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Principles and Practice of Hospital Medicine

Sylvia C. McKean, John J. Ross, Daniel D. Dressler, Daniel J. Brotman, Jeffrey S. Ginsberg


Preface     Copyright     Contributors

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Part I. The Specialty of Hospital Medicine and Systems of Care
Section 1. Key Issues in Hospital Medicine
Chapter 1The Face of Health Care Emerging Issues for Hospitalists
Chapter 2Global Health and Hospital Medicine
Chapter 3Racial/Ethnic Disparities in Hospital Care
Chapter 4The Interface between Primary Care and Hospital Medicine
Chapter 5The Core Competencies in Hospital Medicine

Section 2. Patient Safety
Chapter 6Principles of Patient Safety
Chapter 7The Role of Hospitalists in Creating a Culture of Safety
Chapter 8Diagnostic Errors
Chapter 9Communication and Transition Errors
Chapter 10Medication Errors
Chapter 11Principles of Evidence-Based Prescribing
Chapter 12Tools to Identify Problems and Reduce Risks

Section 3. Quality Improvement
Chapter 13Quality Improvement and Safety Research
Chapter 14Principles and Models of Quality Improvement: Plan-Do-Study-Act
Chapter 15Measurement and Measures in Hospital Medicine
Chapter 16Standardization and Reliability
Chapter 17The Role of Information Technology in Hospital Quality and Safety

Section 4. Leadership and Practice Management Skills
Chapter 18Principles of Leadership
Chapter 19The Economics of Hospital Care
Chapter 20Use of Lean Principles in Hospital Process Improvement
Chapter 21Teamwork in Leadership and Practice-Based Management
Chapter 22Patient Centered Care
Chapter 23Finance in the Health Care Sector
Chapter 24Strategic Planning: Demonstrating Value and Report Cards of Key Performance Measures
Chapter 25Negotiation and Conflict Resolution
Chapter 26Building, Growing, and Managing a Hospitalist Practice
Chapter 27Designing a Hospitalist Compensation and Bonus Plan
Chapter 28Clinical Documentation for Hospitalists
Chapter 29Best Practices in Physician Recruitment and Retention
Chapter 30For the Individual: Career Sustainability and Avoiding Burnout
Chapter 31Strategies for Cost-Effective Care

Section 5. Professionalism and Medical Ethics
Chapter 32Principles of Medical Ethics
Chapter 33Common Indications for Ethics Consultation

Section 6. Medical Legal Issues and Risk Management
Chapter 34Medical-Legal Concepts: Advance Directives and Surrogate Decision Making
Chapter 35Preventing and Managing Adverse Patient Events: Patient Safety and the Hospitalist
Chapter 36Medical Malpractice

Section 7. Teaching and Development
Chapter 37Principles of Adult Learning and Continuing Medical Education
Chapter 38Setting a Learning Environment in the Hospital
Chapter 39Mentorship of Peers and Trainees
Chapter 40Cultural Sensitivity Training
Chapter 41The Use of Patient Simulation in Medical Training: from Medical School to Clinical Practice
Part II. Medical Consultation and Co-Management
Section 1. Core Tenets of Medical Consultation
Chapter 42Role of the Medical Consultant
Chapter 43Definition, Principles, and Goals of Comanagement

Section 2. Key Issues Relating to Surgery
Chapter 44Physiologic Response to Surgery
Chapter 45Perioperative Hemostasis
Chapter 46Postoperative Complications
Chapter 47Surgical Tubes and Drains

Section 3. Anesthesia
Chapter 48Anesthesia: Choices and Complications
Chapter 49Perioperative Pain Management

Section 4. Perioperative Assessment and Management
Chapter 50Antimicrobial Prophylaxis in Surgery
Chapter 51Preoperative Cardiac Risk Assessment and Perioperative Management
Chapter 52Cardiac Complications after Noncardiac Surgery
Chapter 53Preoperative Evaluation of Liver Disease
Chapter 54Nutrition and Metabolic Support
Chapter 55Preoperative Pulmonary Risk Assessment
Chapter 56Management of Postoperative Pulmonary Complications
Chapter 57Assessment and Evaluation of the Renal Patient

