The Washington Manual Internship Survival Guide (37 page)

Delirium tremens (DTs),
56
,
190

Depression,
191

Dermatitis,
145

exfoliative,
145

seborrheic,
146

Dermatology,
141
–
146

Dexamethasone (Decadron),
183

Dexmedetomidine,
209
t

Dextrose,
83

Diabetes,
2
,
10
,
11
,
87
f
,
90
,
99
,
105
,
120
,
142
,
148
,
183

central diabetes insipidus,
88

nephrogenic diabetes insipidus,
88

type
1
,
2

type
2
,
138

Diabetic eye disease,
168

Diabetic foot ulcer,
175
–
176

Diabetic infections,
171

Diabetic ketoacidosis,
94
t

Dialysis,
60
,
91

Diazepam,
185

Difficult patients,
20
–
24
,
92

Digitalis effect,
111
f

Digoxin,
66
,
68

Dilaudid.
See
Hydrocodone

Diltiazem,
67

Dipyridamole (Persantine) nuclear stress test,
122
t

Discharge,
44
–
45

Diuretics,
58
,
59
,
91

Diverticulosis,
75

Dix-Hallpike maneuver,
184

Dobutamine,
212
t

Documentation, do’s and dont’s,
29
–
30

Docusate (Colace),
34

Domestic violence,
189
–
190

Doxycycline,
157

DRESS (“drug reaction with eosinophilia and systemic symptoms”),
145

Droperidol,
185

Drugs.
See also
Narcotics

cocaine withdrawal,
191
–
192

fever and,
68

headaches and,
60

intoxication from,
55

withdrawal from,
55

DTs.
See
Delirium tremens

Dulcolax.
See
Bisacodyl Duraflow catheter,
217
t

Dyspnea,
46

with pleural effusion,
200

with pneumothorax,
199

ECG.
See
Electrocardiogram

Echinocandin,
71

Eclampsia,
64

Ectopic pregnancy,
158

Eczema,
146

Electrocardiogram (ECG),
6
f
,
47
,
98
–
105

for chest pain,
52

for hypertension,
64

for hypotension,
62

for SOB,
73

of tachycardia,
98

Electrolytes,
83

abnormalities with,
84
–
91

first-degree AV block and,
106

for hypertension,
64

Embolism,
196

EM.
See
Erythema multiforme

Encephalitis,
168

Encephalopathy,
60
,
64

End-of-life,
24
t

Endophthalmitis,
168
–
169

Endoscopy,
119
t

Enoxaparin,
129

Epinephrine

for anaphylactic shock,
64

drips of,
212
t

Epistaxis,
181
–
182

Epley maneuver,
184

Eptifibatide,
52

Error disclosure,
26

Error reporting,
27

Erythema multiforme (EM),
141

Erythroderma,
145

Erythromycin,
165
,
169

Escape rhythms,
108

Esmolol,
68

Esophagitis,
74

Ethambutol,
153
t

Ethanol, osmolal gap and,
15

Ethylene glycol,
94

osmolal gap and,
15

Ethyl ether, osmolal gap and,
15

Evidence-based medicine (EBM),
12

Extended care facility (ECF),
87

Factor VII concentrate (rFVIIa),
136
t

Falls,
47
,
68
–
69

safety with,
37

Family members,
24
t
,
47

patient death and,
50

safety for,
37

Febrile neutropenia,
70
–
72

antibiotics for,
71

Femoral artery pseudoaneurysm,
199

FE
_Na
.
See
Fractional excretion of sodium

Fentanyl,
79
t
,
208
t

dosage of,
79
t

FE
_urea
.
See
Fractional excretion of urea

Fever,
68

causes of,
68

drugs for,
68

with hernia,
193

hypotension and,
62

lab tests for,
70

meningitis and,
61
,
63

respiratory alkalosis and,
93
t

septic shock and,
63

work-up for,
68
–
72

Finances, difficult patients and,
21
t

First-degree AV block,
106
,
106
f

Fluconazole,
155

Flucytosine,
153
t

Fluids,
83
–
84

Fluids/electrolytes/nutrition (F/E/N),
36

Flumazenil,
96

Fluoroquinolones,
133
,
157

Foley catheter,
37
,
45
,
58
,
59
,
60
,
181
,
194
,
214

Fondaparinux,
129

Foreign bodies,
143

Fosphenytoin,
150

Fournier’s gangrene,
201

Fractional excretion of sodium (FE
_Na
),
59
formula for,
15

Fractional excretion of urea (FE
_urea
),
15

Fractures,
171
–
172

Friction rub,
52
,
55
,
59

Gabapentin,
78
t

Gastroesophageal reflux disease (GERD),
51

Gastrointestinal bleeding,
74

causes of,
74

hypovolemic shock and,
74

lab tests for,
75

management of,
75
–
76

work-up for,
74
–
76

Gastrointestinal prophylaxis,
35
–
36

Gastrointestinal radiology,
121

General surgery,
192
–
202

Gentamicin,
71
,
127
t
,
128
t

Giant cell arteritis,
166
,
168

Glycerol, osmolal gap and,
15

Glycoprotein inhibitors,
52