Menu Expand
Ferri's Clinical Advisor 2010 E-Book

Ferri's Clinical Advisor 2010 E-Book

Fred F. Ferri

(2009)

Additional Information

Book Details

Abstract

The 2010 volume of Ferri’s Clinical Advisor is simply the fastest, most effective way to access current diagnostic and therapeutic information on over 700 conditions. Its popular "5 books in 1" format provides quick reference to actionable guidance on diseases and disorders, differential diagnosis, clinical algorithms, laboratory evaluations, and clinical preventive services. Consult the user-friendly text or effortlessly search the thoroughly updated 2010 volume online, where you’ll also have unlimited access to downloadable illustrations, revised patient teaching guides in English and Spanish, links to PubMed, and so much more.

  • Presents cross-references, outlines, bulleted text, tables, boxes, and algorithms for rapid access to key information.
  • Provides cost-effective referral and consultation guidelines.
  • Includes more than 200 lab tests covering normal values and interpretation of results.
  • Incorporates the most common childhood diseases into the Diseases and Disorders section.
  • Provides billing codes, including ICD-9-CM codes, to expedite insurance claims and reimbursements.
  • Features website addresses for additional resources and support.
  • Includes step-by-step, how-to information on 60 procedures, including ICD-9 and CPT codes, indications and contraindications, and complications.
  • Features the thoroughly updated 2010 volume online where you’ll have unlimited access to downloadable illustrations, revised patient teaching guides in English and Spanish, links to PubMed, and more, for convenient accessibility to essential information.

Table of Contents

Section Title Page Action Price
Front cover Cover
2010 Ferri’s CLINICAL ADVISOR Instant Diagnosis and Treatment iii
Copyright page iv
Section Editors v
Contributors vi
Preface xvii
Table of contents xix
Detailed Contents xxi
SECTION I. Diseases and Disorders 1
Abruptio placentae 3
Abscess, brain (PTG) 4
Abscess, breast (PTG) 6
Abscess, liver (PTG) 7
Abscess, lung (PTG) 9
Abscess, pelvic (PTG) 11
Abscess, perirectal (PTG) 12
Abuse, child (PTG) 13
Abuse, drug (PTG) 16
Abuse, elder (PTG) 19
Acetaminophen poisoning 20
Achalasia (PTG) 21
Achilles tendon rupture (PTG) 23
Acne vulgaris (PTG) 24
Acoustic neuroma (PTG) 26
Acquired immunodeficiency syndrome (PTG) 27
Acromegaly (PTG) 29
Actinomycosis (PTG) 30
Acute bronchitis (PTG) 32
Acute respiratory distress syndrome (PTG) 33
Addison's disease (PTG) 35
Alcoholism (PTG) 36
Alpha-1-antitrypsin deficiency 39
Altitude sickness 41
Alzheimer’s disease (PTG) 43
Amaurosis fugax 46
Amblyopia 47
Amebiasis (PTG) 48
Amenorrhea 49
Amnestic disorder 52
Amyloidosis 53
Amyotrophic lateral sclerosis 54
Anaerobic infections 55
Anal fissure 56
Anaphylaxis 57
Anemia, aplastic 58
Anemia, autoimmune hemolytic 59
Anemia, lron deficiency (PTG) 60
Anemia, pernicious (PTG) 61
Anemia, sideroblastic 62
Aneurysm, abdominal aorta (PTG) 63
Angina pectoris (PTG) 65
Angioedema (PTG) 71
Ankle fracture (PTG) 73
Ankle sprain (PTG) 74
Ankylosing spondylitis (PTG) 76
Anorectal fistula 77
Anorexia nervosa (PTG) 78
Anthrax 80
Antiphospholipid antibody syndrome (PTG) 82
Anxiety (generalized anxiety disorder) (PTG) 84
Aortic dissection 86
Aprtoc regurgitation (PTG) 88
Aortic stenosis (PTG) 89
Appendicitis, acute (PTG) 90
Arthritis, granulomatous 91
Arthritis, infections (PTG) 92
Arthritis, psoriatic 93
Asbestosis (PTG) 94
Ascariasis (PTG) 95
Ascites 96
Aseptic necrosis (PTG) 97
Aspergillosis 98
Asthma (PTG) 100
Astrocytoma (PTG) 109
Ataxia telangiectasia 111
Atelectasis 112
Atrial fibrillation (PTG) 113
Atrial flutter (PTG) 116
Atrial myxoma (PTG) 117
Atrial septal defect (PTG) 118
Attention deficit hyperactivity disorder (PTG) 119
Autistic spectrum disorders (PTG) 121
Babesiosis 124
Baker's cyst (PTG) 126
Balanitis (PTG) 127
Barrett’s esophagus (PTG) 128
Bartter's syndrome 130
Basal cell carcinoma (PTG) 131
Behçet’s disease (PTG) 133
Bell's palsy (PTG) 135
Bipolar disorder (PTG) 136
Bite wounds 138
Bites and stings, arachnids 139
Bites and stings, insect (PTG) 140
Bites, snake 141
Bladder cancer (PTG) 143
Blastomycosis 147
Blepharitis 149
Body dysmorphic disorder 150
Bone tumor, primary malignant 151
Borderline personality disorder (PTG) 152
Botulism (PTG) 154
Brain neoplasm (PTG) 155
Breast cancer (PTG) 157
Breech birth (PTG) 160
Bronchiectasis (PTG) 161
Brucellosis 162
Bruxism 163
Budd-chiari syndrome 164
Bulimia nervosa (PTG) 166
Bullous pemphigoid (PTG) 167
Burning mouth syndrome (PTG) 168
Burns (PTG) 169
Bursitis (PTG) 170
Candidiasis, vulvovaginal (PTG) 171
Carbon monoxide poisoning (PTG) 173
Carcinoid syndrome 175
Cardiac tamponade (PTG) 176
Cardiomyopathy, dilated (PTG) 177
Cardiomyopathy, hypertrophic (PTG) 178
Cardiomyopathy, restrictive (PTG) 180
Carotid sinus syndrome 181
Carpal tunnel syndrome (PTG) 182
Cataracts (PTG) 184
Cat-scratch disease (PTG) 185
Cavernous sinus thrombosis 187
Celiac disease (PTG) 189
Cellulitis (PTG) 190
Cerebral palsy (PTG) 191
Cervical cancer (PTG) 192
Cervical disk syndromes (PTG) 194
Cervical dysplasia (PTG) 195
Cervical polyps (PTG) 197
Cervicitis (PTG) 198
Chagas’ disease 199
Chancroid (PTG) 201
Charcot-marie-tooth disease (PTG) 202
Charcot's joint (PTG) 203
Chlamydia genital infections 204
Cholangitis 205
Cholecystitis (PTG) 206
Cholelithiasis (PTG) 207
Cholera (PTG) 208
Chronic fatigue syndrome (PTG) 209
Chronic inflammatory demyelinating polyneuropathy 210
Chronic obstructive pulmonary disease (PTG) 212
Chronic pain management 216
Churg-strauss syndrome 218
Cirrhosis (PTG) 220
Cirrhosis, primary biliary (PTG) 222
Claudication (PTG) 224
Cocaine overdose (PTG) 225
Coccidioidomycosis 227
Colorado tick fever 229
Colorectal cancer (PTG)\r 230
Condyloma acuminatum (PTG) 233
Congenital adrenal hyperplasia 234
Congestive heart failure (PTG) 236
