Ferri's Clinical Advisor

3030 Pages·2016·179.89 MB·English

by  Alvero R.

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FERRI’S CLINICAL ADVISOR, 2016 ISBN: 978-0-323-28047-1
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Notices
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understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using
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should be mindful of their own safety and the safety of others, including parties for whom they have a professional
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With respect to any drug or pharmaceutical products identified, readers are advised to check the most current infor-
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Section Editors
RUBEN ALVERO, M.D. RICHARD J. GOLDBERG,
Professor of Obstetrics and M.D., M.S.
Gynecology Psychiatrist-in-Chief
Director, Assisted Reproductive Rhode Island Hospital
Technologies The Miriam Hospital;
Division Director REI Professor
Vice Chairman for Education Department of Psychiatry and
Department of Obstetrics and Human Behavior
Gynecology Alpert Medical School
University of Colorado Denver Brown University
Aurora, Colorado Providence, Rhode Island
FRED F. FERRI, M.D., HARALD A. HALL, M.D.
F.A.C.P. Rheumatologist
Clinical Professor Providence, Rhode Island
Alpert Medical School
Brown University
Providence, Rhode Island
GLENN G. FORT, M.D., SIDDHARTH KAPOOR,
M.P.H., F.A.C.P., F.I.D.S.A. M.D., F.A.H.S.
Clinical Associate Professor of Assistant Professor
Medicine Department of Neurology
Alpert Medical School Director, UK Epilepsy Care Network
Brown University; Director, Headache Medicine
Chief, Infectious Diseases Program Director, Fellowship in
Our Lady of Fatima Hospital Headache Medicine
Providence, Rhode Island; University of Kentucky College of
Landmark Medical Center Medicine
Woonsocket, Rhode Island Lexington, Kentucky
iii
Section Editors
iv
GAGAN SAHNI, M.D., IRIS L. TONG, M.D.
F.A.C.C., F.A.C.P. Director
Director of Cardio-Oncology Women’s Primary Care
Director of Cardiology Consult Women’s Medicine Collaborative;
Service Assistant Professor
Cardiovascular Institute Department of Medicine
Mount Sinai Hospital Alpert Medical School
New York, New York Brown University
Providence, Rhode Island
STEVEN M. SEPE, M.D.,
Ph.D.
Clinical Professor of Medicine
Assistant Dean
Boston University School of
Medicine
Boston, Massachusetts
Preface
This book is intended to be a clear and concise reference for physicians and Section III includes clinical algorithms to guide and expedite the
allied health professionals. Its user-friendly format was designed to provide patient’s workup and therapy. Fifteen new algorithms have been added
a fast and efficient way to identify important clinical information and to for the 2016 edition. Many physicians describe this section as particularly
offer practical guidance in patient management. The book is divided into valuable in today’s managed-care environment.
five sections and an appendix, each with emphasis on clinical information. Section IV includes normal laboratory values and interpretation of
The tremendous success of the previous editions and the enthusiastic results of commonly ordered laboratory tests. By providing interpretation of
comments from numerous colleagues have brought about several positive abnormal results, this section facilitates the diagnosis of medical disorders
changes. Each section has been significantly expanded from prior editions, and further adds to the comprehensive, “one-stop” nature of our text.
bringing the total number of medical topics covered in this book to more Section V focuses on preventive medicine. Information in this section
than 1000. Nearly 500 new illustrations and tables have been added to the includes recommendations for the periodic health examination, screening
edition to enhance recollection of clinically important facts. The expedited for major diseases and disorders, patient counseling, and immunization
claims submission and reimbursement ICD-10CM codes have been added and chemoprophylaxis recommendations.
to all the topics, along with existing ICD-9CM codes. Please note that the The Appendix has been divided into six major sections. Section I con-
implementation of the ICD-10CM codes has been delayed until at least tains extensive information on complementary and alternative medicine
2016; therefore, for billing purposes please use the ICD-9CM codes until (CAM). With the material in this appendix, we hope to lessen the current
the ICD-10CM codes are officially implemented. scarcity of exposure of allopathic and osteopathic physicians to the diver-
Section I describes in detail more than 800 medical disorders. Twenty- sity of CAM therapies. Section II focuses on nutrition, with an emphasis on
one new topics have been added to the 2016 edition. Each medical topic dietary supplements, vitamins, and minerals. Section III deals with diagno-
in this section is arranged alphabetically, and the material in each topic is sis and treatment of acute poisoning. Section IV is a guide on impairment
presented in outline format for ease of retrieval. Topics with an accompa- and disability evaluation. Section V, available online, contains an extensive
nying algorithm in Section III are identified with an algorithm symbol (ALG). section on primary care procedures. Section VI contains several patient
Similarly, if topics also have a Patient Teaching Guide (PTG) available online, teaching guides not linked to Section I topics.
