Index B-cell lymphoma 170–171, 173–174, 176, 179, 260 Behcet’s disease 234, 276–277, 282, 288–289, 291, 308 Bell’s palsy 307–308 Bence Jones proteinuria 179 Benign positional vertigo 309, 315–316 Benzodiazepines overdose 103 Bernard-Soulier syndrome 154–155 Bilevel positive airway pressure (BIPAP) 1, 4, 18, 94, 96, 395 Binet staging .171 Biological anticancer therapy 121, 192, 195, 210, 249 Bioprosthetic heart valve 156 Bitemporal hemianopia .305 Bladder cancer 70, 117, 208–209 Blast crisis in CML 165–166 Bleeding 10, 20, 28, 30–31, 42, 47–48, 73, 75–76, 81, 93–94, 100, 115, 118–120, 126, 129–131, 133, 143–146, 150–155, 157, 159–162, 180, 187, 198, 201, 203, 205–206, 208, 212, 218, 230, 238, 246, 286, 288, 299–300, 362, 369, 380, 385–386, 391, 423, 425–427 post-operative 425–426 Bleeding diathesis 20, 30, 93, 153–155, 159, 161 Bleomycin toxicity .227 b-blocker overdose 103–104 b-blockers 29–30, 37–39, 41–42, 51, 58–61, 103–106, 119, 134, 280, 314, 341–342, 345, 363, 381, 409, 411, 414, 424 Blood pressure 26, 29–30, 36, 40, 43–44, 49, 56–60, 68, 71, 74–76, 85, 95, 98–99, 104, 289, 291, 300, 302, 339, 348, 404, 409, 429 Blue bloater BODE index Body mass index (BMI) 4, 17–18, 21, 58, 132, 157, 338, 354, 357, 403–404, 406 Bone density testing 124, 212, 355, 398 Bone marrow transplant 172, 227 Bone metastases 208, 391–392 blastic 392 Borrelia burgdorferi 174, 234–235, 247, 273, 277–278, 289 Bouchard’s nodes 286, 294 Brachytherapy 196, 211–212, 219 Bradycardia 27, 39, 42–43, 57, 59, 63, 82, 91, 103–104, 108, 146, 241, 312, 343, 414, 422 Bradykinesia 320–321 Brain death 91–92 Brain metastasis 299 Brain tumors 9, 30, 214, 227, 297–299, 309, 311, 319, 332–333 BRCA syndromes 225 Break-bone fever 241 Breaking bad news 390, 399–400 445 Breast cancer 20, 189–195, 215, 219–221, 223–225, 228, 347, 410, 415 Breast examination 190–191, 222–223 Broca’s aphasia 304 Bronchiectasis 1, 3, 5, 8, 12, 16, 21, 33, 251, 279, 374, 394, 397 Bronchiolitis obliterans 5, 16, 21, 182, 278–279 Bronchiolitis obliterans organizing pneumonia (BOOP) 5, 16 Bronchogenic carcinoma 21 Brucellosis 173, 233, 239, 241 Brudzinski sign 242 Bruit abdominal .60, 68, 116, 338 carotid 302, 306, 340 B-type natriuretic peptide 37 Buerger’s disease 288, 367, 418 Buerger’s test .55, 338 Bullous lesions 365, 371 Bullous pemphigoid 365–366 Bundle branch blocks 9, 31, 44, 63–64 Burkitt’s lymphoma .174–177 Burr cells 163 C CA 125 217, 219–221, 223 CA 15–3 190, 220–221 CA 19–9 197, 205, 219–221 Cachexia 4, 46, 52, 125–126, 328, 332, 394, 396–398, 400 pancreatic cancer 404 CAGE questionnaire 105 Calcium channel blockers 15, 29–30, 38, 41–42, 51, 58–60, 104–105, 113, 126, 134, 158, 281, 314, 373, 386, 396, 411 Calcium channel blockers overdose 104 Calcium oxalate stone 68, 75, 84, 276 Calcium pyrophosphate deposition disease (CPPD) 276 Caloric testing 91, 315 Campylobacter 120, 122–124, 174, 239, 253, 258, 260, 283, 329 Canadian cardiac society (CCS) classification 27, 61, 422 C ANCA 13, 68–69, 71–72, 277, 289, 291, 293, 398 Cancer of the Anal Canal 204 Cancer of Unknown Origin 219–220 Candidiasis 113, 231, 236, 259, 265–266, 268–269, 363, 397 Capacity 5, 17, 21–22, 94–95, 125, 155, 378, 403, 422–423, 427 Capecitabine 146, 192, 194–196, 198–200, 226, 230–231 Carbapenems 249, 253–254, 257 Carbon monoxide