The Saint-Chopra Guide to Inpatient Medicine

Fourth Edition

Edited by Sanjay Saint and Vineet Chopra

A update and expansion of the celebrated Saint-Frances Guides, a bedside clinical manual for caring for the hospitalized patient
An invaluable framework for generating differential diagnosis and developing a clinical approach that correctly diagnoses the patient's problems
Composed of bulleted lists, decision trees, mnemonics, and "hot key" clinical insights that maximize utility and quick reference
Easy to use and portable, distilling decades of clinical insights from authors at the forefront of clinical medicine
A useful guidebook for those on the wards or in preparation for quizzes or board exams

New to this Edition:

A complete revision of the Saint-Frances Guide, with "hot key" take-home insights enriching each chapter
New chapters including perioperative medicine and medical procedures
New, easy to apply algorithms and approaches for managing conditions in rheumatology, infectious disease, endocrinology, and other medical sub-specialties

The Saint-Chopra Guide to Inpatient Medicine

Fourth Edition

Edited by Sanjay Saint and Vineet Chopra

Description

THE DEFINITIVE GUIDE TO INPATIENT MEDICINE, UPDATED AND EXPANDED FOR A NEW GENERATION OF STUDENTS AND PRACTITIONERS

A long-awaited update to the acclaimed Saint-Frances Guides, The Saint-Chopra Guide to Inpatient Medicine is the definitive practical manual for learning and practicing inpatient medicine. Its end-to-end coverage of the specialty focuses on both commonly encountered problems and best practices for navigating them, all in a portable and user-friendly format.

Composed of lists, flowcharts, and "hot key" clinical insights based on the authors' decades of experience, The Saint-Chopra Guide ushers clinicians through common clinical scenarios from admission to differential diagnosis and clinical plan. It will be an invaluable addition -- and safety net -- to the repertoire of trainees, clinicians, and practicing hospitalists at any stage of their career.

The Saint-Chopra Guide to Inpatient Medicine

Fourth Edition

Edited by Sanjay Saint and Vineet Chopra

Table of Contents

Preface

Acknowledgements

Contributors

Section 1: General Approach to Medical Problems

1. Approach to Differential Diagnosis
Sanjay Saint, MD, MPH and Vineet Chopra, MD, MSc

2. Approach to Medical Decision Making
Sanjay Saint, MD, MPH and Vineet Chopra, MD, MSc
3. Care at the End of Life
Adam D. Marks, MD, MPH
4. Preventing Hospital-Acquired Complications
Jennifer Meddings, MD, MSc

Section 2: Cardiology

5. Electrocardiogram (EKG) Interpretation
Mohamad Kenaan, MD and Kim Eagle, MD

6. Syncope
Mohamad Kenaan, MD and Kim Eagle, MD
7. Arrhythmias
Mohamad Kenaan, MD and Kim Eagle, MD
8. Atrial Fibrillation
Mohamad Kenaan, MD and Kim Eagle, MD

9. Chest Pain
Mohamad Kenaan, MD and Kim Eagle, MD
10. Angina
Mohamad Kenaan, MD and Kim Eagle, MD
11. Acute Coronary Syndrome (ACS)
Mohamad Kenaan, MD and Kim Eagle, MD
12. Heart Failure
Mohamad Kenaan, MD and Kim Eagle, MD

13. Shock
Mohamad Kenaan, MD and Kim Eagle, MD

Section 3: Pulmonary and Critical Care

14. Acute Dyspnea
Michael P. Mendez, MD
15. Hemoptysis
Michael P. Mendez, MD
16. Approach to the Chest Radiograph
Michael P. Mendez, MD
17. Hypoxemia
Michael P. Mendez, MD

18. Pulmonary Function tests
Michael P. Mendez, MD

19. Obstructive Lung Disease
Michael P. Mendez, MD
20. Interstitial Lung Disease
Michael P. Mendez, MD
21. Pneumonia
Michael P. Mendez, MD
22. Pulmonary Hypertension
Michael P. Mendez, MD
23. Pulmonary Embolism
Michael P. Mendez, MD
24. Pleural Effusion
Michael P. Mendez, MD
25. Respiratory Failure
Michael P. Mendez, MD
26. Mechanical Ventilation
Michael P. Mendez, MD

Section 4: Gastroenterology

27. Abdominal Pain
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS
28. Liver Tests
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS
29. Acute Diarrhea
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS
30. Acute Gastrointestinal Bleeding
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS
31. Splenomegaly
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS
32. Ascites
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS
33. Acute Pancreatitis
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS
34. Alcoholic Liver Disease
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS
35. Liver Failure
Sameer D. Saini, MD, MS and Akbar K. Waljee, MD, MS