this has been noted. Throughout the text, key quick-access information is As clinicians, we all realize the importance of patient education and the
consistently highlighted, clinical photographs are used to further illustrate need for clear communication with our patients. Toward that end, practi-
selected medical conditions, and relevant ICD-9CM and ICD-10CM codes cal patient instruction sheets, organized alphabetically and covering the
are listed. Most references focus on current peer-reviewed journal articles majority of the topics in this book, are available online and can be easily
rather than outdated textbooks and old review articles. Evidence-based customized and printed from any computer. They represent a valuable
medicine data have been added to relevant topics. addition to patient care and are useful for improving physician-patient
Topics in Section I use the following structured approach: communication, patient satisfaction, and quality of care.
1. Basic Information (Definition, Synonyms, ICD-9CM and ICD-10CM Codes, I believe that we have produced a state-of-the-art information system
Epidemiology & Demographics, Physical Findings & Clinical Presenta- with significant differences from existing texts. It contains five sections
tion, Etiology) and patient education guides that could be sold separately based on their
2. Diagnosis (Differential Diagnosis, Workup, Laboratory Tests, Imaging content, yet are available under a single cover, offering the reader a tre-
Studies) mendous value. I hope that the Clinical Advisor’s user-friendly approach,
3. Treatment (Nonpharmacologic Therapy, Acute General Rx, Chronic Rx, numerous unique features, and yearly updates will make this book a
Disposition, Referral) valuable medical reference, not only to primary care physicians but also to
4. Pearls & Considerations (Comments, Suggested Readings) physicians in other specialties, medical students, and allied health profes-
5. Evidence-Based Data and References sionals.
Section II includes the differential diagnosis, etiology, and classification
of signs and symptoms. This section has been significantly expanded for Fred F. Ferri, M.D., F.A.C.P.
the 2016 edition with the addition of 22 new topics. It is a practical section
that allows the user investigating a physical complaint or abnormal labora- Note: Comments from readers are always appreciated and can be
tory value to follow a “workup” leading to a diagnosis. The physician can forwarded directly to Dr. Ferri at [email protected].
then easily look up the presumptive diagnosis in Section I for the informa-
tion specific to that illness.
xxiv
Preface
xxv
EVALUATION OF EVIDENCE SOURCES OF EVIDENCE
Ferri’s Clinical Advisor evaluates all evidence based on a rating system Evidence is summarized principally from three critically evaluated, very
published by the American Academy of Family Physicians. In order to indi- highly regarded sources:
cate the strength of the supporting evidence, each summary statement is • Cochrane Systematic Reviews are respected throughout the world as
accorded one of three levels: one of the most rigorous searches of medical journals for randomized
LEVEL A controlled trials. They provide highly structured systematic reviews, with
• Systematic reviews of randomized controlled trials, including meta- evidence included or excluded on the basis of explicit quality-related
analyses criteria, and they often use meta-analyses to increase the power of the
• Good-quality randomized controlled trials findings of numerous studies.
LEVEL B • Clinical Evidence is produced by the BMJ Publishing Group. It provides
• Good-quality nonrandomized clinical trials synopses of the best currently available evidence on the treatment and
• Systematic reviews not in Level A prevention of many clinical conditions, based on searches and apprais-
• Lower-quality randomized controlled trials not in Level A als of the available literature.
• Other types of study: case-control studies, clinical cohort studies, cross- • The National Guideline Clearinghouse™ is a comprehensive data-
sectional studies, retrospective studies, and uncontrolled studies base of evidence-based clinical practice guidelines and related docu-
LEVEL C ments produced by the Agency for Healthcare Research and Quality in
• Evidence-based consensus statements and expert guidelines partnership with the American Medical Association and the American
Association of Health Plans.
In addition, where evidence exists that has not yet been critically
reviewed in one of the three sites above, the evidence is summarized
briefly, categorized, and fully referenced. Guidelines are also sourced from
government and professional bodies.
