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Low-back Pain

Polyarthritis

Gout

Rheumatoid Arthritis

Seronegative Spondyloarthropathies

Inflammatory Myopathies

Systemic Lupus Erythematosus

Vasculitis

Systemic Sclerosis

Chapter 9. Toxicology

Alcohol Intoxication and Withdrawal

Cocaine Intoxication and Withdrawal

Section 2. Pediatrics

Chapter 10. Newborn Nursery

Newborn Exam

Birth Trauma

Benign Skin Lesions

Chapter 11 Pediatric Clinic

Well-Child Care: Infant

Well-Child Care: Toddler

Well-Child Care: Child

Well-Child Care: Adolescent

Hyperactive and School-Related Complaints ADHD

Chronic Cough and Wheeze Asthma

Chronic Runny, Stuffy Nose Allergic Rhinitis

Postpartum Visit

Anemia

Antiphospholipid Syndrome

Chronic Hypertension

Gestational Diabetes Mellitus

Hyperthyroidism

Intrauterine Growth Restriction

Isoimmunization

Mild Preeclampsia

Nausea and Vomiting of Pregnancy

Severe Preeclampsia

Twin Gestation

Urinary Tract Infection

Chapter 15. Labor and Delivery

Term Labor

Third Trimester Bleeding

Chorioamnionitis

Labor Dystocia

Preterm Labor

Pyelonephritis

Rupture of Membranes

Chapter 16 Maternity Ward

Postpartum Day 1

Postpartum Day 2

Dyspnea

Postpartum Fever

Diverticulitis

Foreign-Body Ingestion

Gastroesophageal Reflux Disease

Gastrointestinal Bleeding

Hepatitis

Ischemic Bowel

Pancreatitis

Peptic Ulcer Disease

Chapter 22 Genitourinary

Acute Renal Failure

Epididymitis

Hernia

Hydrocele/Varicocele

Kidney Stones/Nephrolithiasis

Pyelonephritis/UTI

Rhabdomyolysis

Testicular Torsion

Chapter 23. Neurology

Altered Mental Status

Headache

Meningitis

Seizures

Stroke

Vertigo

Weakness

Chapter 24. Trauma

Animal Bite

Ankle Sprain

Burns

Fracture

Head Injury

Laceration

Section 5. Psychiatry

Chapter 25 Guidelines for Conducting a Psychiatric Interview

Chapter 26. Personality Disorders

Chapter 27. Psychotic Disorders

Chapter 28 Anxiety Disorders

Chapter 29. Mood Disorders

Chapter 30. Dissociative Disorders

Chapter 31 Impulse Control Disorders

Chapter 32. Neurocognitive Disorders

Chapter 33. Somatic Symptoms

Chapter 34 Sleep Disorders

Chapter 35. Eating Disorders

Chapter 36. Sexual Dysfunction

Chapter 37. Substance Use Disorders

Chapter 38. Posttraumatic Stress Disorder

Appendix A

Index

University of Texas, Southwestern Medical Center

Dallas, Texas

Section 2: Pediatrics

To The Reader

Like most medical students, I started my ward experience head down and running, eager to finally make contact with real patients What I found was a confusing world, completely different from anything I had known during the first 2 years of medical school New language, foreign abbreviations, and residents too busy to set my bearings straight: Where would I begin?

Pocket textbooks, offering medical knowledge in a convenient and portable package, seemed to be the logical solution. Unfortunately, I found myself spending valuable time sifting through large amounts of text, often not finding the answer to my question, and in the process missing out on teaching points during rounds!

I designed the SOAP series to provide medical students and house staff with pocket manuals that truly serve their intended purpose: quick accessibility to the most practical clinical information in a user-friendly format. At the inception of this project, I envisioned all of the benefits the SOAP format would bring to the reader:

Learning through this model reinforces a thought process that is already familiar to students and residents, facilitating easier long-term retention.

SOAP promotes good communication between physicians and facilitates the teaching/learning process.

SOAP puts the emphasis back on the patient’s clinical problem and not the diagnosis. In the age of managed care, SOAP meets the challenge of providing efficiency while maintaining quality.