Section 5. Perioperative Antithrombotic Management and Prevention
Chapter 58Venous Thromboembolism (VTE) Prophylaxis in Patients Requiring Nonorthopedic Surgery
Chapter 59Venous Thromboembolism (VTE) Prophylaxis in Patients Requiring Orthopedic Surgery
Chapter 60Venous Thromboembolism (VTE) Prophylaxis in Hospitalized Medical Patients
Chapter 61Perioperative Management of Patients WHO Are Receiving Oral Anticoagulant Therapy
Chapter 62Perioperative Management of Patients WHO Are Receiving Antiplatelet Therapy

Section 6. Medical Management of Neurosurgical Patients
Chapter 63Common Neurosurgical Conditions
Chapter 64Common Complications in Neurosurgery

Section 7. Medical Management of Orthopedic Surgery Patients
Chapter 65Common Orthopedic Surgical Procedures
Chapter 66Rehabilitation of the Orthopedic Surgical Patient
Chapter 67Co-Management of Orthopedic Patients

Section 8. Bariatric Surgery
Chapter 68Common Surgical Options for Treatment of Obesity
Part III. Clinical Problem-Solving in Hospital Medicine
Chapter 69Principles of Evidence-Based Medicine
Chapter 70The Quality of Evidence
Chapter 71Role of Diagnostic Testing in Patient Care
Chapter 72Systematic Reviews and Meta-Analysis
Chapter 73Knowledge Translations to Clinical Practice
Part IV. Approach to the Patient at the Bedside
Chapter 74Acute Abdominal Pain
Chapter 75Acute Back Pain
Chapter 76Bleeding and Coagulopathy
Chapter 77Chest Pain
Chapter 78Constipation
Chapter 79Delirium
Chapter 80Diarrhea
Chapter 81Disorders of the Eye
Chapter 82Dizziness and Vertigo
Chapter 83Dyspnea
Chapter 84Edema
Chapter 85Falls
Chapter 86Fever and Rash
Chapter 87Headache
Chapter 88Hemoptysis
Chapter 89Hypertension
Chapter 90Hyperthermia/Fever
Chapter 91Hypotension
Chapter 92Hypothermia
Chapter 93Hypoxia
Chapter 94Insomnia: Assessment and Management of Sleep Disorders
Chapter 95Nausea and Vomiting
Chapter 96Pain
Chapter 97Significant Co-Morbid Disease
Chapter 98Suspected Intoxication and Overdose
Chapter 99Syncope
Chapter 100Tachyarrthymias
Part V. Hospitalist Skills
Section 1. Interpretation of Common Tests
Chapter 101The Simplest Diagnostic Tests
Chapter 102The Resting Electrocardiogram
Chapter 103Pulmonary Function Tests
Chapter 104Urinalysis and Urine Electrolytes

Section 2. Optimizing Utilization of Radiology Services
Chapter 105Introduction to Radiology
Chapter 106Patient Safety Issues in Radiology
Chapter 107Basic Chest Radiography (CXR)
Chapter 108Advanced Cardiothoracic Imaging
Chapter 109Basic Abdominal Imaging
Chapter 110Advanced Abdominal Imaging
Chapter 111Neurologic Imaging
Chapter 112Critical Thinking

Section 3. Procedures
Chapter 113Introduction to Procedures
Chapter 114Lumbar Puncture
Chapter 115Central Line Placement
Chapter 116Paracentesis
Chapter 117Thoracentesis
Chapter 118Arthrocentesis
Chapter 119Placement of Nasogastric Tube
Part VI. Clinical Conditions
Section 1. Emergency Medicine
Chapter 120The Principles and Practice of Emergency Medicine
Chapter 121Inpatient Cardiac Arrest and Cardiopulmonary Resuscitation
Chapter 122Intubation and Airway Support
Chapter 123Co-Management of Patients in the Emergency Department