Contents
SECTION I Diseases and Disorders, 1
SECTION II Differential Diagnosis, 1323
SECTION III Clinical Algorithms, 1469
SECTION IV Laboratory Tests and Interpretation of Results, 1639
SECTION V Clinical Practice Guidelines, 1691
APPENDIX I Complementary and Alternative Medicine, 1761
APPENDIX II Nutrition, 1775
APPENDIX III Acute Poisoning, 1787
APPENDIX IV Impairment and Disability Issues, 1795
APPENDIX V Primary Care Procedures, available online
APPENDIX VI Patient Teaching Guides, available online
xxvii
Detailed Contents
SECTION I Diseases and Disorders
Abdominal aortic aneurysm, 3 Amyotrophic lateral sclerosis, 106 Benign paroxysmal positional vertigo, 211
Abdominal compartment syndrome, 6 Anaerobic infections, 107 Benign prostatic hyperplasia, 214
Abruptio placentae, 8 Anal fissure, 108 Biceps tendonitis, 217
Abscess, breast, 10 Anaphylaxis, 109 Bipolar disorder, 219
Abscess, epidural, 11 Angina pectoris, 110 Bite wounds, 221
Abscess, liver, 12 Angioedema, 115 Bites and stings, arachnids, 223
Abscess, lung, 14 Ankle fracture, 117 Bites and stings, insect, 224
Abscess, pelvic, 16 Ankle sprain, 119 Bites, snake, 226
Abscess, perirectal, 17 Ankylosing spondylitis, 121 Bladder cancer, 229
Abscess, peritonsillar, 18 Anorectal fistula, 123 Blepharitis, 232
Abscess, renal, 19 Anorexia nervosa, 124 Body dysmorphic disorder, 233
Abscess, retropharyngeal, 20 Anoxic brain injury, 126 Bone tumor, primary malignant, 234
Absence seizures, 22 Antiphospholipid antibody syndrome, 128 Borderline personality disorder, 235
Abuse, child, 23 Anxiety (generalized anxiety disorder), 131 Botulism, 237
Abuse, drug, 26 Aortic dissection, 132 Brain abscess, 238
Abuse, elder, 29 Aortic regurgitation, 135 Brain metastases, 240
Acetaminophen poisoning, 31 Aortic stenosis, 137 Brain neoplasm, benign, 242
Achalasia, 32 Aplastic anemia, 139 Brain neoplasm, glioblastoma, 244
Achilles tendon rupture, 34 Appendicitis, acute, 141 Breast cancer, 246
Acne vulgaris, 35 Arrhythmogenic right ventricular dysplasia, Breech birth, 252
Acoustic neuroma, 37 143 Bronchiectasis, 253
Acquired immunodeficiency syndrome, 38 Asbestosis, 145 Brugada syndrome, 255
Actinic keratosis, 40 Ascariasis, 146 Bruxism, 258
Actinomycosis, 42 Ascites, 147 Budd-Chiari syndrome, 259
Acute bronchitis, 44 Aspergillosis, 149 Bulimia nervosa, 261
Acute colonic pseudo-obstruction (Ogilvie’s Aspiration pneumonia, 151 Bullous pemphigoid, 263
syndrome), 45 Asthma, 152 Burning mouth syndrome, 264
Acute coronary syndrome, 47 Astrocytoma, 162 Burns, 265
Acute fatty liver of pregnancy, 52 Ataxia, 164 Bursitis, 268
Acute kidney injury, 53 Atelectasis, 165 Calcium pyrophosphate dihydrate crystal
Acute liver failure, 58 Atopic dermatitis, 166 deposition disease, 269
Acute lymphoblastic leukemia, 61 Atrial fibrillation, 167 Candidiasis, cutaneous, 271
Acute myelogenous leukemia, 64 Atrial flutter, 171 Candidiasis, invasive, 273
Acute pancreatitis, 69 Atrial myxoma, 173 Carbon monoxide poisoning, 275
Acute respiratory distress Atrial septal defect, 174 Carcinoid syndrome, 277
syndrome, 73 Attention deficit hyperactivity disorder, 177 Cardiac tamponade, 279
Acute stress disorder, 77 Autism spectrum disorder, 179 Cardiomyopathy, chemical-induced, 281
Acute tubular necrosis, 79 Autoimmune hemolytic anemia, 181 Cardiomyopathy, dilated, 283
