Preface | p. xvii |
Acknowledgments | p. xix |
How to Contribute | p. xxi |
Guide for Wards Success | p. 1 |
Introduction | p. 2 |
The Team | p. 2 |
A Day on the Wards | p. 6 |
The Admission | p. 10 |
Key Notes and Orders | p. 12 |
The Oral Presentation | p. 21 |
Daily Ward Activities | p. 24 |
Tips for Wards Survival | p. 27 |
Difficult Situations | p. 32 |
Your Advantages | p. 38 |
Getting Off to a Good Start | p. 39 |
Practical Information for All Clerkships | p. 45 |
Reading Key Studies | p. 46 |
Fluids and Electrolytes | p. 47 |
Acid-Base Calculations | p. 56 |
Sliding-Scale Insulin | p. 59 |
Patient Emergencies | p. 59 |
Appendix | p. 66 |
Top-Rated Books | p. 69 |
Electronic Resources | p. 81 |
Internal Medicine | p. 85 |
Ward Tips | p. 86 |
Who Are the Players? | p. 86 |
How Is the Day Set Up? | p. 87 |
What Do I Do During Prerounds? | p. 87 |
How Do I Do Well in This Rotation? | p. 87 |
Presentations | p. 89 |
Key Notes | p. 89 |
Key Procedures | p. 90 |
What Do I Carry in My Pockets? | p. 90 |
High-Yield Topics | p. 90 |
Rotation Objectives | p. 90 |
Cardiology | p. 93 |
Angina Pectoris | p. 93 |
Unstable Angina | p. 94 |
Acute Myocardial Infarction | p. 95 |
Atrial Fibrillation | p. 98 |
Congestive Heart Failure | p. 100 |
Hypertension | p. 103 |
Infective Endocarditis | p. 104 |
Syncope | p. 106 |
Valvular Heart Disease | p. 107 |
Pulmonology | p. 110 |
Chronic Obstructive Pulmonary Disease | p. 110 |
Bronchogenic Carcinoma | p. 112 |
Chronic Cough | p. 115 |
Pleural Effusion | p. 115 |
Pneumonia | p. 117 |
Pneumothorax | p. 120 |
Pulmonary Embolism | p. 120 |
Nephrology | p. 122 |
Acute Renal Failure | p. 122 |
Glomerular Disease | p. 125 |
Hyponatremia | p. 127 |
Nephrolithiasis | p. 128 |
Gastroenterology | p. 129 |
Abdominal Pain | p. 129 |
Cirrhosis | p. 129 |
Hepatitis | p. 132 |
Diarrhea | p. 134 |
Gastritis | p. 135 |
Gastroesophageal Reflux Disease | p. 136 |
Peptic Ulcer Disease | p. 137 |
Irritable Bowel Syndrome | p. 138 |
Hematology | p. 140 |
Anemia | p. 140 |
Coagulation Disorders | p. 142 |
Endocrinology | p. 143 |
Diabetes Mellitus | p. 143 |
Infectious Disease | p. 144 |
Fever of Unknown Origin | p. 144 |
HIV | p. 146 |
Tuberculosis | p. 149 |
Urinary Tract Infections | p. 150 |
Rheumatology | p. 151 |
Systemic Lupus Erythematosus | p. 151 |
General Medicine | p. 153 |
Cancer Screening Guidelines | p. 153 |
High-Yield References | p. 153 |
Cardiology | p. 153 |
Pulmonology | p. 156 |
Gastroenterology | p. 156 |
Hematology | p. 157 |
Endocrinology | p. 157 |
Thyroid Disorders | p. 158 |
Infectious Disease | p. 158 |
General Medicine | p. 159 |
Top-Rated Books | p. 160 |
Neurology | p. 169 |
Ward Tips | p. 170 |
What Is the Rotation Like? | p. 170 |
Who Are the Players? | p. 171 |
How Is the Day Set Up? | p. 171 |
How Do I Do Well in This Rotation? | p. 172 |
Key Notes | p. 172 |
Key Procedures | p. 174 |
