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Consultation in Internal Medicine

Author: John T. Harrington
Published: September 1996
Publisher: Mosby, Incorporated
ISBN: 0815141645
Number of Pages: 606
 
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Consultation in Internal Medicine

This practical reference covers the topics internists are likely to encounter when treating hospitalized adult patients. It discusses current topics such as fever in HIV-infected patients, fever of unknown origin in the elderly, anticoagulation and cardiac consultation in patients undergoing non-cardiac surgery and active tuberculosis. Organized by body system for rapid access. This is a spiral-bound, pocket-sized reference guideaddressing common topics in hospital and outpatient medicine. Thissecond edition updates the original 1990 text and contains several newchapters. The purpose is to review issues in medicine for whichinternists are frequently asked to consult. The book is written toprovide a concise, practical bedside approach to these issues. Thetopics addressed are indeed commonly encountered and I believe this isa worthwhile objective well met by the authors. The book is writtenmainly for internal medicine residents, but medical students, surgicalresidents, and even young practicing primary care physicians will findthis a useful resource. The contributors are very credible,representing medical subspecialties mostly from academic hospitals anduniversities in the United States, including Tufts, Harvard, and BostonUniversity. The book contains black-and-white illustrations andtables. The references have been updated since the 1990 edition andare pertinent and appropriate. The book is organized into seven majorparts, each of which represents a medical subspecialty includingcardiology, infectious diseases, gastrointestinal diseases, renal,pulmonary, hematologic disease, and chronic diseases. Each sectionthen addresses several common topics for which the specialists arefrequently asked to consult in the inpatient setting. This is a wellwritten, easily readable, portable book which I believe medicalresidents and students alike will find handy to carry with them onrounds. Harrington, John T., MD (Tufts Univ)The contributors represent the specialties of internal medicine, oncology, gastroenterology, critical care, cardiology, infectious diseases, rheumatology, electrophysiology and pacing, radiology, physiology, dermatology, and hematology/oncology. Most come from U.S. universities and academic hospitals. Institutions prominently represented include Tufts, Harvard, Penn State, Boston Univ, Stanford, Albany Medical Coll, and Beth-Israel Medical Center.

Table of Contents
Pt. 1 Cardiovascular Disease 1
1 Syncope 1
2 Cardiac Consultation in Patients Undergoing Noncardiac Surgery 13
3 Ventricular Arrhythmias 27
4 The Systolic Murmur 43
5 Anticoagulation in Cardiac Disorders 52
6 Management of Congestive Heart Failure 57
7 Management of Atrial Fibrillation 80
Pt. 2 Infectious Disease 93
8 Fever and the Hospitalized Patient 93
9 Assessing Fever in the HIV-Infected Patient 103
10 Complicated Urinary Tract Infections: Therapeutic Concepts 109
11 Nosocomial Pneumonia 115
12 Fever of Unknown Origin in the Elderly 123
13 Fever in the Leukopenic Cancer Patient 127
14 New Pathogens 135
15 Infections in Diabetics 139
16 Medical and Surgical Indications for Systemic Antimicrobial Prophylaxis 148
Pt. 3 Gastrointestinal Disease 167
17 Dysphagia 167
18 Chronic Abdominal Pain 175
19 Upper Gastrointestinal Bleeding 181
20 Recurrent Lower Gastrointestinal Bleeding 192
21 Acute Diarrhea 197
22 Chronic Diarrhea 204
23 Elevated Transaminases 214
24 Clinical Approach to Jaundice 222
25 Ascites 230
Pt. 4 Renal Disease 237
26 Hyponatremia and Hypernatremia 237
27 Hypokalemia and Hyperkalemia 252
28 Acid-Base Disorders 268
29 Diagnosis of Renal Insufficiency 286
30 Management of Renal Insufficiency 304
31 Renal Stones 315
32 Recurrent Urinary Tract Infections 332
Pt. 5 Pulmonary Disease 339
33 Management of Asthma 339
34 The Solitary Pulmonary Nodule 349
35 Care of the Mechanically Ventilated Patient 359
36 Recurrent Pulmonary Infections 372
37 Diagnosis and Management of Active Tuberculosis 385
38 Advanced Chronic Obstructive Pulmonary Disease 402
39 Perioperative Evaluation of Pulmonary Risk 414
Pt. 6 Hematologic Disease and Cancer 429
40 Anemia 429
41 An Approach to the Bleeding Patient 449
42 Leukocytosis 465
43 Lymphadenopathy 478
44 Cancer Screening 489
45 Adjuvant Treatment of Cancer 507
46 Pigmented Skin Lesions 516
47 AIDS-Related Cancer 529
48 Splenomegaly 537
Pt. 7 Chronic Disease 553
49 The Patient with Pain 553
50 Diabetes 563
51 Hypertension 577
52 Evaluation of a Patient with Polyarthritis 588
Index 597

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Consultation in Internal Medicine





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