Patient Encounters: The internal medicine work-up
Brian T. Garibaldi
Lippincott Williams & Wilkins, 2010 - Medical - 445 pages
Patient Encounters: The Internal Medicine Work-Up provides practical, how-to guidance for medical students approaching patients for the first time in a new internal medicine rotation. This pocket-sized book covers most common conditions encountered in the internal medicine clerkship and focuses on the important stages or timelines in the patient encounter. The book identifies pertinent positives, negatives, and alert conditions in the history and physical examination; provides guidance on working up the patient, including appropriate diagnostic studies and procedures; explains the rationale behind clinical decision making; and provides diagnosis-based, evidence-based, high-yield, peer-reviewed journal references.
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Acute Pancreatitis 265
Acute Gastrointestinal Bleeding 301
Metabolic Acidosis 331
Preparing the Writeup and Presenting
Systolic Heart Failure 37
Pulmonary Hypertension and Right
Hypertensive Crisis 67
Pulmonary Embolism 153
Valvular Heart Disease 110
abdominal abnormalities ACUTE MANAGEMENT acute renal failure alcohol anemia anion gap antibiotics aortic arrhythmias artery atrial ﬁbrillation atrial ﬂutter bleeding blood pressure breath cardiac cardiovascular cells chronic CLINICAL PEARL coronary creatinine deﬁciency deﬁned diabetes diagnosis DISPOSITION Discharge Goals dysfunction dyspnea edema elevated endocarditis etiology evaluation exam EXTENDED IN-HOSPITAL MANAGEMENT ﬁndings ﬁrst ﬂow ﬂuid glucose heart disease heart failure hemodynamic hemoptysis hepatitis hospital hyperglycemia hyperkalemia hypertension hyponatremia hypotension hypoxemia imaging important increased infection Initial Assessment insulin intensive care unit intravenous ischemia Key Diagnostic Labs kidney Labs and Tests lung MANAGEMENT AND WORKUP medications meningitis mental status metabolic acidosis mitral myocardial neurologic normal obstruction outpatient OVERVIEW Deﬁnition oxygen Pathophysiology PATIENT ENCOUNTER Physical Examination platelets pleural effusion pneumonia present pulmonary embolism pulmonary hypertension renal failure respiratory failure result sepsis serum signiﬁcant signs speciﬁc symptoms syncope syndrome systolic tachycardia therapy tion treatment underlying urine valve valvular venous ventricular volume