A

Abarelix, prostate cancer, 779 Abdomen auscultation, 8, 507, 525, 920 palpation, 242, 253, 362 percussion, 8 Abdominal aortic aneurysm, 1-4 Abdominal pain, 10, 99, 300 Abdominal radiography. See Radiography Abdominal trauma, 5-11, 5t-6t Abortion, spontaneous, 11-15, 12t, 418 Abruptio placentae, 15-19, 16t Abscess, anorectal, 81-84 Accelerated junctional rhythm, 547 Acetaminophen bronchiolitis, 157 cerebral concussion, 206 cervical cancer, 215 endometriosis, 321 infective endocarditis, 517 influenza, 520 ovarian cancer, 683 prostate cancer, 779 tendinitis, 878 testicular cancer, 882 uterine cancer, 927 vaginal cancer, 931 Acetazolamide cataract, 198 hyperphosphatemia, 464 Acetylcholine receptor antibody test, 647 Acid-base imbalances, 19-25, 20t-21t Acidosis metabolic, 19-25, 20t, 438 respiratory, 19-25, 20t Acoustic neurinoma, 142-148, 144t Acquired immunodeficiency syndrome (AIDS),

25-31, 26t, 28b Acromegaly, 31-34 ACTH stimulation test, 46 Activated charcoal, 787 Activated partial thromboplastin time disseminated intravascular coagulation, 297 hemophilia, 401

multiple organ dysfunction syndrome, 630

Activity restriction, abdominal aortic aneurysm, 4 Acute idiopathic demyelinating polyneuropathy, 384-388

Acute respiratory distress syndrome, 41-44, 839, 840

Acute/adult respiratory distress syndrome,

41-44, 838, 840 Acyclovir encephalitis, 317

herpes simplex virus infection, 420 herpes zoster infection, 423 Addison's disease, 44-48 Adenoma, pituitary, 142-148, 144t, 728-732 Adenosine, junctional dysrhythmias, 547 Adhesive films, 770 Adrenal crisis, 34-37 Adrenal insufficiency, 44-48 Adrenalectomy, 726

Adrenocorticotropic hormone, 258, 259, 730 Adult/acute respiratory distress syndrome,

41-44, 838, 840 AIDS (acquired immunodeficiency syndrome),

25-31, 26t, 28b Air embolism, 48-51 Airway abdominal trauma, 9, 10 amyloidosis, 69

amyotrophic lateral sclerosis, 71, 72 anaphylaxis, 75, 76 asthma, 106, 107t, 108, 109 brain cancer, 147 burns, 169

cardiac tamponade, 183-184 cor pulmonale, 247, 248 diffuse axonal injury, 290 emphysema, 313 epidural hematoma, 328 epilepsy, 332 fat embolism, 343 goiter, 380

Guillain-Barre syndrome, 387 hemothorax, 407, 409-410 hyperglycemia, 442 hypoglycemia, 482

952 Index

Airway (continued) hypophosphatemia, 500 intestinal obstruction, 526 intracerebral hematoma, 530 laryngotracheobronchitis, 558, 559 Legionnaires' disease, 562 liver failure, 575, 576 lung cancer, 579-580 meningitis, 607

multiple organ dysfunction syndrome, 631 pancreatitis, 696 pelvic fracture, 704 pneumothorax, 745 postparathyroidectomy, 461 pulmonary embolism, 791, 792 sarcoidosis, 837 septic shock, 841 SIADH, 871 Alanine aminotransferase alcohol intoxication, 39, 54 cirrhosis, 235 hepatitis, 413 preeclampsia, 760 Albumin anorexia nervosa, 86 bulimia nervosa, 163 nephrotic syndrome, 660 Albuterol, bronchiolitis, 157 Alcohol use acute intoxication, 37-40 trauma, 642

withdrawal, 40, 51-56, 52t, 237 Alcoholic liver disease, 233-237, 234b Aldosterone deficiency, 34-37, 44-48 Alendronate osteomyelitis, 675 Paget's disease, 687 Alginates, 770

