Clinician's Pocket Reference, 11th Edition

Clinician's Pocket Reference, 11th Edition

Language: English

Pages: 752

ISBN: 0071454284

Format: PDF / Kindle (mobi) / ePub

The original Scut Monkey Handbook is the market-leading survival guide for the wards and in the clinic!

"This pocket reference is packed with information that is important for medical students and interns on a day-to-day basis. It is rich with practical information that might otherwise be located in different manuals....Medical students and other healthcare providers beginning their clinical rotations are the intended audience. The fundamental information is important for all clinicians to master, thus the book serves housestaff quite well also....This book continues to be a favorite among medical students and housestaff for good reason."--Doody's Review Service

"This book continues to be a favorite among medical students and housestaff for good reason."--Doody's Review Service

This portable, pocket-sized "manual of manuals" provides essential patient care information for medical students. You will find totally up-to-date coverage of current treatment protocols and step-by-step information on the history and physical examination, differential diagnosis, key lab and diagnostic tests, and much more.

  • Revised format and design delivers bulleted, concise information as well as numerous flow charts and tables
  • Thoroughly updated and revised with particular attention to topics like clinical microbiology, critical care, emergencies, and commonly used medications

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services, you may feel like a glorified unit secretary (clinical rotations are called “clerkships” for good reason!), and you will not be far from wrong. This is not what you are going into hock for. The scut work should be divided among the house staff. You will frequently be expected to call for a certain piece of laboratory data or to go review an x-ray with the radiologist. You may then mutter under your breath, “Why waste my time? The report will be on the chart in a day or two!” You will

penis Perineal Sural S1 Lateral and medial plantar Deep peroneal A FIGURE 1–3 A: Dermatomes and cutaneous innervation patterns, anterior view. (Reprinted, with permission, from: Aminoff MJ et al [eds]: Clinical Neurology, 3rd ed, Appleton & Lange, Stamford CT, 1996.) 23 1 History and Physical Examination 1 Nerve root Peripheral nerve Great occipital C2 Lesser occipital Greater auricular C3 Posterior rami of cervical nerves C4 Supraclavicular T2 T1 C6 P X lumoster ba ior r ra mi

the most common intrauterine infection), posttransfusion CMV infection, and organ donors and recipients. Most of adults will have detectable titers. Increased: Serial measurements 10–14 days apart with a 4× increase in titers or a single 4 IgM >1:8 is suspicious for acute infection. Universally increased titers in AIDS. IgM most useful in neonatal infections DEHYDROEPIANDROSTERONE (DHEA) • Male 2.0–3.4 ng/mL (SI: 5.2–8.7 mmol/L) • Female, premenopausal 0.8–3.4 ng/mL (SI: 2.1–8.8 mmol/L) •

when hyperthyroidism is suspected, but T4 is normal; not useful in the diagnosis of hypothyroidism Increased: Hyperthyroidism, T3 thyrotoxicosis, pregnancy, exogenous T4, any cause of increased TBG, such as oral estrogen or pregnancy Decreased: Hypothyroidism and euthyroid sick state, any cause of decreased TBG TROPONIN, CARDIAC-SPECIFIC • Troponin 1 (cTn1) <0.35 ng/mL • Troponin T cTnT <0.2 µg/L Used to diagnose AMI; increases rapidly 3–12 h, peak at 24 h and may stay elevated for several days

and salt intake, and the results are usually indeterminate if a diuretic has been given. 1. Sodium <10 mEq/L (mmol/L): Volume depletion, hyponatremic states, prerenal azotemia (CHF, shock, etc), hepatorenal syndrome, glucocorticoid excess 2. Sodium >20 mEq/L (mmol/L): SIADH, ATN (usually >40 mEq/L), postobstructive diuresis, high salt intake, Addison’s disease, hypothyroidism, interstitial nephritis 3. Chloride <10 mEq/L (mmol/L): Chloride-sensitive metabolic alkalosis (vomiting, excessive

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