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Tables of Contents for The Washington Manual Internship Survival Guide
Chapter/Section Title
Page #
Page Count
Contributing Authors
xi
Preface
xiii
Acknowledgments
xv
Abbreviations List
xvii
Keys to Survival
1
1
ACLS Algorithms
2
9
ILCOR Universal/International ACLS Algorithm
2
1
Comprehensive ECC Algorithm
3
1
Ventricular Fibrillation/Pulseless VT Algorithm
4
1
Pulseless Electrical Activity Algorithm
5
1
Asystole: The Silent Heart Algorithm
6
1
Bradycardia Algorithm
7
1
The Tachycardia Overview Algorithm
8
1
Narrow-Complex Supraventricular Tachycardia Algorithm
9
1
Stable Ventricular Tachycardia (Monomorphic or Polymorphic) Algorithm
10
1
Accumulating Your War Chest
11
5
Books and Tools to Carry with You
11
1
Handheld Computer Resources
12
1
Internet Resources
13
2
Internet Resources for Evidence-Based Medicine
15
1
Useful Formulas
16
3
A-a O2 Gradient
16
1
Anion Gap (Serum)
16
1
Anion Gap (Urine)
16
1
Body Mass Index
16
1
Creatinine Clearance
17
1
Creatinine Clearance (Estimated)
17
1
Corrected Serum Calcium
17
1
Corrected Serum Sodium
17
1
Fractional Excretion of Sodium
17
1
Fractional Excretion of Urea
17
1
Mean Arterial Pressure
17
1
Osmolality (Serum, Estimated)
17
1
Osmolal Gap
17
1
Reticulocyte Index
18
1
Medical Epidemiology
18
1
Sensitivity
18
1
Specificity
18
1
Positive Predictive Value (PPV)
18
1
Negative Predictive Value (NPV)
18
1
Number Needed to Treat (NNT)
18
1
Number Needed to Harm (NNH)
18
1
Triage
19
1
Before Accepting Admissions
19
1
Other Important Questions to Consider
19
1
Cross-Coverage
20
2
General Points
20
1
Reasons You Must Go See a Patient
20
1
Things to Consider Asking for before Arrival at Bedside
20
1
Things That Can Wait
21
1
Appropriate Transfer of Patients to the Intensive Care Unit
21
1
Patient and Staff Relations
22
6
Working with Ancillary Staff
22
1
Referring a Patient
22
1
Working with Difficult Patients
22
2
Potential Resources and Options
24
1
Dealing with Difficult Problems
25
2
Addressing End-of-Life Issues
27
1
Admissions
28
2
General Points
28
1
Admission Orders
28
1
Assessment/Plan
29
1
Laboratory Results and Orders
29
1
Daily Assessments
30
2
Rounds
30
1
Daily Notes and Evaluation
30
1
Discharge Planning
31
1
Signouts
31
1
Other Notes of Importance
32
2
Off-Service Notes
32
1
Procedure Notes
32
1
Death/Expirations
33
1
Discharges
34
2
Discharge Process/Pearls
34
1
Discharge Summary
35
1
Top Ten Workups
36
21
Chest Pain
36
2
Abdominal Pain
38
3
Acute Altered Mental Status
41
2
Acute Renal Failure
43
2
Headache
45
2
Hypotension and Hypertension
47
3
Common Arrhythmias
50
2
Fever
52
2
Shortness of Breath
54
1
Gastrointestinal Bleeding
55
2
Common Calls and Complaints
57
6
Alcohol Withdrawal
57
1
Bleeding at Line Sites and after Procedures
57
1
Constipation
58
1
Cough
58
1
Diarrhea
58
1
Falls
59
1
Hyperglycemia and Hypoglycemia
59
1
Holding Medications for Morning Tests
60
1
Insomnia
60
1
Lack of Intravenous Access
60
1
Nausea and Vomiting
60
1
Pruritus
61
1
Rash
61
1
Sundowning
61
1
Transfusion Reactions
62
1
Pain Control
63
2
General Points
63
1
Selected Agents in the Three-Step Analgesic Ladder
64
1
Therapeutic Considerations
65
6
Antibiotics
65
4
General Points
65
1
Some Specifics on Commonly Used Antibiotics
65
4
Anticoagulation
69
2
Heparin Weight-Based Nomogram (Unfractionated)
69
1
Treatment of High INR
69
2
Tools of the Trade (Fluids, Electrolytes, Vital Signs, Electrocardiography, Radiology)
71
33
Fluids and Basic Electrolytes
71
1
Basal Requirements
71
1
Maintenance Intravenous Fluids
71
1
Electrolyte Abnormalities
72
7
Hyponatremia
72
2
Hypernatremia
74
1
Hypokalemia
75
2
Hyperkalemia
77
2
Vital Signs
79
1
Blood Pressure
79
1
Heart Rate
79
1
Respiratory Rate
80
1
Temperature
80
1
Electrocardiographic Interpretation
