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Chapter Outline
Section 1. Care of the Hospitalized Patient
1. Electrolytes/Acid-Base Balance
Sodium
Hyponatremia
Hypovolemic Hyponatremia
Hypervolemic Hyponatremia
Euvolemic Hyponatremia
Acute Symptomatic Hyponatremia
Hypernatremia
Potassium
Hypokalemia
Hyperkalemia
Acid-Base Disorders
Metabolic Acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
Mixed Disorders
2. Diagnostic Imaging in Internal Medicine
Chest Radiography
Abdominal Radiography
Ultrasound
Computed Tomography
Magnetic Resonance Imaging
Radionuclide Imaging
3. Procedures Commonly Performed by Internists
Thoracentesis
Preparatory Work
Technique
Specimen Collection
Postprocedure
Lumbar Puncture
Technique
Specimen Collection
Postprocedure
Paracentesis
Preparatory Work
Technique
Specimen Collection
Postprocedure
4. Principles of Critical Care Medicine
Initial Evaluation of the Critically Ill Patient
Shock
Mechanical Ventilatory Support
Multiorgan System Failure
Monitoring in the ICU
Prevention of Critical Illness Complications
Neurologic Dysfunction in Critically Ill Patients
Limitation or Withdrawal of Care
5. Pain and Its Management
Pathophysiology: Organization of Pain Pathways
Acute Somatic Pain
Chronic Pain
6. Assessment of Nutritional Status
Malnutrition
Etiology
Clinical Features
7. Enteral and Parenteral Nutrition
Enteral Nutrition
Parenteral Nutrition
Specific Micronutrient Deficiency
8. Transfusion and Pheresis Therapy
Transfusions
Whole Blood Transfusion
Red Blood Cell Transfusion
Other Indications
Complications
Autologous Transfusion
Red Cell Exchange
Platelet Transfusion
Transfusion of Plasma Components
Therapeutic Hemapheresis
Leukapheresis
Plateletpheresis
Plasmapheresis
Indications
9. Palliative and End-of-Life Care
Advance Directives
Physical Symptoms and Their Management
Pain
Constipation
Nausea
Dyspnea
Fatigue
Depression
Delirium
Care during the Last Hours