Acute urinary retention (AUR), 80 Autoimmune hepatitis, 184 Cardiomyopathy, hypertrophic, 285
Adrenal insufficiency, 81 AV malformations, cerebral, 186 Cardiomyopathy, restrictive, 288
Alcoholic hepatitis, 83 Avascular necrosis, 188 Cardiorenal syndrome, 291
Alcoholism, 85 Babesiosis, 191 Carotid sinus syndrome, 293
Aldosteronism, 89 Bacterial meningitis, 193 Carotid stenosis, 295
Allergic rhinitis, 91 Bacterial pneumonia, 196 Carpal tunnel syndrome, 297
Alopecia, 92 Bacterial vaginosis, 199 Cataracts, 298
Alpha-1-antitrypsin deficiency, 94 Baker’s cyst, 200 Cat-scratch disease, 299
Alzheimer’s disease, 95 Balanitis, 201 Celiac disease, 300
Amaurosis fugax, 97 Barrett esophagus, 202 Cellulitis, 302
Amblyopia, 98 Basal cell carcinoma, 204 Cervical cancer, 304
Amebiasis, 99 Bedbug bite, 205 Cervical dysplasia, 305
Amenorrhea, 100 Behçet’s disease, 207 Cervical insufficiency, 308
Amnestic disorders, 104 Bell’s palsy, 209 Cervical polyps, 310
xxviii
Detailed Contents
xxix
Cervicitis, 311 Diabetic polyneuropathy, 422 Frozen shoulder, 518
Charcot-Marie-Tooth disease, 312 Diabetic retinopathy, 425 Galactorrhea, 519
Charcot’s joint, 313 Diffuse idiopathic skeletal hyperostosis, Ganglia, 520
Chemotherapy-induced nausea and 427 Gastric cancer, 521
v omiting, 314 Discoid lupus, 429 Gastrinoma, 523
Chlamydia genital infections, 315 Disseminated intravascular coagulation, Gastritis, 525
Cholangitis, 316 430 Gastroenteritis, 526
Cholecystitis, 317 Dissociative disorders, 432 Gastroesophageal reflux disease, 528
Cholelithiasis, 318 Diverticular disease (diverticulosis, Gender dysphoria disorder and gender
Chronic fatigue syndrome, 319 diverticulitis), 434 nonconformity, 530
Chronic inflammatory demyelinating Down syndrome, 435 Generalized tonic clonic seizures, 533
polyneuropathy (CIDP), 320 Dupuytren’s contracture, 436 Gestational diabetes mellitus (GDM), 534
Chronic kidney disease, 322 Dysfunctional uterine bleeding, 437 Giant cell arteritis, 536
Chronic lymphocytic leukemia, 326 Dysmenorrhea, 439 Giardiasis, 538
Chronic myelogenous leukemia, 328 Dyspareunia, 440 Gilbert’s syndrome, 539
Chronic obstructive pulmonary disease, 330 Dyspepsia, nonulcerative, 442 Gingivitis, 540
Chronic pain management, 335 Dysphagia, 443 Glaucoma, open-angle, 541
Chronic pancreatitis, 339 Dystonia, 445 Glaucoma, primary angle-closure, 542
Cirrhosis, 340 Echinococcosis, 447 Glenohumeral dislocation, 543
Claudication, 342 Eclampsia, 449 Glomerulonephritis, acute, 544
Clostridium difficile infection, 345 Ectopic pregnancy, 450 Glossitis, 547
Cluster headache, 347 Ehrlichiosis and anaplasmosis, 452 Gonococcal urethritis, 548
Cocaine overdose, 348 Ejaculation and orgasm disorders, 454 Gonorrhea, 549
Coccidioidomycosis, 350 Electrical and lightning injury, 456 Goodpasture’s syndrome, 551
Colorectal cancer, 352 Empyema, 458 Gout, 552
Compartment syndrome, 355 Encephalitis, acute viral, 459 Granuloma annulare, 554
Complex regional pain syndrome, 357 Encephalopathy, 461 Granulomatosis with polyangiitis
Concussion, 358 Endocarditis, infective, 462 (Wegener’s granulomatosis), 555
Conduct disorder, 360 Endometrial cancer, 466 Graves’ disease, 557
Condyloma acuminatum, 361 Endometriosis, 468 Guillain-Barré syndrome, 559
Conjunctivitis, 362 Endometritis, 470 Gynecomastia, 561
Contact dermatitis, 364 Enuresis, 471 Hairy cell leukemia, 562
Contraception, 365 Epicondylitis, 473 Hand-foot-mouth disease, 563
