本书是美国住院医师必读系列书，深受美国医学院校高年资医学生和住院医师的欢迎。从临床病例入手，通过问题解答、病例复习、专题讨论、诊断与治疗、记忆要点、理解问题、推荐阅读等环节，提供住院医师“真正需要” 的知识和场景，培养临床思维，拓展知识面，提高住院医师的岗位胜任力。 为了借鉴美国住院医师培训经验，提高我国的住院医师规范化培训水平，北京大学医学出版社与麦格劳-希尔教育出版公司合作，影印出版了该丛书。该丛书既可作为住院医师规范化培训和PBL教学参考用书，也可作为双语教学和留学生教学用书；同时，其原汁原味的英语和美国医院场景，更是学习医学专业英语的好教材。
Contributors
Acknowledgments
I. Introduction
1. Welcome (Brian C George, MD, Alden H. Harken, MD, and
Debra A. DaRosa, PhD)
2. How to Read this Book (Brian C. George, MD,
Alden H. Harken, MD, and Debra A. DaRosa, PhD)
3. General Advice (Brian C. George, MD and AIden H. Harken, MD)
4. A 28-year-old Female Incoming Surgery Resident
(Amanda V. Hayman, MD, MPt-I)
5. How to Write a Note--Fast! (Teresa S. Kim, MD)
II. Handling Patients in the [D
6. Admissions (Anthony Visioni, MD and
Roy Phitayakom, MD, MHPE (IVIEd))
7. A 56-year-old Female Status Post Motor Vehicle Accident Contributors
Acknowledgments
I. Introduction
1. Welcome (Brian C George, MD, Alden H. Harken, MD, and
Debra A. DaRosa, PhD)
2. How to Read this Book (Brian C. George, MD,
Alden H. Harken, MD, and Debra A. DaRosa, PhD)
3. General Advice (Brian C. George, MD and AIden H. Harken, MD)
4. A 28-year-old Female Incoming Surgery Resident
(Amanda V. Hayman, MD, MPt-I)
5. How to Write a Note--Fast! (Teresa S. Kim, MD)
II. Handling Patients in the [D
6. Admissions (Anthony Visioni, MD and
Roy Phitayakom, MD, MHPE (IVIEd))
7. A 56-year-old Female Status Post Motor Vehicle Accident
(Ashley Hardy, MD and Marie Crandall, MD, MPI-I)
8. A 40-year-old Female With Abdominal Pain
(Aisha Shaheen, MD, MHA and Marie Crandall, MD, MPI-I)
9. A 42-year-old Man With Severe Right Upper Quadrant Pain
(Brian C. George, MD)
10. A 23-year-old Student With Periumbilical Pain That Has Migrated
to Her RLQ (Brian C. George, MD and AIden H. Harken, MD)
11. A 65-year-old Female in Severe Abdominal Pain
(Aisha Shaheen, MD, MHA and Marie Crandall, MD, MPH)
12. A Patient in the ER With a Blood Pressure of 60/- and a
Heart Rate of 140 (Alden H. Harken, MD and Brian C. George, MD)
13. A 67-year-old Man With Mental Status Changes and a Suspected
Diverticular Abscess (Alexander T. Hawkins, MD, MPH)
14. A 57-year-old Man With a Chief Complaint of Nausea and Vomiting
(Alexander T. Hawkins, MD, MPH)
15. A 65-year-old Man Status Post Surgery With a HCT of 24%
(Alden H. Harken, MD and Brian C. George, MD)
16. A 70-year-old Man With "Bad Blood" (Emily Miraflor, MD,
Louise Y. Yeung, MD, Brian C. George, MD, and Alden H. Harken, MD)
17. A 37-year-old Man With a Painful Bulge Over His Left Forearm
(Eric N. Feins, MD)
18. Three Patients All Present With Issues Related to
Laboratory Tests (Abigail K. Tarbox, MD and Mamta Swaroop, MD, FACS)
19. A 73-year-old Man With Acute Right Lower Extremity Pain
(Joel T. Adler, MD and Virendra L Patel, MD, MPH)
20. A 36-year-old Woman Status Post Motor Vehicle Accident While
Intoxicated (Shamim H. Nejad, MD and Nadia Ouijije, MD)
21. A 50-year-old Man Presenting With Extensive Bums
(Jeremy Goverman, MD, FACS and Shawn P. Fagan, MD, FACS)
22. A 56-year-old Man 6 Days Status Post Colectomy With New Pelvic
Discomfort (Michael F. McGee, MD and Brian C. George, MD)
III. Handling Inpatients
23. A 75-year-old Man With Postoperative Pain (Ezra N. Teitelbaum, MD)
24. A 72-year-old Man With Acute Confusion Postoperatively
(Shamim H. Nejad, MD and Justin B. Smith, MD)
25. You (the Intern) Are Asked to Read a Chest X-ray
(Alexander T. Hawkins, MD, MPH and Amy Robin Deipolyi, MD, PhD)
26. A 6S-year-old Woman in Respiratory Distress
(Alden H. Harken, MD and Brian C George, MD)