As sound medical-legal practice gains attention in physician training, SOAP emphasizes adherence to a documentation style that leaves little room for potential misinterpretation

Rather than attempting to summarize the contents of a 1,000-page textbook into a miniature form, the SOAP series focuses exclusively on guidance through patient encounters. In a typical use, “finding out where to start” or “refreshing your memory” with SOAP books should be possible in less than a minute Subjects are always confined to 2 pages, and the most important points have been highlighted Topics have been limited to those problems you will most commonly encounter repeatedly during your training, and contents are grouped according to the hospital or clinic setting Facts and figures that are not particularly

helpful to surviving life on the wards, such as demographics, pathophysiology, and busy tables and graphs, have purposely been omitted (such details are much better studied in a quiet environment using large and comprehensive texts).

Congratulations on your achievements thus far, and I wish you a highly successful medical career!

Abbreviations

17OHP4 17-alpha hydroxy-progesterone

A1c hemoglobin A1c

A-a gradient alveolar-to-arterial gradient

AAA abdominal aortic aneurysm

AAP American Academy of Pediatrics

ABC airway, breathing, circulation

Abd abdomen

ABG arterial blood gas

AC abdominal circumference

ACE angiotensin-converting enzyme

ACLS advanced cardiac life support

ACS acute coronary syndrome

ADA American Diabetic Association

ADH antidiuretic hormone

ADHD attention deficit hyperactivity disorder

AFB acid-fast bacilli

AFI amniotic fluid index

AFP alpha-fetoprotein

AFSFO anterior fontanelle soft, flat, and open

AG anion gap

AIDS acquired immunodeficiency syndrome

AIHA autoimmune hemolytic anemia

ALL acute lymphocytic leukemia

ALS amyotrophic lateral sclerosis

ALT alanine aminotransferase

Alt alternative regimen

ALTE acute life-threatening event

AML acute myeloid leukemia

AMS altered mental status

ANA antinuclear antibody

Anti-ENA-4 panel of rheumatologic labs

CV cardiovascular

CVA costovertebral angle, cerebrovascular accident

CVAT costovertebral angle tenderness

CVS chorionic villus sampling

CXR chest x-ray

D5½NS 5% dextrose in half normal saline

D10 a solution with 10% dextrose

D25 a solution with 25% dextrose

D&C dilation and curettage

DBP diastolic blood pressure

DBT dialectical behavior therapy

DDX differential diagnosis

Derm dermatology

DES diethylstilbestrol

DEXA dual-energy x-ray absorptiometry

DHEAS dehydroepiandrosterone sulfate

DHP dihydropyridine

DI diabetes insipidus

DIC disseminated intravascular coagulation

DID dissociative identity disorder

Diff differential

DIP distal interphalangeal joint

DKA diabetic ketoacidosis

dL deciliter

DLCO diffusing capacity of the lung for carbon monoxide

DM diabetes mellitus

DMARD disease-modifying antirheumatic drug

DNA deoxyribonucleic acid

DPP-4 inhibitor dipeptidyl peptidase-4 inhibitor

DRE digital rectal exam

DTaP diphtheria, tetanus, and acellular pertussis vaccine

DTR deep tendon reflexes

DUB dysfunctional uterine bleeding

DVT deep venous thrombosis

EBL estimated blood loss

EBV Epstein-Barr virus

EC emergency contraception

ECG electrocardiogram

ECT electroconvulsive therapy

ECV extracellular volume

ED erectile dysfunction

EDC estimated date of confinement

HSV herpes simplex virus

HTN hypertension

HUS hemolytic uremic syndrome

Hz Hertz

IBD inflammatory bowel disease

IBS irritable bowel syndrome

ICH intracranial hemorrhage

ICP intracranial pressure

ICSI intracytoplasmic sperm injection

ICU intensive care unit

ID infectious disease

IDM infant of diabetic mother

IE infective endocarditis

Ig immunoglobulin

IHSS idiopathic hypertrophic subaortic stenosis

ILD interstitial lung disease

IM intramuscular

IMA inferior mesenteric arteries

IMM intramyometrial

INH isoniazid

INR international normalized ratio

I/O input and output

IPV inactivated poliovirus vaccine

ISAM infant of a substance-abusing mother

ITP idiopathic thrombocytopenic purpura

IU international unit

IUD intrauterine device

IUGR intrauterine growth restriction

IUI intrauterine insemination

IUP intrauterine pregnancy

IV intravenous

IVC inferior vena cava

IVDA intravenous drug administration

IVF intravenous fluid; in-vitro fertilization

IVIG intravenous immunoglobulin

IVP intravenous pyelogram

JRA juvenile rheumatoid arthritis

K potassium

KD Kawasaki disease

kg kilogram

KOH potassium hydroxide

KS Kaposi sarcoma

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