Alkaline phosphatase, 137, 413 Alkaline reflux gastritis, 360 Alkalosis metabolic, 19-25, 20t respiratory, 19-25, 20t, 52t Allergic purpura, 56-62 Alpha-1 antitrypsin deficiency, 311, 312 Alpha-adrenergic blockers benign prostatic hyperplasia, 125 hypertension, 468 pheochromocytoma, 727 Alpha-fetoprotein, 682 Alpha-glucosidase inhibitors, 286 Alport syndrome, 375

ALTE (apparent life-threatening event), 866, 867

Alteplase, cerebrovascular accident, 210 Aluminum compounds hyperphosphatemia, 464 hypoparathyroidism, 497 Alzheimer's disease, 58-62 Amantadine hydrochloride influenza, 520 Parkinson's disease, 700 Aminoglutethimide, 779 Amniocentesis, 228 Amnion infection, 227-230 Amoxicillin

Chlamydia trachomatis infection, 222 otitis media, 679 Amphetamine abuse, 784-789, 786t Amphotericin B, 176

Ampicillin, premature rupture of membranes, 766

AMPLE mnemonic, 7 Amputation, 62-66, 63t, 138-139 Amylase bulimia nervosa, 163 pancreatitis, 695 Amyloidosis, 66-69 Amyotrophic lateral sclerosis, 69-73 Analgesia. See also Nonsteroidal antiinflammatory drugs; Opioids abdominal aortic aneurysm, 3 amputation, 65 biliary cancer, 355 breast cancer, 153 cervical cancer, 215 cleft lip/palate, 239 cystitis, 267 cystocele, 270

diffuse axonal injury, 270, 290 dislocation, 294

disseminated intravascular coagulation, 290

ectopic pregnancy, 309

endometriosis, 321

epididymitis, 324

gallbladder cancer, 355

gastric cancer, 359

Guillain-Barre syndrome, 387

hemothorax, 409

herpes zoster infection, 423

hydronephrosis, 432

inguinal hernia, 523

intrauterine fetal demise, 533

laryngeal cancer, 555

Lyme disease, 588 migraine headache, 611 ovarian cancer, 683 peritonitis, 719

Pneumocystis carinii pneumonia, 739 premature rupture of membranes, 766 prostate cancer, 779 prostatitis, 783 rectocele, 270 renal calculi, 173 sickle cell disease, 844 subluxation, 294 tendinitis, 878 testicular cancer, 882 tonsillitis, 901 urinary tract trauma, 921 uterine cancer, 927 Anaphylaxis, 73-76, 74b blood transfusion, 130-135, 131t Anastrozole, 153 Anemia aplastic, 94-98 iron deficiency, 538-541 pernicious, 720-724 sickle cell, 842-845, 843t Aneurysm aortic abdominal, 1-4 thoracic, 887-891, 888t cerebral, 199-203, 200t Angina pectoris, 76-81, 77t Angiography aortic valve insufficiency, 89 cerebral, 201 Angioplasty, coronary, 250 Angiotensin II receptor antagonists, hypertension, 468 Angiotensin-converting enzyme inhibitors cardiomyopathy, 192 hypertension, 468 Anion gap, 23 Ankle arm index, 64 Anorectal abscess, 81-84 Anorectal fistula, 81-84 Anorexia nervosa, 84-88 Antacids, 339, 370

Anterior cord syndrome, 853-857, 853t, 856b Anti-acetylcholine receptor antibody, 647 Antibiotics anorectal abscess, 84 appendicitis, 101 bronchitis, 160

cholecystitis, 225 chorioamnionitis, 229 cor pulmonale, 247 cystic fibrosis, 263 cystitis, 266, 267 diverticular disease, 302 epididymitis, 324 gastritis, 363 gastroenteritis, 367 gonorrhea, 383

Guillain-Barré syndrome, 387 gunshot wound, 392 hemothorax, 409 hydronephrosis, 431 infective endocarditis, 517 intestinal obstruction, 526 intussusception, 537 laryngotracheobronchitis, 559 Legionnaires' disease, 562 Lyme disease, 587-588 mastitis, 600 meningitis, 608 myocarditis, 657 osteomyelitis, 671 otitis media, 679 pancreatitis, 696

pelvic inflammatory disease, 708 peptic ulcer disease, 712 peritonitis, 719

Pneumocystis carinii pneumonia, 738 pneumonia, 742 polycystic kidney disease, 749 prostatitis, 783 pyelonephritis, 802, 803 retinal detachment, 817 Rocky Mountain spotted fever, 828 Salmonella infection, 832, 833 septic shock, 841 syphilis, 874 tetanus, 886 tonsillitis, 901 volvulus, 946 Anticholinergic drugs diverticular disease, 302 neurogenic bladder, 665 Parkinson's disease, 700 spinal cord injury, 856 Anticholinesterase drugs, 648 Anticoagulants arterial occlusive disease, 105 disseminated intravascular coagulation, 298 gunshot wound, 392

