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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5537_Библиотеки_им_академика_М_И_Перельмана.pdf
ESSENTIALS OF
HOSPITAL
MEDICINE
A Practical Guide
for Clinicians
This page intentionally left blankThis page intentionally left blank
ESSENTIALS OF
HOSPITAL
MEDICINE
A Practical Guide
for Clinicians
Editors
Andrew Dunn
Mount Sinai School of Medicine, New York, USA
Navneet Kathuria
NEW JERSEY
Paul Klotman
Baylor College of Medicine, Texas, USA
World Scientic
•
LONDON • SINGAPORE • BEIJING • SHANGHAI • HONG KONG • TAIPEI • CHENNAI
Published by
World Scientific Publishing Co. Pte. Ltd.
5 Toh Tuck Link, Singapore 596224
USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601
UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE
Library of Congress Cataloging-in-Publication Data
Essentials of hospital medicine : a practical guide for clinicians / [edited by] Andrew Dunn,
Navneet Kathuria & Paul Klotman.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-9814354905 (hardcover : alk. paper)
I. Dunn, Andrew (Andrew S.) II. Kathuria, Navneet. III. Klotman, Paul.
[DNLM: 1. Hospitals. 2. Patient Care. 3. Hospitalists. 4. Hospitalization. WX 162]
362.11--dc23
2012034420
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library.
Copyright © 2013 by World Scientific Publishing Co. Pte. Ltd.
All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means,
electronic or mechanical, including photocopying, recording or any information storage and retrieval
system now known or to be invented, without written permission from the Publisher.
For photocopying of material in this volume, please pay a copying fee through the Copyright
Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to
photocopy is not required from the publisher.
Typeset by Stallion Press
Email: enquiries@stallionpress.com
Printed in Singapore.
SC - Essentials of Hospital Medicine.pmd 8/29/2012, 3:15 PM1
Contents
List of Contributors xv
Hospitalists as Leaders 1
1 Hospitalists as Hospital Leaders 3
Andrew S. Dunn
Key Clinical Pearls 13
2 Evidence-based Medicine Primer 15
Sarah Kharkhanechi, Amir Abadir, Abhinav Sharma,
Andrew Burke, George Farag, Thanu Nadarajah
and Anne Holbrook
3 On the Fly: Using Electronic Resources to Enhance
Evidence-based Practice 29
Deborah Korenstein and Laura Schimming
4 The Physical Exam: An Evidence Based Approach
to Common Abnormal Findings 41
James K. Stulman, Catherine Bigelow and Susan Kahane
Patient Safety and Hospital Quality 55
5 Doctor to Doctor Communication 57
Brian Markoff
6 Approach to the Analysis of Medical Errors 65
Erin DuPree
7 Process Improvement Tools 73
Ira S. Nash
8 Teamwork in Hospital Medicine 83
Kevin J. O’Leary and Niraj L. Sehgal
v
9 Medication Reconciliation 95
Kelly Cunningham and Jill Goldenberg
10 Transitions of Care: The Hospital Discharge 103
Jill Goldenberg, Ramiro Jervis and Kelly Cunningham
11 Health Informatics for Hospitalists 113
Anuj K. Dalal and Kendall Rogers
Business of Hospital Medicine 123
12 Financial Planning for a Hospitalist Program 125
Chirayu Shah, Tuhin Pankaj and Surinder Kaul
13 Metrics and Dashboards 133
Jeffrey Farber
14 Inpatient Documentation and Coding 141
Steve Sigworth and Ira Marie Helenius
15 Non-Physician Practitioners in the Hospital Setting 151
Alan Briones
Hospitalist as Educator 159
16 Teaching Tips and Pearls 161
Lisa Coplit
17 Teaching at the Bedside 177
Somnath Mookherjee and Brad Sharpe
Cardiology 185
18 Approach to Chest Pain 187
Kevin Dunsky
19 Acute Coronary Syndrome 195
Phillip A. Erwin, Rajeev L. Narayan and Bruce J. Darrow
20 Acute Decompensated Heart Failure 205
Gabriel Sayer and Sean Pinney
vi
Contents
21 Valvular Heart Disease 221
Mark Harrison and Lane Duvall
22 Atrial Fibrillation and Flutter 231
Kabir Bhasin and Jonathan L. Halperin
23 Arrhythmias: Supraventricular Tachycardias, Ventricular
Tachycardias and Bradyarrhythmias 247
Avi Fischer
24 Malignant Hypertension 259
Adam Harris and Michael Kim
25 Syncope 275
Prashant Vaishnava and Marc Miller
Pulmonary 285
26 Approach to the Patient with Dyspnea 287
Eric Barna
27 Asthma 297
Gwen Skloot
28 Hospital Management of COPD Exacerbations 307
Neil Schachter
29 Evaluation and Treatment of Diffuse Parenchymal
Lung Disease 321
June Kim and Timothy J. Harkin
30 Pulmonary Hypertension 349
Ajith Nair
Critical Care 359
31 Sepsis: Manifestations and Management
of the Host/Pathogen Response 361
Thomas Kalb
vii
Contents
32 Management of the Mechanically Ventilated Patient 381
Uma S. Ayyala
33 Glycemic Management in Critically III Patients 393
Maria Skamagas
Renal 399
34 Management of Hospitalized Patients with End-Stage
Renal Disease 401
Anand Reddy, Sridhar R. Allam and Brian Radbill
35 Acute Kidney Injury 411
Tonia K. Kim
36 A Practical Approach to Acid-Base Disturbances 425
Jaime Uribarri
37 Hyponatremia and Hypernatremia 437
Zygimantas C. Alsauskas and Michael J. Ross
38 Disorders of Potassium Homeostasis 449
Raj Kiran Medapalli and Michael J. Ross
GI/Liver 465
39 Acute Abdominal Pain in the Hospitalized Patient 467
Sarah Steinberg, Sita Chokhavatia and Imuetinyan Asuen
40 Acute Gastrointestinal Bleeding 477
Jonathan Potack
41 Inpatient Management of Inflammatory Bowel Disease 487
Thomas A. Ullman
42 Pancreatitis 497
Reza Akhtar
43 Small Bowel Obstruction 507
Kerri E. Buch and Celia M. Divino
viii
Contents
44 Management of the Cirrhotic Patient 517
Carmen M. Stanca and Douglas T. Dieterich
45 Approach to the Hospitalized Patient with
Abnormal Liver Function Tests 527
Kalpesh K. Patel
Endocrine 535
46 Management of Diabetes and Hyperglycemia
in Hospitalized Patients 537
Maria Skamagas
47 Diabetic Ketoacidosis (DKA) and Hyperglycemic
Hyperosmolar State (HHS): Diabetes Emergencies 553
Maria Skamagas and Erin Rule
48 Diagnosis and Treatment of Thyroid Dysfunction 565
Noga C. Minsky and Richard S. Haber
49 Adrenal Insufficiency 575
Maria E. Lamothe, Robert Yanagisawa and Alice C. Levine
50 Malnutrition 585
Jeffrey I. Mechanick and Elise M. Brett
Infectious Disease 599
51 Hospital-Acquired Fever 601
Maria Anaizza Aurora Reyna
52 Community-Acquired and Healthcare/Hospital-
Acquired Pneumonia 617
Keith Sigel and Mikyung Lee
53 Skin and Soft Tissue Infections 629
Maurice Policar
54 Urinary Tract Infections 639
Meenakshi M. Rana and David P. Calfee
ix
Contents