Taylor's differential diagnosis manual: symptoms and signs in the time-limited encounter PDF
Preview Taylor's differential diagnosis manual: symptoms and signs in the time-limited encounter
TAYLOR’S DIFFERENTIAL DIAGNOSIS MANUAL SYMPTOMS AND SIGNS IN THE TIME-LIMITED ENCOUNTER Third Edition 73673_fm_pi-xxiv.indd 1 15/05/12 3:18 PM TAYLOR’S DIFFERENTIAL DIAGNOSIS MANUAL SYMPTOMS AND SIGNS IN THE TIME-LIMITED ENCOUNTER Third Edition Editors Paul M. Paulman, MD Professor/Predoctoral Director Department of Family Medicine University of Nebraska Medical Center Omaha, Nebraska Audrey A. Paulman, MD Clinical Associate Professor Department of Family Medicine University of Nebraska Medical Center Omaha, Nebraska Jeffrey D. Harrison, MD Program Director, Rural Residency Program Department of Family Medicine University of Nebraska Medical Center Omaha, Nebraska Laeth Nasir, MBBS Professor and Chairman Department of Family Medicine Creighton University School of Medicine Omaha, Nebraska Kimberly Jarzynka, MD, FAAFP Associate Program Director, Residency Program Department of Family Medicine University of Nebraska Medical Center Omaha, Nebraska 73673_fm_pi-xxiv.indd 3 15/05/12 3:18 PM Executive Editor: Rebecca S. Gaertner Senior Product Manager: Kristina Oberle Developmental Editor: Red Act Group Vendor Manager: Alicia Jackson Manufacturing Manager: Ben Rivera/Beth Welsh Marketing Manager: Kimberly Schonberger Designer: Holly McLaughlin Production Service: Integra Software Services Pvt. Ltd. © 2014 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business Two Commerce Square 2001 Market Street Philadelphia, PA 19103 USA LWW.com 1st edition, © 1999 Williams & Wilkins 2nd edition, © 2007 Lippincott Williams & Wilkins All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. Printed in China Library of Congress Cataloging-in-Publication Data Taylor’s differential diagnosis manual : symptoms and signs in the time-limited encounter / editors, Paul M. Paulman . . . [et al.]. — 3rd ed. p. ; cm. Differential diagnosis manual Rev. ed. of: Taylor’s 10-minute diagnosis manual. 2nd ed. c2007. Includes bibliographical references and index. ISBN 978-1-4511-7367-3 (pbk.) I. Paulman, Paul M., 1953- II. Taylor, Robert B. III. Taylor’s 10-minute diagnosis manual. IV. Title: Differential diagnosis manual. [DNLM: 1. Physical Examination—Handbooks. 2. Diagnosis, Differential—Handbooks. 3. Primary Health Care—Handbooks. 4. Signs and Symptoms—Handbooks. WB 39] RC69 616.07'5—dc23 2013008379 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300. Visit Lippincott Williams & Wilkins on the Internet: at LWW.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6 pm, EST. 10 9 8 7 6 5 4 3 2 1 73673_fm_pi-xxiv.indd 4 15/05/12 3:18 PM The editors of Taylor’s Diagnostic Manual would like to dedicate this book to our chapter authors who worked hard to provide up-to-date, clinically useful material for our readers. We would also like to dedicate this book to Makenzie Lind-Olson who was able to keep us all on task and assure successful production of the manual. 73673_fm_pi-xxiv.indd 5 15/05/12 3:18 PM Contributors Riad Z. Abdelkarim, MD, MHCM Alexis M. Atwater, MD Instructor of Medicine Resident Physician Department of Family Medicine Department of Family Medicine & Community Johns Hopkins Institutions; Health Senior Consultant Hospital of the University of Pennsylvania Tawam Hospital in affiliation with Johns Hopkins Philadelphia, Pennsylvania Medicine 17.7 Hypercalcemia United Arab Emirates 14.4 Hypothyroidism Elisabeth L. Backer, MD Clinical Associate Professor Ahmed Salem Al Dhaheri, MBBS Department of Family Medicine Dermatology Resident University of Nebraska Medical Center Tawam Hospital in affiliation with Johns Hopkins Omaha, Nebraska Medicine 16.3 Erythrocyte Sedimentation Rate and United Arab Emirates C-Reactive Protein 13.8 Vesicular and Bullous Eruptions Mandeep Bajwa, MD Nawar Al Falasi, MD Resident Physician Specialist Dermatology Department of Family Medicine Medical Services