Medical Insights: From Classroom To Patient

Medical Insights: From Classroom To Patient

by Morton A. Diamond
     
 

ISBN-10: 0763752843

ISBN-13: 9780763752842

Pub. Date: 09/02/2009

Publisher: Jones & Bartlett Learning

Medical Insights: From Classroom to Clinic is a quick reference to assist medical professionals and students on how to decipher medical information. Many texts present materials in a voluminous and disjointed manner. This guide takes disparate medical information and puts it together in a way that readers can utilize to quickly make important clinical connections.…  See more details below

Overview

Medical Insights: From Classroom to Clinic is a quick reference to assist medical professionals and students on how to decipher medical information. Many texts present materials in a voluminous and disjointed manner. This guide takes disparate medical information and puts it together in a way that readers can utilize to quickly make important clinical connections. Topics are presented in a clinically relevant and easy-to-use format. This is an ideal resource for all medical professionals and students.

Product Details

ISBN-13:
9780763752842
Publisher:
Jones & Bartlett Learning
Publication date:
09/02/2009
Edition description:
1E
Pages:
226
Product dimensions:
5.90(w) x 8.90(h) x 0.60(d)

Table of Contents

Chapter 1 Medical Brevities 1

Brevity 1 A Deficiency in a Hematinic Agent May Cause illness While the Blood Count is Still Normal 1

Brevity 2 Not All Dementia is Irreversible. The Clinician Must Always Look for a Treatable Cause of the Cognitive Disorder 4

Brevity 3 Remember the "Acey-Ducey" Rule: In Paired Structures in the Body, Recurrent Involvement of One of the Pair Suggests a "Local" Disorder Whereas Involvement of Both Strongly Suggests Systemic Disease 5

Brevity 4 Young Adults Can Suffer Acute Stroke. In These Patients, You Must Consider Patent Foramen Ovale, Factor V Leiden Mutation, and Antiphospholipid Antibody Syndrome as Causative Factors 8

Brevity 5 Consider a Metabolic Disorder in Any Patient Who Presents with Psychiatric Disturbances, in Many Cases, the Emotional Manifestations Are Very Early Signs of the Underlying Metabolic Abnormality 12

Brevity 6 Always Seek a Common Denominator in Medicine 15

Brevity 7 Flushing 35

Brevity 8 Heart Rate is Not the Most Important Element in Cardiopulmonary Fitness 38

Brevity 9 Think of the Chronology of a Heart Murmur 38

Brevity 10 Make it Easier to Remember 40

Chapter 2 The Most Important Word in Diagnosis: and 45

And is the Most Important Element in Medical Diagnosis 45

Fatigue and 46

Stroke and Fever 56

Heart Failure and Bounding Pulses 58

Dyspnea and 60

Clubbing and 61

Hyperglycemia and 64

Eosinophilia and 66

Conclusion 67

Chapter 3 MED 1C and a Word on Drug Interactions 69

MED 1C 69

Drug interactions 75

Chapter 4 Stop ... and Think 79

Topic 1 It May Not Be Irritable Bowel Syndrome 79

Topic 2 Abdominal Pain May Arise in the Chest, Not the Abdomen 80

Topic 3 BronchialAsthma and the Thyroid Gland 83

Topic 4 "All That Wheezes is Not Asthma" 84

Topic 5 Serum C-Reactive Protein and Proteinuria 86

Topic 6 Bilateral Hilar Nodes 88

Topic 7 Syncope with Effort in the Young Patient 89

Topic 8 is it Serious? 93

Topic 9 Aortic Valve Stenosis and Hypertrophic Obstructive Cardiomyopathy 98

Topic 10 Bile Salts and Bile Pigments 99

Topic 11 Macrocytosis and Megaloblastosis 101

Topic 12 Neurologic Symptoms 102

Topic 13 The Diagnosis is Stroke 103

Topic 14 Circumoral Paresthesias 108

Topic 15 Atrial Fibrillation and a Regular Pulse 109

Topic 16 Peripheral Lymphadenopathy in Adults 111

Topic 17 Cough in the Cardiac Patient 112

Topic 18 Angina Pectoris, Transient Ischemic Attack, and Floaters 113

Topic 19 Atrial Fibrillation: Why is it So Hard to Control the Ventricular Rate? 114