poisoning .101 Carboplatin 168, 175, 187, 194, 214, 216, 218–220, 226, 230, 298 Carcinoembryonic antigen (CEA) 186, 196–197, 199–200, 205, 219–221, 353 Carcinoid heart disease .201–202 Carcinoid syndrome 185, 201–202, 281 Cardiomyopathy 33–34, 38–40, 43–48, 51, 53, 63–64, 93, 105, 181, 187, 195, 227, 235, 281, 312, 411, 414, 420 in pregnancy 411, 414 Cardiopulmonary resuscitation (CPR) 10, 30, 32, 90–91, 107, 399, 411, 428 Carnett’s test .116 Carotid bruit 302, 340 Carotid endarterectomy 303, 422–423 Carpal tunnel syndrome 278, 347 Caspofungin 237, 266, 268–269 Castleman’s disease 21, 173, 178 Catheter-associated bacteriuria 244–245 Cauda equina syndrome 228, 284–285 Cavernous sinus lesions .305 CD4 count 259, 261, 413 Celiac disease 72, 124–125, 144, 177, 354, 361, 374 Cellulitis 55, 149, 158, 247, 253, 258 Central pontine myelinolysis 80 Central venous catheterization 157 Central venous pressure (CVP) 36, 98, 100, 153, 171, 175–176, 228 Central venous saturation 90 Cephalosporins 68, 123, 149, 234, 253–254, 257, 365, 372–373, 413, 426 Cerebellar disorders 308, 315, 319–320 Cerebellopontine angle lesions 305 Cerebrospinal fluid analysis .244 Cervical radiculopathy 323 Cervicitis 245, 282, 284 CHADS2 criteria 42 Chemotherapeutic agents 226–227 Chemotherapy-induced diarrhea 231 Chemotherapy-induced lung injury 93 Chemotherapy-induced nausea and vomiting 229–230, 396 Chest pain acute coronary syndrome 26 aortic dissection 26, 28, 30–31 aortic stenosis 26, 28 pericarditis 26–28, 30–31 pneumonia 26 pulmonary embolism 26, 28 Chest radiography (CXR) 1, 3–4, 6, 9–19, 25–28, 33, 35–37, 41, 43, 48–53, 68, 92–93, 96–98, 100, 102, 106, 108–109, 111, 116–117, 119, 143, 149, 156, 158, 163, 172, 175, 186, 188–190, 196–197, 199, 204–206, 208, 210, 213, 215, 217–218, 222, 228, 234, 237, 239, 242, 250–251, 259–260, 262, 264, 277, 289, 291, 310, 312, 319, 339, 342, 353, 367, 369, 374, 381, 395, 398, 410, 420, 423–424 Cheyne-Stokes breathing 395 Child-Pugh classification 132 Chlamydia 6, 16, 47, 52, 174, 244–246, 253, 255, 259, 262, 282–283, 374, 413 Index 446 Chloromas 167 Cholecystitis 25–26, 115, 117, 284, 412 Cholestasis 125, 128, 138–139, 361, 407, 411–412 Cholinergic syndromes 102–104 Chronic bronchitis 3–4, 12, 23 Chronic cough 12, 113, 250 Chronic daily headaches 314 Chronic diarrhea 83, 120, 122, 124 Chronic fatigue syndrome 288 Chronic kidney disease 28, 57–59, 67, 73–74, 145, 267, 273, 346–347, 352, 389, 409 Chronic liver disease 130–135, 138, 163, 270 Chronic lymphocytic leukemia (CLL) 72, 146, 151–153, 164, 166–167, 170–171, 173, 175, 179, 181, 226 Chronic mesenteric ischemia .56, 115, 118 Chronic myelogenous leukemia (CML) 100, 143, 150, 164–167, 226–227 Chronic myelomonocytic leukemia (CMML) 165 Chronic phase in CML 165–166, 181 Chronic renal failure 47, 57, 70, 91, 104, 157, 250, 275, 352 Churg-Strauss syndrome (CSS) 149, 173, 288, 291 Chvostek’s sign 352 Cidofovir 265 Cirrhosis 5, 10, 12, 15, 42, 60, 67, 72, 78–79, 90, 105, 118–119, 128–139, 148, 164, 205–206, 220–221, 239, 267, 343, 352, 354, 374, 403, 420 Cisplatin .83, 175, 187–189, 196, 198, 202, 204, 209, 213–214, 216, 218–219, 226, 230–231, 260, 298, 327 Clark’s levels 369 Claudication neurogenic 284–285 Vascular 54–56 Clindamycin 7–8, 54, 123, 237, 245–248, 253, 255, 257–260, 