Conjunctivitis (PTG) 239
Contraception (PTG) 240
Conversion disorder (PTG) 242
Cor Pulmonale 244
Corneal abrasion 246
Corneal ulceration 247
Costochondritis (PTG) 248
Craniopharyngioma 249
Creutzfeldt-jakob disease 250
Crohn’s disease (PTG) 251
Cryptococcosis (PTG) 253
Cryptorchidism 254
Cryptosporidium infection 255
Cubital tunnel syndrome 256
Cushing's disease and syndrome (PTG) 257
Cutaneous larva migrans 258
Cystic fibrosis (PTG) 260
Cysticercosis (PTG) 261
Cytomegalovirus infection 263
Decubitus ulcers (PTG) 265
Deep vein thrombosis (PTG) 267
Delirium 271
Delirium tremens 272
Dementia with lewy bodies 273
Dengue fever 274
Dependent personality disorder 276
Depression, major (PTG) 277
De quervain's tenosynovitis (PTG) 279
Dermatitis, atopic (PTG) 280
Dermatitis, contact (PTG) 281
Dermatitis herpetiformis (PTG) 282
Diabetes insipidus 284
Diabetes mellitus (PTG) 285
Diabetic ketoacidosis (PTG) 291
Diabetic polyneuropathy 293
Digoxin overdose 295
Diphtheria 297
Discoid lupus (PTG) 298
Disseminated intravascular coagulation 300
Diverticular disease (diverticulosis, diverticulitis) (PTG) 301
Down syndrome (PTG) 302
Dumping syndrome 303
Dupuytren's contracture (PTG) 304
Dysfunctional uterine bleeding (PTG) 305
Dysmenorrhea (PTG) 308
Dyspareunia (PTG) 309
Dyspepsia, nonulcerative 311
Dysphagia 312
Dystonia 314
Echinococcosis 315
Eclampsia 316
Ectopic pregnancy (PTG) 317
Ehlers-danlos syndrome (PTG) 319
Ejaculation disorders 320
Ejaculation, premature 321
Electrical injury 322
Electromechanical dissociation 324
Emergency contraception 325
Empyema 327
Encephalitis, acute viral 328
Encephalopathy 330
Encopresis (PTG) 331
Endocarditis, infective (PTG) 332
Endometrial cancer (PTG) 334
Endometriosis (PTG) 335
Endometritis (PTG) 338
Enuresis (PTG) 339
Eosinophilic fasciitis 340
Eosinophilic pneumonias 341
Epicondylitis (PTG) 343
Epididymitis (PTG) 345
Epiglottitis 346
Episcleritis 347
Epistaxis (PTG) 348
Epstein-barr birus infection 350
Erectile dysfunction (PTG) 351
Erysipelas (PTG) 353
Erythema multiforme (PTG) 354
Erythema nodosum (PTG) 355
Esophageal tumors (PTG) 356
Essential tremor (PTG) 358
Factitious disorder (including munchausen's syndrome) 360
Falls in the elderly 361
Fatty liver of pregnancy, acute 363
Felty's syndrome 364
Femoral neck fracture (PTG) 365
Fever of undetermined origin (PTG) 366
Fibrocystic breast disease (PTG) 367
Fibromyalgia (PTG) 368
Fifth disease (PTG) 369
Filariasis 370
Folliculitis (PTG) 372
Food poisoning, bacterial (PTG) 373
Friedreich's ataxia (PTG) 375
Frostbite (PTG) 376
Frozen Shoulder (PTG) 377
Galactorrhea (PTG) 378
Ganglia (PTG) 379
Gardner's syndrome 381
Gastric cancer (PTG) 382
Gastritis (PTG) 383
Gastroesophageal reflux disease (PTG) 384
Gestational diabetes mellitus (GDM) (PTG) 386
Giant cell arteritis (PTG) 388
Giardiasis (PTG) 389
Gilbert's disease 390
Gingivitis (PTG) 391
Gingivitis, necrotizing ulcerative (NUG) 392
Glaucoma, chronic open-angle (PTG) 393
Glaucoma, primary angle-closure 395
Glenohumeral dislocation 397
Glomerulonephritis, acute (PTG) 398
Glossitis (PTG) 400
Gonorrhea (PTG) 401
Goodpasture's syndrome 403
Gout (PTG) 404
Granuloma annulare (PTG) 406
Granuloma inguinale (PTG) 407
Graves' disease (PTG) 408
Guillain-barré syndrome (PTG) 410
Hand-foot-mouth disease (PTG) 411
Hantavirus pulmonary syndrome 412
Headache, cluster (PTG) 413
Headache, migraine (PTG) 415
Headache, tension-type (PTG) 418
Heart block, complete (PTG) 420
Heart block, second-degree (PTG) 421
Heat Exhaustion and heat stroke 422
Helicobacter pylori infection (PTG) 423
HELLP syndrome 425
Hemochromatosis (PTG) 426
Hemolytic-uremic syndrome 427
Hemophilia (PTG) 428
Hemorrhoids (PTG) 429
Henoch-Schönlein Purpura (PTG) 433
Hepatic encephalopathy (PTG) 434
Hepatitis A (PTG) 435
Hepatitis B (PTG) 437
Hepatitis C (PTG) 441
Hepatitis, autoimmune (PTG) 444
Hepatocellular carcinoma (PTG) 446
Hepatorenal syndrome 448
Herpangina (PTG) 449
Herpes simplex (PTG) 450
Herpes zoster (PTG) 452
Hiatal hernia (PTG) 453
Hidradenitis suppurativa 455
Hirsutism (PTG) 456
Histiocytosis X (langerhans cell histiocytosis) 458
Histoplasmosis 460
Histrionic personality disorder 462
Hodgkin’s disease (PTG) 463
Hookworm (PTG) 465
Hordeolum (stye) (PTG) 466
Horner's syndrome (PTG) 467
Hot flashes (PTG) 468
Human granulocytic ehrlichiosis 470
Human immunodeficiency virus (PTG) 471
Huntington's chorea (PTG) 474
Hydrocele (PTG) 475
Hydrocephalus, normal pressure (PTG) 476
Hydronephrosis (PTG) 477
Hyperaldosteronism, Primary (PTG) 479
Hypercholesterolemia (PTG) 480
Hypercoagulable state (PTG) 482
Hyperemesis gravidarum 485
Hypereosinophilic syndrome 486
Hyperlipoproteinemia, primary 487
Hyperosmolar hyperglycemic syndrome 490
Hyperparathyroidism (PTG) 491
Hypersensitivity penumonitis (PTG) 493
Hypersplenism 495
Hypertension (PTG) 496
Hyperthyroidism (PTG) 499
Hypertrophic osteoarthropathy 502
Hypoaldosteronism 503
Hypochondriasis 504
Hypopituitarism (PTG) 505
Hypospadias (PTG) 507
Hypothermia 508
Hypothyroidism (PTG) 510
ID reaction 511
Idiopathic intracranial hypertension 512
Idiopathic pulmonary fibrosis (PTG) 514
IgA nephropathy 515
Immune thrombocytopenic purpura 517
Impetigo (PTG) 518
Inclusion body myositis, 519
Incontinence, bowel, elderly patient 521
Incontinence, urinary (PTG) 522
Influenza (PTG) 524
Influenza, avian 526
Insomnia (PTG) xxiii
Insulinoma 530
Interstitial cystitis 531
Interstitial lung disease (PTG) 533
Interstitial nephritis 534
Irritable bowel syndrome (PTG) 535
Jaundice in the adult patient 537
Juvenile idiopathic arthritis (PTG) 539
Kaposi’s sarcoma 541
Kawasaki disease (PTG) 542
Keloid (PTG) 545
Klinefelter’s syndrome (PTG) 547
Korsakoff’s psychosis 548
Labyrinthitis (PTG) 549
Lactose intolerance (PTG) 550
Lambert-Eaton myasthenic syndrome 551
Laryngeal carcinoma (PTG) 552
Laryngitis (PTG) 554
Laryngotracheobronchitis (PTG) 555
Lead poisoning 556
Legg-Calvé-Perthes disease (PTG), 557
Leishmaniasis 558
Leprosy (PTG) 559
