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Index<br />

Tremor, 229<br />

Tricuspid murmurs, 70<br />

Tricyclic antidepressants, 510–12,<br />

531, 537–38<br />

irritable bowel syndrome, 204<br />

Trigger finger, 340<br />

Trinucleotide repeat disorder, 497<br />

Triple marker screening, 420<br />

Trisomy 13, 372<br />

Trisomy 18, 372<br />

Trisomy 21, 372, 419<br />

Tropical sprue, 202<br />

Tube abnormalities, 483–84<br />

Tuberculosis, 131–33, 198<br />

meningitis, 239<br />

pregnancy and, 419<br />

Tuboovarian abscess, 471–72<br />

Tularemia, 34<br />

Tumor lysis syndrome, 255<br />

Turner’s syndrome, 111, 373, 475<br />

T-wave, 86<br />

hyperkalemia, 267<br />

21-Hydroxylase deficiency, 403–4,<br />

478<br />

Type 1 diabetes (juvenile onset),<br />

89, 92. See also Diabetes<br />

mellitus<br />

Type 2 diabetes, 89–91. See also<br />

Diabetes mellitus<br />

U<br />

Ulcerative colitis (UC), 197–98<br />

chronic, 322<br />

Ulcerative genital diseases, 20–24<br />

chancroid, 20<br />

granuloma inguinale, 23<br />

herpes simplex virus type 2, 21<br />

lymphogranuloma venereum,<br />

21<br />

syphilis, 22–23<br />

warts, 23–24<br />

Ulcer disease, 209<br />

Ultrasound, 488<br />

Umbilical cord prolapse, 449<br />

Umbilical hernia, 357<br />

Undescended testes, 357<br />

Unsynchronized cardioversion, 86<br />

Uremia, 271<br />

induced platelet dysfunction,<br />

184<br />

Ureteropelvic junction (UPJ)<br />

obstruction, 346<br />

Urethritis, 18<br />

Urge incontinence, 274<br />

Urgent care, xiv<br />

urgent antioplasty, 52<br />

Uric acid, 153–54<br />

crystal-induced renal failure,<br />

255<br />

Uricase, 155<br />

Urinary bladder, exstrophy, 335<br />

Urinary stones, 316–17<br />

Urinary tract infection (UTI),<br />

24–26<br />

ca<strong>the</strong>ter-associated, 351<br />

cystitis, 24<br />

pediatric patients, 399<br />

perinephric abscess, 25<br />

postpartum, 454<br />

in pregnancy, 440<br />

prostatitis, 25<br />

pyelonephritis, 25<br />

Urine anion gap (UAG), 272–73<br />

Urine cortisole testing, 104–5<br />

Urine microalbumin, 94<br />

Urine protein, 261<br />

electrophoresis (UPEP), 179<br />

Urologic emergencies, 344–46<br />

acute epididymitis, 345<br />

obstruction, 346<br />

testicular torsion, 345<br />

Uropathy, obstructive, 400<br />

Ursodeoxycholic acid, 440<br />

Urticaria, 291–92<br />

Uterine atony, 452–53<br />

Uterine rupture, 424–25<br />

Uterus<br />

amenorrhea and, 474–75<br />

enlarged, 460–62<br />

postmenopausal bleeding, 463<br />

Uveitis, 540<br />

V<br />

Vaccinations, 286–87<br />

HPV vaccine, 287, 470<br />

influenza, 13<br />

pediatric immunization,<br />

377–79<br />

VACTERL syndrome, 332–33, 362<br />

Vacuum-assisted delivery, 451–52<br />

Vagal maneuvers, 84<br />

Vaginal bleeding, 473–77<br />

Valsalva maneuver, 67<br />

Valve replacement, 72<br />

Valvular heart disease, 66–77<br />

in pregnancy, 437<br />

Vancomycin, 3–4, 156<br />

Variceal bleeding, 209–10<br />

Varicella-zoster, 299–300<br />

in newborn, 369<br />

in pregnancy, 427<br />

vaccine, 287, 379<br />

Vasa previa, 424–25<br />

Vascular surgery, 347–50<br />

aortic aneurysm, 348–49<br />

arterial embolization of<br />

extremities, 350<br />

subclavian steal syndrome,<br />

347<br />

Vasculitis, 150, 226<br />

Vasodilator <strong>the</strong>rapy, 70<br />

Vasomotor shock, 312<br />

Venous return, murmurs and,<br />

67–68<br />

Ventilator-associated pneumonia<br />

(VAP), 130–31<br />

Ventricular fibrillation (V-Fib), 86<br />

Ventricular septal defect (VSD),<br />

76, 389–90<br />

Ventricular tachycardia (VT), 85<br />

Vertigo, 234–36<br />

acoustic neuroma, 236<br />

benign positional, 235<br />

labyrinthitis, 235<br />

Meniere’s disease, 236<br />

perilymph fistula, 236<br />

vestibular neuritis, 235<br />

567

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