What Do I Carry in My Pockets? | p. 174 |
High-Yield Topics | p. 174 |
Rotation Objectives | p. 174 |
The Complete Neurologic Exam | p. 177 |
Screening Exam for Mental Status | p. 177 |
Screening Exam for Cranial Nerves | p. 179 |
Screening Exam for Motor Nerves | p. 179 |
Screening Exam for Sensation | p. 183 |
Imaging Basics | p. 183 |
Computed Tomography | p. 184 |
Magnetic Resonance Imaging | p. 184 |
Contrast | p. 185 |
Lumbar Puncture Results | p. 185 |
Aphasias | p. 186 |
Broca's Aphasia | p. 186 |
Wernicke's Aphasia | p. 188 |
Transcortical Aphasias | p. 188 |
Conduction Aphasia | p. 188 |
Global Aphasia | p. 189 |
Coma | p. 189 |
Delirium and Dementia | p. 192 |
Delirium | p. 192 |
Dementia | p. 194 |
Alzheimer's Disease | p. 194 |
Dysequilibrium | p. 195 |
Headache | p. 197 |
Migraine Headache | p. 198 |
Cluster Headache | p. 199 |
Tension Headache | p. 199 |
Intracranial Hemorrhages | p. 200 |
Subarachnoid Hemorrhage | p. 200 |
Epidural Hematoma | p. 202 |
Subdural Hemorrhage | p. 203 |
Intraparenchymal Hemorrhage | p. 203 |
Intracranial Neoplasms | p. 203 |
Movement Disorders | p. 205 |
Parkinson's Disease | p. 205 |
Huntington's Disease | p. 206 |
Multiple Sclerosis | p. 207 |
Seizures | p. 209 |
Partial (or Focal) Seizures | p. 210 |
Generalized Seizures | p. 212 |
Absence (Petit Mal) Seizures | p. 212 |
Tonic-Clonic (Grand Mal) Seizures | p. 212 |
Status Epilepticus | p. 214 |
Stroke | p. 216 |
Weakness | p. 220 |
Carpal Tunnel Syndrome | p. 223 |
Guillain-Barre Syndrome | p. 223 |
Myasthenia Gravis | p. 224 |
High-Yield References | p. 225 |
Imaging Basics | p. 225 |
Lumbar Puncture | p. 225 |
Aphasias | p. 225 |
Coma | p. 225 |
Delirium and Dementia | p. 226 |
Dysequilibrium | p. 226 |
Headache | p. 226 |
Intracranial Hemorrhages | p. 226 |
Low Back Pain and Spinal Cord Injuries | p. 227 |
Movement Disorders | p. 227 |
Seizures | p. 228 |
Stroke | p. 228 |
Weakness | p. 229 |
Top-Rated Books | p. 230 |
Obstetrics and Gynecology | p. 235 |
Ward Tips | p. 236 |
What Is the Rotation Like? | p. 236 |
Who Are the Players? | p. 237 |
How Is the Day Set Up? | p. 238 |
What Do I Do During Prerounds? | p. 238 |
How Do I Do Well in This Rotation? | p. 238 |
Survival Tips | p. 239 |
Key Notes | p. 240 |
Key Procedures | p. 245 |
What Do I Carry in My Pockets? | p. 245 |
High-Yield Topics | p. 246 |
Rotation Objectives | p. 246 |
Obstetrics | p. 247 |
Normal Physiology of Pregnancy | p. 247 |
Prenatal Care | p. 248 |
First-Trimester Bleeding | p. 249 |
Ectopic Pregnancy | p. 252 |
Gestational Diabetes | p. 253 |
Pregnancy-Induced Hypertension | p. 255 |
Preterm Labor | p. 257 |
Normal Labor | p. 258 |
Abnormal Labor Patterns | p. 261 |
Fetal Heart Rate Monitoring | p. 263 |
Third-Trimester Bleeding | p. 264 |
Postpartum Hemorrhage | p. 267 |
Gynecology | p. 267 |
Abnormal Uterine Bleeding | p. 267 |
Amenorrhea | p. 270 |
