Comprehensive Hospital Medicine book cover

Comprehensive Hospital Medicine

Expert Consult Premium Edition - Enhanced Online Features and Print

In the exciting and growing field of hospital medicine, you're as concerned with the efficient management of your unit as you are the effective care of your patients. This multimedia Expert Consult title is your ideal new clinical reference on both print and online! Nationally recognized experts equip you with practical, actionable guidance on all of the challenges you face every day—making it easier for you to provide optimal care for every patient. The Premium Edition comes with powerful online extras including regular updates reflecting important new clinical developments ... downloadable illustrations ... evidence-based admitting orders ... and more.

Hospitalists, Internists, and Family Practitioners

Hardbound, 1072 Pages

Published: September 2007

Imprint: Saunders

ISBN: 978-1-4160-0297-0


  • I. Evidence Based Clinical Practice

    A. Principles of evidence-based clinical practice

    B. Real time application

    II. Clinical Care Delivery

    A. General Approach to a Hospitalized Patient

    1) Communication
    2) Symptom Management
    a) Insomnia and anxiety
    b) Nausea
    c) Constipation and Diarrhea
    3) Nutrition
    4) Maintaining Skin Integrity
    5) Pain Management

    B. Cardiovascular

    1) Chest Pain
    2) Acute Coronary Syndromes
    3) Heart Failure
    4) Arrhythmias
    5) Cardiac Arrest
    6) Syncope
    7) Venous Thromboembolism
    8) Aortic Dissection
    9) Valvular Heart Disease
    10) Peripheral Arterial Disease

    C. Infectious Diseases

    1) Pneumonia
    a) Community Acquired
    b) Nosocomial
    2) Urinary Tract Infections
    a) Community Acquired
    b) Nosocomial
    3) Cellulitis
    4) Meningitis
    5) Endocarditis
    6) Vascular Catheter-related infections
    7) HIV – related infections
    8) Fever in a hospitalized patient
    9) COPD
    10) Asthma
    11) Pleural Disease
    12) Interstitial Lung Disease
    13) Pulmonary Hypertension

    D. Nephrology

    1) Acute Renal Failure
    2) Chronic Renal Failure
    3) Electrolyte Disorders
    4) Acid-Base Disorders

    E. Gastroenterology

    1) Acute GI Bleeding
    a) Upper
    b) Lower
    2) Acute Hepatitis
    3) Cirrhosis and Liver Failure
    a) Spontaneous Bacterial Peritonitis
    4) Acute Abdominal Emergencies
    a) Appendicitis
    b) Cholecystitis
    c) Diverticulitis
    d) Bowel Obstruction and ileus
    e) Ischemic Bowel
    5) Inflammatory Bowel Disease
    6) Gastroenteritis

    F. Endocrinology

    1) Diabetes Mellitus
    a) DKA
    b) Managing DM in hospitalized patients
    2) Thyroid Disorders
    3) Adrenal Disorders
    4) Parathyroid Disorders

    G. Oncology

    1) Chemotherapy
    2) Paraneoplastic Syndromes
    3) Oncologic Emergencies
    a) Neutropenia / Fever
    b) Hypercalcemia
    c) Tumor Lysis Syndrome

    H. Hematology

    1) Anemia
    a) Transfusion Medicine
    2) Sickle Cell Disease
    3) Hemorrhagic and Thrombotic Disorders
    4) Leukemia
    5) Lymphoma

    I. Rheumatology

    1) Acute Arthritis
    2) Vasculitis

    J. Critical Care

    1) Sepsis and Shock
    2) Acute Respiratory Failure
    a) Sedation and Ventilator Weaning
    3) Drug Overdose / Poisoning

    K. Neurology

    1) Stroke
    2) Intracranial Hemorrhage
    a) Subarachnoid hemorrhage
    b) Subdural, Epidural, and intracerebral hemorrhage
    3) Altered Mental Status
    a) Coma
    b) Delirium
    4) Dementia
    5) Pain Management

    L. Psychiatry

    1) Depression
    2) Anxiety
    3) Mania

    M. Peri-Operative Care

    1) Hospitalist as Consultant
    2) Pre-op Assessment and Preparation
    3) Post-op Evaluation and Care
    4) General Wound Care
    5) Orthopedics
    a) Hip Fracture
    b) Total Joint Replacement
    a. Hip, Knee, Shoulder
    c) Spinal Surgery
    6) Urology
    a) Nephrolithiasis
    b) Transurethral Prostatectomy (TURP)
    c) Radical Prostatectomy
    7) Obstetrics/Gynecology
    a) Medical Complications of Pregnancy
    b) Hysterectomy
    c) Mastectomy / Mammoplasty
    8) Cardiothoracic
    a) CABG
    b) Lung Resection
    9) Otolaryngology
    a) Tracheostomy
    b) Neck
    10) Neurosurgery

    N. Approach to Special Patient Populations

    1) Geriatrics
    2) End-of-Life
    3) Psychiatric illness
    4) Pregnant patients
    5) Patients with cancer
    6) Immunocompromised patients
    a) HIV
    b) Transplantation

    O. Preventive Services in the Hospitalized Patient

    1) Vaccination
    2) Smoking Cessation
    3) Dietary Counseling

    III. System Issues

    A. Establishing a Hospitalist Program

    B. Enhancing a Hospitalist Program

    C. Managing Patient Transitions of Care

    1) Admission
    2) Transfers
    3) Discharge and Follow-up

    D. Establishing a Teamwork Model with Hospital Staff

    E. Patient Safety and Performance Improvement

    1) Continuous Quality Improvement
    2) Cost Effectiveness
    3) Patient Satisfaction
    4) Hospital Staff Feedback Analysis
    5) Risk Management

    F. Guidelines for Standardizing Care

    1) Development of Guidelines and Order Sets
    2) Implementation
    3) Evaluation
    4) Disseminating Innovation

    G. Ethics


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