Myalgias, 157, 222, 271, 274Myasthenia gravis, 196Mycobacterium tuberculosis, 145Mycophenolate m<strong>of</strong>etil, for pemphigus vulgaris,269Mycoplasma pneumoniae, 135Mydriasis, in toxicology disorders, 226, 237,241, 243Myelinolysis, central pontine, 60Myelography, in spinal cord compression, 199Myocardial depression, in heat stroke, 250Myocardial infarction (MI), 75, 230acute (AMI), 126hyperglycemia following, 12non-ST-segment, 129pulmonary catheterization in, 19Myogenic disorders, 195Myonecrosis, 146Myopathy, 106, 180, 190Myositis, in phenytoin hypersensitivitysyndrome, 270Myxedema coma, 184NN-acetylcysteine, 169, 207, 215, 225, 252Nafcillin, 214Naloxone, 202, 236Narcotics, and sharing <strong>of</strong> needles, 236Nasogastric aspiration, 167Nasogastric lavage, 171, 236Nasogastric tube, 14, 200Near drowning, 253Neck stiffness, 133, 148, 203Neck veins, 74, 75, 76Necrolysis, toxic epidermal, 262Needles, sharing <strong>of</strong>, 236Neisseria meningitidis, 266Nephritis, interstitial, 210Nephrolithiasis, 180Nephropathy, pigment, 211Nerve agents, 238Nerve conduction studies, 191Neurogenic shock, 77Neuroleptic malignant syndrome, 197Neuroleptics, delirium associated with, 8Neurologic deficits, 135, 203, 280Neuromuscular blockers, 190Neuromuscular disordersmechanical ventilation in, 99respiratory failure from, 106Neuropathyacute motor-axonal (AMAN), 192acute motor-sensory axonal (AMSAN), 192in hypophosphatemia, 62rash, 222Neuropsychiatric problems, 8, 180Neuropsychological impairment, in COpoisoning, 247Neurosurgical consultation, for spinal cordcompression, 199Neutropenic fever, 147Neutropenic patients, 141, 149Night sweats, 145Nikolsky sign, 273Nimodipine, 203Nitrates, 115, 129for aortic valvular heart disease, 117for CHF, 121Nitrogen balance, 16Nitroglycerin, 75, 123Nitroprusside, 75, 230, 241, 288for aortic valvular heart disease, 117for CHF, 121in hypertensive crisis, 123Nonbicarbonate buffers, 65Nonhemolytic reaction, 47Noninvasive positive pressure ventilation(NIPPV), 99, 103, 105, 110, 111Nonmaleficence, in medical ethics, 33Nonsteroidal antiinflammatory drugs (NSAIDs),162, 244angioedema associated with, 84bleeding associated with, 39platelet dysfunction associated with, 44Non-ST-segment elevation myocardial infarction(NSTEMI), 129Norepinephrine, 75, 77, 209, 228Nosocomial infection, prevention <strong>of</strong>, 152Nuchal rigidity, 203Numbness, 118, 199Nutrition, 16, 155, 185, 192, 196, 273, 285and dermatology disorders, 262, 263enteral, 14in pancreatitis, 173parenteral, 15for pregnant patients, 27Nystagmus, 203, 233, 240, 256OObesity, 17, 155, 180intra-abdominal infection in, 143respiratory failure associated with, 107Obesity-hypoventilation syndrome (OHS), 17,86, 107Obstipation, 162, 170, 175Obstruction<strong>of</strong> eccrine sweat glands, 267large-bowel, 170small-bowel, 175Obstructive sleep apnea (OSA), 17, 103, 107Obstructive sleep apnea syndrome, 87, 8787Obtundation, in infectious disease, 138. See alsoComaOctreotide, 167, 176, 185, 209Ogilvie syndrome, 162Oliguria, 64, 76, 116, 120, 207, 208Omeprazole, 21Opioid overdose, 236Opioids, 106, 192, 194, 249. See also MorphineOpioid withdrawal, 237Opisthotonos, in tetanus, 156Oral phosphate binders, in chronic renal failure,26Organ failure, 232. See also Hepatic failure;Renal failureOrganomegaly, respiratory failure associatedwith, 107Organophosphate poisoning, 238Organ transplant recipients, infections in, 141.See also Transplant recipientsOrthopnea, 117, 120, 121, 125Orthostatic blood pressure, 64, 213Orthostatic hypotension, 76, 167, 171, 176Osler nodes, 142Osmolality, and toxic alcohol, 235Osteomyelitis, meningitis associated with, 133Otitis, meningitis associated with, 133Oximetry, pulse, 20Oxygen, 81, 86, 151, 154, 200, 247, 287for air embolism syndrome, 94for AMI, 126in angina, 115, 129for CHF, 121for pulmonary edema in pregnancy, 289in respiratory failure, 106, 107, 109in scleroderma, 220in status asthmaticus, 110Oxygen, partial pressure <strong>of</strong> (PaO 2), in elderlypatients, 11Oxygenation goal, in mechanical ventilation,98Oxygen saturation, 5, 20
