Clinician's Pocket Reference

768 Pages·2006·3.85 MB·English

9th
EDITION
CLINICIAN’S
POCKET
REFERENCE
EDITED BY
LEONARD G. GOMELLA, MD, FACS
The Bernard W. Godwin, Jr., Associate Professor
Department of Urology
Jefferson Medical College
Thomas Jefferson University
Philadelphia, Pennsylvania
WITH
Steven A. Haist, MD, MS, FACP
Professor of Medicine
Division of General Internal Medicine
Department of Internal Medicine
University of Kentucky Medical Center
Lexington, Kentucky
Based on a program originally developed at the
University of Kentucky College of Medicine
Lexington, Kentucky
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Copyright © 2002 by Leonard G.Gomella. All rights reserved. Manufactured in the United
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To Tricia, Mom, Dad, Leonard, Patrick, Andrew, Michael
and Aunt Lucy
“We don’t drive the trucks, we only load them.”
Nick Pavona, MD
UKMC Class of 1980
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CONTENTS
Consulting Editors vii
Contributors viii
Preface xiii
Abbreviations xv
“So You Want to Be a Scut Monkey”:
An Introduction to Clinical Medicine 1
1 History and Physical Examination 9
2 Chartwork 33
3 Differential Diagnosis: Symptoms, Signs, and Conditions 41
4 Laboratory Diagnosis: Chemistry, Immunology, and Serology 53
5 Laboratory Diagnosis: Clinical Hematology 95
6 Laboratory Diagnosis: Urine Studies 109
7 Clinical Microbiology 121
8 Blood Gases and Acid-Base Disorders 161
9 Fluids and Electrolytes 177
10 Blood Component Therapy 193
11 Diets and Clinical Nutrition 205
12 Total Parenteral Nutrition (TPN) 227
13 Bedside Procedures 239
14 Pain Management 315
15 Imaging Studies 325
16 Introduction to the Operating Room 339
17 Suturing Techniques and Wound Care 345
18 Respiratory Care 359
19 Basic ECG Reading 367
20 Critical Care389
21 Emergencies 445
22 Commonly Used Medications 475
Appendix 639
Index 659
Emergency Medications (inside front and back covers)
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CONSULTING EDITORS
MARIANNE BILLETER, PharmD, BCPS
Associate Professor of Pharmacy Practice, Division of Distance Education, Bernard J.
Dunn School of Pharmacy, Shenandoah University, Winchester, Virginia
TRICIA L. GOMELLA, MD
Part-Time Clinical Assistant Professor of Pediatrics, Johns Hopkins University School
of Medicine, Baltimore, Maryland
IRA HOROWITZ, MD
Professor of Gynecology and Obstetrics and Oncology, Director of Gynecologic
Oncology, Emory University, Atlanta, Georgia
ALAN T. LEFOR, MD, MPH, FACS
Director, Division of Surgical Oncology, Director, Surgical Education and Academic
Affairs, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California;
Associate Professor of Clinical Surgery, Department of Surgery, University of
California, Los Angeles, Los Angeles, California
JOHN A. MORRIS, MD
Director, Division of Trauma, Department of Surgery, Vanderbilt University Medical
Center, Nashville, Tennessee
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