Administration of Abu Dhabi Police University of Nebraska Medical Center United Arab Emirates Omaha, Nebraska 13.5 Pruritis 16.7 Thrombocytopenia Fatima Al Faresi, MD Mohammad Balatay, MM, MBBS Associate Residency Program Director Izmir Hospital Specialist Dermatologist Izmir, Turkey Tawam Hospital in affiliation with Johns Hopkins 13.6 Rash Accompanied by Fever Medicine United Arab Emirates Nirmal Bastola, MBBS 13.4 Pigmentation Disorders Resident Physician Department of Family Medicine Naama Salem Al Kaabi, MBBS University of Nebraska Medical Center Dermatology Resident Omaha, Nebraska Department of Dermatology 9.11 Rectal Bleeding Tawam Hospital in affiliation with Johns Hopkins Medicine Sandra B. Baumberger, MD United Arab Emirates Assistant Professor of Family Medicine 13.3 Maculopapular Rash Creighton University School of Medicine Omaha, Nebraska Khawla Rashid Alnuaimi, MBBS 7.12 Raynaud’s Disease Dermatology Resident Tawam Hospital in affiliation with Johns Hopkins Ryan Becker, MD Medicine Resident Physician United Arab Emirates Department of Family Medicine 13.1 Alopecia University of Nebraska Medical Center Omaha, Nebraska Mark D. Andrews, MD 4.4 Dementia Associate Professor Director of Procedural Training Michelle L. Benes, MD, FAAFP Department of Family & Community Medicine Medical Director of Primary Care Wake Forest School of Medicine Alegent Creighton Clinic Winston-Salem, North Carolina Omaha, Nebraska 6.1 Halitosis 14.2 Gynecomastia vi 73673_fm_pi-xxiv.indd 6 15/05/12 3:18 PM Contributors vii Kevin K. Benson, MD Christopher W. Bunt, MD, FAAFP Clinical Instructor Assistant Professor, Associate Residency Program Department of Family Medicine Director, Pre-Doctoral Education Director Mayo Clinic University of Nebraska Medical Center/Ehrling Scottsdale, Arizona Bergquist Family Medicine Residency 12.9 Shoulder Pain Omaha, Nebraska 8 Respiratory Problems Matt Bogard, MD K. John Burhan, MD Resident Physician Faculty Department of Family Medicine Department of Family Medicine University of Nebraska Medical Center Creighton University Medical Center Omaha, Nebraska Omaha, Nebraska 7.5 Cardiomegaly 7.9 Hypertension Daniela Cardozo, MD Deepa J. Borde, MD Family Medicine Resident Assistant Professor University of Nebraska Medical Center Division of Hospital Medicine Omaha, Nebraska University of Florida 9.6 Epigastric Distress Gainesville, Florida 10.6 Oliguria and Anuria Lisa Cassidy-Vu, MD Assistant Residency Director Assistant Professor Joshua P. Brautigam, MD Department of Family and Community Medicine Resident Physician Wake Forest School of Medicine Department of Family Medicine Winston-Salem, North Carolina University of Nebraska Medical Center 6.8 Tinnitus Omaha, Nebraska 17.8 Hyperkalemia Frank S. Celestino, MD Professor and Director of Geriatrics Education Department of Family & Community Health Dorota Brilz, MD Wake Forest School of Medicine Faculty Winston-Salem, North Carolina Department of Clarkson Family Medicine Physician 6 Ear, Nose, and Throat Problems Department of Family Medicine Chia L. Chang, PharmD The Nebraska Medical Center Clinical Assistant Professor Omaha, Nebraska University of Nebraska Medical Center College 2.1 Anorexia of Pharmacy; 2.6 Fever Pharmacist Coordinator Nebraska Medical Center Michael J. Bryan, MD Omaha, Nebraska Instructor of Family Medicine 7.2 Anticoagulation Mayo Clinic Ku-Lang Chang, MBBCh Scottsdale, Arizona Assistant Professor 12.2 Calf Pain Family Medicine University of Florida Jennifer J. Buescher, MD, MSPH Gainesville, Florida Faculty Physician 10.2 Hematuria Clarkson Family Medicine N. Corry Clinton, MD Omaha, Nebraska Resident Physician 2.3 Edema Department of Family and Community Health 2.8 Hypersomnia University of Pennsylvania 2.9 Insomnia Philadelphia, Pennsylvania 2.10 Nausea and Vomiting 17.2 Aminotransferase Levels, Elevated 73673_fm_pi-xxiv.indd 7 15/05/12 3:18 PM viii Contributors Curtiss B. Cook, MD Allison M. Cullan, MD Professor of Medicine Assistant Professor Division of Endocrinology