The Care Of The Medical Patient
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CONTENTS
1 Evaluation of the Medical Patient, 1
1.1 Diagnostic aids for history and physical exam, 1
1.2 Admission orders, 1
1.3 Progress notes, 4
1.4 Discharge summary, 4
1.5 Pronouncing death while on call, 10
1.6 Data evaluation, 14
A Gram’s stain procedure, 14
B Classification, of bacteria based on Gram's stain and morphology, 15
C Evaluation of urine sediment, 16 D Evaluation of chest x-ray, 18 E Evaluation of electrocardiogram, 19
F Pulmonary artery catheter data interpretation, 25
2 Differential Diagnosis, 26
2.1 Abdominal distention, 28
2.2 Abdominal pain, 28
23 Aches and pains, diffuse, 30
2.4 Adrenal masses, 31
2.5 Alopecia, 31
2.6 Amenorrhea, 32
2.7 Amnesia, 32
2.8 Anaphylaxis, 33
2.9 Anergy, cutaneous, 33
2.10 Anisocoria, 34
2.11 Arterial occlusion, 34
2.12 Arthritis and heart murmur, 35
2.13 Arthritis and muscle weakness, 35
2.14 Arthritis and rash, 35
2.15 Arthritis and subcutaneous nodules, 35
2.25 Breath odor, 38
2.26 Breathing, noisy, 39
2.27 Bullous diseases, 39
2.28 Cardiac murmurs, 39
2.29 Cavitary lesion on chest x-ray,
2.30 Chest pain (nonpleuritic), 41
231 Chest pain (pleuritic), 41
2.32 Clubbing, 41
2.33 Color changes, cutaneous, 42
2.34 Coma, 42
2.35 Constipation, 42
2.36 Cough, 43
2.37 Cyanosis, 43
2.38 Diplopia, binocular, 44
2.39 Dysphagia, 44
2.40 Dyspnea, 45
2.41 Dysuria, 45
2.42 Edema, generalized, 46
2.43 Edema of lower extremities, ά
2.44 Elevated hemidiaptiragm. 46
2.45 Encephalopathy, metabolic, l
2.46 Epistaxis, 47
2.47 Eye pain, 47
2.48 Facial pain, 48
2.49 Facial paralysis, 48
2.50 Fever and rash, 49
2.51 Flushing, 49
2.52 Gait abnormalities, 49
2.53 Galactorrhea, 50
2.54 Gastric emptying, delayed, 51
2.55 Gastrointestinal bleeding, 50
2.56 Genital discharge, 51
237 Genital sores, 52
2.58 Goiter, 52
2.59 Halitosis- 52
2.60 Headache, 52
2.61 Hearing Icxs, acute, 53
2.62 Hemarthrosis, 53
2.63 Hematuria, 54
2.64 Hemi pares!
2.65 Hemoptysis