Leptospirosis 561
Leukemia, acute lymphoblastic (PTG) 562
Leukemia, chronic myelogenous (PTG) 563
Leukemia, chronic lymphocytic (PTG) 564
Leukemia, chronic myelogenous (PTG) 565
Leukemia, hairy cell 566
Leukoplakia, oral hairy (PTG) 567
Lichen planus (PTG) 568
Lichen sclerosus 569
Listeriosis (PTG) 570
Long QT syndrome 571
Lumbar disk syndrome (PTG) 572
Lung neoplasms, primary (PTG) 574
Lyme disease (PTG) 577
Lymphangitis (PTG) 578
Lymphedema 579
Lymphogranuloma venereum (PTG) 581
Lymphoma, non-Hodgkin (PTG) 582
Lynch syndrome 584
Macular degeneration (PTG) 585
Malaria (PTG) 586
Malignant hyperthermia 590
Mallory-Weiss tear 591
Marfan’s syndrome (PTG) 592
Mastitis 593
Mastodynia (PTG) 595
Mastoiditis (PTG) 597
Measles (rubeola) (PTG) 598
Meckel diverticulum 599
Meigs’ syndrome 600
Melanoma (PTG) 601
Meniere’s disease (PTG) 603
Meningioma (PTG) 604
Meningitis, bacterial (PTG) 606
Meningitis, viral (PTG) 609
Meningomyelocele 610
Menopause (PTG) 611
Mesenteric adenitis 614
Mesenteric ischemia, acute 615
Mesenteric venous thrombosis 617
Mesothelioma, malignant (PTG) 618
Metabolic syndrome (PTG) 620
Metatarsalgia 622
Milk-alkali syndrome 623
Mitral regurgitation (PTG) 624
Mitral stenosis (PTG) 625
Mitral valve prolapse (PTG) 626
Mixed connective tissue disease 627
Molluscum contagiosum (PTG) 628
Mononucleosis (PTG) 629
Morton’s neuroma 630
Motion sickness (PTG) 631
Mucormycosis 632
Multifocal atrial tachycardia 633
Multiple myeloma (PTG) 634
Multiple sclerosis (PTG) 637
Mumps (PTG) 640
Muscular dystrophy 642
Mushroom poisoning 643
Myasthenia gravis (PTG) 644
Mycosis fungoides 645
Myelodysplastic syndrome 647
Myocardial infarction (PTG) 649
Myocarditis (PTG) 655
Myoclonus 657
Myopathies, idiopathic inflammatory (PTG) 658
Myotonia 660
Myxedema coma 661
Narcissistic personality disorder 662
Narcolepsy (PTG) 663
Nephroblastoma 665
Nephrotic syndrome (PTG) 666
Neuroblastoma 668
Neurofibromatosis (PTG) 670
Neuroleptic malignant syndrome 672
Neuropathic pain 673
Neuropathy, hereditary 676
Nocardiosis 678
Nonalcoholic fatty liver disease (PTG) 680
Nosocomial infections 681
Obesity (PTG) 684
Obsessive-compulsive disorder (OCD) (PTG) 687
Ocular foreign body (PTG) 689
Onychomycosis (PTG) 690
Opiate addiction 692
Optic atrophy 695
Optic neuritis 696
Orchitis (PTG) 697
Orthostatic hypotension 698
Osgood-Schlatter disease (PTG) 699
Osteoarthritis (PTG) 700
Osteochondritis dissecans (PTG) 702
Osteomyelitis (PTG) 703
Osteoporosis (PTG) 704
Otitis externa (PTG) 706
Otitis media (PTG) 708
Otosclerosis (otospongiosis) 711
Ovarian cancer (PTG) 712
Ovarian neoplasm, benign (PTG) 714
Paget’s disease of the bone (PTG) 715
Paget’s disease of the breast (PTG) 716
Pancreatic cancer (exocrine) (PTG) 717
Pancreatitis, acute (PTG) 719
Pancreatitis, chronic (PTG) 722
Panic disorder, with or without agoraphobia 724
Paranoid personality disorder (PTG) 726
Parkinson’s disease (PTG) 728
Paronychia (PTG) 732
Paroxysmal atrial tachycardia 733
Paroxysmal cold hemoglobinuria 734
Paroxysmal nocturnal hemoglobinuria 735
Pediatric medication errors 736
Pediculosis (PTG) 738
Pedophilia 739
Pelvic inflammatory disease (PTG) 740
Pemphigus vulgaris (PTG) 742
Peptic ulcer disease (PTG) 744
Pericarditis (PTG) 746
Peripheral arterial disease (PTG) 748
Peritonitis, secondary 751
Peritonitis, spontaneous bacterial 752
Peritonsillar abscess 753
Pertussis (PTG) 754
Peutz-Jeghers syndrome and other polyposis syndromes 755
Peyronie’s disease (PTG) 756
Pharyngitis/tonsillitis (PTG) 758
Pheochromocytoma (PTG) 759
Phobias 761
Pilonidal disease 763
Pinworms (PTG) 764
Pituitary adenoma (PTG) 765
Pityriasis rosea (PTG) 767
Placenta previa 768
Plantar fasciitis (PTG) 769
Pneumonia, aspiration 770
Pneumonia, bacterial (PTG) 771
Pneumonia, Mycoplasma (PTG) 773
Pneumonia, Pneumocystis jirovecii (carinii) (PTG) 775
Pneumonia, viral (PTG) 776
Pneumothorax, spontaneous (PTG) 779
Poison ivy dermatitis (PTG) 782
Poliomyelitis 783
Polyarteritis nodosa 784
Polycystic kidney disease (PTG) 785
Polycystic ovary syndrome (PTG) 787
Polycythemia vera 788
Polymyalgia rheumatica (PTG) 790
Polypharmacy 791
Portal hypertension 793
Portal vein thrombosis 795
Postconcussive syndrome (PTG) 796
Postpoliomyelitis syndrome 797
Posttraumatic stress disorder (PTG) 799
Precocious puberty 801
Preeclampsia (PTG) 802
Premenstrual dysphoric disorder 804
Premenstrual syndrome (PTG) 805
Priapism 807
Progressive supranuclear palsy 808
Prolactinoma (PTG) 809
Pronator syndrome 811
Prostate cancer (PTG) 812
Prostatic hyperplasia, benign (PTG) 815
Prostatitis (PTG) 818
Pruritus ani (PTG) 819
Pruritus vulvae 820
Pseudogout (PTG) 821
Pseudomembranous colitis (PTG) 822
Psittacosis 823
Psoriasis (PTG) 824
Psychosis (PTG) 826
Pubertal delay 827
Pulmonary edema 828
Pulmonary embolism (PTG) 830
Pulmonary hypertension 834
Pyelonephritis (PTG) 838
Pyogenic granuloma 840
Q fever 841
Rabies (PTG) 842
Radiation exposure 843
Ramsay Hunt syndrome (PTG) 845
Raynaud’s phenomenon (PTG) 846
Reflex sympathetic dystrophy 849
Reiter’s syndrome (reactive arthritis) (PTG) 850
Renal artery stenosis (PTG) 851
Renal cell adenocarcinoma (PTG) 852
Renal failure, acute (PTG) 855
Renal failure, chronic (PTG) 857
Renal tubular acidosis 859
Renal vein thrombosis 860
Respiratory syncytial virus (RSV) 861
Restless legs syndrome (PTG) 862
Retinal detachment 864
Retinal hemorrhage 865
Retinitis pigmentosa 866
Retinoblastoma 867
Retinopathy, diabetic (PTG) 868
Retropharyngeal abscess 869
Reye’s syndrome 871
Rh incompatibility 872
Rhabdomyolysis (PTG) 873
Rheumatic fever (PTG) 874
Rheumatoid arthritis (PTG) 876
Rhinitis, allergic (PTG) 879
Rickets (PTG) 881
Rocky Mountain spotted fever 882
Rosacea (PTG) 883
Roseola 885
Rotator cuff syndrome (PTG) 886
Rubella 887
Salivary gland neoplasms (PTG) 888
Salmonellosis (PTG) 889
Sarcoidosis (PTG) 891
Scabies (PTG) 893
Scarlet fever (PTG) 894
Schistosomiasis 895
Schizophrenia (PTG) 896
Scleritis 898