Department of Family Medicine Mayo Clinic College of Medicine Creighton University Mayo Clinic Omaha, Nebraska Scottsdale, Arizona 12 Musculoskeletal Problems 14.1 Diabetes Mellitus L. Gail Curtis, MPAS, PA-C Lauri Costello, MD Associate Professor and Vice Chair Family Physician Department of P.A. Studies Assistant Professor Department of Family and Community Introduction to Clinical Medicine Department Medicine-Clinical Ross University Wake Forest Medical School Dominica, West Indies Winston-Salem, North Carolina 18.2 Bone Cyst 6.4 Nosebleed Ronnie Coutinho, MD Ophelia E. Dadzie, BSc (Hons), MBBS, MRCP Consultant Dermatologist and Associate Professor Dermatopathologist Ross University School of Medicine Centre for Clinical Science and Technology Dominica, West Indies University College London Division of Medicine 18.3 Mediastinal Mass (Whittington Campus) Carlton J. Covey, MD, MEd London, United Kingdom Assistant Clinical Professor 13.2 Erythema Multiforme Uniformed Services University of Health Sciences Mario P. DeMarco, MD, MPH Bethesda, Maryland; Assistant Professor of Clinical Medicine Faculty Department of Family Medicine and Community Nellis Family Medicine Residency Health 99th Medical Group Perelman School of Medicine at the University of Nellis Air Force Base Pennsylvania Las Vegas, Nevada Philadelphia, Pennsylvania 8.6 Pneumothorax 17.7 Hypercalcemia Peter F. Cronholm, MD, MSCE Michel B. Diab, MD Assistant Professor Clinical Assistant Professor Department of Family Medicine and Department of Community Health and Family Community Health; Medicine Affiliate Faculty University of Florida College of Medicine; Graduate Program in Public Health Studies; Medical Director Senior Fellow Eastside Community Practice Center for Public Health Initiatives; Gainesville, Florida Senior Scholar 10.3 Erectile Dysfunction Leonard Davis Center for Healthcare Economics; Kristy D. Edwards, MD Associate Assistant Professor Firearm and Injury Center at Penn; Department of Family Medicine Associate University of Nebraska Philadelphia Collaborative Violence Prevention Nebraska Medical Center; Center; Omaha, Nebraska Affiliate 15.1 Lymphadenopathy, Generalized Evelyn Jacobs Ortner-Unity Program in Family 15.2 Lymphadenopathy, Localized Violence; Senior Fellow Richard L. Engle, MD Center for Health Behavior Research; Assistant Professor of Family Medicine University of Pennsylvania Mayo Clinic College of Medicine; Philadelphia, Pennsylvania Vice Chair 17.1 Alkaline Phosphatase, Elevated Department of Family Medicine 17.2 Aminotransferase Levels, Elevated Mayo Clinic 17.3 Antinuclear Antibody Titer, Elevated Scottsdale, Arizona 17.7 Hypercalcemia 12.7 Neck Pain 73673_fm_pi-xxiv.indd 8 15/05/12 3:18 PM Contributors ix Bradley H. Evans, MD N. Benjamin Fredrick, MD Senior Resident Associate Professor Family Medicine Residency Department of Family and Community Medicine Wake Forest School of Medicine Penn State Hershey College of Medicine Winston-Salem, North Carolina Hershey, Pennsylvania 6.7 Stomatitis 5.1 Blurred Vision Ashley J. Falk, MD 5.3 Diplopia Assistant Professor Toby D. Free, MD Department of Family Medicine Assistant Professor University of Nebraska Medical Center Department of Family Medicine Omaha, Nebraska University of Nebraska Medical Center; 15 Vascular and Lymphatic System Problems Medical Director Bellevue Medical Center Nathan Falk, MD, CAQSM Omaha, Nebraska Assistant Professor Department of Family Medicine 4.6 Paresthesia and Dysesthesia University of Nebraska Medical Center 14.6 Thyroid Enlargement/Goiter Omaha, Nebraska; Richard Fruehling, MD, FAAFP Chief Associate Director Rural Training Track Primary Care Sports Medicine Department of Family Medicine Offutt Air Force Base, Nebraska University of Nebraska Medical Center 17 Laboratory Abnormalities: Blood Chemistry Omaha, Nebraska; and Immunology St. Francis Medical Center 17.5 Elevated Creatinine Grand Island, Nebraska 17.8 Hyperkalemia 9 Gastrointestinal Problems 17.9 Hypokalemia 9.1 Abdominal Pain