Common Vaginal Infections (Vaginitis) | p. 273 |
Contraception | p. 274 |
Endometriosis | p. 275 |
Gynecologic Oncology | p. 276 |
Menopause | p. 276 |
Pelvic Inflammatory Disease | p. 279 |
Sexually Transmitted Diseases | p. 280 |
Genital Herpes | p. 281 |
Chlamydia | p. 281 |
Gonorrhea | p. 282 |
Condylomata Acuminata (Venereal Warts) | p. 282 |
Syphilis | p. 283 |
High-Yield References | p. 284 |
Obstetrics | p. 284 |
Gynecology | p. 286 |
Top-Rated Books | p. 288 |
Pediatrics | p. 295 |
Ward Tips | p. 296 |
Who Are the Players? | p. 296 |
How Is the Day Set Up? | p. 297 |
What Do I Do During Prerounds? | p. 297 |
How Do I Do Well in This Rotation? | p. 297 |
Key Notes | p. 299 |
Tips for Examining Children | p. 300 |
The Nursery Rotation | p. 304 |
Key Procedures | p. 304 |
What Do I Carry in My Pockets? | p. 304 |
High-Yield Topics | p. 305 |
Rotation Objectives | p. 305 |
Well-Child Care | p. 308 |
Developmental Milestones | p. 308 |
Growth Parameters | p. 309 |
Immunizations | p. 310 |
Infant Nutrition | p. 311 |
Tanner Staging | p. 312 |
Cardiology | p. 312 |
Congenital Heart Disease | p. 312 |
Dermatology | p. 313 |
Diaper Rash | p. 313 |
Viral Exanthems | p. 313 |
Gastroenterology | p. 315 |
Failure to Thrive | p. 315 |
Intussusception | p. 316 |
Pyloric Stenosis | p. 316 |
Genetic Disorders | p. 317 |
Autosomal Trisomies | p. 317 |
Hematology and Oncology | p. 318 |
Sickle Cell Disease | p. 318 |
Childhood Cancers | p. 319 |
Acute Lymphocytic Leukemia | p. 319 |
Wilms' Tumor (Nephroblastoma) | p. 320 |
Neuroblastoma | p. 320 |
Immunology | p. 321 |
Juvenile Rheumatoid Arthritis | p. 321 |
Kawasaki Disease (Mucocutaneous Lymph Node Syndrome) | p. 322 |
Immunodeficiencies | p. 323 |
Infectious Disease | p. 325 |
Fever Management | p. 325 |
Meningitis | p. 327 |
Otitis Media | p. 329 |
Pneumonia | p. 330 |
Streptococcal Pharyngitis | p. 332 |
Urinary Tract Infection | p. 333 |
Neonatology | p. 335 |
Apgar Score | p. 335 |
Congenital Infections | p. 336 |
Neonatal Hyperbilirubinemia | p. 336 |
Respiratory Distress Syndrome | p. 339 |
Neurology | p. 340 |
Febrile Seizures | p. 340 |
Orthopedics | p. 341 |
Limp | p. 341 |
Pediatric Fractures | p. 341 |
Pulmonology | p. 343 |
Asthma (Reactive Airway Disease) | p. 343 |
Bronchiolitis | p. 347 |
Croup | p. 348 |
Epiglottitis | p. 350 |
Cystic Fibrosis | p. 351 |
Toxicology | p. 352 |
Lead Poisoning | p. 352 |
Trauma | p. 353 |
Child Abuse | p. 353 |
High-Yield References | p. 354 |
Well-Child Care | p. 354 |
Cardiology | p. 355 |
Dermatology | p. 355 |
Gastroenterology | p. 355 |
Genetic Disorders | p. 356 |
Hematology and Oncology | p. 356 |
Immunology | p. 357 |
Infectious Disease | p. 358 |
Neonatology | p. 359 |
Neurology | p. 359 |
Orthopedics | p. 360 |
Pulmonology | p. 360 |
Toxicology | p. 361 |
Trauma | p. 361 |
Miscellaneous | p. 361 |
Top-Rated Books | p. 362 |
Psychiatry | p. 369 |