Scleroderma (progressive systemic sclerosis) (PTG) 899
Scoliosis 901
Seasonal affective disorder (PTG) 902
Seborrheic dermatitis (SD) 903
Seizures, absence (PTG) 904
Seizures, febrile (PTG) 905
Seizures, generalized tonic-clonic (PTG) 907
Seizures, partial (PTG) 909
Septicemia 911
Serotonin syndrome 913
Severe acute respiratory syndrome 915
Sexual dysfunction in women (PTG) 917
Sheehan’s syndrome 919
Shigellosis 920
Short bowel syndrome (PTG) 921
Sialadenitis (PTG) 922
Sialolithiasis (PTG) 923
Sick sinus syndrome 924
Sickle cell disease (PTG) 925
Silicosis (PTG) 927
Sinusitis (PTG) 928
Sjögren’s syndrome (PTG) 930
Sleep apnea, obstructive (PTG) 931
Smallpox 934
Somatization disorder (PTG) 936
Spinal cord compression 937
Spinal epidural abscess 938
Spinal stenosis, lumbar (PTG) 939
Spinocerebellar ataxia 941
Spontaneous miscarriage 943
Sporotrichosis 944
Squamous cell carcinoma (PTG) 946
Stasis dermatitis (PTG) 947
Status epilepticus 948
Stevens-Johnson syndrome (PTG) 949
Stomatitis (PTG) 950
Strabismus (PTG) 951
Stroke (PTG) 952
Sturge-Weber syndrome 956
Subarachnoid hemorrhage 958
Subclavian steal syndrome 960
Subdural hematoma 961
Suicide 963
Superior vena cava syndrome 964
Syncope (PTG) 965
Syndrome of inappropriate antidiuresis (PTG) 967
Syphilis (PTG) 968
Syringomyelia 969
Systemic lupus erythematosus (PTG) 970
Tabes dorsalis 972
Takayasu’s arteritis 973
Tapeworm infestation (PTG) 975
Tardive dyskinesia (PTG) 976
Tarsal tunnel syndrome 977
Temporomandibular joint syndrome (PTG) 978
Testicular neoplasms (PTG) 979
Testicular torsion (PTG) 980
Tetanus (PTG) 981
Tetralogy of fallot (PTG) 982
Thalassemias 984
Thoracic outlet syndrome 985
Thromboangiitis obliterans 986
Thrombophlebitis, superficial (PTG) 988
Thrombotic thrombocytopenic purpura 989
Thyroid carcinoma (PTG) 990
Thyroid nodule (PTG) 992
Thyroiditis (PTG) 994
Thyrotoxic storm 995
Tinea capitis (PTG) 996
Tinea corporis (PTG) 997
Tinea cruris (PTG) 998
Tinea pedis (PTG) 999
Tinea versicolor (PTG) 1000
Tinnitus (PTG) 1001
Torticollis (PTG) 1002
Tourette’s syndrome (PTG) 1003
Toxic shock syndrome (PTG) 1004
Toxoplasmosis (PTG) 1006
Tracheitis 1010
Transfusion reaction, hemolytic 1011
Transient ischemic attack (PTG) 1012
Trichinosis (PTG) 1014
Tricuspid regurgitation 1015
Tricuspid stenosis 1018
Tricyclic antidepressant overdose 1019
Trigeminal neuralgia (PTG) 1021
Trigger finger (PTG) 1022
Trochanteric bursitis (PTG) 1024
Tropical sprue 1025
Tuberculosis, miliary 1026
Tuberculosis, pulmonary (PTG) 1029
Tuberous sclerosis 1033
Tubular necrosis, acute 1035
Tularemia 1036
Turner’s syndrome (PTG) 1038
Typhoid fever 1040
Ulcerative colitis (PTG) 1042
Urethritis, gonococcal (PTG) 1045
Urethritis, nongonococcal (PTG) 1046
Urinary tract infection (PTG) 1047
Urolithiasis (PTG) 1050
Urticaria (PTG) 1053
Uterine malignancy (PTG) 1055
Uterine myomas (PTG) 1056
Uterine prolapse (pelvic organ prolapse) (PTG) 1058
Uveitis 1060
Vaginal bleeding during pregnancy 1061
Vaginal malignancy 1062
Vaginismus 1063
Vaginosis, bacterial (PTG) 1064
Varicocele (PTG) 1065
Varicose veins (PTG) 1066
Venous ulcers 1067
Ventricular septal defect (PTG) 1068
Vertebral compression fractures 1070
Vestibular neuronitis 1072
Vitiligo (PTG) 1073
Von Hippel-Lindau disease 1074
Von Willebrand’s disease 1076
Vulvar cancer (PTG) 1077
Vulvovaginitis, bacterial (PTG) 1078
Vulvovaginitis, estrogen-deficient 1079
Vulvovaginitis, fungal 1080
Vulvovaginitis, prepubescent 1081
Vulvovaginitis, Trichomonas (PTG) 1082
Waldenström’s macroglobulinemia 1083
Warts (PTG) 1085
Wegener granulomatosis (PTG) 1087
Wernicke’s encephalopathy 1089
West Nile virus infection 1090
Whiplash (PTG) 1091
Whipple’s disease 1092
Wilson’s disease (PTG) 1093
Wolff-Parkinson-White syndrome 1094
Yellow fever 1095
Zenker’s (pharyngoesophageal) diverticulum (PTG) 1096
Zollinger-Ellison syndrome 1098
SECTION II. Differential Diagnosis 1099
Abdominal distention 1101
Abdominal pain, adolescence 1101
Abdominal pain, childhood 1101
Abdominal pain, diffuse 1101
Abdominal pain, epigastric 1101
Abdominal pain, infancy 1101
Abdominal pain, left lower quadrant 1101
Abdominal pain, left upper quadrant 1101
Abdominal pain, nonsurgical causes 1101
Abdominal pain, periumbilical 1101
Abdominal pain, poorly localized 1102
Abdominal pain, pregnancy 1102
Abdominal pain, right lower quadrant 1102
Abdominal pain, right upper quadrant 1102
Abdominal pain, suprapubic 1102
Abortion, recurrent 1102
Aches and pains, diffuse 1102
Acidosis, lactic 1102
Acidosis, metabolic 1103
Acidosis, respiratory 1103
Acute scrotum 1103
Adnexal mass 1103
Adrenal masses 1103
Adynamic ileus 1103
Aerophagia (belching, eructation) 1103
Airway obstruction, pediatric age 1103
Akinetic/rigid syndrome 1103
Alkalosis, metabolic 1103
Alkalosis, respiratory 1104
Alopecia 1104
Alveolar consolidation 1104
Alveolar hemorrhage, 1104
Amenorrhea 1104
Amnesia, 1104
Anal incontinence 1104
Anaphylaxis 1104
Androgen excess, reproductive-age woman 1105
Anemia, drug-induced 1105
Anemia, low reticulocyte count 1105
Anemia, megaloblastic 1105
Anergy, cutaneous 1106
Aneurysms, thoracic aorta 1106
Anhydrosis 1106
Anion gap increase 1106
Anisocoria 1106
Anovulation 1106
Appetite loss in infants and children 1106
Arterial occlusion 1107
Arthritis and abdominal pain 1107
Arthritis and diarrhea 1107
Arthritis and eye lesions 1107
Arthritis and heart murmur 1107
Arthritis and muscle weakness 1107
Arthritis and rash 1107
Arthritis and subcutaneous nodules 1107
Arthritis and weight loss 1107
Arthritis, axial skeleton 1107
Arthritis, fever, and rash 1107
Arthritis, monoarticular and oligoarticular 1107
Arthritis, pediatric age 1108
Arthritis, polyarticular 1108
Ascites 1108
Asthenia 1108
Asthma, childhood 1108
Ataxia 1109
Atelectasis 1109
Atrium enlargement, right atrium 1109
AV nodal block 1109
Back pain 1109
Back pain, children and adolescents 1109
Back pain, viscerogenic origin 1109
Ballism 1109
Bleeding, lower GI 1109
