Deja Review Family Medicine

DEJA REVIEW™ Family Medicine NOTICE Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

DEJA REVIEW™ Family Medicine Mayra Perez, MD

Resident Department of Family Medicine The Methodist Hospital of Houston Houston, Texas Class of 2006 The University of Texas at Houston Medical School Houston, Texas Lindsay K. Botsford, MD Resident Department of Family Medicine Baylor College of Medicine/Kelsey-Seybold Clinic Houston, Texas Class of 2007 Baylor College of Medicine Houston, Texas Winston Liaw, MD, MPH Resident Department of Family Medicine Virginia Commonwealth University—Fairfax Fairfax, Virginia Class of 2006 Baylor College of Medicine Houston, Texas Class of 2005 Harvard School of Public Health Boston, Massachusetts

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Want to learn more? We hope you enjoy this McGraw-Hill eBook! If you'd like more information about this book, its author, or related books and websites, pleaseclick here . To my mother and grandmother, for their incredible sacrifices; to John, for making my dreams come true; and to our little Julia, for existing perfectly. —Mayra Perez To my teachers and mentors who encouraged my curiosity and involvement in many pursuits; and to my family and friends who supported me throughout those adventures. —Lindsay K. Botsford To my parents and grandparents who encouraged me to never stop learning and supported me along the way; to my rocks: sis, who never ceases to inspire, and Eden, my instant happiness. —Winston Liaw

Contents Faculty/Resident/Student Reviewers Contributing Authors Preface

Acknowledgments Chapter 1PREVENTIVE MEDICINE Cancer Screening Epidemiology Vaccines in Adults and Children Infective Endocarditis Prophylaxis Chapter 2CARDIOLOGY Hypertension Lipid Lowering Heart Failure Cardiomyopathy Coronary Artery Disease Valvular Heart Disease Cardiovascular Examination Chapter 3HEMATOLOGY Anemia in Adults

Venous Thromboembolism (Deep Venous Thrombosis and Pulmonary Embolism) Chapter 4GASTROENTEROLOGY Infectious Diarrhea Hepatitis B Gastroesophageal Reflux Disease Peptic Ulcer Disease Gallstone Disease Diverticular Disease Inflammatory Bowel Disease Colorectal Cancer Chapter 5PULMONOLOGY Asthma Chronic Obstructive Pulmonary Disease Pneumonia Lung Cancer

Chapter 6INFECTIOUS DISEASE Human Immunodeficiency Virus Tuberculosis Syphilis Herpes Molluscum Contagiosum Parasitic Infections Chapter 7ENDOCRINOLOGY Hyperthyroidism Hypothyroidism Parathyroids Diabetes Mellitus Chapter 8OTOLARYNGOLOGY Common Cold Rhinosinusitis Allergic Rhinitis

Acute Otitis Media (AOM) Otitis Externa Pharyngitis Chapter 9DERMATOLOGY Superficial Fungal Infections Urticaria Contact Dermatitis Atopic Dermatitis Psoriasis Acne Herpes Zoster Cellulitis Warts Skin Cancers Chapter 10RHEUMATOLOGY

Rheumatoid Arthritis Gout Systemic Lupus Erythematosus Chapter 11MUSCULOSKELETAL SYSTEM Sports Medicine Soft Tissue Injuries Acute Sprains and Strains Fractures and Dislocations Bursitis, Synovitis, and Tenosynovitis Degenerative Joint Disease Lower Back Pain Fibrositis, Myalgias, Arthralgias Carpal Tunnel Syndrome Chapter 12OPHTHALMOLOGY Ocular Findings in Systemic Disease Chapter 13NEUROLOGY

Headache Dizziness Stroke Brain Trauma Chapter 14PSYCHIATRY Depression Anxiety Attention Deficit Hyperactivity Disorder Chemical Dependence (Alcohol and Tobacco) Eating Disorders Domestic Violence Delirium and Dementia Somatization Chapter 15GENITOURINARY SYSTEM Incontinence

Impotence Benign Prostatic Hyperplasia Prostate Cancer Urinary Tract Infection Pyelonephritis Chapter 16WOMEN'S HEALTH Cervical Cancer Breast Disease Ovarian Cancer Endometrial Cancer Menopause Osteoporosis Uterine Leiomyomas Endometriosis Vaginitis Cervicitis/Pelvic Inflammatory Disease, and Sexually Transmitted Infections

Contraception Infertility Pregnancy Chapter 17PEDIATRICS Newborns and Infants Infant Feeding Growth and Development Adolescents Safety and Prevention Cardiology Jaundice and Hyperbilirubinemia Gastroenterology Pulmonology Neurology Infectious Disease