Ward Tips | p. 370 |
What Is the Rotation Like? | p. 370 |
Who Are the Players? | p. 370 |
How Is the Day Set Up? | p. 372 |
What Do I Do During Prerounds? | p. 372 |
How Do I Do Well in This Rotation? | p. 373 |
What Is DSM-IV? | p. 374 |
Key Notes | p. 375 |
Key Procedures | p. 379 |
What Do I Carry in My Pockets? | p. 379 |
High-Yield Topics | p. 380 |
Rotation Objectives | p. 380 |
Mental Status Exam | p. 381 |
Mood Disorders | p. 383 |
Major Depressive Disorder | p. 383 |
Dysthymic Disorder | p. 384 |
Bipolar I Disorder | p. 387 |
Bipolar II Disorder | p. 390 |
Cyclothymia | p. 390 |
Psychotic Disorders | p. 390 |
Schizophrenia | p. 390 |
Schizophreniform Disorder | p. 392 |
Brief Psychotic Disorder | p. 393 |
Schizoaffective Disorder | p. 396 |
Delusional Disorder | p. 396 |
Anxiety Disorders | p. 396 |
Generalized Anxiety Disorder | p. 397 |
Panic Disorder | p. 398 |
Social Phobia | p. 400 |
Specific Phobia | p. 400 |
Obsessive-Compulsive Disorder | p. 401 |
Post-Traumatic Stress Disorder | p. 402 |
Personality Disorders | p. 402 |
Substance Abuse | p. 403 |
Childhood and Adolescent Disorders | p. 408 |
Attention-Deficit Hyperactivity Disorder | p. 409 |
Autistic Disorder | p. 410 |
Conduct Disorder | p. 412 |
Mental Retardation | p. 412 |
Learning Disorders | p. 412 |
Miscellaneous | p. 413 |
Adjustment Disorder | p. 413 |
Anorexia Nervosa | p. 413 |
Bulimia Nervosa | p. 414 |
Somatoform and Related Disorders | p. 415 |
Suicidality | p. 415 |
High-Yield References | p. 417 |
Mood Disorders | p. 417 |
Psychotic Disorders | p. 417 |
Anxiety Disorders | p. 418 |
Substance Abuse | p. 418 |
Childhood and Adolescent Disorders | p. 418 |
Miscellaneous | p. 419 |
Top-Rated Books | p. 420 |
Surgery | p. 427 |
Ward Tips | p. 428 |
What Is the Rotation Like? | p. 428 |
How Do I Do Well in This Rotation? | p. 429 |
Who Are the Players? | p. 430 |
How Is the Day Set Up? | p. 432 |
What Do I Do During Prerounds? | p. 433 |
Key Notes | p. 434 |
Key Procedures | p. 438 |
Operating Room Etiquette | p. 439 |
How to Suture Like a Pro | p. 440 |
What Do I Carry In My Pockets? | p. 441 |
High-Yield Topics | p. 443 |
Rotation Objectives | p. 443 |
Gastroenterology | p. 444 |
Acute Abdomen | p. 444 |
Appendicitis | p. 447 |
Biliary Disease | p. 450 |
GI Bleeding | p. 454 |
Hernias | p. 457 |
Inflammatory Bowel Disease | p. 460 |
Diseases of the Lower GI Tract | p. 463 |
Diseases of the Upper GI Tract | p. 467 |
Diseases of the Pancreas | p. 470 |
Breast | p. 473 |
Breast Cancer | p. 473 |
Vascular Surgery | p. 475 |
Abdominal Aortic Aneurysm | p. 475 |
Peripheral Vascular Disease | p. 476 |
Acute Arterial Occlusion | p. 476 |
High-Yield References | p. 477 |
Gastroenterology | p. 477 |
Breast | p. 479 |
Vascular Surgery | p. 479 |
Top-Rated Books | p. 480 |
Abbreviations | p. 487 |
Index | p. 493 |
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