Topic 20 Age Matters in Disease Presentation 116

Topic 21 Pulmonary Infarction and Hepatic Infarction: Why are Infarctions of the Lung and Liver So Uncommon? 117

Topic 22 Pulse Pressure: A New Look at an Old Sign 118

Topic 23 Diplopia 120

Topic 24 Neuropathies of Pregnancy 122

Topic 25 Bicuspid Aortic Valve and Dissection of the Aorta 123

Topic 26 Petechiae, Purpura, and Ecchymosis 124

Topic 27 The Patient with a Diffuse Rash: An Important Clue to Diagnosis 126

Chapter 5 Always and Never 129

Always 129

Never 151

Chapter 6 Linkages 165

Linkage 1 Acid-Base Balance 165

Linkage 2 Ptosis 169

Linkage 3 Peripheral Edema 173

Linkage 4 Dyspnea 178

Chapter 7 The Smartest Answer to a Medical Question: "It Depends" 183

It Depends 1 What Is the Proper Dose of Nitroglycerin? 183

It Depends 2 What is the Significance of Atrial Premature Beats? 185

It Depends 3 What is the Proper Dose of a Diuretic in the Treatment of Heart Failure? 187

It Depends 4 is Jugular (Central) Venous Pressure a Good Indicator of Hypovolemia? 189

It Depends 5 What are the Physical Examination Sings in Mitral Value Regurgitation? 191

It Depends 6 What is the Duration of Anticoagulant Therapy in a Patient Who Has Deep Vein Thrombosis? 194

It Depends 7 What Are the Electrocardiographic Findings in a Patient Who Has Angina Pectoris? 195

It Depends 8 Does Carotid Artery Atherosclerosis Cause a Bruit? 197

It Depends 9 What is the Significance of Hypotension? 198

It Depends 10 Do Patients Who Have Infective Endocarditis Develop Clubbing? 200

It Depends 11 In a Patient Who Has Coarctation of the Aorta, is the Blood Pressure Equal in the Arms? 201

Chapter 8 Clinical Potpourri 203

1 All Patients with Obstructive Sleep Apnea Snore, but Not All Patients Who Snore Have Sleep Apnea 203

2 The Frequency of Attacks of Angina Pectoris Does Not Correlate with the Degree of Anatomic Stenosis in Coronary Atherosclerosis 203

3 Jaundice May Be Due to Elevation of Either Serum "Direct" (Conjugated) or "Indirect" (Unconjugated) Bilirubin Levels 203

4 Iron Deficiency is an Important Cause of Restless Legs Syndrome 204

5 When Reviewing Laboratory Data on a Patient, Always Calculate the Blood Urea Nitrogen: Serum Creatinine Ratio 204

6 The Patient Who Has Polycystic Ovary Syndrome Looks Like a Patient Who Has Cushing's Disease 205

7 Diabetes Mellitus is the Most Common Cause of Bilateral Loss of Knee Deep Tendon Reflexes 205

8 Antibodies are Present in the Serum of Patients Who Have Hypothyroidism Due to Hashimoto's Disease and in the Hyperthyroid Patient Who Has Graves' Disease 205

9 Headaches and 206

10 In Food Poisoning, Think of the Magic Numbers 40° and 150°F 206

11 Examination of the Dehydrated Patient May Fool the Clinician; the Key is in Understanding Osmotic Pressure 206

12 Be Aware That the Patient Who Develops Bilateral Carpal Tunnel Syndrome Most Likely Has an Underlying Systemic Disease 207

13 Electrocardiography: Bundle Branch Blocks 207

14 Paradoxical Pulse: The Most Common Cause is Not Pericardial Tamponade 208

15 Gynecomastia 208

16 Arterial Blood Gas Determination 209

17 When Encountering a New Patient Who Has Hypertension, Always Check for Radial-Femoral Artery Pulse Lag 210

18 Butterfly Rash 210

19 Weakness 211

Index 213

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