The authority of Harrison’s at the point of care! Covering the full scope of internal medicine, the new edition of this “mini-textbook” is thoroughly revised to reflect new content areas and quicker retrieval of clinical information. The manual continues to focus on diagnosis and therapy with an emphasis on patient care. Features a new section on Care of the Hospitalized Patient, with a new chapter on Procedures in Internal Medicine as well as a section on patient admittance orders.
Table of contents:
SECTION 1: CARE OF THE HOSPITALIZED PATIENT 1 Initial Evaluation and Admission Orders (NEW) 2 Assessment of Nutritional Status 3 Fluids and Electrolytes 4 Enteral Nutrition 5 Transfusion and Pheresis Therapy 6 Pain and Its Management 7 Diagnostic Imaging Modalities (New) 8 Preoperative evaluation of the Medical Patient (NEW) SECTION 2: MEDICAL EMERGENCIES 9 Care of the Patient in the Intensive Care Unit (NEW) 10 Cardiovascular Collapse and Sudden Death 11 Shock 12 Sepsis and Septic Shock 13 Acute Pulmonary Edema 14 Respiratory Failure 15 Confusion, Stupor, and Coma 16 Stroke 17 Subarachnoid Hemorrhage 18 Increase Intracranial Pressure and Head Trauma 19 Hypoxic-Ischemic Encephalopathy 20 Status Epilepticus 21 Poisoning and Drug Overdose 22 Diabetic Ketoacidosis and Hyperosmolar Coma 23 Hypoglycemia 24 Infectious Disease Emergencies 25 Oncologic Emergencies 26 Anaphylactic Reactions 27 Bites, Venoms, Stings, and Marine Poisonings 28 Hypothermia and Frostbite SECTION 3: COMMON PATIENT PRENSENTATIONS 29 Chest Pain 30 Abdominal Pain 31 Headache and Facial Pain 32 Back and Neck Pain 33 Fever, Hyperthermia, Chills, and Rash 34 Pain or Swelling of Joints 35 Syncope and Faintness 36 Dizziness and Vertigo 37 Acute Visual Loss and Double Vision 38 Paralysis and Movement Disorders 39 Aphasias and Related Disorders 40 Sleep Disorders 41 Dyspnea 42 Cough and Hemoptysis 43 Cyanosis 44 Edema 45 Nausea, Vomiting, and Indigestion 46 Weight Loss 47 Dysphagia 48 Diarrhea, Constipation, and Malabsorption 49 Gastrointestinal Bleeding 50 Jaundice 51 Ascites 52 Urinary Abnormalities 53 Anemia and Polycythermia 54 Lymphadenopathy and Splenomegaly SECTION 4: DISORDERS OF THE EYE, EAR, NOSE, AND THROAT 55 Common Disorders of the Eye 56 Hearing Disorders 57 Infections of the Upper Respiratory Tract SECTION 5: DERMATOLOGY 58 General Examination of the Skin 59 Common Skin Conditions SECTION 6: HEMATOLOGY AND ONCOLOGY 60 Examination of Blood Smears and Bone Marrow 61 Red Blood Cell Disorders 62 Leukocytosis and Leukopenia 63 Bleeding and Thrombotic Disorders 64 Cancer Prevention in At-Risk Populations (NEW) 65 Cancer Chemotherapy 66 Myeloid Leukemias, Myelodysplasia, and Myeleproliferative Syndromes 67 Lymphoid Malignancies 68 Skin Cancer 69 Head and Neck Cancer 70 Lung Cancer 71 Breast Cancer 72 Tumors of the Gastrointestinal tract 73 Genitourinary Tract Cancer 74 Gynecologic Cancer 75 Prostate Hyperplasia and carcinoma 76 Cancer of Unknown Primary Site 77 Sarcomas of Bone and Soft Tissues 78 Paraneoplastic Endocrine Syndromes 79 Neurologic Paraneoplastic Syndromes SECTION 7: INFECTIOUS DISEASES 80 Diagnosis of Infectious Diseases 81 Antimicrobial Therapy 82 Immunization and Advice to Travelers 83 Bioterrorism-Associated Infections (NEW) 84 Infective Endocarditis 85 Intraabdominal Infections 86 Infectious Diarrheas 87 Sexually Transmitted Diseases and Reproductive Tract Infections 88 Infections of the Skin, Soft Tissues, Joints, and Bones 89 Infections in the Immunocompromised Host 90 HIV Infection and AIDS 91 Hospital-Acquired Infections 92 Pneumococcal Infections 93 Staphylococcal Infections 94 Streptococcal and Entercoccal Infections 95 Meningococcal and Listerial Infections 96 Infections Caused by Haemophilus, Bordella, Moraxella, and