Cover Copyright Editorial Board Preface TOC Abbreviations An Introduction to Clinical Medicine 01.

History and Physical Examination 02. Chartwork 03. Differential Diagnosis - Symptoms, Signs, and Conditions 04. Laboratory Diagnosis - Chemistry, Immunology, Serology 05. Laboratory Diagnosis - Clinical Hematology 06. Laboratory Diagnosis - Urine Studies 07. Clinical Microbiology 08. Blood Gases and Acid Base Disorders 09. Fluids and Electrolytes 10. Blood Component Therapy 11. Nutritional Assessment, Therapeutic Diets, and Infant Feeding 12. Enteral and Parenteral Nutrition 13. Bedside Procedures 14. Pain Management 15. Imaging Studies 16. Introduction to the Operating Room 17. Suturing Techniques and Wound Care 18. Respiratory Care 19. Basic ECG Reading 20. Critical Care 21. Common Medical Emergencies Appendix

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Copyright Information
Clinician's Pocket Reference, 11th Edition Copyright 2007 by Leonard G. Gomella. Published by The McGraw-Hill Companies, Inc. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a data base or retrieval system, without the prior written permission of the publisher. Previous editions copyright 2004, 1997, 1993, 1989, by Leonard G. Gomella. Copyright 1986 by Leonard G. Gomella, G. Richard Braen, and Michael Olding. Copyright 1983 by Capistrano Press, Ltd., Garden Grove, California. Previously published as So You Want to Be a Scut Monkey: Medical Student's and House Officer's Clinical Handbook, copyright 1981, 1980, 1979, by Leonard G. Gomella and Michael J. Olding. ISBN-13: 978-0-07-145428-5; ISBN-10: 0-07-145428-4 Part of ISBN-13: 978-0-07-145428-5; ISBN-10: 0-07-145428-4 ISSN: 1041-1348 Notice Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the editors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications

for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

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Editorial Board
Editors LEONARD G. GOMELLA, MD, FACS The Bernard W. Godwin, Jr., Professor and Chairman Department of Urology Jefferson Medical College Thomas Jefferson University Philadelphia, Pennsylvania STEVEN A. HAIST, MD, MS, FACP Professor of Medicine and Residency Program Director Department of Internal Medicine University of Kentucky Medical Center Lexington, Kentucky

Editorial Board ANGELO ADONAKAKIS, DO Clinical Director, Pavilion Operating Rooms, Department of Anesthesiology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania VINCENT ARMENTI, MD, PhD Professor of Surgery, Abdominal Organ Transplant Program, Temple University School of Medicine, Philadelphia, Pennsylvania ALISON BAILEY, MD Fellow, Division of Cardiovascular Medicine, University of Kentucky, Lexington, Kentucky LISA S. BELLIN, MD Clinical Assistant Professor, Department of Surgery, East Carolina University, Pitt County Memorial Hospital, Greenville, North Carolina VINCENZO BERGHELLA, MD Professor, Department of Obstetrics & Gynecology, Director, Division of Maternal-Fetal Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania

WILLIAM Z. BORER, MD Director Clinical Chemistry, Clinical Professor of Pathology, Anatomy, and Cell Biology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania TODD CHEEVER, MD Associate Dean, University of Kentucky, Medical College, Lexington, Kentucky ANDRS FERBER, MD Assistant Professor, Cardeza Foundation for Hematological Research, Philadelphia, Pennsylvania AIMEE GELHOT ADAMS, PharmD Director, Primary Care Pharmacy Practice Residency, University of Kentucky Medical Center, Assistant Professor, College of Pharmacy & Department of Internal Medicine, University of Kentucky, Lexington, Kentucky TRICIA L. GOMELLA, MD Part-Time Clinical Assistant Professor of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland ETHAN HALPERN, MD Professor, Department of Radiology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania DAVID M. HIESTAND, MD, PhD Assistant Professor, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Kentucky, Lexington, Kentucky DIANNA S. HOWARD, MD Assistant Professor, Blood and Marrow Transplant Program, Department of Internal Medicine, University of Kentucky, Lexington, Kentucky JOHN C. KAIRYS, MD Assistant Professor, Residency Program Director, Department of Surgery, Thomas Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania GREGORY KANE, MD Professor of Medicine, Vice Chair for Education, Division of Internal