Section 2. Cardiovascular Medicine
Chapter 124Acute Coronary Syndromes
Chapter 125Cardioversion
Chapter 126Supraventricular Tachyarrhythmias
Chapter 127Bradyarrhythmias
Chapter 128Ventricular Arrhythmias
Chapter 129Pacemakers, Defibrillators, and Cardiac Resynchronization Devices in Hospital Medicine
Chapter 130Heart Failure
Chapter 131Valvular Heart Disease
Chapter 132Myocarditis, Pericardial Disease, and Cardiac Tamponade

Section 3. Critical Care
Chapter 133The Role of the Hospitalist in Critical Care
Chapter 134Acute Respiratory Distress Syndrome
Chapter 135Analgesia, Paralytics, and Sedation
Chapter 136Prevention in the Intensive Care Unit Setting
Chapter 137Respiratory Failure
Chapter 138Sepsis
Chapter 139Surgical Critical Care
Chapter 140The Family Meeting in the ICU

Section 4. Dermatology
Chapter 141Flushing and Urticaria
Chapter 142Adverse Cutaneous Drug Reactions
Chapter 143Papulosquamous Disorders
Chapter 144Pressure Ulcers
Chapter 145Diabetic Foot Infections
Chapter 146Venous Ulcers
Chapter 147Dermatologic Findings in Systemic Disease

Section 5. Endocrinology
Chapter 148Glycemic Emergencies
Chapter 149Inpatient Management of Diabetes and Hyperglycemia
Chapter 150Thyroid Emergencies
Chapter 151Adrenal Insufficiency
Chapter 152Pituitary Disease

Section 6. Gastroenterology
Chapter 153Dysphagia, Aspiration and Swallowing Dysfunction
Chapter 154Gastroesophageal Reflux Disease and Esophagitis
Chapter 155Upper Gastrointestinal Bleeding
Chapter 156Acute Pancreatitis
Chapter 157Biliary Disease: Jaundice, Obstruction, and Acute Cholangitis
Chapter 158Acute Liver Disease
Chapter 159Cirrhosis and Its Complications
Chapter 160Acute Lower Gastrointestinal Bleeding
Chapter 161Small Bowel Disorders
Chapter 162Large Bowel Disorders
Chapter 163Inflammatory Bowel Disease

Section 7. Geriatrics
Chapter 164Principles of Geriatric Care
Chapter 165The Geriatric History and Physical Examination
Chapter 166Agitation in Older Adults
Chapter 167Elder Mistreatment
Chapter 168Functional Decline
Chapter 169The Frail Hospitalized Patient
Chapter 170Incontinence
Chapter 171Polypharmacy in the Hospitalized Elderly
Chapter 172Hospital Discharge to the Nursing Home

Section 8. Hematology
Chapter 173Abnormalities in Red Blood Cells
Chapter 174Disorders of the White Cell
Chapter 175Quantitative Abnormalities of Platelets: Thrombocytopenia and Thrombocytosis
Chapter 176Approach to Patients with Bleeding Disorders
Chapter 177Transfusion of Blood Components, Derivatives and Their Adverse Effects
Chapter 178Hypercoagulable States
Chapter 179Hematologic Malignancies
Chapter 180Management of Emergencies in Patients with Hematologic Malignancies

Section 9. Oncology
Chapter 181Overview of Cancer and Treatment
Chapter 182Oncologic Emergencies
Chapter 183Common Issues Specific to Common Cancers
Chapter 184Diagnostic Workup of Unknown Primary

Section 10. Infectious Disease
Chapter 185Fundamentals of Antibiotics
Chapter 186Antibiotic Resistance
Chapter 187Peritonitis and Intra-Abdominal Abscess
Chapter 188Clostridium Difficile–Associated Disease (CDAD)
Chapter 189Community-Acquired Pneumonia
Chapter 190Fever in the Returning Traveler
Chapter 191Fever of Unknown Origin
Chapter 192Candida and Aspergillus
Chapter 193Histoplasmosis, Blastomycosis, Coccidioidomycosis, and Other Dimorphic Fungi
Chapter 194Healthcare and Hospital-Acquired Pneumonia
Chapter 195Approach to the Patient with HIV
Chapter 196Intravascular Catheter-Related Infections: Management and Prevention
Chapter 197Infective Endocarditis
Chapter 198Infections of the Immunocompromised Host
Chapter 199Meningitis and Encephalitis
Chapter 200Osteomyelitis and Septic Arthritis
Chapter 201Prosthetic Joint Infections
Chapter 202Sexually Transmitted Infections
Chapter 203Skin and Soft Tissue Infections
Chapter 204Tuberculosis
Chapter 205Urinary Tract Infections and Pyelonephritis
Chapter 206Viral Infections