954 Index

Anticoagulants {continued) mitral insufficiency, 615 mitral stenosis, 619 myocardial infarction, 654 patient care guidelines, 894b polycythemia, 753 pulmonary embolism, 792 pulmonary hypertension, 798 spinal cord injury, 856 thrombophlebitis, 893, 894b Anticonvulsants epilepsy, 332 subdural hematoma, 864 Antidepressants, Alzheimer's disease, 61 Antidiarrheal agents Crohn's disease, 255 gastroenteritis, 367 irritable bowel syndrome, 543 salmonellosis, 833 Antidysrhythmics, 117t, 180, 547,

939t-940t Antifungal agents candidiasis, 176

multiple organ dysfunction syndrome, 631 vaginitis, 934 Antihypertensives abdominal aortic aneurysm, 3 acute glomerulonephritis, 377 chronic renal failure, 813 Guillain-Barré syndrome, 387 hypertension, 468 preeclampsia, 762 subarachnoid hemorrhage, 860 thoracic aortic aneurysm, 890 Antimuscarinic drugs, 665 Antinuclear antibody, 824 Antiplatelet agents cerebrovascular accident, 210 myocardial infarction, 653 Antipyretics bronchiolitis, 157 epididymitis, 324 influenza, 520

laryngotracheobronchitis, 559 Pneumocystis carinii pneumonia, 739 Antiretroviral drugs, 29 Antistreptolysin O titer, 820 Antithrombin III, disseminated intravascular coagulation, 297, 298 Antitoxin, botulism, 141 Antivirals bronchiolitis, 157

cytomegalovirus infection, 273 encephalitis, 317

herpes simplex virus infection, 420 herpes zoster virus infection, 423 influenza, 520

multiple organ dysfunction syndrome, 631 Anusol suppository, 405 Aortic aneurysm abdominal, 1-4 thoracic, 887-891, 888t Aortic insufficiency, 88-91 Aortic stenosis, 91-94 Aplastic anemia, 94-98 Aplastic crisis, 843, 843t Apolipoprotein E, 59

Apparent life-threatening events, 866, 867

Appendectomy, 100-101

Appendicitis, 98-102

Arbovirus infection, 315

ARDS (acute respiratory distress syndrome),

41-44, 839, 840 Arrhythmias atrial, 113-118, 114f, 117t junctional, 545-548 sinus, 114

ventricular, 938-943, 939t-940t Arterial blood gases acid-base balance disorders, 23 acute respiratory distress syndrome, 42 air embolism, 50 hemothorax, 408 pulmonary embolism, 791 Arterial blood pressure, elevation, 465-469 Arterial occlusive disease, 102-106 Arteriosclerosis, 248-252 Arthritis osteoarthritis, 275-278 rheumatoid, 822-826 Arthrodesis, 277 Arthrography, 878 Arthroplasty, 277, 824 Aschoff bodies, 820 ASO titer, 820

Aspartate aminotransferase, 413 acute alcohol intoxication, 39 alcohol intoxication, 54 cirrhosis, 235 Aspartate transaminase, preeclampsia, 760 Aspirin angina pectoris, 80 arterial occlusive disease, 105 coronary artery disease, 251

influenza, 520 rheumatic fever, 821 Asthma, 106-110, 107t Astrocytoma, 142-148, 143t Atelectasis, 110-113 Atenolol, angina pectoris, 80 Atherosclerosis, 1, 76-81, 77t, 248-252, 287 Atrial dysrhythmias, 113-118, 114f, 117t Atrial fibrillation, 113, 114-115, 117t Atrial flutter, 113, 115, 117t Atropine, 856

Autonomic dysreflexia, 856, 856b Axonal injury, diffuse, 288-291 Azathioprine, 57 Azithromycin

Chlamydia trachomatis infection, 222 gonorrhea, 383

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