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DEJA REVIEW™

Internal Medicine

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DEJA REVIEW™

Internal Medicine

Sarvenaz S. Saadat, MD

School of Medicine

University of California, Irvine

Irvine, California

Resident in Family Medicine

Kaiser Permanente

Woodland Hills Medical Center

Woodland Hills, California

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DOI: 10.1036/0071477160

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To my husband, for all his patience and encouragement. This

book would not have been possible without you.

To our baby, while still in the womb, whose kicks, squirms

and wiggles have brought smiles to my face daily. I hope that

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To my brother—keep reaching for the stars. You can achieve

anything you put your mind to.

Contents

Contributors xi

Reviewers/Student Reviewer xiii

Preface xv

Introduction xvii

Important Lab Values xvii

Abbreviations You Should Know xxiv

Chapter 1 - THE BASICS 1

Chest X-ray 1

Other Radiologic Studies 2

Fluids 6

Electrolytes 7

Chapter 2 - CARDIOLOGY 21

Hypertension 21

Hyperlipidemia 22

Coronary Artery Disease 23

Arrhythmias 26

Congestive Heart Failure 29

Valvular Heart Diseases 30

Cardiomyopathy 31

Endocarditis 32

Rheumatic Fever 35

Pericarditis 36

Myocarditis 38

Cardiac Tamponade 38

Chapter 3 - PULMONOLOGY 41

Hypoxia 41

Obstructive Pulmonary Diseases 43

Restrictive Lung Disease 46

Pleural Effusion 47

Cough 48

Acute Respiratory Distress Syndrome 49

Pulmonary Embolism 50

Pneumothorax 53

Hemoptysis 53

Lung Cancer 54

Pneumonia 56

Tuberculosis 59

Chapter 4 - NEUROLOGY 61

Cerebrovascular Accidents 61

Seizure Disorders 63

Meningitis 65

Brain Tumors 67

Demyelinating Diseases 68

Cognitive Disorders 70

Headache 74

Intracranial Bleeding 75

Vertigo 76

Chapter 5 -

GASTROENTEROLOGY

77

Esophageal Disorders 77

Gastroesophageal Reflux Disease 78

Gastritis 79

Peptic Ulcers 80

GI Bleed 82

Colon 83

Inflammatory Bowel 87

Diarrhea 89

Malabsorption Disorders 89

Pancreas 90

Biliary Tract 92

Liver 94

Chapter 6 - HEMATOLOGY–

ONCOLOGY

99

Anemia 99

Microcytic Anemias 100

Macrocytic Anemias 102

Normocytic Anemia 103

Coagulopathies 105

Leukemias 108

Lymphoma 111

Myeloproliferative Diseases 113

Chapter 7 - RHEUMATOLOGY 117

Arthropathies 117

Systemic Disorders 120

Muscle Disorders 125

Vasculitis 126

Chapter 8 - NEPHROLOGY 129

Acute Renal Failure 129

Chronic Renal Failure 132

Glomerulonephropathies 133

Urinary Tract 135

Acid-Base Disorders 137

Renal Artery Stenosis 139

Chapter 9 - ENDOCRINOLOGY 141

Diabetes 141

Pituitary 144

Thyroid 146

Parathyroid 151

Adrenals 153

Bones 157

Chapter 10 - INFECTIOUS

DISEASE

161

HIV/AIDS 161

Sexually Transmitted Diseases 163

Sepsis 166

Osteomyelitis 166

Chapter 11 - DERMATOLOGY 169

Terminology 169

Skin Cancers 170

Psoriasis 173

Blistering Diseases 174

Vector-Borne Diseases 175

Fungal Infections 177

Bacterial and Viral Infections 178

Pigmentary Disorders 182

Hypersensitivity Reactions 182

Chapter 12 - CLINICAL

VIGNETTES

189

Index 197

Contributors

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Noah Craft, MD PhD, DTM&H

Assistant Professor

Department of Internal Medicine,

Division of Dermatology

Harbor-UCLA Medical Center

Los Angeles, California

Henry J. Feldman, MD

Medical Informatics,

Division of General Internal Medicine,

Department of Internal Medicine

NYU School of Medicine

New York

William Herring, MD, FACR

Vice Chairman and Radiology Residency

Program Director

Albert Einstein Medical Center

Philadelphia, Pennsylvania

Reviewers

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Daniel Behroozan, MD

Department of Dermatology

University of California

Los Angeles, California

Paul Bellamy, MD

Department of Pulmonary and Critical

Medicine

Kaiser Permanente

Woodland Hills Medical Center

Woodland Hills, California

Jia-ling Chou, MD

Department of Hematology-Oncology

Kaiser Permanente

Woodland Hills Medical Center

Woodland Hills, California

Afshin Khatibi, MD

Department of Gastroenterology

Kaiser Permanente

Woodland Hills Medical Center

Woodland Hills, California

Rashmi Nadig

Department of Infectious Disease

Kaiser Permanente

Woodland Hills Medical Center

Woodland Hills, California

Pamela Nagami, MD

Department of Infectious Disease

Kaiser Permanente

Woodland Hills Medical Center

Woodland Hills, California

Braden Nago, MD

Department of Neurology

Kaiser Permanente

Woodland Hills Medical Center

Woodland Hills, California

Frederick Ziel, MD

Department of Endocrinology

Kaiser Permanente

Woodland Hills Medical Center

Woodland Hills, California

Student Reviewer

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Mary M. Bonar

College of Osteopathic Medicine

Ohio University

Dayton, Ohio

Preface

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