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EbookBell Team
4.0
66 reviewsISBN 10: 1975107659
ISBN 13: 9781975107659
Author: Peter S Uzelac
Ideal for medical students, PAs and NPs, this pocket-sized quick reference helps students hone the clinical reasoning and documentation skills needed for effective practice in internal medicine, pediatrics, OB/GYN, surgery, emergency medicine, and psychiatry. This updated edition offers step-by-step guidance on how to properly document patient care as it addresses the most common clinical problems encountered on the wards and clinics. Emphasizing the patient’s clinical problem, not the diagnosis, the book’s at-a-glance, two-page layout uses the familiar SOAP note format.
Section 1. Internal Medicine
Chapter 1. Pulmonary
Community-Acquired Pneumonia
Asthma
Tuberculosis
Interstitial Lung Disease
Solitary Pulmonary Nodule
Chapter 2. Cardiology
Hypertension
Chest Pain Evaluation
Stable Angina
Congestive Heart Failure
Systolic Murmur
Diastolic Murmur
Atrial fibrillation
Pericarditis
Preoperative Cardiac Clearance
Chapter 3. Gastroenterology
Epigastric Pain
Right Upper Quadrant Pain
Abnormal Liver Tests
Cirrhosis
Diarrhea
Chapter 4. Nephrology
Chronic Renal Failure
Nephrotic Syndrome
Hematuria
Hyponatremia
Hypernatremia
Hypokalemia
Hyperkalemia
Urinary Tract Infection
Chapter 5. Hematology/Oncology
Anemia
Thrombocytopenia
Polycythemia
Coagulopathy
Deep Vein Thrombosis
Lymphoma
Leukemia
Breast Mass Evaluation
Breast Cancer
Lung Cancer
Colon Cancer
Prostate Cancer
Chapter 6. Infectious Disease
Fever of Unknown Origin
Acute Bacterial Endocarditis
HIV With Fever
Cellulitis
Chapter 7. Endocrinology
Diabetes
Diabetic Ketoacidosis and Hyperosmolar Nonketotic Coma
Hypothyroidism
Hyperthyroidism
Hyperparathyroidism
Adrenal Insufficiency
Cushing Syndrome
Osteoporosis
Dyslipidemia
Chapter 8. Rheumatology
Low-back Pain
Polyarthritis
Gout
Rheumatoid Arthritis
Seronegative Spondyloarthropathies
Inflammatory Myopathies
Systemic Lupus Erythematosus
Vasculitis
Systemic Sclerosis
Chapter 9. Toxicology
Alcohol Intoxication and Withdrawal
Cocaine Intoxication and Withdrawal
Section 2. Pediatrics
Chapter 10. Newborn Nursery
Newborn Exam
Birth Trauma
Benign Skin Lesions
Chapter 11. Pediatric Clinic
Well-Child Care: Infant
Well-Child Care: Toddler
Well-Child Care: Child
Well-Child Care: Adolescent
Hyperactive and School-Related Complaints—ADHD
Chronic Cough and Wheeze—Asthma
Chronic Runny, Stuffy Nose—Allergic Rhinitis
Heart Murmur
Hard Stool or No Stool—Constipation
Short Stature
Nosebleeds
Acne
Chapter 12. Pediatric Emergency Room
Anaphylaxis
Seizure
Syncope
Shortness of Breath, Wheeze, Cough—Asthma
Infant Who Stops Breathing (Brief Resolved Unexplained Event—BRUE)
Chest Pain
Abdominal Pain—Rule Out Appendicitis
Infant With Projectile Vomiting—Pyloric Stenosis
Vomiting and Diarrhea—Enteritis
Bloody Diarrhea—Colitis
Infant With Episodic Pain and Vomiting—Intussusception
Chemical Ingestions
Foreign Body
Edema—Nephrotic Syndrome
Easy Bruising or Mucosal Bleeding—ITP
Fever Without Associated Symptoms