364–365, 413, 424 Clostridium difficile colitis 122–123, 260 Clotting disorders 152, 154, 156 Clubbing 10, 13–14, 16, 53, 121, 133–134, 146, 185, 283, 344, 374–375 Cluster headaches .314 Coagulation pathway 154 Coccidioidomycosis 15, 20, 149, 173, 238, 259, 267, 349, 374 Cockcroft-Gault formula 67 Code status 399 Cognitive impairment 31, 378–380, 392–393 Colorectal cancer 120–121, 198–200, 220–221, 223, 225, 228, 261 Coma 80–81, 91, 102–104, 108–109, 135, 152, 310, 343, 410, 422 Communication skills 378, 390, 399, 429 Community acquired pneumonia 6–7, 100, 257, 260 Competency 378 Complements 71–72, 100, 153, 157, 243, 257, 280, 288 Conditioning 16, 181–182, 332 Conductive hearing loss 317 Confidentiality .428 Conflict of interest .428 Confusion assessment method (CAM) 377, 381, 383 Congenital adrenal hyperplasia 78, 348, 357–358, 364 Congestive heart failure (CHF) 12, 15, 28, 35, 42, 54, 137, 156, 367 Conn’s syndrome 57 Consent 382, 427–428 Consent for procedures .427 Constipation 59, 61, 86, 126–127, 135, 202, 215, 217, 226–227, 229, 241, 281, 321, 328, 337, 343, 353, 385, 392, 395–398, 419, 421 Constipation score 126, 396–397 Constrictive pericarditis 32–33, 43–44, 134, 136–137, 164, 278 Contact dermatitis 257, 361, 365, 371–373 Contact isolation 235 Continuous positive airway pressure (CPAP) 17–18, 37, 94, 96, 143, 424 Contrast nephropathy 69–70 Coomb’s test 145–146, 151, 153 COPD exacerbation 3–5, 8, 33, 94, 394 Cornell criteria 64 Coronary artery bypass graft surgery 31 Cotswolds staging .172 Cough 1, 3–4, 6, 8, 10, 12–13, 15–17, 32, 35, 37–38, 58, 91, 95, 113–114, 116, 147, 149, 185, 189, 195, 213, 215, 217–218, 228, 233–234, 237, 239–240, 250, 263–264, 267, 345, 370, 384 Coumadin induced skin necrosis .160 Cranial nerves 107, 169, 177, 298, 301, 304–308, 316, 329, 420 C-reactive protein (CRP) 13, 27, 57, 61, 121, 150, 233, 235, 274, 276, 278, 280, 282, 289–290, 292, 322, 398, 400, 421 CREST syndrome 281 Critical illness neuromuscular disorders .333 Crohn’s disease 121, 125, 177, 223, 374 Cross-leg palsy 331 Cryoglobulinemia 17, 68–69, 72, 132, 156, 170, 174, 178, 233, 288–289, 292, 372, 420–421 Cryptococcosis 34, 173, 259, 267 Cryptogenic organizing pneumonia (COP) 3, 5, 8, 15–16, 20, 33, 42 CT chest 5–6, 9–11, 13–17, 19, 21, 26, 42, 53, 92–93, 134, 149, 172, 175, 186, 188–189, 196, 200, 202, 204, 219–220, 222, 228, 234, 251, 266, 289, 319, 410, 420 CT head 80, 102, 111, 135, 186, 208, 213, 243, 260, 298–299, 302–303, 307, 310, 312, 314–316, 322, 333–334, 380–381, 410 Cushing’s Disease 346–347, 350, 352 Cushing’s Syndrome 57, 79, 143, 215, 285–286, 337, 346, 350–352 Cutaneous lupus erythematosus 371–372 Cyanide poisoning .109 Cyclophosphamide 13, 16, 71–72, 146, 167–169, 171, 173, 175–177, 181–182, 189, 193, 208, 226, 230–231, 279–281, 289, 291, 298, 420 Cystic kidney diseases 57, 73, 75–76, 143, 207, 244 Cystine stones 84 D Daptomycin 247, 255 Deafness 317 Death brain death criteria 91–92 post myocardial infarction 426 DeBakey classification 25 Decontamination .104–105 Deep vein thrombosis (DVT) 4, 8–10, 13, 40, 54–56, 100, 121, 143, 152, 156–161, 283, 300, 367, 410, 425 Dejerine syndrome 306 Delirium alcoholism 105–107 hepatic encephalopathy 135 hypercalcemia 390 hyperglycemia 104 hypernatremia 381 hypoglycemia 385 hyponatremia 381 