Bleeding, lower GI, pediatric 1110
Bleeding, upper GI 1110
Bleeding, upper GI, pediatric 1110
Blindness, geriatric age 1110
Blindness, monocular, transient 1110
Blindness, pediatric age 1110
Blisters, subepidermal 1111
Bone lesions, preferential site of origin 1111
Bone marrow fibrosis 1111
Bone mineral density, increased 1111
Bone pain 1111
Bone resorption 1111
Bradycardia, sinus 1112
Breast inflammatory lesion 1112
Breast mass 1112
Breath odor 1112
Breathing, noisy 1112
Brown urine 1112
Bruising 1112
Bullous diseases 1112
Calcification on chest x-ray 1112
Calcifications, cutaneous 1112
Calcium stones 1113
Cardiac arrest, nontraumatic 1113
Cardiac death, sudden 1113
Cardiac enlargement 1113
Cardiac murmurs 1113
Cardioembolism 1113
Cardiogenic shock 1114
Cavitary lesion on chest x-ray 1114
Cerebral infarction secondary to inherited disorders 1114
Cerebrovascular disease, ischemic 1114
Chest pain, children 1114
Chest pain (nonpleuritic) 1114
Chest pain (pleuritic) 1115
Cholestasis 1115
Chorea 1115
Choreoathetosis 1115
Chylothorax 1115
Cloudy urine 1115
Clubbing 1115
Color changes, cutaneous 1115
Coma 1116
Coma, normal computed tomography 1116
Coma, pediatric population 1116
Conjunctival neoplasm 1117
Constipation 1117
Corneal sensation, decreased 1117
Cough 1117
Cutaneous infections, athletes 1117
Cyanosis 1117
Daytime sleepiness 1117
Delirium 1117
Delirium, dialysis patient 1118
Demyelinating diseases 1118
Diarrhea, tube-fed patient 1118
Diplopia, binocular 1118
Diplopia, monocular 1118
Diplopia, vertical 1118
Dizziness 1118
Dry eye 1119
Dyspareunia 1119
Dysphagia 1119
Dyspnea 1119
Dysuria 1119
Earache 1119
Ectopic ACTH secretion 1119
Edema, children 1119
Edema, generalized 1120
Edema, leg, unilateral 1120
Edema of lower extremities 1120
Ejection sound or click 1120
Elbow pain 1120
Elevated hemidiaphragm 1120
Emboli, arterial 1120
Emesis, pediatric age 1120
Encephalomyelitis, nonviral causes 1121
Encephalopathy, metabolic 1121
Enthesopathy 1121
Epilepsy 1121
Epistaxis 1121
Erectile dysfunction, organic 1121
Erosions, genitalia 1121
Erythematous annular skin lesions 1121
Erythroderma 1121
Esophageal perforation 1121
Esophagitis 1122
Esotropia 1122
Exanthems 1122
Eyelid neoplasm 1122
Eyelid retraction 1122
Eye pain 1122
Facial pain 1122
Facial paralysis 1122
Failure to thrive 1122
Fatigue 1122
Fatty liver 1123
Fever and jaundice 1123
Fever and rash 1123
Fever in returning travelers and immigrants 1123
Finger lesions, inflammatory 1123
Flatulence and bloating 1123
Flushing 1124
Foot dermatitis 1124
Footdrop 1124
Foot lesion, ulcerating 1124
Foot pain 1124
Forearm and hand pain 1124
Gait abnormality 1124
Galactorrhea 1124
Gastric emptying, delayed 1124
Gastric emptying, rapid 1124
Genital discharge, female 1124
Genital sores 1124
Glucocorticoid deficiency 1124
Goiter 1125
Granulomatous dermatitides 1125
Granulomatous disorders 1125
Granulomatous liver disease 1125
Green or blue urine 1125
Groin masses 1125
Groin pain, active patient 1126
Gynecomastia 1126
Halitosis 1126
Hand pain and swelling 1126
Headache 1126
Headache and facial pain 1126
Head and neck, soft tissue masses 1127
Hearing loss, acute 1127
Heartburn and indigestion 1127
Heart failure, pregnancy 1127
Heel pain 1127
Heel pain, plantar 1127
Hemarthrosis 1128
Hematuria 1128
Hematuria, differential based on age and sex 1128
Hemiparesis/hemiplegia 1128
Hemolysis and hemoglobinuria 1128
Hemolysis, intravascular 1128
Hemolysis, mechanical 1128
Hemoperitoneum 1128
Hemoptysis 1129
Hepatic cysts 1129
Hepatic granulomas 1129
Hepatitis, acute 1129
Hepatitis, chronic 1129
Hepatomegaly 1129
Hermaphroditism 1129
Hiccups 1130
Hip pain, children 1130
Hirsutism 1130
HIV infection, anorectal lesions 1130
HIV infection, chest radiographic abnormalities 1130
HIV infection, cognitive impairment 1131
HIV infection, cutaneous manifestations 1131
HIV infection, esophageal disease 1131
HIV infection, hepatic disease 1131
HIV infection, lower GI tract disease 1131
HIV infection, ocular manifestations 1132
HIV infection, pulmonary disease 1132
Hoarseness 1132
Hydrocephalus 1132
Hypercalcemia 1132
Hypercalcemia, malignancy-induced 1132
Hypercapnia, persistent 1132
Hypergastrinemia 1133
Hyperhidrosis 1133
Hyperkalemia 1133
Hyperkinetic movement disorders 1133
Hypermagnesemia 1133
Hyperphosphatemia 1133
Hyperpigmentation 1133
Hypersplenism, associated conditions 1134
Hypertrichosis 1134
Hypertrophic osteoarthropathy 1134
Hyperventilation, persistent 1134
Hypocalcemia 1134
Hypocapnia 1134
Hypoglycemia 1134
Hypogonadism 1134
Hypokalemia 1135
Hypomagnesemia 1135
Hyponatremia 1135
Hypophosphatemia 1135
Hypopigmentation 1135
Hypotension, postural 1135
Impotence 1135
Infertility, female 1136
Infertility, male 1136
Insomnia 1136
Intestinal pseudoobstruction 1136
Intracerebral hemorrhage nonhypertensive causes 1136
Intracranial lesion 1136
Intraocular neoplasm 1136
Iron overload 1136
Ischemic colitis, nonocclusive 1136
Ischemic necrosis of cartilage and bone 1137
Jaundice 1137
Joint pain, anterior hip, medial thigh, knee 1137
Joint pain, hip, lateral thigh 1137
Joint pain, polyarticular 1137
Joint pain, posterior hips, thigh, buttocks 1137
Joint swelling 1137
Jugular venous distention 1138
Keratitis, noninfectious 1138
Knee pain 1138
Left axis deviation 1138
Left bundle branch block 1138
Leg cramps, nocturnal 1138
Leg length discrepancies 1138
Leg movement when standing, involuntary 1138
Leg pain with exercise 1138
Leg ulcers 1139
Leptomeningeal lesions 1139
Leukocoria 1139
Limp 1139
Limping, pediatric age 1139
Livedo reticulitis 1139
Liver lesions, benign, often confused with malignancy 1139
Low-voltage ECG 1139
Lymphadenopathy 1140
Lymphangitis 1140
Lymphocytosis, atypical 1140
Mediastinal masses or widening on chest x-ray 1140
Mediastinitis, acute 1140
Melanonychia 1140
Memory loss symptoms, elderly patients 1140
Meningitis, chronic 1141
Meningitis, recurrent 1141
Mesenteric ischemia, nonocclusive 1141