27. A Patient Who Is Postoperative Day 2 With New-onset Chest Pain
(Alden H. Harken, MD and Brian C George, MD)
28. A 6S-year-old Woman With a New-onset Cardiac Arrhythmia
(Alden H. Harken, MD)
29. A 60-year-old Man in the PACU With New-onset PVCs
(Alden H. Harken, MD)
30. A 65-year-old Man With Bradycardia (Alden H. Harken, MD and
Brian C George, MD)
31. A 6S-year-old Man With a Pacemaker Who Needs Surgery
(Alden H. Harken, MD and Brian C George, MD)
32. A Patient With Pulseless Electrical Activity
(Alden H. Harken, MD and Brian C George, MD)
33. A 55-year-old Man Who May Require Perioperative 13-blockade
(Alden H. Harken, MD and Brian C George, MD)
34. A 65-year-old Man Who Is in Respiratory
Distress 3 Days Postoperatively (Jahan Mohebali, MD)
35. A 68-year-old Man With Postoperative Hypotension
(Allan B. Peetz, MD and Marie Crandall, MD, MPI-I)
36. A 57-year-old Man Who Is Postoperative With a
Blood Pressure of 210/95 (Eric N. Feins, MD)
37. A 65-year-old Female Who Is 4 Days Postoperative With
Nausea, Vomiting, and a Distended Abdomen
(Ashley Hardy, MD and Marie Crandall, MD, MPH)
38. A 30-year-old Woman With Postoperative Nausea and Vomiting
(Abigail K. Tarbox, MD and Mamta Swaroop, MD, FACS)
39. A 79-year-old Man, Postoperative Day 3,
Who has Not had a Bowel Movement in 4 Days
(Anne-Marie Boiler, MD and Joel M. Stembach, MD, MBA)
40. A 70-year-old Postoperative Colectomy Patient Who Is Not Putting
Out Much Urine (Brian C. George, MD and AIden H. Harken, MD)
41. A 55-year-old Male With Postoperative Urinary Retention
(Selma Marie Siddiqui, MD and Marie Crandall, MD, MPt-I)
42. A 52-year-old Female Who Is Dehydrated Postoperative Day #1
(Aisha Shaheen, MD, MHA and Marie Crandall, MD, MPH)
43. A 68-year-old Woman With Electrolyte Abnormalities
(Molly A. Wasserman, MD and Mamta Swaroop, MD, FACS)
44. A 58-year-old Man With a Postoperative Fever (Jahan Mohebali, MD)
45. A 42-year-old Woman 4 Hours Postoperative With a Fever and
Extreme Pain (Michael W. Wandling, MD and
Mamta Swaroop, MD, FACS)
46. A 35-year-old Man With Crohn Disease
Who Needs Postoperative Orders (Roy Phitayakom, MD, MHPE (MEd))
47. A 65-year-old Man With Diabetes Needing
Postoperative Orders (Roy Phitayakorn, MD, MHPE (IVIEd))
48. A 65-year-old Female Presenting for Preoperative Evaluation
Uahan Mohebali, MD)
49. A 33-year-old Woman Who Needs Postoperative Orders for DVT
Prophylaxis (Brian C. George, MD and AIden H. Harken, MD)
50. A 78-year-old Woman and a 62-year-old Man With Drains
(Michael F. McGee, MD and Brian C. George, MD)
51. A 58-year-old Woman Who had a Drain Pulled by the Resident in Error
(Peter Angelos, MD, PhD, FACS and Debra A. DaRosa, PhD)
52. A Resident Who Is Unsure About How to Remove a Chest Tube
(Peter Angelos, MD, PhD, FACS and Debra A. DaRosa, PhD)
53. A Surgical Intern in a Moral Dilemma
(Peter Angelos, MD, PhD, FACS and Debra A. DaRosa, PhD)
54. A 35-year-old Man Who Is Disruptive on the Floor
(Xavier Jimenez, MD and Shamim H. Nejad, MD)
IV. Handling Patients in Clinic
55. Ambulatory Care and the Surgery Intern (John Maa, MD, FACS)
56. A 55-year-old Man Who Was Struck by a Beer Truck and Needs a
CT Scan (Haytham M.A. Kaafarani, MD, MPH, Brian C George, MD,
and Hasan B. Alam, MD)
57. A 60-year-old Man With Postoperative Wound Complications
(Michael W. Wandling, MD and Mamta Swaroop, MD, FACS)
58. A 35-year-old Woman Who Needs a Lipoma Removed in Clinic
(Roy Phitayakorn, MD, MHPE (MEd))
59. A 52-year-old Woman With a Suspected Congenital Coagulopathy
(Jahan Mohebali, MD)
Bibliography
Index
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