Section 5: Renal and Acid-Base

36. Overview of Nephrology
Matthew McGuire, MD and Subramaniam Pennathur, MD
37. Acute Kidney Injury
Matthew McGuire, MD and Subramaniam Pennathur, MD
38. Nephrotic Syndrome
Matthew McGuire, MD and Subramaniam Pennathur, MD
39. Nephritic Syndrome
Matthew McGuire, MD and Subramaniam Pennathur, MD
40. Renal Tubular Defects
Matthew McGuire, MD and Subramaniam Pennathur, MD
41. Urinary Tract Infections
Matthew McGuire, MD and Subramaniam Pennathur, MD
42. Approach to Acid-Base Disorders
Matthew McGuire, MD and Subramaniam Pennathur, MD
43. Hyponatremia
Matthew McGuire, MD and Subramaniam Pennathur, MD
44. Hypernatremia
Matthew McGuire, MD and Subramaniam Pennathur, MD
45. Hypokalemia
Matthew McGuire, MD and Subramaniam Pennathur, MD
46. Hyperkalemia
Matthew McGuire, MD and Subramaniam Pennathur, MD
47. Hypertension
Matthew McGuire, MD and Subramaniam Pennathur, MD

Section 6: Infectious Diseases

48. Approach to Fever
Emily Shuman, MD
49. Approach to Microbiology
Emily Shuman, MD
50. Fever and Rash
Emily Shuman, MD
51. Fever of Unknown Origin
Emily Shuman, MD
52. Skin and Soft Tissue Infections
Emily Shuman, MD
53. Acute Rheumatic Fever
Emily Shuman, MD
54. Infective Endocarditis
Emily Shuman, MD
55. CD4 Counts and Complications of HIV Infection
Emily Shuman, MD
56. Pulmonary Disease in HIV-Infected Patients
Emily Shuman, MD
57. Gastrointestinal Manifestations of HIV Disease
Emily Shuman, MD
58. Neurologic Manifestations of HIV Disease
Emily Shuman, MD

Section 7: Hematology and Oncology

59. Pancytopenia
Dale Bixby, MD, PhD
60. Thrombocytopenia
Sumana Devata, MD
61. Thrombocytosis
Sumana Devata, MD

62. Anemia
Sumana Devata, MD
63. Polycythemia
Sumana Devata, MD
64. Leukocytosis
Sumana Devata, MD
65. Eosinophilia
Sumana Devata, MD
66. Bleeding Disorders
Sumana Devata, MD
67. Hypercoagulable States
Sumana Devata, MD
68. Lymphadenopathy
Sumana Devata, MD
69. Lymphoma
Dale Bixby, MD, PhD
70. Myeloproliferative Neoplasms and Myelodysplastic Syndromes
Dale Bixby, MD, PhD
71. Acute Leukemia
Dale Bixby, MD, PhD
72. Plasma Cell Dyscrasias
Dale Bixby, MD, PhD
73. Metastatic Neoplasms
Dale Bixby, MD, PhD

Section 8: Rheumatology

74. Arthritis
Rory M. Marks, MBBS
75. Systemic Autoimmune Diseases
Rory M. Marks, MBBS

Section 9: Endocrinology

76. Hypercalcemia
Palak Choksi, MD and Robert W. Lash, MD
77. Hypocalcemia
Palak Choksi, MD and Robert W. Lash, MD
78. Diabetic Ketoacidosis
Palak Choksi, MD and Robert W. Lash, MD
79. Thyroid Disease
Palak Choksi, MD and Robert W. Lash, MD
80. Adrenal Insufficiency
Palak Choksi, MD and Robert W. Lash, MD

Section 10: Neurology

81. Altered Mental Status
James Burke, MD
82. Peripheral Neuropathy
James Burke, MD
83. Vertigo
James Burke, MD
84. Hiccoughs
James Burke, MD
85. Seizure Disorders
James Burke, MD
86. Stroke
James Burke, MD
87. Meningitis
James Burke, MD
88. Spinal Cord Compression
James Burke, MD

Section 11: Dermatology

89. Exanthems
Thy Thy Do, MBBS
90. Pruritus
Thy Thy Do, MBBS
91. Clubbing
Thy Thy Do, MBBS

Section 12: Toxicology

92. Alcohol Intoxication and Withdrawal
Sanjay Shewakramani, MD
93. Toxicologic Emergencies
Sanjay Shewakramani, MD

Section 13: Perioperative Medicine

94. Preoperative Cardiovascular Risk Assessment for Non-Cardiac Surgery
Paul J. Grant, MD
95. Perioperative Cardiovascular Risk Reduction Strategies for Non-Cardiac Surgery
Paul J. Grant, MD
96. Perioperative Pulmonary Risk Assessment and Reduction Strategies
Paul J. Grant, MD
97. Perioperative Medication Management
Paul J. Grant, MD