Conversion disorder, 367 Epididymitis, 474 Health care-associated infections (HAIs),
Cor pulmonale, 368 Epidural hematoma, 475 564
Corneal abrasion, 371 Epiglottitis, 477 Heart block, complete, 568
Corneal ulceration, 372 Episcleritis, 478 Heart block, second-degree, 570
Coronary artery disease, 373 Epistaxis, 479 Heart failure, 572
Costochondritis, 377 Epstein-Barr virus infection, 481 Heat exhaustion and heat stroke, 579
Craniopharyngioma, 378 Erectile dysfunction, 482 Helicobacter pylori infection, 581
Crohn’s disease, 379 Erysipelas, 484 HELLP syndrome, 583
Cryoglobulinemia, 381 Erythema multiforme, 485 Hemochromatosis, 585
Cryptococcosis, 382 Erythema nodosum, 486 Hemolytic-uremic syndrome, 587
Cryptosporidium infection, 383 Esophageal tumors, 487 Hemophilia, 589
Cubital tunnel syndrome, 384 Esophageal varices, 490 Hemorrhoids, 591
Cushing’s disease and syndrome, 355 Essential tremor, 493 Henoch-Schönlein purpura, 592
Cystic fibrosis, 387 Failure to thrive (pediatric), 494 Heparin-Induced Thrombocytopenia, 594
Cysticercosis, 389 Falls in the elderly, 496 Hepatic encephalopathy, 596
Cytomegalovirus infection, 391 Familial adenomatous polyposis and Hepatitis A, 598
Deep vein thrombosis, 392 Gardner’s syndrome, 498 Hepatitis B, 600
Delayed puberty, 395 Febrile seizures, 500 Hepatitis C, 603
Delirium, 398 Fetal alcohol syndrome, 501 Hepatocellular carcinoma, 605
Delirium tremens, 400 Fever of undetermined origin, 503 Hepatopulmonary syndrome, 608
Delusional parasitosis, 401 Fibrocystic breast disease, 505 Hepatorenal syndrome, 609
Dementia with Lewy bodies, 402 Fibromyalgia, 506 Hereditary neuropathy, 611
Dependent personality disorder, 404 Fifth Disease (Parvovirus B19 infection), Herpes simplex, 613
Depression, major, 405 508 Herpes zoster, 615
De Quervain’s tenosynovitis, 407 Folliculitis, 510 Hiatal hernia, 617
Dermatitis herpetiformis, 408 Food allergies, 511 Hidradenitis suppurativa, 619
Diabetes mellitus, 410 Food poisoning, bacterial, 513 High-altitude sickness, 621
Diabetic foot, 417 Friedreich’s ataxia, 515 Hip fracture, 623
Diabetic ketoacidosis, 419 Frostbite, 516 Hirsutism, 625
Detailed Contents
xxx
Histoplasmosis, 628 Lichen sclerosus, 743 Myocardial infarction, 843
HIV cognitive dysfunction, 630 Lichen simplex chronicus, 744 Myocarditis, 850
Hodgkin’s lymphoma, 631 Listeriosis, 745 Myoclonus, 853
Hookworm, 635 Long QT syndrome, 746 Myofascial pain syndrome, 854
Hordeolum (stye), 636 Lumbar disc syndrome, 749 Myopathies, idiopathic inflammatory, 856
Horner’s syndrome, 637 Lung neoplasms, primary, 751 Myxedema coma, 859
Hot flashes, 638 Lyme disease, 755 Narcolepsy, 860
Human immunodeficiency virus, 639 Lymphangitis, 756 Necrotizing fasciitis, 862
Huntington’s disease, 646 Lymphedema, 757 Nephroblastoma, 864
Hydrocele, 647 Lynch syndrome, 759 Nephrogenic systemic fibrosis, 865
Hydrocephalus, normal pressure, 648 Macular degeneration, 760 Nephrotic syndrome, 866
Hydronephrosis, 649 Malaria, 761 Neuroblastoma, 869
Hypercholesterolemia, 651 Malignant hyperthermia, 765 Neurofibromatosis, 871
Hypercoagulable state, 654 Mallory-Weiss tear, 767 Neuroleptic malignant syndrome, 873
Hyperemesis gravidarum, 657 Marfan’s syndrome, 768 Neuropathic pain, 874
Hyperlipoproteinemia, primary, 658 Mastitis, 770 Nonalcoholic fatty liver disease, 877
Hyperosmolar hyperglycemic syndrome, Mastodynia, 772 Nongonococcal urethritis, 878
