Comprehensive Hospital Medicine Expert Consult - Online and Print

A bold step forward in hospital medicine practice! This new title is the first clinical reference to address hospital-based medicine in a comprehensive, practical manner. Nationally recognized experts equip you with actionable guidance on key areas such as evidence-based practice, clinical care delivery, peri-operative care, and managing hospital and program systems issues—making it easier than ever for you to provide optimal care to every hospitalized patient.
Key Features

* Access to the entire contents of this Expert Consult title online permits speedy consultation from any computer with an Internet connection.
* State-of-the-art, evidence-based, hospital-focused guidelines on clinical assessment, diagnosis, prognosis, treatment, and discharge/follow-up planning help you to effectively manage all of the key disorders in every body system.
* 20 chapters focused on peri-operative care assist you in navigating this increasingly important component of hospital medicine practice.
* Expert advice on systems issues explores how to establish and enhance a hospitalist program, provide leadership, manage patient transitions of care, establish a teamwork model with hospital staff, promote patient safety and staff performance improvement, standardize care, and navigate legal and ethical concerns.

Table of Contents

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
Pulmonary
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