Mesenteric venous thrombosis 1141
Metastatic neoplasms 1141
Microcephaly 1141
Micropenis 1141
Miosis 1141
Monoarthritis, acute 1141
Mononeuropathy 1141
Muscle weakness 1142
Muscle weakness, lower motor neuron versus upper motor neuron 1142
Mydriasis 1142
Myelin disorders 1142
Myelopathy and myelitis 1142
Myocardial ischemia 1142
Myoclonus 1142
Myopathies, infectious 1143
Myopathies, inflammatory 1143
Myopathies, toxic 1143
Myositis, inflammatory 1143
Nail clubbing 1143
Nail, horizontal white lines (Beau’s lines) 1143
Nail koilonychia 1143
Nail onycholysis 1143
Nail pitting 1143
Nail splinter hemorrhage 1143
Nail striations 1143
Nail telangiectasia 1143
Nail whitening (Terry’s nails) 1144
Nail yellowing 1144
Nausea and vomiting 1144
Neck and arm pain 1144
Neck mass 1144
Neck pain 1144
Nephritic syndrome, acute 1144
Nephrocalcinosis 1144
Neurogenic bladder 1144
Neurologic deficit, focal 1145
Neurologic deficit, multifocal 1145
Neuropathic bladder 1145
Neuropathies with facial nerve involvement 1145
Neuropathies, painful 1145
Nipple lesions 1145
Nodular lesions, skin 1145
Nodules, painful 1145
Nystagmus 1145
Nystagmus, monocular 1145
Ophthalmoplegia 1145
Opsoclonus 1146
Oral mucosa, erythematous lesions 1146
Oral mucosa, pigmented lesions 1146
Oral mucosa, punctate erosive lesions 1146
Oral mucosa, white lesions 1146
Oral ulcers, acute 1146
Oral vesicles and ulcers 1146
Orbital lesions, calcified 1146
Orbital lesions, cystic 1146
Orgasm dysfunction 1146
Orofacial pain 1146
Osteoporosis, secondary causes 1146
Ovulatory dysfunction 1147
Pain, midfoot 1147
Pain, plantar aspect, heel 1147
Pain, posterior heel 1147
Palindromic rheumatism 1147
Palmoplantar hyperkeratosis 1147
Palpitations 1147
Pancreatic calcifications 1147
Pancytopenia 1148
Papilledema 1148
Papulosquamous diseases 1148
Paraneoplastic neurologic syndromes 1148
Paraneoplastic syndromes, endocrine 1148
Paraneoplastic syndromes, nonendocrine 1148
Paraplegia 1148
Paresthesias 1148
Parkinsonism-plus syndromes 1149
Parotid swelling 1149
Pelvic mass 1149
Pelvic pain, chronic 1149
Pelvic pain, genital origin 1149
Penile rash 1149
Pericardial effusion 1149
Periodic paralysis, hyperkalemic 1149
Periodic paralysis, hypokalemic 1149
Peritoneal carcinonomatosis 1150
Peritoneal effusion 1150
Periumbilical swelling 1150
Photodermatoses 1150
Photosensitivity 1150
Pleural effusions 1150
Pleural effusions, malignancy-associated 1150
Pneumonia, recurrent 1150
Polycythemia 1150
Polyneuropathy 1150
Polyneuropathy, drug-induced 1151
Polyneuropathy, symmetric 1151
Polyuria 1151
Popliteal swelling 1151
Portal hypertension 1151
Postmenopausal bleeding 1151
Postural hypotension, nonneurologic cuases 1151
Premature graying, scalp hair 1151
Proptosis 1152
Proptosis and palatal necrotic ulcers 1152
Proteinuria 1152
Pruritus 1152
Pruritus ani 1152
Pseudocyanosis, etiology 1152
Pseudohermaphroditism, female 1152
Pseudohermaphroditism, male 1152
Pseudoinfarction 1152
Psychosis 1152
Ptosis 1153
Puberty, delayed 1153
Puberty, precocious 1153
Pulmonary crackles 1153
Pulmonary lesions 1153
Pulmonary nodule, solitary 1153
Pulseless electrical activity 1153
Pupillary dilatation, poor response to darkness 1153
Purpura 1153
QT interval prolongation 1154
Rectal pain 1154
Red blood cell aphasia, acquired, etiology 1154
Red eye 1154
Red hot joint 1154
Red urine 1154
Renal artery occlusion, causes 1154
Renal cystic disorders 1154
Renal failure, intrinsic or parenchymal causes 1154
Renal failure, postrenal causes 1154
Renal failure, prerenal causes 1155
Renal vein thrombosis, causes 1155
Respiratory failure, hypoventilatory 1155
Retinopathy, hypertensive 1155
Rhinitis 1155
Right axis deviation 1155
Salivary gland enlargement 1155
Salivary gland secretion, decreased 1155
Scrotal pain 1156
Scrotal swelling 1156
Seizure 1156
Seizure, pediatric 1156
Sexually transmitted diseases, anorectal region 1156
Sexual precocity 1156
Shoulder pain 1156
Shoulder pain by location 1157
Small bowel obstruction 1157
Small intestine ulceration 1157
Smell disturbance 1157
Sore throat 1157
Spastic paraplegias 1157
Spinal cord compression, epidural 1157
Spinal cord dysfunction 1157
Spinal cord ischemic syndromes 1157
Spinal tumors 1157
Splenomegaly 1158
Steatohepatitis 1158
Stomatitis, bullous 1158
Stridor, pediatric age 1158
Stroke 1158
Stroke, pediatric age 1158
Stroke, young adult, causes 1159
ST segment elevations, nonischemic 1159
Sudden death, pediatric age 1159
Sudden death, young athlete 1159
Swollen limb 1159
Tall stature 1159
Tardive dyskinesia 1159
Taste and smell loss 1160
Telangiectasia 1160
Tendinopathy 1160
Testicular failure 1160
Testicular pain 1160
Testicular size variations 1160
Tetanus 1160
Thrombocytopenia 1160
Thrombocytosis 1161
Thyromegaly 1161
Tick-related infections 1161
Tics 1161
Torsades de pointes 1161
Tremor 1161
Tubulointerstitial disease, acute 1161
Tubulointerstitial kidney disease 1161
Urethral discharge and dysuria 1161
Uric acid stones 1162
Urinary retention, acute 1162
Urine casts 1162
Urine, red 1162
Uropathy, obstructive 1162
Uterine bleeding, abnormal 1162
Vaginal bleeding, pregnancy 1162
Vaginal discharge, prepubertal girls 1163
Vasculitis, classification 1163
Vasculitis (diseases that mimic vasculitis 1163
Ventilation–perfusion mismatch on lung scan 1163
Ventricular failure 1163
Verrucous lesions 1163
Vertigo 1163
Vesiculobullous diseases 1163
Vision loss, acute, painful 1164
Vision loss, acute, painless 1164
Vision loss, children 1164
Vision loss, chronic, progressive 1164
Vision loss, monocular, transient 1164
Vocal cord paralysis 1164
Volume depletion 1164
Volume excess 1164
Vomiting 1164
Vulvar lesions 1164
Weakness, acute, emergent 1165
Weakness, gradual onset 1165
Weakness, nonneuromuscular causes 1165
Weight gain 1165
Weight loss 1166
Wheezing 1166
Wheezing, pediatric age 1166
Wrist pain 1166
Xerophthalmia 1166
Xerostomia 1166
Yellow urine 1166
SECTION III. Clinical Algorithms 1169
Abuse, child 1172