80
14
Narrow Complex Tachycardias
80
1
Sinus Tachycardia
81
1
Atrioventricular Nodal Reentrant Tachycardia
81
1
Preexcitation Syndromes
81
1
Atrial Tachycardia
82
1
Atrial Fibrillation
83
1
Atrial Flutter
84
1
Wide Complex Tachycardias
84
1
Ventricular Tachycardia
85
1
Torsades de Pointes
85
1
Ventricular Fibrillation
86
1
Conduction Abnormalities
86
1
First-Degree Atrioventricular Block
86
1
Second-Degree Atrioventricular Block, Mobitz Type I (Wenckebach's Disease)
87
1
Second-Degree Atrioventricular Block, Mobitz Type II
87
1
Third-Degree (Complete) Atrioventricular Block
88
1
Myocardial Ischemia and Infarction
89
2
Miscellaneous Conditions
91
1
Pericarditis
91
1
Hyperkalemia
92
1
Digitalis Effect and Toxicity
92
2
Acid-Base Disorders
94
4
Metabolic Acidosis
95
1
Metabolic Alkalosis
95
1
Respiratory Acidosis
96
1
Respiratory Alkalosis
97
1
Radiograph Interpretation
98
2
Chest X-Ray
98
1
Plain Abdominal Films
99
1
Preparation for Procedures
100
4
General Points
100
1
Contrast Reactions
100
1
Gastrointestinal Radiology
101
2
Cardiac Studies
103
1
MRI
103
1
Ultrasound
103
1
Approach to Consultation
104
44
The Medicine Consult
104
4
Ten Commandments
104
1
Preoperative Cardiovascular Risk Assessment
105
3
Dermatology
108
4
Toxic Epidermal Necrolysis (TEN)
108
1
Toxic Shock Syndrome
109
1
Necrotizing Fasciitis
109
1
Pemphigus Vulgaris (PV) and Bullous Pemphigoid (BP)
110
1
Vasculitis
110
1
Hypersensitivity Syndrome (Severe Drug Reaction)
111
1
Erythroderma
111
1
Neurology
112
8
Stroke
112
2
Seizures
114
1
Status Epilepticus
115
1
Bacterial Meningitis
116
1
CSF Analysis
117
1
Viral Infections
118
1
Neuroleptic Malignant Syndrome
119
1
Obstetrics and Gynecology
120
2
Key Points
120
1
Ectopic Pregnancy
120
1
Vaginal Bleeding
120
1
Pelvic Mass
121
1
Ophthalmology
122
6
Trauma with Possible Ruptured Globe
122
1
Injury
122
1
Acute Chemical Splash
122
1
Corneal Ulcer
123
1
Corneal Abrasion or Foreign Body
123
1
Acute Vision Loss
124
1
Central Retinal Artery Occlusion
124
1
Acute Angle-Closure Glaucoma
124
1
Papilledema (Disc Edema Secondary to Increased Intracranial Pressure)
125
1
Retinal Detachment
125
1
Infection
126
1
Endophthalmitis (Infection of the Inside of the Eye)
126
1
Herpes Simplex
126
1
The Red Eye
127
1
Conjunctivitis
127
1
Acute Hordeolum (Stye)
128
1
Orthopedic Surgery
128
3
Fractures
128
1
Septic Joint
129
1
Compartment Syndrome
130
1
Acute Cauda Equina Syndrome
131
1
Otolaryngology
131
5
Airway Emergencies
131
2
Tracheotomy
133
1
Epistaxis Emergency
133
1
Epistaxis Urgency
134
1
Epistaxis (General)
134
1
Acute Sinusitis---Emergency
134
1
Vertigo
135
1
Psychiatry
136
6
Key Points
136
1
Suicidality
136
1
Violent Patients
137
1
Competency
138
1
Psychosis
138
1
Domestic Violence, Rape, and Psychiatric Trauma
139
1
Chemical Dependency
140
2
General Surgery
142
6
Key Points
142
1
Hernia
142
1
Ischemic Lower Extremity
143
1
Ischemic Ulcer of the Lower Extremity
144
1
Retroperitoneal Bleeding
144
1
Femoral Artery Pseudoaneurysm
145
1
Small Bowel Obstruction
145
1
Hints for Diagnosis of an Acute Abdomen
146
1
Abdominal Pain and a Pulsatile Abdominal Mass
146
1
Pneumothorax
147
1
Perirectal Abscess
147
1
Guide to Procedures
148
26
All You Really Need to Know about Vascular Access
148
2
Venipuncture
150
1
Femoral Vein Phlebotomy
151
2
Peripheral IV
153
2
Blood Cultures
155
1
Arterial Blood Gas Sampling
156
1
Central Venous Access
157
10
Lumbar Puncture
167
2
Thoracentesis
169
2
Pleural Fluid Analysis
170
1
Paracentesis
171
3
Ascitic Fluid Analysis
173
1
Critical Care Notes
174
4
Keys to Intensive Care Unit Survival
174
1
Ventilators
174
2
Cardiac Parameters
176
1
Suggestions for Prophylaxis
177
1
Drips
177
1
Total Parenteral Nutrition (TPN)
177
1
Final Touches
178
3
Feedback
178
1
Patient Data Tracking Form
179
2
Index
181