Table of Contents
Preface xiii
Introduction and How to Use This Book xv
List of Abbreviations and Acronyms xvii
Chapter 1 Cardiology 1
Case 1 Pulmonary Edema 1
Case 2 Congestive Heart Failure 6
Case 3 Acute Coronary Syndrome 10
Case 4 Aortic Stenosis 14
Case 5 Mitral Stenosis 18
Case 6 Atrial Fibrillation 23
Case 7 Supraventricular Tachycardia, Ventricular Tachycardia, and Wolff-Parkinson-White Syndrome 26
Case 8 Pericardial Tamponade 33
Case 9 Complete Heart Block 39
Case 10 Mitral Regurgitation 44
Case 11 Peripheral Arterial Disease 48
Case 12 Syncope 53
Chapter 2 Hematology 57
Case 1 Iron Deficiency Anemia 57
Case 2 Thalassemia 62
Case 3 Vitamin B12 Deficiency (Alcoholism, Peripheral Neuropathy) 66
Case 4 Sickle Cell 71
Case 5 Autoimmune Hemolysis 77
Case 6 Glucose-6-Phosphate Dehydrogenase Deficiency 82
Case 7 Paroxysmal Nocturnal Hemoglobinuria 85
Case 8 Hemolytic Uremic Syndrome and Thrombotic Thrombocytopenic Purpura 92
Case 9 Immune Thrombocytopenic Purpura 96
Case 10 Von Willebrand Disease 100
Case 11 Clotting Factor Deficiency 104
Case 12 Thrombophilia (Hypercoagulable States): Deep Venous Thrombosis and Heparin-Induced Thrombocytopenia 106
Chapter 3 Endocrinology 113
Case 1 Diabetes-Initial Diagnosis and Treatment 113
Case 2 Diabetes-Prevention of Complications 120
Case 3 Diabetic Ketoacidosis 125
Case 4 Hypothyroidism 130
Case 5 Hyperparathyroidism 135
Case 6 Hypercortisolism 141
Case 7 Acromegaly 148
Case 8 Hyperaldosteronism 153
Case 9 Prolactinoma 162
Chapter 4 Neurology 167
Case 1 Stroke 167
Case 2 Parkinson Disease 173
Case 3 Myasthenia Gravis 177
Case 4 Subarachnoid Hemorrhage 182
Case 5 Guillain-Barré Syndrome 187
Case 6 Dementia 192
Case 7 Meningitis 194
Case 8 Head Trauma-Subdural 200
Chapter 5 Gastroenterology 205
Case 1 Gastrointestinal Bleeding 205
Case 2 Achalasia 212
Case 3 Gastroesophageal Reflux Disease 217
Case 4 Peptic Ulcer Disease 221
Case 5 Zollinger-Ellison Syndrome 224
Case 6 Inflammatory Bowel Disease 229
Case 7 Celiac Disease 235
Case 8 Hemochromatosis 239
Case 9 Pancreatitis 243
Chapter 6 Nephrology 247
Case 1 Acute Kidney Injury, Prerenal Azotemia (Dehydration) 247
Case 2 Acute Renal Failure (Rhabdomyolysis) 254
Case 3 Glomerulonephritis (Immunoglobulin A) 258
Case 4 Nephrotic Syndrome (Membranous) 263
Case 5 End Stage Renal Failure and Dialysis 269
Case 6 Syndrome of Inappropriate Secretion of Antiduretic Hormone 273
Case 7 Hypernatremia (Central Diabetes Insipidus) 278
Case 8 Hyperkalemia (Tumor Lysis Syndrome) 284
Case 9 Renal Tubular Acidosis 288
Case 10 Hypertension and Preventive Medicine 294
Chapter 7 Pulmonary 299
Case 1 Asthma 299
Case 2 Chronic Obstructive Pulmonary Disease 305
Case 3 Pneumonia 312
Case 4 Pneumocystis Pneumonia 316
Case 5 Tuberculosis 322
Case 6 Pulmonary Embolus 327
Case 7 Sarcoidosis 332
Case 8 Pulmonary Hypertension 338
Chapter 8 Rheumtology 343
Case 1 Rheumatoid Arthritis 343
Case 2 Ankylosing Spondylitis 350
Case 3 Sjögren Syndrome 354
Case 4 Gout 358
Case 5 Osteoarthritis 364
Case 6 Scleroderma 369
Case 7 Polymyositis-Dermatomyositis 373
Case 8 Systemic Lupus Erythematosus 379
Chapter 9 Oncology 385
Case 1 Breadst Cancer 385
Case 2 Prostate Cancer 390
Case 3 Myeloma 398
Case 4 Polycythemia Vera 406
Chapter 10 Infectious Diseases 409
Case 1 Osteomyelitis 409
Case 2 Endocarditis 415
Case 3 Pyelonephritis 422
Case 4 Cellulitis 426
Case 5 Urethritis 431
Case 6 Syphilis 434
Case 7 Herpes Zoster: Shingles 437
Case 8 Infections Diarrhea 441
Case 9 Malaria and Travel Medicine 446
Case 10 Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome 452
Chapter 11 Emergency Medicine 457
Case 1 Tricyclic Antidepressant Overdose 457
Case 2 Acetaminophen Overdose 462
Case 3 Aspirin Overdose 465
Case 4 Carbon Monoxide 471
Case 5 Ethylene Glycol and Methanol 476
Case 6 Organophosphates 482
Case 7 Spider Bite 486
Case 8 Digoxin Toxicity 489
Case 9 Drowning and Hypothermia 495
Case 10 Neuroleptic Malignant Syndrome 499
Index 505