Abuse, geriatric 1173
Acetaminophen ingestion 1174
Acid-base homeostasis 1175
Acidosis, metabolic 1176
Acidosis, respiratory, acute 1178
Acidosis, respiratory, chronic 1179
Acute respiratory distress syndrome 1180
Adrenal insufficiency 1181
Adrenal mass 1182
Alkaline phosphatase elevation 1183
Alkalosis, metabolic 1184
Alkalosis, respiratory 1185
Alopecia 1186
ALT/AST elevation 1187
Amenorrhea, primary 1188
Amenorrhea, secondary 1189
Anemia 1190
Anemia of chronic disease 1191
Anemia, hemolytic 1192
Anemia, macrocytic 1193
Anema, microcytic 1194
Anemia with reticulocytosis 1195
Anisocoria 1196
Anorexia 1198
Antinuclear antibody testing 1199
Arthralgia limited to one or few joints 1200
Ascites 1201
Ascites, malignant 1202
Asthma, emergency department and hospital-based care 1203
Asthma, home management 1204
Ataxia, progressive 1205
Atrial fibrillation, paroxysmal 1206
Atrial fibrillation, permanent 1207
Atrial fibrillation, persistent 1208
Back pain 1209
Bilirubin elevation 1210
Bleeding disorder, congenital 1211
Bleeding, congenital disorder 1212
Bleeding, early pregnancy 1213
Bleeding, gastrointestinal 1214
Bleeding, vaginal 1215
Bleeding, variceal 1217
Bradycardia 1218
Breast, nipple discharge evaluation 1219
Breast, radiologic evaluation 1221
Breast, routine screen or palpable mass evaluation 1223
Breastfeeding difficulties 1225
Carcinoid tumors 1226
Cardiomegaly on chest x-ray 1227
Cardiomyopathy 1228
Cardiomyopathy, ischemic 1229
Cerebral ischemia 1230
Chest x-ray abnormality 1231
Chronic obstructive pulmonary disease 1232
Constipation 1233
Contraceptive method selection 1234
Contraceptive use, oral 1235
Convulsive disorder, pediatric age 1237
Corneal disorders 1238
Cough, chronic 1239
Creatine kinase elevation 1240
Cushing’s syndrome 1242
Cyanosis 1243
Cystitis, acute 1244
Cytoplastic antineutrophil cytoplasmic antibodies (c-ANCA) 1245
Deep vein thrombosis 1247
Delirium 1248
Delirium, geriatric patient 1249
Dementia 1250
Developmental delay 1251
Diabetes insipidus 1252
Diabetic autonomic neuropathy 1253
Diabetic ketoacidosis/hyperosmolar hyperglycemic state 1254
Diarrhea, acute 1255
Diarrhea, chronic 1256
Diarrhea, chronic, in patients with HIV infection 1257
Dilated pupil 1258
Disseminated intravascular coagulation 1259
Dyspepsia 1260
Dysphagia 1261
Dyspnea 1262
Dysuria and/or urethral/vaginal discharge 1263
Ectopic pregnancy 1264
Edema, generalized 1265
Edema, regional 1266
Enuresis and voiding dysfunction, pediatric 1267
Epiglottitis 1268
Erythrocytosis, acquired 1269
Fatigue 1270
Fecal incontinence 1271
Fever of undetermined origin 1272
Flushing 1274
Fracture, bone 1275
Genital lesions or ulcers 1277
Genitalia, ambiguous 1278
Goiter evaluation and management 1279
Granuloma 1280
Gynecomastia 1281
Hearing loss 1282
Hematuria, asymptomatic 1283
Hemoptysis 1284
Hepatitis, viral 1285
Hepatomegaly 1286
Herpes zoster/postherpetic neuralgia 1288
Hirsutism 1289
HIV-infected patient with central nervous system mass lesion 1290
HIV-infected patient with respiratory complaints 1291
HIV-infected patient with suspected central nervous system infection 1293
HIV-infected patient, acutely Ill 1294
HIV-infected patient, cardiac dysfunction 1295
Hyperaldosteronism 1296
Hypercalcemia 1297
Hyperkalemia, diagnostic approach 1298
Hyperkalemia, evaluation and treatment 1299
Hypermagnesemia 1301
Hypernatremia 1302
Hyperphosphatemia 1303
Hyperpigmentation 1304
Hyperthyroidism 1307
Hyperuricemia 1308
Hypocalcemia 1310
Hypoglycemia 1311
Hypogonadism 1312
Hypokalemia 1313
Hypomagnesemia 1314
Hyponatremia 1315
Hypophosphatemia 1316
Hypotension 1317
Hypothyroidism 1318
Infertility 1319
Inflammatory arthritis 1320
Jaundice 1321
Jaundice, neonatal 1322
Joint effusion 1323
Knee pain, anterior 1324
Leg ulcer 1325
Liver function test elevations 1326
Low back and/or leg pain 1327
Lymphadenopathy, generalized 1328
Malabsorption 1329
Mononucleosis 1330
Murmur, diastolic 1331
Murmur, systolic 1332
Muscle cramps and aches 1333
Muscle weakness 1334
Myositis 1335
Neck mass 1336
Nephrolithiasis 1337
Neutropenia 1338
Nystagmus 1339
Obesity, endocrine evaluation 1342
Occupational interstitial lung disease 1343
Oliguria 1344
Pain control 1345
Palpitations 1346
Pancreatic islet cell tumors 1347
Pancreatic mass 1348
Pancreatitis, acute 1349
Pancreatitis, chronic 1351
Patient with ill-defined physical complaints 1352
Pelvic mass 1353
Pelvic pain, reproductive-age women 1354
Pericardial effusion, malignant 1355
Perinuclear antineutrophil cytoplasmic antibodies 1356
Peripheral neuropathy 1358
Photosensitivity 1359
Pituitary tumor 1362
Pleural effusion, malignant 1363
Pleural space fluid 1364
Poisoning, acute 1365
Polycythemia 1367
Preoperative evaluation, patient with coronary heart disease 1368
Proteinuria 1369
Pruritus, generalized 1370
Pruritus, pregnant patient 1371
Pruritus, vulva 1373
Pseudohermaphroditism 1374
Psychotic patient 1375
Puberty, delayed 1376
Puberty, precocious 1377
Pulmonary embolism, diagnostic approach 1378
Pulmonary nodule 1379
Purpura, palpable 1380
Red eye, acute 1381
Renal artery stenosis 1382
Renal failure, acute 1383
Renal mass 1384
Respiratory distress 1385
Reticulocyte count, elevated 1386
Rhinorrhea 1387
Scoliosis 1388
Scrotal mass 1389
Septic arthritis 1390
Sexual dysfunction 1391
Sexual precocity, female breast development 1392
Sexual precocity, female pubic hair development 1393
Sexual precocity, male 1395
Shin splints 1397
Shock 1398
Shoulder pain 1399
Skin blisters 1402
Sleep disorders 1403
Spine tumor 1406
Splenomegaly 1407
Spondyloarthropathy, diagnosis 1408
Spondyloarthropathy, treatment 1409
Strabismus 1410
Stroke 1411
Subcutaneous ossification 1412
Syncope 1413
Tachycardia, diagnostic approach 1414
Tachycardia, narrow complex 1415
Tachycardia, wide complex 1416
Testicular mass 1417
Thrombocytopenia 1418
Thrombocytosis 1419
Thrombotic thrombocytopenic purpura and hemolytic-uremic syndrome 1420
Thyroid nodule 1421
