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CLINICAL WARD This Page is intentionally left blank CLINICAL WARD Mitesh S. Patel MD/MBA,Classof2009 UniversityofMichiganMedicalSchool TheWhartonSchool,UniversityofPennsylvania Derek K. Juang MD,Classof2008 UniversityofMichiganMedicalSchool 1600JohnF.KennedyBlvd. Ste1800 Philadelphia,PA19103-2899 CLINICALWARDSECRETS ISBN:978-0-323-05750-9 CopyrightQ2010byMosby,Inc.,anaffiliateofElsevierInc. Allrightsreserved.Nopartofthispublicationmaybereproducedortransmittedinanyformor byanymeans,electronicormechanical,includingphotocopying,recording,oranyinformation storageandretrievalsystem,withoutpermissioninwritingfromthepublisher.Permissionsmaybe soughtdirectlyfromElsevier’sRightsDepartment:phone:(þ1)2152393804(US)or(þ44) 1865843830(UK);fax:(þ44)1865853333;e-mail:[email protected] alsocompleteyourrequeston-lineviatheElsevierwebsiteathttp://www.elsevier.com/permissions. Notice Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchandexperience broadenourknowledge,changesinpractice,treatmentanddrugtherapymaybecomenecessary orappropriate.Readersareadvisedtocheckthemostcurrentinformationprovided(i)on proceduresfeaturedor(ii)bythemanufacturerofeachproducttobeadministered,toverifythe recommendeddoseorformula,themethodanddurationofadministration,andcontraindications. Itistheresponsibilityofthepractitioner,relyingontheirownexperienceandknowledgeofthe patient,tomakediagnoses,todeterminedosagesandthebesttreatmentforeachindividual patient,andtotakeallappropriatesafetyprecautions.Tothefullestextentofthelaw,neitherthe PublishernortheAuthorsassumeanyliabilityforanyinjuryand/ordamagetopersonsorproperty arisingoutoforrelatedtoanyuseofthematerialcontainedinthisbook. ThePublisher LibraryofCongressCataloging-in-PublicationData Patel,MiteshS. Clinicalwardsecrets/MiteshS.Patel,DerekK.Juang.—1sted. p.;cm.—(Secretsseries) Includesbibliographicalreferencesandindex. ISBN978-0-323-05750-9(alk.paper) 1. Clinicalmedicine—Handbooks,manuals,etc. 2. Hospitalwards—Handbooks,manuals, etc.I.Juang,DerekK.II.Title.III.Series. [DNLM:1. ClinicalMedicine—education.2. HospitalDepartments—organization& administration.3. InternshipandResidency.4. PatientCareManagement—organization& administration. WB18P295c2010] RC55.P3652010 616—dc22 2008041731 AcquisitionsEditor:JamesMerritt DevelopmentalEditor:NicoleDiCicco ProjectManager:MaryB.Stermel MarketingManager:AllanMcKeown CONTENTS Top 100 Secrets.......................................................... 1 1. TheU.S.HealthcareSystem..............................................10 MiteshS.Patel 2. TheEmergencyDepartment..............................................16 AditiSaxena 3. TheAdmissionProcess..................................................27 MiteshS.Patel 4. LaboratoryandDiagnosticTests..........................................35 EricW.Schneider 5. MedicalDocumentationandWritingOrders................................58 JavierA.Valle,MiteshS.Patel,andJosephD.Maratt 6. Rounds................................................................65 JavierA.Valle 7. Consults................................................................79 DerekK.Juang 8. Surgery................................................................83 StephenY.Kang 9. IntensiveCareUnit.....................................................106 DerekK.JuangandMiteshS.Patel 10. TheDischargeProcess.................................................112 MiteshS.Patel 11. OutpatientMedicine....................................................117 NitinK.Gupta 12. Procedures............................................................126 DerekK.Juang v vi CONTENTS AppendixA. HistoryTaking.................................................140 DerekK.JuangandMiteshS.Patel AppendixB. NeurologicExamination.........................................143 DerekK.JuangandMiteshS.Patel AppendixC. Miscellaneous..................................................146 DerekK.JuangandMiteshS.Patel Glossary: Common Abbreviations Used in Medicine......................... 150 Index................................................................... 157 CONTRIBUTORS NitinK.Gupta MD,Classof2008 UniversityofMichiganMedicalSchool DerekK.Juang MD,Classof2008 UniversityofMichiganMedicalSchool StephenY.Kang MD,Classof2009 UniversityofMichiganMedicalSchool JosephD.Maratt MD,Classof2008 UniversityofMichiganMedicalSchool MiteshS.Patel MD/MBA,Classof2009 UniversityofMichiganMedicalSchool TheWhartonSchool,UniversityofPennsylvania AditiSaxena MD,Classof2008 UniversityofMichiganMedicalSchool EricW.Schneider MD,Classof2008 UniversityofMichiganMedicalSchool JavierA.Valle MD,Classof2008 UniversityofMichiganMedicalSchool vii This Page is intentionally left blank ACKNOWLEDGMENTS Wewouldliketothankthefollowingattendingphysiciansfortheirchapter reviews,suggestions,andhelpinproducingthisbook. MichaelJ.Englesbe,MD AssistantProfessor,TransplantSurgery UniversityofMichiganMedicalSchool LauraR.Hopson,MD AssistantProfessor,EmergencyMedicine UniversityofMichiganMedicalSchool ChristopherS.Kim,MD,MBA AssistantProfessor,InternalMedicine AssistantProfessor,PediatricsandCommunicableDiseases UniversityofMichiganMedicalSchool MonicaL.Lypson,MD AssistantDean,GraduateMedicalEducation AssistantProfessor,InternalMedicine UniversityofMichiganMedicalSchool Wewouldliketothankthefollowingcolleaguesfortheirchapterreviews, suggestions,andhelpinproducingthisbook. GopiJ.Astik MD,Classof2008 UniversityofMissouri-KansasCitySchoolofMedicine SeetharamC.Chadalavada MD/MS,Classof2009 ClevelandClinicLernerCollegeofMedicineatCaseWesternReserve GeorgeR.Cheely,Jr MD/MBA,Classof2009 UniversityofPennsylvaniaSchoolofMedicine TheWhartonSchool,UniversityofPennsylvania AndrewT.Evans,JD MBA,Classof2009 TheWhartonSchool,UniversityofPennsylvania JasonR.Guercio MD/MBA,Classof2009 UniversityofPennsylvaniaSchoolofMedicine TheWhartonSchool,UniversityofPennsylvania ix

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Clinical Wards Secrets: Questions You Will Be Asked PDF

182 Pages·2011·1.92 MB·English
by  Mitesh S. Patel, Derek K. Juang
#Medicine #Clinical Medicine
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Author:Mitesh S. Patel, Derek K. Juang
Publication Year:2011
ISBN:9780323096560
Pages:182
Language:English
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