meningitis 422 overdose 382 post-operative 31, 426 seizures 106–107 Delirium tremens .105–107 Dementia 6, 30, 112, 126, 176, 185, 215, 235, 246, 298, 315, 319, 321, 323, 328, 377–381, 383, 405, 422, 425 Dengue fever 173, 239, 241 Depression 17–18, 27, 30–33, 36, 57, 59, 62, 64–65, 82, 102–103, 105, 108, 126, 132, 170, 178, 204, 280, 287, 302, 308, 318, 321–322, 332, 339, 343, 350, 352, 370, 377–382, 389–390, 392, 394–398, 403–404, 414, 419 palliative setting 390 Dermatitis herpetiformis 72, 124, 361, 365 Dermatomes 324 Dermatomyositis 17, 34, 101, 112, 173, 204, 234, 276–277, 280–282, 293, 332 Dermatophyte infections 363 DeWeese’s test 55 Index Dexamethasone suppression test 346, 350–351 Diabetes .7, 27–28, 30, 35, 40, 42, 53, 56–59, 61, 69, 71, 73–74, 81–82, 101, 104, 107, 111, 115, 124–126, 130, 132, 156, 180, 198, 201, 204, 217, 242, 244, 247–250, 252, 266–267, 273, 276, 286, 292, 300, 305, 327–328, 331–332, 337–343, 347–348, 361–362, 367, 371, 375, 384, 396–397, 403–404, 409, 413–414, 418, 420, 423, 427 in pregnancy 413–414 Diabetes insipidus 69, 81, 104, 347–348, 384, 420 Diabetes mellitus complications 337 insulin 337–338 oral hypoglycemics 338 Diabetic foot ulcer .248 Diabetic ketoacidosis (DKA) 77, 83, 115, 337–339 Diabetic nephropathy 70, 74, 78 Diabetic neuropathy 18, 27, 124, 247 Diabetic retinopathy 414 Dialysis acute indications 74 chronic indications 74 continuous renal replacement therapy (CRRT) 85 hemodialysis (IHD) 68–70, 74, 85 peritoneal dialysis (PD) 10, 68–70, 74, 85–86 Diarrhea acute 122–123, 239, 258, 282 antibiotics-associated 123 carcinoid tumors 201–202 chemotherapy-induced 231 chronic 83, 122, 124, 239 inflammatory bowel disease 120–122 irritable bowel syndrome 127 Diastolic dysfunction 34, 36–38, 59 Diastolic murmurs 25, 46–47, 49 Diffuse airspace disease 20 Diffuse Body Pain 287 Diffuse idiopathic skeletal hyperostosis (DISH) 286 Diffuse large B cell lymphoma 170, 174, 260 Digibind .39, 105 Digoxin intoxication 38–39 Dilated cardiomyopathy 40, 51, 63, 105, 235 Diplopia .177, 189, 290, 304, 306–308, 316, 318, 344, 427 Dipyridamole/adenosine MIBI 28 Direct thrombin inhibitors 29, 161 Discharge .2, 8, 29, 91, 120, 161, 190, 192, 218, 227, 233–234, 237, 239, 244–246, 269, 273, 390, 429 Disc herniation 285 Discord lupus .371 Disposition 378, 429 447 Disseminated intravascular coagulation (DIC) 10, 20, 93, 101, 138, 145, 151–152, 154, 156–157, 163, 167–168, 235, 240, 411–412, 415, 426 Diuretics 29, 37, 39, 50–51, 58–60, 68, 74, 78–81, 83, 118–119, 125, 134–135, 137, 139, 162, 275, 339, 349, 352, 367, 371–372, 381, 384, 395, 411, 425 Dizziness 12, 15, 39–40, 59, 118–120, 144–146, 202, 227, 313, 315–316, 342, 382 Dobutamine echocardiography 28 Docetaxel 187, 193–194, 196, 198, 211, 226, 230–231 Doll’s eyes response 91 Donor 162–163, 168, 170, 176, 180–182 stem cell transplant 163, 168, 176, 180–182 Do not resuscitate orders .91, 338 Doxorubicin 169, 173, 175–176, 178, 180, 189, 193–195, 202, 209, 216–218, 226, 230–231, 260 Driving limitations .426 Drop attacks 382 Drop head syndrome 333 Droplet isolation 235, 269 Drug eruptions 256, 361–362, 364, 372–373 Drug-induced systemic lupus 280 Drug-related exanthems 372 Ductal carcinoma in situ (DCIS) 189, 191, 223 Dupuytren’s Contracture 133, 146, 375 Dying 236, 390–391, 395 