HACEK Group Organisms 97 Diseases Caused by Gram-Negative Enteric Bacteria, Pseudomonas, and Legionella 98 Diseases Caused by Other Gram-Negative Bacteria 99 Anaerobic Infections 100 Nocardiosis and Actinomycosis 101 Tuberculosis and Other Mycobacterial Infections 102 Lyme Disease and Other Spirochetal Infections 103 Rickettsial Infections 104 Mycoplasma Infections 105 Chlamyhdial Infections 106 Herpesvirus Infections 107 Cytomegalovirus and Epstein-Barr Virus Infections 108 Influenza and Other Viral Respiratory Diseases 109 Rubeola, Rubella, Mumps, and Parvovirus Infections 110 Enteroviral Infections 111 Insect-and Animal-Borne Viral Infections 112 Fungal Infections 113 Pneumocystis carinii Infection 114 Protozoal Infections 115 Helminthic Infections and Ectoparasite Infestations SECTION 8: CARDIOVASCULAR DISEASES 116 Physical Examination of the Heart 117 Electrocardiography and Echocardiography 118 Congenital Heart Disease in the Adult 119 Vavular Heart Disease 120 Cardiomyopathies and Myocarditis 121 Percardial Disease 122 Hypertension 123 Acute Myocardial Infarction 124 Unstable Angina (NEW) 125 Arrhythmias 126 Congestive Heart Failure and CorPulmonale 127 Disease of the Aorta 128 Peripheral Vascular Diseases 129 Pulmonary Hypertension (NEW) SECTION 9: RESPIRATORY DISEASES 130 Respiratory Function and Diagnosis of Pulmonary Disease 131 Asthma and Hypersensitivity Pneumonitis 132 Environmental Lung Diseases 133 Chronic Bronchitis, Emphysema, and Acute or Chronic Respiratory Failure 134 Pneumonia and Lung Abscess 135 Pulmonary Thromboembolism 136 Interstitial Lung Disease 137 Disease of the Pleura, Mediastinum, and Diaphragm 138 Disorders of Ventilation, Including Sleep Apnea SECTION 10: RENAL DISEASES 139 Approach to the Patient with Renal Disease 140 Acute Renal Failure 141 Chronic Renal Failure and Uremia 142 Dialysis 143 Renal Transplantation 144 Glomerular Disease 145 Renal Tubular Disease 146 Urinary Tract Infections 147 Renovascular Disease 148 Nephrolithiasis 149 Urinary Tract Obstruction SECTION 11: GASTROINTESTINAL DISEASES 150 Peptic Ulcer and Related Disorders 151 Inflammatory Bowel Diseases 152 Colonic and Anorectal Diseases 153 Cholelithiasis, Cholecystitis, and Cholangitis 154 Pancreatitis 155 Acute Hepatitis 156 Chronic Hepatitis 157 Cirrhosis and Alcoholic Liver Disease 158 Portal Hypertension SECTION 12: ALLERGY, CLINICAL IMMUNOLOGY, AND RHEUMATOLOGY 159 Diseases of Immediate Type Hypersensitivity 160 Primary Immunodeficiency Diseases 161 Systemic Lupus Erythematosus, Rhematoid Arthritis, and Other Connective Tissue Diseases 162 Vaculitis 163 Ankylosing Spondylitis 164 Psoriatic Arthritis 165 Reactive Arthritis and Reiter’s Syndrome 166 Degenerative Joint Disease 167 Gout, Psedogout, and Related Diseases 168 Other Arthritides 169 Sarcoidosis 170 Amyloidosis SECTION 13: ENDOCRINOLOGY AND METABOLISM 171 Disorders of the Anterior Pituitary and Hypothalmus 172 Disorders of the Posterior Pituitary 173 Disorders of the Thyroid 174 Disorders of Adrenal Gland 175 Obesity 176 Diabetes Mellitus 177 Disorders of the Male Reproductive System 178 Disorders of Female Reproductive System 179 Hypercalcemic and Hypocalcemis Disorders 180 Osteoporosis and Osteomalacia 181 Disorders of Lipid Metabolism 182 Hemochromatosis, Porphyrias, and Wilson’s Disease SECTION 14: NEUROLOGY 183 The Neurologic Examination 184 Diagnostic Methods in Neurology 185 Seizures and Epilepsy 186 Tumors of the Nervous System 187 Acute Meningitis and Encephalitis 188 Chronic Meningitis 189 Multiple Sclerosis 190 Alzheimer’s Disease and Other Dementias 191 Parkinson’s Disease and Other Disorder of Movement 192 Ataxic Disorders 193 Amyotrophic Lateral Sclerosis and Other Motor Neuron Diseases 194 Cranial Nerve Disorders 195 