Oxygen therapy, 87, 93for hypervolemia, 63in inhalation injury, 82pulse oximetry during, 20Oxygen toxicity, on mechanical ventilation, 101Oxyhemoglobin, 247PPacemaker, 122, 128, 195, 228Pacing, for supraventricular tachycardia, 127Pain, 18, 174, 192, 225, 249, 256, 285. See alsoAbdominal pain; Chest painanxiety associated with, 3in arterial insufficiency, 118axial skeletal, 280in pancreatitis, 173in renal disorders, 211in SAH, 203in sickle cell disease, 81Pain control, 32for AMI, 126in arterial insufficiency, 118in pancreatic insufficiency, 172for pancreatitis, 173Pallor, 128, 279Palpitations, 119, 120, 127, 130, 183Pancreatic insufficiency, 172Pancreatitis, 173ARDS associated with, 93chronic, 172in transplant recipients, 28Pancytopenia, in leukemia, 279Pantoprazole, 21Papaverine, 124Papilledema, 68, 193, 194, 203Paracentesis, 63, 163Paralysis, 192, 238, 248, 255in arterial insufficiency, 118in hypokalemia, 56Paranoia, 241Paraproteinemia, pathological, 65Parathyroidectomy, hypocalcemia following, 54Paresthesias, 66, 69, 192in electrolyte imbalances, 54, 56perioral, 255Paroxysmal nocturnal dyspnea, 125Partial thromboplastin times, dermatologydisorders associated with, 261Pelvic pain, in septic abortion, 291Pemphigus vulgaris, 269Penicillins, 156, 158, 249, 252, 266Pentamidine, 151Peptic ulcer disease (PUD), 174Perceptions, altered, 252. See also Mental status,alteredPercutaneous coronary intervention (PCI), 129Pericardial catheter, 74Pericardial effusion, 120Pericardial rub, 120, 213Pericardial window, 120Pericardiocentesis, 74, 120Pericarditis, 26, 208Periodontal infection, 95Peripheral parenteral nutrition (PPN), 15Peritonitis, 150Perspiration, 128, 237. See also diaphoresisPetechiae, 45, 49, 271, 279Peutz-Jeghers syndrome, 176pH, in acid-base disorders, 65, 66, 67, 68, 69Pharyngitis, 157, 270, 274Phencyclidine (PCP), 233Phenobarbital, 230, 241, 242Phenothiazines, 241Phentolamine, 123, 241Phenylephrine, 77, 243Phenytoin, 203, 230, 231, 233, 241Phenytoin hypersensitivity syndrome, 270Phosphate, 181, 182in electrolyte imbalances, 61, 62in renal insufficiency, 62Phosphate-binders, 61Phosphorus replacement, 62Photochemotherapy, 265Photophobia, 203, 272Piloerection, in opioid withdrawal, 237Pituitary adenoma, 180Plaques, 262, 265Plasma exchange, 192, 196in gastritis, 168for vasculitis, 222Plasmapheresis, 219, 221for pemphigus vulgaris, 269in renal disorders, 208, 212Plasma transfusions, 43Platelet dysfunction, 39, 44, 250Platelet glycoprotein IIb/IIIa antagonists, 129Platelet inhibitors, bleeding associated with, 39Platelet transfusion, 76Pleocytosis, CSF, 198Pleural effusions, 88in hypervolemia, 63respiratory failure associated with, 107thoracostomy for, 85Pleuritic chest pain, 90, 120in HIV-infected patients, 153pleural effusions associated with, 88in pneumonia, 136Pneumocystis jiroveci pneumonia (PCP), 151,153Pneumomediastinum, 97, 101, 230Pneumonia, 99, 149, 152, 220ARDS associated with, 93aspiration, 95community-acquired, 137end-tidal PCO 2 in, 10hematogenous, 149in HIV-infected patients, 153nosocomial, 149pneumocystis, 151, 153ventilator-associated, 99, 101, 111, 152Pneumonitis, aspiration, 95Pneumothorax, 89on mechanical ventilation, 97, 101tension, 85thoracostomy for, 85in toxicology disorders, 230Poisoningcarbon monoxide, 247mushroom, 252organophosphate, 238salicylate, 239warfarin, 244Polydipsia, 181, 182Polyneuropathy, 106, 190, 191Polyphagia, in hyperosmolar non-ketotic diabeticcoma, 182Polypharmacy, 11Polyradiculopathy, acute inflammatorydemyelinating (AIDP), 192Polyuria, 53, 59, 181, 182Polyvalent, in snakebite, 255Pontine lesions, 202Portal hypertension, 209Positioning, 128, 220to decrease aspiration risk, 95in increased ICP, 194Positive end-expiratory pressure (PEEP), 93, 98,99, 104, 109Positive pressure ventilation, 68, 86, 101Postsplenectomy patients, infections in, 141Posttransplant lymphoproliferative disorder(PTLD), 28
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