Dysarthria .80, 301, 304, 316, 321, 421 Dysbetalipoproteinemia 62 Dyspepsia 113–115, 119, 127, 281, 412, 419 Dysphagia 80, 112–114, 185, 189, 195–197, 281, 301, 306, 316, 345, 397, 398, 400, 406, 421 esophageal cancer 195–196 Dysphagia 80, 83, 112–114, 185, 189, 195–197, 281, 301, 306, 316, 345, 397–398, 400, 406, 421 Dysphonia 304, 345, 421 Dysplastic nevi 368, 370 Dysplastic nevus syndrome 368, 370 Dyspnea acute coronary syndrome 27 acute respiratory distress syndrome 93 aortic stenosis 33, 48, 422 asthma exacerbation .3, 8, 33, 394 congestive heart failure 15, 35 COPD exacerbation 3, 8, 33, 394 flash pulmonary edema 38 hypoxemia 134 interstitial lung disease 3, 8, 33 metabolic acidosis 33 palliative setting 394–395 pleural effusion 33, 188 pneumonia 3, 6, 8, 33, 394 pulmonary embolism 8, 33, 394 pulmonary hypertension 33, 50, 92, 394 respiratory alkalosis 19, 103 tamponade 32–33 Dystonia 320, 322, 333 E Eaton-Lambert syndrome 185, 319 ECG exercise stress test 27–28 Echinocandin 266, 268 Eclampsia 409–410, 412, 414–415 ECOG performance status 175, 187, 390 Eczema 190, 247, 361–363 Ehrlichia 235–236, 253 Eisenmenger syndrome 15, 52 Elderly 38–39, 59, 69, 93, 103, 194, 218, 244, 247, 250, 292, 297, 314, 317, 334, 343–345, 361, 366, 377, 381–382, 384–386 Electrocardiogram (ECG) 4, 9, 15, 19, 25–28, 30–33, 36–37, 39, 41, 48–53, 56–57, 62–65, 82–83, 92–93, 98, 102, 106, 108–109, 116, 234, 259, 302, 312, 315, 339–340, 352–353, 374, 381, 383, 395, 403, 420, 423–424 Elevated liver enzymes 227, 409 Elliptocytosis 138, 163 Embolic stroke 299–300, 302 Emesis 103, 112 Emphysema 4–5, 23, 134, 420 Empiric antibiotics 54, 162, 234, 243, 249, 257–258 Empyema 6, 8, 11, 21, 79, 241, 374 Encephalitis 79, 81, 135, 172, 235, 238–239, 241, 243–244, 260, 263, 309–310, 313, 333, 378, 381 Endocarditis 3, 8, 10, 20, 33, 35, 38, 40, 47–54, 68–69, 72, 98, 156, 159, 161, 164, 233–235, 242, 253, 256, 258, 266, 273, 276–277, 279, 282, 288–289, 292, 299–300, 374, 394, 411, 420, 422, 424 Endocarditis prophylaxis 54, 411, 424 Endoscopy 104, 113–116, 119–121, 123–124, 134, 144, 196, 198, 203, 210, 219, 225–226, 260 Endotracheal tubes 19, 89, 94–95, 269 Engraftment 181–182 Enterofeeding 229, 378, 380 Enteropathic arthritis (EA) 283 Eosinophilia 3, 11, 15, 69, 148–149, 172, 204, 238, 289, 291, 361 Epilepsy 135, 310, 333, 414, 426 Epirubicin 193, 196, 198, 209, 226, 230 Erlotinib 187, 205, 227, 231, 363 Erosive osteoarthritis 286 Eruptive xanthoma 61 Index 448 Erysipelas 247, 253 Erythema migrans .234–235 Erythema multiforme 172, 267, 276–277, 282, 365–366, 372 Erythema nodosum 122, 121, 172, 234, 250, 266–267, 276–277, 279, 282–283, 291, 373–374, 420 Erythrocyte sedimentation rate (ESR) 13, 15, 51, 53, 121, 127, 149–150, 163, 172–173, 233, 235, 248–249, 274, 276, 278, 280, 282, 284, 286–287, 289–292, 302, 314, 322, 327, 344, 367–368, 383, 398, 421 Esophageal cancer 25–26, 195–196, 374, 406 Esophageal dysphagia .112 Esophagitis 25–26, 112–114, 118–119, 148, 260, 265 Essential thrombocytosis (ET) 43, 164–167 Essential tremor 59 Ethics 395, 427–428 Ethnic neutropenia 148 Ethylene glycol overdose 107 Etoposide 167–168, 173, 175–176, 182, 187, 189, 202, 214, 216, 226, 230, 298 Euthanasia 395, 428 Evan’s syndrome 151, 153 Exanthematous lesions 364–365 Exanthems 233–234, 364–365 