Acute Coronary Syndromes

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Acute Coronary Syndromes

    In total, ACS presentations account for over 2 million annual hospital admissions in the United States. Almost 1.4 million people suffer an ACS each year, of which 55% are new…

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Nephrology Summary

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Nephrology Summary

Figure 67.1. Approximate rates of progression in the different stages of diabetic nephropathy.     Approximately 25% of type 2 diabetics have microalbuminuria at the time of diagnosis, and 3% of newly…

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Parenchymal Renal Disease

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Parenchymal Renal Disease

Figure 62.1. Hematuria workup. ISOLATED NONNEPHROTIC PROTEINURIA Isolated nonnephrotic proteinuria is defined as proteinuria >150 mg/dL (60% of which is usually albuminuria). Figure 62.2 depicts causes of functional and persistent…

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Acute Monoarticular Arthritis

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Acute Monoarticular Arthritis

Box 24.1 ETIOLOGY OF ACUTE MONOARTICULAR ARTHRITIS Common Infectious arthritis         Bacteria         Lyme disease         Fungi         Mycobacteria         Viruses Crystals         Monosodium urate (MSU)         Calcium pyrophosphate dihydrate (CPPD)         Basic calcium phosphate (BCP)         Calcium oxalate…

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Pulmonary Function Tests

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Pulmonary Function Tests

Box 36.1 USING ARM SPAN TO PREDICT A PATIENT’S STANDING HEIGHT Arm span: height ratio White males 1.019 White females 0.999 Black males 1.044 Black females 1.035 Predictive equation: Height…

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Venous Thromboembolic Diseases

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Venous Thromboembolic Diseases

Box 34.1 MAJOR RISK FACTORS FOR VENOUS THROMBOEMBOLISM CLINICAL RISK FACTORS •  Advancing age •  Cancer •  Personal or family history of VTE •  Recent surgery, trauma, hospitalization, or immobilization •  Acute infectious illness •  Chronic…

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Internal Medicine Summary

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Internal Medicine Summary

Figure 105.1. Lead-time bias. Source: Reprinted with permission from Welch et al. Overstating the evidence from lung cancer screening: The International Early Lung Cancer Action Program (I-ELCAP) Study. Arch Intern…

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Infectious Disease Summary

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Infectious Disease Summary

(HOSPITAL ACQUIRED) PROSTHETIC VALVE(<30 DAYS POST-IMPLANTATION)* Streptococcus viridans Staphylococcus aureus Coagulase-negative staphylococci Streptococcus pneumoniae Enterococcus spp. Propionibacterium acnes Gram-negative aerobes Staphylococcus aureus Candida spp. Enterococcus spp. NOTE: *After 30 days…

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Liver Disease

Jul 16, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Liver Disease

Figure 73.1. Eye findings in Wilson disease; Kayser-Fleischer ring. SOURCE: Image courtesy of Jonathan Kruska, MD, Chair of Radiology, Beth Isreal Deaconess Medical Center. SERUM FERRITIN Serum ferritin levels accurately…

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