Fever With Irritability and Vomiting—Meningitis
Fever With Productive Cough—Pneumonia
Fever With Barking Cough—Croup
Fever With Wheezing Cough—Bronchiolitis
Fever With Runny Nose, Dry Cough—Viral URI
Fever With Sore Throat—Pharyngitis
Fever With Dysuria—Urinary Tract Infection
Fever With Rash—Viral Exanthem
Fever With Rash, Conjunctivitis, and LAD—Kawasaki Disease
Rash With Pruritis
Henoch-Schönlein Purpura
Bites and Stings
Limping in Child Without History of Trauma
Head Trauma
Limb Trauma
Suspected Physical Abuse
Suspected Sexual Abuse
Chapter 13. Pediatric Ward
Inpatient Care
Dehydration and Intravenous Fluid Management
Pain Control
Postoperative Care of the Appendicitis Patient
Postoperative Care of the Pyloric Stenosis Patient
Inpatient Care of the Orthopedic Patient
Section 3. Obstetrics and Gynecology
Chapter 14. Obstetrics Clinic
Initial Visit
Second Trimester Visit
Third Trimester Visit
Postpartum Visit
Anemia
Antiphospholipid Syndrome
Chronic Hypertension
Gestational Diabetes Mellitus
Hyperthyroidism
Intrauterine Growth Restriction
Isoimmunization
Mild Preeclampsia
Nausea and Vomiting of Pregnancy
Severe Preeclampsia
Twin Gestation
Urinary Tract Infection
Chapter 15. Labor and Delivery
Term Labor
Third Trimester Bleeding
Chorioamnionitis
Labor Dystocia
Preterm Labor
Pyelonephritis
Rupture of Membranes
Chapter 16. Maternity Ward
Postpartum Day 1
Postpartum Day 2
Dyspnea
Postpartum Fever
Postpartum Hemorrhage
Chapter 17. Gynecology Clinic
Well-Woman Exam
Abnormal Uterine Bleeding
Breast Mass
Chronic Pelvic Pain
Dysmenorrhea
Family Planning—Barrier Method
Family Planning—Depot MPA
Family Planning—Emergency Contraception
Family Planning—Intrauterine Device
Family Planning—Oral Contraceptives
Family Planning—Sterilization
Galactorrhea
Hirsutism
Infertility
Menopause
Perimenopause
Premenstrual Syndrome
Recurrent Pregnancy Loss
Secondary Amenorrhea
Urinary Incontinence
Vulvovaginitis
Chapter 18. Emergency Room and Consultations
First Trimester Bleeding—Abortion
First Trimester Bleeding—Ectopic Pregnancy
Acute Pelvic Pain
Gestational Trophoblastic Disease
Pelvic Inflammatory Disease
Pelvic Mass
Section 4. Surgery and Emergency Medicine
Chapter 19. Cardiology
Aortic Dissection
Bradycardia/Complete Heart Block
Cardiac Arrest
Endocarditis
Hypertensive Crisis
Myocardial Infarction
Palpitations
Syncope
Unstable Angina
Venous Thrombosis
Chapter 20. Pulmonary
Pneumothorax
Pulmonary Edema
Pulmonary Embolism
Chapter 21. Gastrointestinal
Abdominal Aortic Aneurysm
Appendicitis
Bowel Obstruction
Biliary Disease
Diverticulitis
Foreign-Body Ingestion
Gastroesophageal Reflux Disease
Gastrointestinal Bleeding
Hepatitis
Ischemic Bowel
Pancreatitis
Peptic Ulcer Disease
Chapter 22. Genitourinary
Acute Renal Failure
Epididymitis
Hernia
Hydrocele/Varicocele
Kidney Stones/Nephrolithiasis
Pyelonephritis/UTI
Rhabdomyolysis
Testicular Torsion
Chapter 23. Neurology
Altered Mental Status
Headache
Meningitis
Seizures
Stroke
Vertigo
Weakness
Chapter 24. Trauma
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Tags: Peter S Uzelac, SOAP, Rotations