drug-related 372–373 Exemestane 192, 227 Exercise induced asthma 2–3 Extended spectrum b-lactamase (ESBL) 253 Extraocular eye movements 306, 318 Eye lymphoma 176 F Facial droop 305, 307 stroke/TIA, 305, 307 Facial nerve lesions 307 Facial nerve palsy 235 Facial telangiectasia 118, 364, 371 Factor V Leiden 8–9, 156, 158–159 Falls 83, 301, 313, 315, 320, 338, 377, 382–383, 385, 390, 405 Famciclovir 265, 366 Familial adenomatous polyposis (FAP) 197–199, 204, 223, 225–226, 297 Familial benign hypocalciuric hypercalcemia 353–354 Familial combined hyperlipidemia 62 Familial dyslipidemia 62 Fanconi’s anemia 153 Fanconi’s syndrome 78 Fat embolism 10, 20, 93, 147 Fatigue 5, 27, 35, 51, 55, 73, 138, 144–146, 167, 169–172, 174, 178, 180, 185, 188–190, 193, 195, 197, 199, 202–204, 207, 209–210, 212–213, 215, 217–218, 226–227, 235, 250, 263, 278, 280, 287–288, 290, 308–309, 313, 322, 338, 343–344, 349, 357, 389–390, 394, 397, 405, 420–421 Febrile neutropenia 148, 181, 193, 230, 236–238, 268–269 Fecal osmotic gap 124 Felty syndrome 278 Femoral nerve 326, 331 Ferritin 121, 125, 128, 134, 138, 144–145, 147, 150, 277, 420 Fever endocarditis 3, 8, 47, 50–53, 233–235, 241–242, 253, 258, 276–277, 282, 288, 374, 420, 422 neurological symptoms 241–242 neutropenic 148, 233, 237–238 NYD 233 polyarthritis 51, 122, 277, 283, 365, 422 post-operative 247, 302, 422, 425 rash 149, 235 sepsis 3, 6, 8, 19, 33, 137, 148, 162, 178, 238, 244, 258, 275, 277, 286, 344 skin infections 147, 274 of unknown origin (FUO) 233–234 urinary symptoms 68, 127, 212 with travel 238–241 Fibrates 61–62, 79, 332, 339, 425 Fibromyalgia 18, 127, 287–288, 332 Fixed drug eruption 372–373 Flaccidity 303 Flash pulmonary edema 38, 60 Fluconazole 181, 231, 237–238, 245, 260, 265–269, 386 5-flucytosine 268 Fludarabine 138, 146, 171, 175, 178, 181, 226, 230 Fluoroquinolones 7, 63, 97, 100, 123, 128, 241, 245, 255, 257, 413 5-fluorouracil 193, 196, 198–200, 202, 204–205, 226, 230–231, 370–372 Flushing 59, 61, 80, 201–202, 364, 371 Focal liver lesion 205 Focal Neurological Deficits 25, 152, 176, 291, 297, 301, 378–379 stroke 301 Focal nodular hyperplasia (FNH) 205–206 Focal segmental glomerulosclerosis (FSGS) 68, 70–72, 172 Follicular lymphoma 170, 173–175 Follicular lymphoma international prognostic index (FLIPI) 175 Fondaparinux 9, 29, 89, 100, 157, 161 Foot examination 338 Foscarnet .265 Fracture index for postmenopausal women 355 Fragmented cells 163 Frailty 377, 381 Frontotemporal dementia 378–379 Functional dyspepsia 113–114, 127 Fungal infections 228, 234, 236, 238, 243, 265–267, 367 Futility 428 G Gail model 190 Gait assessment 322, 377 Gallavardin phenomenon 46–47 Gallstone pancreatitis 117, 139 Gallstones 61, 138, 202 Ganciclovir 265 Gastric cancer 114–115, 190, 196–198, 220–221, 225 Gastroesophageal reflux disease (GERD) 1, 12, 25–26, 112–113, 260, 281, 398, 412 Gastroparesis 111, 113, 115, 337, 340, 397 Gemcitabine 175, 187–188, 192, 194, 205, 209, 216, 220, 226, 230 Geriatrics 377–386 Germ cell tumor 20, 212–213, 215–216, 219–221, 228 Gestational diabetes 337–338, 413–414 Gestational hypertension 409 Gestational thrombocytopenia 415 Get up and go test 377, 383 Giant cell arteritis (GCA) 25, 233, 276, 289–290 GI Bleed 12, 94, 97, 118–120, 129, 134–135, 144–145, 195, 197, 203, 238, 350, 380, 