Miscellaneous Chapter 18CLINICAL VIGNETTES Index

Faculty Reviewer Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use. Donald Briscoe, MD Program Director Methodist Hospital (Houston) Family Medicine Residency Program Medical Director Denver Harbor Clinic Clinical Assistant Professor of Family Medicine in Medicine Weill Medical College of Cornell University

Resident Reviewers Ryan Buffington, MD Chief Resident Family Medicine Residency Program The Methodist Hospital—Houston Houston, Texas Benjamin Mailloux, MD

Chief Resident Department of Family Medicine Virginia Commonwealth University—Fairfax Fairfax, Virginia

Student Reviewers Mary Martha Bonar Class of 2008 Ohio University College of Osteopathic Medicine Athens, Ohio Carrie Fathke Class of 2007 University of Washington School of Medicine Seattle, Washington Basim Khan Class of 2008 David Geffen School of Medicine at UCLA Los Angeles, California

Contributing Authors Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use. Lauren Sasha Blieden, MD Resident Department of Ophthalmology Baylor College of Medicine

Houston, Texas Class of 2007 Baylor College of Medicine Houston, Texas Chung-Yin Stanley Chan, MD Resident Department of Dermatology Baylor College of Medicine Houston, Texas Class of 2007 Baylor College of Medicine Houston, Texas Lesley M. Crabbe, MD Resident Department of Internal Medicine Barnes Jewish Hospital Washington University St. Louis, Missouri Class of 2006 Baylor College of Medicine Houston, Texas Quynh-Thu N. Doan, MD Resident Department of Obstetrics and Gynecology Baylor College of Medicine Houston, Texas Class of 2006 Baylor College of Medicine

Houston, Texas Edgar I. Hernandez, MD Resident Department of Surgery SUNY—Stony Brook University Medical Center Stony Brook, New York Class of 2006 The University of Texas—Houston Medical School Houston, Texas David Alvin Lee, MD Resident Department of Dermatology The Johns Hopkins Hospital Baltimore, Maryland Class of 2006 Columbia University College of Physicians and Surgeons New York, New York Chalam Mulukutla, MD Resident Combined Internal Medicine and Pediatrics Program Baylor College of Medicine Houston, Texas Class of 2005 Baylor College of Medicine Houston, Texas Stacey Rubin Rose, MD Resident

Department of Internal Medicine Baylor College of Medicine Houston, Texas Class of 2007 Baylor College of Medicine Houston, Texas Paulraj Samuel, MD, MPH Resident Department of Internal Medicine University of Pittsburgh Medical Center Pittsburgh, Pennsylvania Class of 2006 Baylor College of Medicine Houston, Texas Class of 2005 Harvard School of Public Health Boston, Massachusetts Amy E. Schindler, MD Resident Department of Internal Medicine Vanderbilt University Medical Center Nashville, Tennessee Class of 2006 University of Texas Southwestern Medical School Dallas, Texas Chirayu Shah, MD Resident Department of Internal Medicine

Baylor College of Medicine Houston, Texas Class of 2005 Baylor College of Medicine Houston, Texas Ruhi Singh, MD Resident Department of Ophthalmology Baylor College of Medicine Houston, Texas Class of 2007 Baylor College of Medicine Houston, Texas Jennifer H. Tang, MD Resident Department of Obstetrics, Gynecology, and Reproductive Biology Brigham and Women's Hospital Massachusetts General Hospital Boston, Massachusetts Class of 2006 Baylor College of Medicine Houston, Texas Brian Tison, MD Resident Department of Pediatrics Cincinnati Children's Hospital Cincinnati, Ohio Class of 2006

Baylor College of Medicine Houston, Texas Brian J. Williams Class of 2008 Baylor College of Medicine Houston, Texas Justin E. Yanosik, MD Resident Department of Anesthesiology Baylor College of Medicine Houston, Texas Class of 2007 Baylor College of Medicine Houston, Texas

Preface Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use. The format of this review book is intended for rapid-fire review, conducive to studying during five-minute breaks between patients or in the days leading up to your shelf exam. It is not intended to teach you everything about family medicine from scratch. You should already be familiar with the topics before using the quick-fire method. We recommend browsing the sections at the beginning of the rotation and identifying your strengths and weaknesses. It will give you a good idea of what subject areas to focus on with your preceptor during your rotation. As you become comfortable with certain topics, find the appropriate chapter and test your knowledge. We recommend reading the professional association summaries on hypertension (JNC7), hypercholesterolemia (ATP III), and

diabetes (ADA Clinical Practice Recommendations) as early as you can during your rotation. We also recommend using the American Academy of Family Practitioners and United States Preventive Services Task Force websites as key family medicine references. We value your feedback on this book. If sections are particularly helpful or inadequate, we would like to know. Send your comments, suggestions, or mnemonics to [email protected].

