Internal Medicine on Call

TABLE OF CONTENTS

I. On Call Problems 
1. Abdominal Pain 
2. Acidosis 
3. Alkalosis 
4. Anaphylactic Reaction 
5. Anemia 
6. Arterial Line Problems 
7. Aspiration 
8. Bradycardia 
9. Cardiopulmonary Arrest 
10. Central Venous Line Problems 
11. Chest Pain 
12. Coagulopathy 
13. Coma, Acute Mental Status Changes 
14. Constipation 
15. Cough 
16. Delirium Tremens 
17. Diarrhea 
18. Dizziness 
19. Dyspnea 
20. Dysuria 
21. Falls 
22. Fever 
23. Fever in the HIV-Positive Patient 
24. Foley Catheter Problems 
25. Headache 
26. Heart Murmur 
27. Hematemesis, Melena 
28. Hematochezia 
29. Hematuria 
30. Hemoptysis 
31. Hypercalcemia 
32. Hyperglycemia 
33. Hyperkalemia 
34. Hypernatremia 
35. Hypertension 
36. Hypocalcemia 
37. Hypoglycemia 
38. Hypokalemia 
39. Hypomagnesemia 
40. Hyponatremia 
41. Hypophosphatemia 
42. Hypotension 
43. Hypothermia 
44. Insomnia 
45. Irregular Pulse 
46. Jaundice 
47. Joint Swelling 
48. Leukocytosis 
49. Leukopenia 
50. Nausea and Vomiting 
51. Oliguria/Anuria 
52. Overdoses 
53. Pacemaker Troubleshooting 
54. Pain Management 
55. Polycythemia 
56. Pruritis 
57. Pulmonary Artery Catheter Problems 
58. Seizures 
59. Syncope 
60. Tachycardia 
61. Thrombocytopenia 
62. Transfusion Reaction 
63. Wheezing 
II. Laboratory Diagnosis 
III. Procedures 
1. Arterial Line Placement 
2. Arterial Puncture 
3. Arthrocentesis 
4. Bladder Catheterization 
5. Bone Marrow Aspiration and Biopsy 
6. Central Venous Catheterization 
7. Endotracheal Intubation 
8. Gastrointestinal Tubes 
9. Intravenous Techniques 
10. Lumbar Puncture 
11. Paracentesis 
12. Pulmonary Artery Catheterization 
13. Skin Biopsy 
14. Thoracentesis 
IV. Fluids and Electrolytes 
V. Blood Component Therapy 
VI. Ventilator Management 
1. Indications and Setup 
2. Routine Modification of Settings 
3. Troubleshooting 
A. Agitation 
B. Hypoxemia 
C. Hypercarbia 
D. High Peak Pressures 
4. Weaning 
VII. Therapeutics

ABOUT THE AUTHORS

Steven A. Haist, MD, MS 
Residency Program Director 
Associate Professor of Medicine 
Division of General Internal Medicine and Geriatrics 
Department of Internal Medicine 
University of Kentucky Medical Center 
Lexington, KY

John B. Robbins, MD 
General Internist 
Private Practice 
Internal Medicine Associates 
Bozeman, MT

Series Editor: 
Leonard G. Gomella, MD 
The Bernard W. Godwin, Jr., Professor 
And Chairman 
Department of Urology 
Jefferson Medical College 
Thomas Jefferson University 
Philadelphia, Pennsylvania