Autonomic Nervous System Disorders 196 Spinal Cord Diseases 197 Peripheral Neuropathies Including Guillain-Barre Syndrome 198 Myasthenia Gravis 199 Muscle Disease 200 Chronic Fatigue Syndrome (NEW) SECTION 15: PSYCHIATRIC DISORDERS AND PSYCHOACTIVE SUBSTANCE ABUSE 201 Psychiatric Disorders 202 Psychiatric Medications 203 Eating Disorders 204 Alcoholism 205 Narcotic Abuse SECTION 16: ADVERSE DRUG REACTIONS 206 Adverse Drug Reactions SECTION 17: SCREENING AND DISEASE PREVENTION 207 Screening and Disease Prevention (NEW) SECTION 18: LABORATORY VALUES 208 Laboratory Values of Clinical Importance
Internal Medicine The authority of Harrison’s, formatted for use at the point of care. When time is of the essence, and accurate answers a must, turn to Harrison’s Manual of Medicine. Culled from the most authoritative internal medicine reference in the world, this handy manual provides on-the-spot answers to the patient management questions you face daily. This new edition is the best ever, and presents a new, easier to use format including more handy charts, tables, and algorithms giving you quicker access to: • Etiology and epidemiology • Must-know, clinically relevant pathophysiology • Signs & Symptoms • Differential Diagnosis • Physical and Laboratory Findings • Therapeutics • Concise Practice Guidelines • The most rigorously reviewed content, by the authorities you know and trust • Great new coverage of admitting orders, essential medical procedures, critical care medicine, radiology essentials, bioterrorism, and more Editors: Dennis L. Kasper, MD Eugene Braunwald, MD Anthony S. Fauci, MD Stephen L. Hauser, MD Dan L. Longo, MD J. Larry Jameson, MD, PhD VISIT HARRISONS16.COM for information on all Harrison’s internal medicine resources The World of Harrison's Harrison's Principles of Internal Medicine, 16/e Harrison's Manual of Medicine, 16/e Harrison’s Manual of Medicine, 16/e for PDA Harrison’s Principles of Internal Medicine, 16/e DIGITAL EDITION Harrison’s On Line--now in a new user friendly format! Harrison's Principles of Internal Medicine: Self-Assessment and Board Review Harrison's Online 3.0
Table of contents:
SECTION 1: CARE OF THE HOSPITALIZED PATIENT 1 Initial Evaluation and Admission Orders (NEW) 2 Assessment of Nutritional Status 3 Fluids and Electrolytes 4 Enteral Nutrition 5 Transfusion and Pheresis Therapy 6 Pain and Its Management 7 Diagnostic Imaging Modalities (New) 8 Preoperative evaluation of the Medical Patient (NEW) SECTION 2: MEDICAL EMERGENCIES 9 Care of the Patient in the Intensive Care Unit (NEW) 10 Cardiovascular Collapse and Sudden Death 11 Shock 12 Sepsis and Septic Shock 13 Acute Pulmonary Edema 14 Respiratory Failure 15 Confusion, Stupor, and Coma 16 Stroke 17 Subarachnoid Hemorrhage 18 Increase Intracranial Pressure and Head Trauma 19 Hypoxic-Ischemic Encephalopathy 20 Status Epilepticus 21 Poisoning and Drug Overdose 22 Diabetic Ketoacidosis and Hyperosmolar Coma 23 Hypoglycemia 24 Infectious Disease Emergencies 25 Oncologic Emergencies 26 Anaphylactic Reactions 27 Bites, Venoms, Stings, and Marine Poisonings 28 Hypothermia and Frostbite SECTION 3: COMMON PATIENT PRENSENTATIONS 29 Chest Pain 30 Abdominal Pain 31 Headache and Facial Pain 32 Back and Neck Pain 33 Fever, Hyperthermia, Chills, and Rash 34 Pain or Swelling of Joints 35 Syncope and Faintness 36 Dizziness and Vertigo 37 Acute Visual Loss and Double Vision 38 Paralysis and Movement Disorders 39 Aphasias and Related Disorders 40 Sleep Disorders 41 Dyspnea 42 Cough and Hemoptysis 43 Cyanosis 44 Edema 45 Nausea, Vomiting, and Indigestion 46 Weight Loss 47 Dysphagia 48 Diarrhea, Constipation, and Malabsorption 49 Gastrointestinal Bleeding 50 Jaundice 51 Ascites 52 Urinary Abnormalities 53 Anemia and Polycythermia 54 