660 Mastoiditis, 773 Non-Hodgkin lymphoma, 879
Hyperparathyroidism, 661 Meckel diverticulum, 774 Obesity, 882
Hypersensitivity pneumonitis, 663 Mediastinitis, 775 Obsessive-compulsive disorder (OCD), 886
Hypersplenism, 665 Meigs’ syndrome, 776 Ocular foreign body, 887
Hypertension, 666 Melanoma, 777 Onychomycosis, 888
Hyperthyroidism, 672 Ménière’s disease, 780 Opioid dependence, 890
Hypertrophic osteoarthropathy, 674 Meningioma, 781 Optic atrophy, 893
Hyperuricemia, 676 Menopause, 783 Optic neuritis, 894
Hypoaldosteronism, 677 Menorrhagia, 785 Oral cancer, 895
Hypogonadism, male, 678 Meralgia paresthetica, 786 Oral hairy leukoplakia, 897
Hypoparathyroidism, 681 Mesenteric ischemia, acute, 788 Orchitis, 898
Hypopituitarism, 683 Mesenteric venous thrombosis, 790 Orthostatic hypotension, 899
Hypothermia, 686 Mesothelioma, malignant, 791 Osgood-Schlatter disease, 901
Hypothyroidism, 688 Metabolic syndrome, 793 Osteoarthritis, 902
Idiopathic pulmonary fibrosis, 689 Methanol and ethylene glycol poisoning, 795 Osteochondritis dissecans, 904
IgA nephropathy, 691 Methicillin-resistant staphylococcus aureus Osteomyelitis, 905
Illness anxiety disorder, 693 (MRSA), 797 Osteoporosis, 907
Immune thrombocytopenic purpura, 694 Microscopic polyangiitis, 798 Otitis externa, 910
Impetigo, 696 Microsporidiosis, 800 Otitis media, 912
Inclusion body myositis, 697 Migraine headache, 801 Ovarian cancer, 914
Incontinence, bowel, elderly patient, 698 Mild cognitive impairment (MCI), 803 Ovarian neoplasm, benign, 916
Incontinence, urinary, 699 Mitral regurgitation, 804 Paget’s disease of bone, 917
Infertility, 701 Mitral stenosis, 807 Paget’s disease of the breast, 918
Inflammatory anemia, 703 Mitral valve prolapse, 810 Pancreatic cancer, (exocrine), 919
Influenza, 705 Mixed connective tissue disease, 812 Panic disorder, with or without
Insomnia, 708 Molar pregnancy, 813 a goraphobia, 921
Intermittent explosive disorder, 711 Molluscum contagiosum, 815 Panniculitis, 923
Interstitial cystitis, 712 Monoclonal gammopathy of undetermined Paraneoplastic syndromes, 925
Interstitial lung disease, 714 significance (MGUS), 816 Paraphilic disorders, 927
Interstitial nephritis, 718 Mononucleosis, 818 Parkinson’s disease, 929
Intraventricular conduction delay, 720 Morton neuroma, 819 Paronychia, 931
Iron deficiency anemia, 721 Motion sickness, 821 Partial seizures, 932
Irritable bowel syndrome, 723 Mucormycosis, 822 Patellofemoral pain syndrome, 933
Jaundice in the adult patient, 725 Multidrug-resistant gram-negative rods Patent ductus arteriosus, 934
Juvenile idiopathic arthritis, 728 (MRG-GNRs), 823 Pediculosis, 936
Kaposi’s sarcoma, 730 Multifocal atrial tachycardia, 824 Pelvic inflammatory disease, 937
Kawasaki disease, 731 Multiple myeloma, 825 Pelvic organ prolapse (uterine prolapse),
Keloid, 733 Multiple sclerosis, 828 939
Labyrinthitis, 735 Mumps, 830 Pemphigus vulgaris, 941
Lactose intolerance, 736 Muscular dystrophy, 832 Peptic ulcer disease, 943
Laryngeal carcinoma, 737 Mushroom poisoning, 834 Pericarditis, 945
Laryngotracheobronchitis, 738 Myasthenia gravis, 835 Peripheral arterial disease, 948
Lead poisoning, 740 Mycoplasma pneumonia, 836 Peritonitis, secondary, 951
Legg-Calvé-Perthes disease, 741 Mycosis fungoides, 838 Pernicious anemia, 952
Lichen planus, 742 Myelodysplastic syndrome, 840 Pertussis, 954