Appendix: Medical Procedures

Richard J. Schildhouse, MD

Index

The Saint-Chopra Guide to Inpatient Medicine

Fourth Edition

Edited by Sanjay Saint and Vineet Chopra

Author Information

Sanjay Saint, MD, MPH, is Chief of Medicine at the VA Ann Arbor Healthcare System and the George Dock Professor of Internal Medicine at the University of Michigan. His research focuses on patient safety, medical education, and clinical problem-solving.

Vineet Chopra, MD, is Associate Professor of Medicine, Chief of the Division of Hospital Medicine, and Research Scientist at the University of Michigan and the VA Ann Arbor Health System. His research focuses on preventing hospital-acquired complications, interventional studies, and health services research in the hospitalized setting.

Contributors:

Dale Bixby, MD, PhD
Associate Professor of Internal Medicine, University of Michigan Medical School
Hematology & Oncology

James Burke, MD
Associate Professor of Neurology, University of Michigan Medical School
Staff Physician, Neurology, VA Ann Arbor Healthcare System
Neurology

Palak Choksi, MD
Assistant Professor of Internal Medicine, University of Michigan Medical School
Endocrinology

Sumana Devata, MD
Assistant Professor of Internal Medicine, University of Michigan Medical School
Staff Physician, Hematology-Oncology, VA Ann Arbor Healthcare System
Hematology & Oncology

Thy Thy Do, MBBS
Assistant Professor of Dermatology, University of Michigan Medical School
Dermatology

Kim Eagle, MD
Albion Walter Hewlett Professor of Internal Medicine, University of Michigan Medical School and Professor of Health Management and Policy, School of Public Health, University of Michigan
Cardiology

Paul J. Grant, MD
Associate Professor of Internal Medicine, University of Michigan Medical School
Perioperative Medicine

Mohamad Kenaan, MD
Assistant Professor, Michigan State University, Spectrum Health
Cardiology

Robert W. Lash, MD
Professor of Internal Medicine and Chief of Clinical Affairs, University of Michigan Medical School
Endocrinology

Adam D. Marks, MD, MPH
Assistant Professor of Internal Medicine and Assistant Professor of Pediatrics, University of Michigan Medical School
Staff Physician, Palliative Care, VA Ann Arbor Healthcare System
Palliative Care & Pain Management

Rory M. Marks, MBBS
Associate Professor of Internal Medicine, University of Michigan Medical School
Interim Section Chief, Rheumatology, VA Ann Arbor Healthcare System
Rheumatology

Matthew McGuire, MD
Instructor in Internal Medicine, University of Michigan Medical School
Renal & Acid-Base

Jennifer Meddings, MD, MSc
Associate Professor of Internal Medicine and Associate Professor of Pediatrics, University of Michigan Medical School
Staff Physician, Hospital Medicine, VA Ann Arbor Healthcare System
Preventing Hospital Acquired Complications

Michael P. Mendez, MD
Associate Professor of Internal Medicine, University of Michigan Medical School
Associate Section Chief, Pulmonary and Critical Care, VA Ann Arbor Healthcare System
Pulmonary & Critical Care

Subramaniam Pennathur, MD
Norman Radin Professor of Nephrology and Professor of Molecular and Integrative Physiology, University of Michigan Medical School
Staff Physician, Nephrology, VA Ann Arbor Healthcare System
Renal & Acid-Base

Sameer D. Saini, MD, MS
Associate Professor of Internal Medicine, University of Michigan Medical School
Research Scientist, VA Ann Arbor Healthcare System
Gastroenterology

Richard J. Schildhouse, MD
Instructor in Internal Medicine, University of Michigan Medical School
Section Chief, Hospital Medicine, VA Ann Arbor Healthcare System
Medical Procedures

Sanjay Shewakramani, MD
Clinical Associate Professor of Emergency Medicine, University of Cincinnati
Toxicology

Emily Shuman, MD
Assistant Professor of Internal Medicine, University of Michigan Medical School
Staff Physician, Infectious Disease, VA Ann Arbor Healthcare System
Infectious Disease

Akbar K. Waljee, MD, MSc
Associate Professor of Internal Medicine, University of Michigan Medical School
Staff Physician, Gastroenterology, VA Ann Arbor Healthcare System
Gastroenterology