Section 11. Neurology
Chapter 207The Neurologic Examination
Chapter 208Stupor and Coma
Chapter 209Intracranial Hemorrhage and Related Conditions
Chapter 210Transient Ischemic Attack and Stroke
Chapter 211Parkinson Disease and Related Disorders
Chapter 212Seizures
Chapter 213Multiple Sclerosis
Chapter 214Peripheral Neuropathy

Section 12. Palliative Care
Chapter 215Principles of Palliative Care
Chapter 216Structure and Process: Communication
Chapter 217Domains of Care: Physical Aspects of Care
Chapter 218Psychosocial, Cultural, and Spiritual Aspects
Chapter 219Care of the Imminently Dying Patient

Section 13. Pregnancy
Chapter 220Overview of Physiologic Changes of Pregnancy
Chapter 221Medication Management
Chapter 222Critical Care of the Pregnant Patient
Chapter 223Common Medical Problems in Pregnancy
Chapter 224Postpartum Consultation for Common Complaints

Section 14. Psychiatry
Chapter 225Mood and Anxiety Disorders
Chapter 226Assessment and Management of Psychosis
Chapter 227Decision-Making Capacity
Chapter 228Eating Disorders
Chapter 229The Suicidal Patient
Chapter 230The Difficult Patient
Chapter 231Approach to the Patient with Multiple Unexplained Somatic Symptoms

Section 15. Addiction
Chapter 232Patients with Multiple Unexplained Somatic Symptoms
Chapter 233Sedatives
Chapter 234Opioids
Chapter 235Stimulants
Chapter 236Other Drugs of Abuse

Section 16. Pulmonary and Allergy Immunology
Chapter 237Allergy and Anaphylaxis
Chapter 238Asthma
Chapter 239Chronic Obstructive Pulmonary Disease
Chapter 240Cystic Fibrosis
Chapter 241Interstitial and Diffuse Parenchymal Lung Diseases
Chapter 242Sleep Apnea and Obesity Hypoventilation Syndrome
Chapter 243Pleural Diseases
Chapter 244Pulmonary Hypertension

Section 17. Renal
Chapter 245Acid-base Disorders
Chapter 246Acute Kidney Injury
Chapter 247Calcium Disorders
Chapter 248Chronic Kidney Disease and Dialysis
Chapter 249Disorders of Sodium and Water Balance
Chapter 250Potassium and Magnesium Disorders
Chapter 251Kidney Stones
Chapter 252Hypertensive Urgencies
Chapter 253Secondary Hypertension

Section 18. Rheumatology
Chapter 254Rheumatologic Emergencies
Chapter 255Gout, Pseudogout, and Osteoarthritis
Chapter 256Systemic Lupus Erythematosus
Chapter 257Rheumatoid Arthritis and Other Inflammatory Arthritides
Chapter 258Physical Therapy and Rehabilitation

Section 19. Vascular Medicine
Chapter 259Diagnosis of Venous Thromboembolism
Chapter 260Treatment of Venous Thromboembolism
Chapter 261Anticoagulant Therapy
Chapter 262Diseases of the Aorta
Chapter 263Peripheral Arterial Disease
Chapter 264Vasculitis

Section 20. Wartime Medicine
Chapter 265Hospital Disaster Emergency Preparedness
Chapter 266Bioterrorism
Chapter 267Combat Stress and Related Disorders
Chapter 268Blast-Induced Traumatic Brain Injury and Polytrauma
Chapter 269Hospitalists in the Veterans Health Administration: An Integrated Health Care System


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