Thyroid testing 1422
Thyroid, painful 1423
Tinnitus 1424
Transient ischemic attack 1425
Ureteral calculi 1426
Urethral discharge 1427
Urinary tract infection 1428
Urinary tract obstruction 1429
Vaginal discharge 1430
Vaginal prolapse 1431
Vertigo 1432
Vulvar cancer 1433
Weakness, neuromuscular 1434
Weight gain 1435
Weight loss, involuntary 1436
SECTION IV. Laboratory Tests and Interpretation of Results 1437
Acetone (serum or plasma) 1439
Acetylcholine receptor (AChR) antibody 1439
Acid-base reference values 1439
Acid phosphatase (serum) 1439
Activated clotting time (ACT) 1439
Activated partial thromboplastin time (APTT, aPTT) 1439
Adrenocorticotropic hormone 1439
SECTION V. Clinical Preventive Services 1483
PART A • THE PERIODIC HEALTH EXAMINATION 1486
Age-specific charts 1486
Table 5-1 Birth to 10 years 1486
Table 5-2 Ages 11 to 24 years 1488
Table 5-3 Ages 25 to 64 years 1490
Table 5-4 Ages 65 and older 1492
Table 5-5 Pregnant women 1494
PART B • IMMUNIZATIONS AND CHEMOPROPHYLAXIS 1495
Childhood and adolescent immunizations 1495
Table 5-6 Recommended immunization schedule for persons aged 0-6 years—United States 2009 1495
Table 5-7 Recommended immunization schedule for persons aged 7-18 years—United States 2009 1496
Table 5-8 Catch-up immunization schedule for persons aged 4 months to 18 years who start late or who are more than 1 month behind—United States 1497
Quadrivalent human papillomavirus (HPV) vaccine 1498
General recommendations on immunization 1500
Table 5-9 Recommended and minimum ages and intervals between vaccine doses of routinely recommended vaccines 1500
Table 5-10 Guidelines for spacing of live and inactivated antigens 1502
Table 5-11 Guidelines for administering antibody-containing products and vaccines 1502
Table 5-12 Suggested intervals between administration of antibody-containing products for different indications and measles-containing vaccine and varicella-containing vaccine 1503
Table 5-13 Contraindications to and precautions for commonly used vaccines 1504
Table 5-14 Dose and route of administration for selected vaccines 1507
Vaccine administration (includes Figures 5-1 through 5-5) 1508
Table 5-15 Treatment of anaphylaxis with intramuscular or oral pharmaceuticals 1509
Table 5-16 Vaccination of persons with primary and secondary immune deficiencies 1510
Table 5-17 Approaches to the evaluation and vaccination of internationally adopted children with no or questionable vaccination records 1511
Immunizations for adults 1512
Table 5-18 Recommended adult immunization schedule—by vaccine and age group 1512
Table 5-19 Vaccines that might be indicated for adults based on medical and other indications 1514
Table 5-20 Immunizations during pregnancy 1516
Table 5-21 Immunizing agents and immunization schedules for health care workers (HCWs) 1519
Table 5-22 Recommendations for persons with medical conditions requiring special vaccination considerations 1522
Table 5-23 Vaccinations for international travel 1523
Recommendations and implementation strategies for hepatitis B vaccination of adults 1524
Box 5-1 Adults recommended to receive hepatitis B vaccination 1524
Box 5-2 Hepatitis B vaccine schedules for adults (aged >20 yr) 1524
Table 5-24 Recommended doses of currently licensed formulations of adult hepatitis B vaccine by group and vaccine type 1525
Table 5-25 Recommended HIV/AIDS, sexually transmitted disease (STD), and viral hepatitis prevention services by risk population 1525
Table 5-26 Guidelines for postexposure prophylaxis of persons with nonoccupational exposuresƗ to blood or body fluids that contain blood by exposure type and vaccination status 1526
Table 5-27 Typical interpretation of serologic test results for hepatitis B virus infection 1526
Hepatitis A prophylaxis 1527
Table 5-28 Recommended dosages of hepatitis A immune globulin 1527
Table 5-29 Licensed dosages of hepatitis A vaccines 1527
Influenza treatment and prophylaxis 1528
Box 5-3 Persons for whom annual vaccination is recommended 1528
Table 5-30 Live, attenuated influenza vaccine (LAIV) compared with inactivated influenza vaccine (TIV) for seasonal influenza, United States formulations 1530
Indications for use of antivirals 1531
Figure 5-6 Algorithm for determining recommended influenza immunization actions for children 1532
HIV testing and postexposure prophylaxis 1533
Recommendations for HIV testing of adults, adolescents, and pregnant women 1533
Figure 5-7 Algorithm for evaluation and treatment of possible nonoccupational HIV exposure 1535
Table 5-31 HIV exposure, estimated per-act risk 1535
Table 5-32 Antiretroviral regimens for nonoccupational postexposure prophylaxis of HIV infection 1536
Table 5-33 Highly active antiretroviral therapy medications, adult dosage, and side effects 1537
Table 5-34 Recommended laboratory evaluation of nonoccupational prophylaxis (nPEP) of HIV infection 1538
Box 5-4 Situations for which expert consultation for HIV postexposure prophylaxis is advised 1538
Box 5-5 Occupational exposure management resources 1539
Box 5-6 Management of occupational blood exposures 1540
Endocarditis prophylaxis 1541
Table 5-35 Cardiac conditions associated with the highest risk of adverse outcome from endocarditis for which prophylaxis with dental procedures is recommended 1541
Table 5-36 Dental procedures for which endocarditis prophylaxis is recommended for patients in Table 5-35 1541
Table 5-37 Regimens for a dental procedure 1541
Table 5-38 Summary of major changes in updated recommendations 1542
PART C • GUIDE TO CLINICAL PREVENTIVE SERVICES 1543
APPENDIX I. Complementary and Alternative Medicine 1545
Ia. Dietary Supplements: What Every Primary Care Provider Should Know 1547
Ib. Overview of Selected Natural Products 1549
Ic. Natural Products and Drug Interactions 1553
Id. Definitions of Complementary and Alternative Medicine Terms 1557
Ie. Relaxation Techniques 1559
APPENDIX II. Primary Care Procedures 1561
Index 1589