On Rounds: 1000 Internal Medicine Pearls 1000 Internal Medicine Pearls

Author: Lewis Landsberg, MD
Publisher: Lippincott Williams & Wilkins
Publication Date: 2016
ISBN 10: 1496322215
ISBN 13: 9781496322210
Edition: 1st


Clinical judgment is a critical aspect - perhaps the most critical aspect - of efficient, accurate, and cost-effective patient care. Focusing on essential clinical skills, On Rounds: 1000 Internal Medicine Pearls helps clinicians in training and in practice to identify the critical findings that will simplify complex clinical problems and lead to an accurate diagnosis. One thousand easy-to-remember clinical aphorisms, or "pearls," help you distinguish the important findings from the incidental, pointing out the distinctive features amidst the mass of data that is accumulated in the evaluation of a sick patient, and leading to the development of mature clinical judgment.?Go "on rounds" with one of the most respected educators in internal medicine and learn from his nearly 50 years of clinical experience. ?Focus on the areas that are often a source of confusion for students, trainees, and even seasoned practitioners. ?Learn each pearl in a relevant clinical context, with tables, clinical images, and physiology information, where appropriate. ?Recognize "black pearls:" statements that, although widely believed, are demonstrably false. ?Improve your clinical judgment skills whether you're a resident or an experienced clinician. ?Carry these pocket-sized pearls with you for quick reference

Table of Contents

Front Matter

  • Acknowledgments
  • Preface

CHAPTER 1: The Clinical Evaluation

  • Outline
  • History
  • The Physical Examination
  • Laboratory Tests
  • Imaging
  • Some Widely Applicable Clinical Aphorisms

CHAPTER 2: Blood

  • Outline
  • Introduction
  • Anemia
  • Platelets
  • Other Changes in The Cellular Elements of The Blood
  • Thrombotic Disorders and Coagulopathies

CHAPTER 3: Rheumatology: Arthritis, Autoimmune and Collagen Vascular Diseases

  • Outline
  • Arthritis
  • ANCA-Associated Vasculitides
  • Non-ANCA–Associated Vasculitides
  • Collagen Vascular Diseases
  • Amyloidosis
  • IgG4-Related Disease
  • Paget’s Disease of Bone
  • Severe Drug Reactions
  • The Dress Syndrome (Drug Reaction, Rash, Eosinophilia, Systemic Symptoms)

CHAPTER 4: The Heart and Circulation

  • Outline
  • Congestive Heart Failure (CHF)
  • Cardiac Ischemia
  • Pericarditis
  • Valvular Cardiac Lesions
  • Left Ventricular Hypertrophy (LVH) and Hypertrophic Cardiomyopathy (HCM)
  • Congenital Heart Disease in Adults
  • Orthostatic Hypotension
  • Syncope

CHAPTER 5: Hypertension

  • Outline
  • Essential Hypertension
  • Malignant Hypertension
  • Secondary Hypertension
  • Aortic Dissection

CHAPTER 6: The Kidney and Disorders of Fluid and Acid–Base Balance

  • Outline
  • Abnormal Renal Function Tests
  • Hyponatremia
  • Urinary Sodium and Potassium
  • Acid–Base Disturbances
  • Intrinsic Renal Disease

CHAPTER 7: Endocrinology and Metabolism

  • Outline
  • Diabetes Mellitus
  • Hypoglycemia
  • Multiple Endocrine Neoplasia Syndromes
  • Thyroid Disease
  • Calcium
  • Polyuria
  • Anterior Pituitary
  • Adrenal Cortex

CHAPTER 8: Fever, Temperature Regulation, and Thermogenesis

  • Outline
  • Central Regulation of Core Temperature
  • Fever and Hyperthermia
  • Thermogenesis
  • Heat Generation and Dissipation
  • Diurnal Variation in Temperature
  • Night Sweats

CHAPTER 9: Infectious Diseases

  • Outline
  • Introduction
  • Fever of Unknown Origin
  • Infections of Specific Sites
  • Bacterial Gastroenteritis
  • Specific Infectious Agents
  • Globalization and Infectious Disease

CHAPTER 10: Pulmonary

  • Outline
  • Blood Gases
  • Pulmonary Function Tests
  • Pneumonia
  • Sarcoidosis
  • Tuberculosis (TB)
  • Aspergillosis
  • Pulmonary Thromboembolic Disease

CHAPTER 11: The Gastrointestinal Tract, Pancreas, and Liver

  • Outline
  • The Gastrointestinal Tract
  • The Pancreas
  • Biliary Tract Disease
  • Portal Cirrhosis
  • Carcinoid Tumors

CHAPTER 12: Obesity

  • Outline
  • Pathogenesis of Obesity
  • Cardiovascular and Metabolic Consequences of Obesity
  • Obesity and Other Diseases

CHAPTER 13: Malignancy and Paraneoplastic Syndromes

  • Outline
  • Bronchogenic Carcinoma
  • Renal Cell Carcinoma
  • Multiple Myeloma

CHAPTER 14: Neuromuscular Disease

  • Outline
  • Headache
  • Acute Cerebrovascular Events (STROKES)
  • Weakness
  • Motor Neuron Disease
  • Rhabdomyolysis
  • Complications of Psychotropic Drugs
  • Seizures

CHAPTER 15: Complications of Alcoholism

  • Outline
  • Introduction
  • Nervous System
  • Alcohol Withdrawal Syndromes
  • Alcohol and The Heart
  • Hematologic Consequences of Alcoholism