Lymphadenopathy and Splenomegaly SECTION 4: DISORDERS OF THE EYE, EAR, NOSE, AND THROAT 55 Common Disorders of the Eye 56 Hearing Disorders 57 Infections of the Upper Respiratory Tract SECTION 5: DERMATOLOGY 58 General Examination of the Skin 59 Common Skin Conditions SECTION 6: HEMATOLOGY AND ONCOLOGY 60 Examination of Blood Smears and Bone Marrow 61 Red Blood Cell Disorders 62 Leukocytosis and Leukopenia 63 Bleeding and Thrombotic Disorders 64 Cancer Prevention in At-Risk Populations (NEW) 65 Cancer Chemotherapy 66 Myeloid Leukemias, Myelodysplasia, and Myeleproliferative Syndromes 67 Lymphoid Malignancies 68 Skin Cancer 69 Head and Neck Cancer 70 Lung Cancer 71 Breast Cancer 72 Tumors of the Gastrointestinal tract 73 Genitourinary Tract Cancer 74 Gynecologic Cancer 75 Prostate Hyperplasia and carcinoma 76 Cancer of Unknown Primary Site 77 Sarcomas of Bone and Soft Tissues 78 Paraneoplastic Endocrine Syndromes 79 Neurologic Paraneoplastic Syndromes SECTION 7: INFECTIOUS DISEASES 80 Diagnosis of Infectious Diseases 81 Antimicrobial Therapy 82 Immunization and Advice to Travelers 83 Bioterrorism-Associated Infections (NEW) 84 Infective Endocarditis 85 Intraabdominal Infections 86 Infectious Diarrheas 87 Sexually Transmitted Diseases and Reproductive Tract Infections 88 Infections of the Skin, Soft Tissues, Joints, and Bones 89 Infections in the Immunocompromised Host 90 HIV Infection and AIDS 91 Hospital-Acquired Infections 92 Pneumococcal Infections 93 Staphylococcal Infections 94 Streptococcal and Entercoccal Infections 95 Meningococcal and Listerial Infections 96 Infections Caused by Haemophilus, Bordella, Moraxella, and HACEK Group Organisms 97 Diseases Caused by Gram-Negative Enteric Bacteria, Pseudomonas, and Legionella 98 Diseases Caused by Other Gram-Negative Bacteria 99 Anaerobic Infections 100 Nocardiosis and Actinomycosis 101 Tuberculosis and Other Mycobacterial Infections 102 Lyme Disease and Other Spirochetal Infections 103 Rickettsial Infections 104 Mycoplasma Infections 105 Chlamyhdial Infections 106 Herpesvirus Infections 107 Cytomegalovirus and Epstein-Barr Virus Infections 108 Influenza and Other Viral Respiratory Diseases 109 Rubeola, Rubella, Mumps, and Parvovirus Infections 110 Enteroviral Infections 111 Insect-and Animal-Borne Viral Infections 112 Fungal Infections 113 Pneumocystis carinii Infection 114 Protozoal Infections 115 Helminthic Infections and Ectoparasite Infestations SECTION 8: CARDIOVASCULAR DISEASES 116 Physical Examination of the Heart 117 Electrocardiography and Echocardiography 118 Congenital Heart Disease in the Adult 119 Vavular Heart Disease 120 Cardiomyopathies and Myocarditis 121 Percardial Disease 122 Hypertension 123 Acute Myocardial Infarction 124 Unstable Angina (NEW) 125 Arrhythmias 126 Congestive Heart Failure and CorPulmonale 127 Disease of the Aorta 128 Peripheral Vascular Diseases 129 Pulmonary Hypertension (NEW) SECTION 9: RESPIRATORY DISEASES 130 Respiratory Function and Diagnosis of Pulmonary Disease 131 Asthma and Hypersensitivity Pneumonitis 132 Environmental Lung Diseases 133 Chronic Bronchitis, Emphysema, and Acute or Chronic Respiratory Failure 134 Pneumonia and Lung Abscess 135 Pulmonary Thromboembolism 136 Interstitial Lung Disease 137 Disease of the Pleura, Mediastinum, and Diaphragm 138 Disorders of Ventilation, Including Sleep Apnea SECTION 10: RENAL DISEASES 139 Approach to the Patient with Renal Disease 140 Acute Renal Failure 141 Chronic Renal Failure and Uremia 142 Dialysis 143 Renal Transplantation 144 Glomerular Disease 145 Renal Tubular Disease 146 Urinary Tract Infections 147 Renovascular Disease 148 Nephrolithiasis 149 Urinary Tract Obstruction SECTION 11: GASTROINTESTINAL DISEASES 150 Peptic Ulcer and Related Disorders 151 Inflammatory