
16-5 Foot Pain
16-6 Emergencies
16-7 Adult Bone Lesions
16-8 Neurovascular Injuries
Neurosurgery
17-1 Spinal Disorders
17-2 Intracranial Hemorrhage
17-3 Intracranial Tumors
17-4 Pituitary Disorders
17-5 Vascular Occlusive Diseases
Vascular
18-1 Aortic Disease
18-2 Peripheral Vascular Disease
Breast
19-1 Malignant Breast Masses
19-2 Benign Breast Masses
Ophthalmology
20-1 Adult Ophthalmology
20-2 Eye Trauma
Transplant
21-1 Transplant Rejection
Anesthesia
22-1 Anesthesia
Pediatrics
23-1 Early Childhood Well-Child Check
23-2 Middle Childhood and Adolescent Well-Child Check
23-3 Term and Preterm Infant Care
23-4 Birth Injuries
23-5 Abnormal Newborn Screen
23-6 Neonatal Skin Lesions
23-7 Birth Defects: Part 1
23-8 Birth Defects: Part 2
23-9 Birth Defects: Part 3
23-10 Neonatal Unconjugated Hyperbilirubinemia
23-11 Neonatal Conjugated Hyperbilirubinemia
23-12 Neonatal Eye Discharge
23-13 Neonatal Respiratory Distress
23-14 Neonatal Heart Defects
23-15 Neonatal Emesis
23-16 Genetic Disorders: Inborn Errors of Metabolism
23-17 Genetic Disorders: Aneuploidy
23-18 TORCH Infections
23-19 Childhood Presentations
23-20 Febrile Child: Part 1
23-21 Febrile Child: Part 2
23-22 Febrile Child: Part 3
23-23 Faltering Growth
23-24 Abnormal Head Circumference
23-25 Bloody Stools
23-26 Childhood Respiratory Distress
23-27 Childhood Murmurs
23-28 Immunologic Disorders: Part 1
23-29 Immunologic Disorders: Part 2
23-30 Immunologic Disorders: Part 3
23-31 Pediatric Solid Tumors
23-32 Pediatric Liquid Tumors
23-33 Pediatric Ophthalmology
23-34 Abnormal Tone
23-35 Progressive Muscle Weakness
23-36 Abnormal Movements: Seizures
23-37 Pediatric Urinary Complaints
23-38 Penile Abnormality
23-39 Testicular Abnormality
23-40 Precocious Puberty
23-41 Delayed Puberty
23-42 Acute Leg Pain/Limp
23-43 Chronic Leg Pain/Limp
23-44 Pediatric Upper Extremity Fractures
23-45 Pediatric Lower Extremity Fractures
23-46 Non-Accidental Trauma
Obstetrics
24-1 Vaginal Bleeding in Pregnancy
24-2 Recurrent Pregnancy Loss
24-3 Hypertension in Pregnancy
24-4 Diabetes in Pregnancy
24-5 Anemia in Pregnancy
24-6 Abnormal LFTs in Pregnancy
24-7 Placental Abnormalities
24-8 Intrauterine Growth Restriction
24-9 Macrosomia
24-10 Trophoblastic Disease
24-11 Amniotic Fluid Abnormalities
24-12 Preterm Labor
24-13 Fetal Heart Tracing
24-14 Onset of Labor
24-15 Stages of Labor
24-16 Postpartum Fever
24-17 Postpartum Hemorrhage
24-18 Postpartum Mood Changes
Gynecology
25-1 Acute Pelvic Pain
25-2 Dyspareunia
25-3 Vulvar/Vaginal Cancers
25-4 Vulvar/Vaginal Infections and Inflammation
25-5 Vulvar Dystrophies
25-6 Genital Ulcers
25-7 Abnormal Vaginal Discharge
25-8 Incontinence
25-9 Primary Amenorrhea
25-10 Secondary Amenorrhea
25-11 Dysmenorrhea
25-12 Abnormal Uterine Bleeding
25-13 Adnexal Mass
25-14 Ovarian Cancer
25-15 Cervical Pathology
Neurology
26-1 Weakness/Sensory Loss
26-2 Myopathy/Neuromuscular Junction
26-3 Polyneuropathy
26-4 Myelopathy
26-5 Stroke Syndrome
26-6 Stroke Management
26-7 Coma
26-8 Altered Mental Status
26-9 Movement Disorders and Dementia
26-10 Dementia
26-11 Neurodegenerative Movement Disorders
26-12 Hyperkinetic Disorders
26-13 Tremor
26-14 Gait
26-15 Secondary Headache
26-16 Brain Tumors
26-17 Primary Headache Disorders
26-18 Dizziness
26-19 Vertigo
26-20 Seizures
26-21 Visual Complaints
26-22 Diplopia
26-23 Acute Monocular Vision Loss
26-24 Visual Field Defects
26-25 Chronic Vision Loss
Psychiatry
27-1 Diagnosis of Psychiatric Concerns
27-2 Psychology, Psychodynamic & Behavioral Factors
27-3 Personality Disorders
27-4 Psychotic Disorders
27-5 Antipsychotics
27-6 Psychotropic-Induced Movement Disorders
27-7 Mood Disorders
27-8 Antidepressants
27-9 Mood Stabilizers
27-10 Anxiety Disorders
27-11 Anxiolytics
27-12 Substance Use Disorders
27-13 Somatoform, Factitious & Related Disorders
27-14 Eating Disorders
27-15 Sleep Disorders
27-16 Sexual & Gender Identity Disorders
27-17 Self-Harm/Suicide
27-18 Pediatric Psychiatry
27-19 Pediatric Psychiatry Presentations
Biostatistics, Epidemiology, and Medical Ethics
28-1 Biostatistics and Epidemiology
28-2 Disease Prevention
28-3 Vaccinations
28-4 Immunization Schedules
28-5 Screening Recommendations
28-6 Medical Ethics
Abbreviations
Image and Table Acknowledgments
Index