406–407, 421 lower 120 upper 12, 118–120, 134, 195, 197 Gitelman’s syndrome 79 Glabellar tap reflex 304 Glanzmann’s thrombasthenia 154–155 Glasglow coma scale (GCS) 90–91, 94, 102, 104, 108–109 Gleason score 210–212 Glioblastoma Multiforme 297–298 Global aphasia .301 Glomerulopathies 70–73, 75 Glucocorticoids 3, 5, 61, 115, 121, 273, 283, 286, 348–352, 355, 358, 363, 368, 371, 373–374, 410 complications 273, 352 Gluten 124, 361, 406 Glycemic control 100, 340, 404, 407, 414 Goiter 1, 17, 21, 57, 104, 146, 343–345, 414 GOLD classification Gonadal failure 420 chemotherapy-induced 216 Goodpasture disease 12–13 Gottron’s papules 281 Gout 59, 69, 84, 273, 275–278, 282 Graft versus host disease 181–182 Graft versus leukemia effect 180 Graham Steell murmur 15, 46, 49 Index Gram negative bacilli 52, 234, 242, 248, 252–253, 260, 273 Gram negative cocci 234, 252 Gram positive bacilli 6, 252 Gram positive cocci 234, 252 Gram stain 1, 4, 6, 11–13, 53, 93, 97, 100, 135–137, 147, 234–235, 237, 239, 242–243, 245, 247, 251–253, 264, 273–275, 277–278, 280, 282, 367, 395 Grand mal seizures 106 Grasping reflex 304 Graves disease 343–346, 414 in pregnancy 414 Groin skin lesions .363 Guardianship .378 Guillain-Barre syndrome (GBS) 18, 79, 91, 122, 243, 263, 308, 328–329 H HACEK organisms 253 Hachinski ischemic score .379 Hairy cell leukemia 164–165, 170–171, 174 Hand examination 161, 282, 285, 294, 301–302, 323, 328, 363, 370 Hasenclever score 173 Headaches 12, 17, 39, 59, 106–107, 109, 143, 165, 169, 176–177, 185, 190, 192, 202, 213, 233–237, 239–243, 263, 287–288, 290, 297–298, 302, 306, 312–315, 320, 347–349, 356, 370, 380, 409, 412, 419 meningitis 176, 235, 240–244, 246, 257, 260, 263, 313, 315, 380 Hearing impairment 317, 384–385 Heartburn 112–115 Heart disease 14, 33–34, 37–38, 40, 42, 49–54, 57, 63, 105, 117–119, 194, 201–202, 300, 312–313, 338, 343, 374–375, 411, 424–425 in pregnancy 42, 105, 411 Heart failure 4, 7, 12, 15, 21, 27–29, 33–40, 44, 48–52, 54, 59, 67–68, 98–99, 134, 136–137, 156, 164, 202, 221, 312, 385–386, 389, 391, 403, 409, 420, 422 left sided 14, 35–36, 49 Heart sounds .32, 44–46 Heavy chain deposition disease 178 Heberden’s nodes 286 Heinz bodies 163 Helicobacter pylori 115, 174 Hemangioma 14, 180, 205–206, 208 hepatic 205–206 Hematopoietic stem cell transplant .180–182 Hematuria 13, 68, 70–72, 75–76, 207–209, 233, 239–240, 244, 280, 291, 421 Hemochromatosis 34, 40, 64, 128, 132–135, 205, 276, 286, 337, 372, 420 449 Hemodynamic instability 5, 9, 28, 30, 39, 48, 81, 89, 94, 104, 119 Hemolysis 82–83, 126, 138, 145, 147, 151, 153, 157, 409 Hemolytic uremic syndrome (HUS) 68, 138, 145, 151–152, 156, 227, 242, 415 Hemoptysis 8–10, 12–13, 15–16, 49–50, 68, 75, 118, 185, 187, 233, 250–251, 267, 289 pulmonary embolism 8–12, 15 Hemorrhagic stroke 9, 299, 301 Hemostasis 119, 154, 161, 274, 425 Henoch-Schonlein purpura (HSP) .72, 288–289, 291–292 Heparin 4, 9, 29–30, 42, 85, 89, 100, 119–120, 151–152, 154–157, 159–161, 354–355, 407, 410–411, 425–426 Heparin induced thrombocytopenia and thrombosis (HITT) 85, 151–152, 156, 160–161, 426 Heparinoid 160–161 Hepatic adenoma 205, 207 Hepatic diseases 134, 292, 411 in pregnancy 292, 411 Hepatic encephalopathy 134–136, 406 Hepatic hydrothorax 134 Hepatitis B 128–131, 133, 135, 147, 207, 239, 261–262, 269, 