Bowel Diseases 152 Colonic and Anorectal Diseases 153 Cholelithiasis, Cholecystitis, and Cholangitis 154 Pancreatitis 155 Acute Hepatitis 156 Chronic Hepatitis 157 Cirrhosis and Alcoholic Liver Disease 158 Portal Hypertension SECTION 12: ALLERGY, CLINICAL IMMUNOLOGY, AND RHEUMATOLOGY 159 Diseases of Immediate Type Hypersensitivity 160 Primary Immunodeficiency Diseases 161 Systemic Lupus Erythematosus, Rhematoid Arthritis, and Other Connective Tissue Diseases 162 Vaculitis 163 Ankylosing Spondylitis 164 Psoriatic Arthritis 165 Reactive Arthritis and Reiter’s Syndrome 166 Degenerative Joint Disease 167 Gout, Psedogout, and Related Diseases 168 Other Arthritides 169 Sarcoidosis 170 Amyloidosis SECTION 13: ENDOCRINOLOGY AND METABOLISM 171 Disorders of the Anterior Pituitary and Hypothalmus 172 Disorders of the Posterior Pituitary 173 Disorders of the Thyroid 174 Disorders of Adrenal Gland 175 Obesity 176 Diabetes Mellitus 177 Disorders of the Male Reproductive System 178 Disorders of Female Reproductive System 179 Hypercalcemic and Hypocalcemis Disorders 180 Osteoporosis and Osteomalacia 181 Disorders of Lipid Metabolism 182 Hemochromatosis, Porphyrias, and Wilson’s Disease SECTION 14: NEUROLOGY 183 The Neurologic Examination 184 Diagnostic Methods in Neurology 185 Seizures and Epilepsy 186 Tumors of the Nervous System 187 Acute Meningitis and Encephalitis 188 Chronic Meningitis 189 Multiple Sclerosis 190 Alzheimer’s Disease and Other Dementias 191 Parkinson’s Disease and Other Disorder of Movement 192 Ataxic Disorders 193 Amyotrophic Lateral Sclerosis and Other Motor Neuron Diseases 194 Cranial Nerve Disorders 195 Autonomic Nervous System Disorders 196 Spinal Cord Diseases 197 Peripheral Neuropathies Including Guillain-Barre Syndrome 198 Myasthenia Gravis 199 Muscle Disease 200 Chronic Fatigue Syndrome (NEW) SECTION 15: PSYCHIATRIC DISORDERS AND PSYCHOACTIVE SUBSTANCE ABUSE 201 Psychiatric Disorders 202 Psychiatric Medications 203 Eating Disorders 204 Alcoholism 205 Narcotic Abuse SECTION 16: ADVERSE DRUG REACTIONS 206 Adverse Drug Reactions SECTION 17: SCREENING AND DISEASE PREVENTION 207 Screening and Disease Prevention (NEW) SECTION 18: LABORATORY VALUES 208 Laboratory Values of Clinical Importance
Internal Medicine The authority of Harrison’s, formatted for use at the point of care. When time is of the essence, and accurate answers a must, turn to Harrison’s Manual of Medicine. Culled from the most authoritative internal medicine reference in the world, this handy manual provides on-the-spot answers to the patient management questions you face daily. This new edition is the best ever, and presents a new, easier to use format including more handy charts, tables, and algorithms giving you quicker access to: • Etiology and epidemiology • Must-know, clinically relevant pathophysiology • Signs & Symptoms • Differential Diagnosis • Physical and Laboratory Findings • Therapeutics • Concise Practice Guidelines • The most rigorously reviewed content, by the authorities you know and trust • Great new coverage of admitting orders, essential medical procedures, critical care medicine, radiology essentials, bioterrorism, and more Editors: Dennis L. Kasper, MD Eugene Braunwald, MD Anthony S. Fauci, MD Stephen L. Hauser, MD Dan L. Longo, MD J. Larry Jameson, MD, PhD VISIT HARRISONS16.COM for information on all Harrison’s internal medicine resources The World of Harrison's Harrison's Principles of Internal Medicine, 16/e Harrison's Manual of Medicine, 16/e Harrison’s Manual of Medicine, 16/e for PDA Harrison’s Principles of Internal Medicine, 16/e DIGITAL EDITION Harrison’s On Line--now in a new user friendly format! Harrison's Principles of Internal Medicine: Self-Assessment and Board Review Harrison's Online 3.0