Sandra B. Farland, RN, MD 9.3 Constipation Clinical Instructor 9.5 Dysphagia Family & Community Medicine Hassan Galadari, MD, FAAD Wake Forest Baptist Health Assistant Professor of Dermatology Winston-Salem, North Carolina Dermatology Residency Program Director 6.7 Stomatitis Faculty of Medicine and Health Science Daniel S. Felix, MS United Arab Emirates University; Behavioral Science Faculty Consultant Dermatologist Department of Family Medicine Tawam Hospital in affiliation with Johns Hopkins Indiana University School of Medicine Medicine Indianapolis, Indiana United Arab Emirates 3.2 Bipolar Disorder 13 Dermatologic Problems 13.1 Alopecia David B. Feller, MD 13.8 Vesicular and Bullous Eruptions Associate Professor Department of Community Health & Family Reshma Gandhi, MBBS, MPH Medicine Resident Physician University of Florida Department of Family Medicine College of Medicine Creighton University School of Medicine Gainesville, Florida Omaha, Nebraska 10.7 Priapism 14.3 Hirsutism Enrique S. Fernandez, MD, MSBD, FAAFP Kathryn K. Garner, MD Senior Associate Dean for Clinical Sciences Resident Physician Professor of Family Medicine Family Medicine Ross University School of Medicine Offutt Air Force Base Residency Program Dominica, West Indies University of Nebraska Medial Center 18 Diagnostic Imaging Abnormalities Omaha, Nebraska 18.3 Mediastinal Mass 4.8 Stroke 73673_fm_pi-xxiv.indd 9 15/05/12 3:18 PM x Contributors Stephen L. George, MD Michael J. Gravett, MD Resident Physician Resident Physician Department of Family Medicine Ehrling Bergquist Family Medicine Residency University of Nebraska Medical Center Offutt Air Force Base, Nebraska; Omaha, Nebraska Department of Family Medicine 7.11 Pericardial Friction Rub University of Nebraska Medical Center Omaha, Nebraska Umar Ghaffar, MD, MBBS 8.2 Cyanosis Clinical Assistant Professor University of Florida College of Medicine Michael L. Grover, DO Gainesville, Florida Assistant Professor Vice Chair of Research 10.5 Nocturia Department of Family Medicine Nasreen Ghazi, MD Mayo Clinic Assistant Professor Scottsdale, Arizona Department of Family Medicine & Community 12.4 Knee Pain Health John D. Hallgren, MD University of Pennsylvania Health System 55th Medical Group Philadelphia, Pennsylvania Offutt Air Force Base, Nebraska; 17.1 Alkaline Phosphatase, Elevated Adjunct Assistant Professor Department of Family Medicine Mark D. Goodman, MD University of Nebraska Medical Center Associate Professor of Family Medicine Omaha, Nebraska Creighton University School of Medicine 4.5 Memory Impairment Omaha, Nebraska 7.4 Bradycardia Iriana Hammel, MD, FACP Associate Professor Aaron Goodrich, MD Internal Medicine & Geriatrics Resident Physician Ross University School of Medicine Family Medicine Dominica, West Indies University of Nebraska Medical Center 18.4 Osteopenia Omaha, Nebraska Thomas J. Hansen, MD 17.5 Elevated Creatinine Associate Dean for Medical Education Mark D. Goodwin, MD, FAAFP Creighton University School of Medicine; Assistant Program Director Associate Professor Clarkson Family Practice Residency Department of Family Medicine Omaha, Nebraska Creighton University Omaha, Nebraska 2.7 Headaches 2.12 Syncope 7.1 Atypical Chest Pain M. Jawad Hashim, MD David K. Gordon II, MD Assistant Professor Family Physician Department of Family Medicine Flight Surgeon Faculty of Medicine and Health Sciences Pentagon Flight Medicine Clinic UAE University Arlington, Virginia United Arab Emirates 8.7 Shortness of Breath 14.7 Thyroid Nodule Health A. Grames, PhD, LMFT Kenisha R. Heath, MD Assistant Professor/Program Director Chief of Medical Staff Marriage and Family Therapy Program Beale Air Force Base, California; Department of Child and Family Studies Uniformed Services University of the Health The University of Southern Mississippi Sciences (USUHS) Hattiesburg, Mississippi Bethesda, Maryland 3.4 Suicide Risk 8.4 Pleural Effusion 73673_fm_pi-xxiv.indd 10 15/05/12 3:18 PM
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