412 vaccination .129, 261–262, 269 Hepatitis C 128–132, 135, 207, 261–262, 422 HIV coinfection 262 Hepatocellular carcinoma 129–131, 134, 205–206, 220, 262, 420 Hepatomegaly 13, 32, 35, 50, 52, 133–134, 143, 169–170, 181, 195, 197, 277, 421 Hepatopulmonary syndrome .134 Hepatorenal syndrome 134 Herceptin 227 Hereditary breast cancer syndromes 224 Hereditary cancer syndromes 224–225 Hereditary non-polyposis colorectal cancer (HNPCC) 197–199, 204, 215, 217, 223–225 Herniation syndromes 297–298 Herpes simplex virus (HSV) 113, 128, 173, 181–182, 227, 231, 236, 241–245, 257, 259–260, 265, 333, 365–366 5-HIAA (5-hydroxyindoleacetic acid) 201–202, 221 Highly active antiretroviral therapy (HAART) 153, 259, 261–262, 352, 413 Hilar enlargement 21 Hip examination 56, 116, 228, 242, 274, 285, 294, 318, 355, 383 Hirsutism 348, 350, 357–358, 403 Histoplasmosis 6, 14–15, 20, 34, 128, 173, 238, 259, 261, 266, 349, 374, 420 History geriatrics 377–386 taking 257, 264, 290, 390, 413, 425 Hives 363 HMG-CoA reductase inhibitors 61 Hodgkin’s lymphoma 149, 163, 167, 169–177, 181–182, 227–228, 260–261, 318, 361, 403 Home oxygen Homonymous hemianopia 300–301, 305 Hormonal agents 192, 217, 227, 392 Horner’s syndrome 10, 13–14, 185, 318–319 Hospital admission and discharge .429 Hospital isolation measures 148, 269 Howell Jolly bodies 147, 163 HSV encephalitis 243, 260, 333 Human immunodeficiency virus (HIV) CNS involvement 238, 267 GI involvement 53, 102, 129, 157, 178, 203, 260, 289, 291, 328, 398, 412, 415, 420–422, 428 in pregnancy 413, 415 prophylaxis 152, 238–239, 245, 261, 269, 413 pulmonary involvement 260 Hungry bone syndrome 83 Hydromorphone 89, 392–393 Hyperaldosteronism 79, 81–82, 348–349 Hyperbilirubinemia 128, 138, 414 Hypercalcemia 38, 57, 65, 67, 69, 81, 83, 101, 104, 111, 115, 126, 135, 139, 171–172, 174, 178, 180, 185, 206–207, 209–210, 215, 227, 229, 347, 353–354, 356, 368, 381–382, 384, 390, 392, 396, 420 cancer 115, 126, 139, 185, 206–207, 209–210, 215, 227, 347, 353, 392, 396 Hypercarbic respiratory failure 93 Hypercholesterolemia 61–62, 139 Hyperchylomicronemia 62 Hypercoagulable states deep vein thrombosis 158 pulmonary embolism 9–10 recurrent thrombosis 158 Hyperemesis gravidarum 111, 411–412, 414 Hyperglycemia diabetic ketoacidosis 338–339 non-ketotic hyperosmolar hyperglycemia (NKH) 339 Hyperkalemia 30, 37–39, 58, 60, 64–65, 68, 73–74, 78, 82–83, 229, 310, 348 Hyperkinetic movement disorders 322 Hyperlipidemia 61–62, 69, 71, 104, 130, 138–139, 275, 303, 338, 362 Hypernatremia 38–39, 81, 332, 381 Hyperprolactinemia .346 Hypersensitivity pneumonitis 15–16, 20 Hypersensitivity reactions 257, 363, 365–366, 373 Hypersensitivity vasculitis 288, 372–373 Hypersomnolence 17–18 ... 394? ??395 pleural effusion 33, 188 pneumonia 3, 6, 8, 33, 394 pulmonary embolism 8, 33, 394 pulmonary hypertension 33, 50, 92, 394 respiratory alkalosis 19, 103 tamponade 32–33 Dystonia... 262 Hepatocellular carcinoma 129–131, 134, 205–206, 220, 262, 420 Hepatomegaly 13, 32, 35, 50, 52, 133–134, 143, 169–170, 181, 195, 197, 277, 421 Hepatopulmonary syndrome .134 Hepatorenal... chemotherapy-induced 231 chronic 83, 122, 124, 239 inflammatory bowel disease 120–122 irritable bowel syndrome 127 Diastolic dysfunction 34, 36–38, 59 Diastolic murmurs 25, 46–47, 49 Diffuse airspace