Acknowledgments Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use. We would like to acknowledge Dr. Donald Briscoe for his hard work and support in helping make this book a success. His dedication to teaching inspires residents and students to continually improve their clinical knowledge and skills. We thank him for his example of professionalism and excellent patient care.

CHAPTER 1 Preventive Medicine Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

CANCER SCREENING

EPIDEMIOLOGY

VACCINES IN ADULTS AND CHILDREN

INFECTIVE ENDOCARDITIS PROPHYLAXIS

CHAPTER 2 Cardiology Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

HYPERTENSION

LIPID LOWERING

Table 2.1LDL and Initiating Treatment

Table 2.2LDL Goals

HEART FAILURE

CARDIOMYOPATHY

CORONARY ARTERY DISEASE

Table 2.3ECG Changes During a STEMI

VALVULAR HEART DISEASE

CARDIOVASCULAR EXAMINATION

CHAPTER 3 Hematology

Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

ANEMIA IN ADULTS

VENOUS THROMBOEMBOLISM (DEEP VENOUS THROMBOSIS AND PULMONARY EMBOLISM)

Table 3.1Inherited and Acquired Risk Factors for Thrombosis

CHAPTER 4

Gastroenterology Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

INFECTIOUS DIARRHEA

HEPATITIS B

GASTROESOPHAGEAL REFLUX DISEASE

PEPTIC ULCER DISEASE

GALLSTONE DISEASE

DIVERTICULAR DISEASE

INFLAMMATORY BOWEL DISEASE

COLORECTAL CANCER

CHAPTER 5 Pulmonology Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

ASTHMA

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

PNEUMONIA

LUNG CANCER

CHAPTER 6 Infectious Disease Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

HUMAN IMMUNODEFICIENCY VIRUS

Table 6.1Pulmonary Infection in HIV

TUBERCULOSIS

Table 6.2The Side Effects of TB Drug

SYPHILIS

HERPES

MOLLUSCUM CONTAGIOSUM

PARASITIC INFECTIONS

CHAPTER 7 Endocrinology Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

HYPERTHYROIDISM

HYPOTHYROIDISM

PARATHYROIDS

DIABETES MELLITUS

Table 7.1Type I and II DM Differences

Table 7.2Diabetes Diagnostic Criteria

Table 7.3The Side Effects of Hypoglycemic Medications

Table 7.4Insulin Duration

CHAPTER 8 Otolaryngology Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

COMMON COLD

RHINOSINUSITIS

ALLERGIC RHINITIS

ACUTE OTITIS MEDIA (AOM)

OTITIS EXTERNA

PHARYNGITIS

CHAPTER 9 Dermatology Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

SUPERFICIAL FUNGAL INFECTIONS

URTICARIA

CONTACT DERMATITIS

ATOPIC DERMATITIS

PSORIASIS

ACNE

HERPES ZOSTER

CELLULITIS

WARTS

SKIN CANCERS

CHAPTER 10 Rheumatology Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

RHEUMATOID ARTHRITIS

GOUT

SYSTEMIC LUPUS ERYTHEMATOSUS

CHAPTER 11 Musculoskeletal System Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

SPORTS MEDICINE

SOFT TISSUE INJURIES

ACUTE SPRAINS AND STRAINS

Upper Extremities

Lower Extremities

FRACTURES AND DISLOCATIONS

Upper Extremities

Lower Extremities

BURSITIS, SYNOVITIS, AND TENOSYNOVITIS

DEGENERATIVE JOINT DISEASE

LOWER BACK PAIN

FIBROSITIS, MYALGIAS, ARTHRALGIAS

Table 11.1The Differential Diagnosis of Lower Back Pain

CARPAL TUNNEL SYNDROME

CHAPTER 12 Ophthalmology Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

OCULAR FINDINGS IN SYSTEMIC DISEASE

CHAPTER 13 Neurology

Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

HEADACHE

DIZZINESS

STROKE

BRAIN TRAUMA

CHAPTER 14 Psychiatry

Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

DEPRESSION

ANXIETY

ATTENTION DEFICIT HYPERACTIVITY DISORDER

CHEMICAL DEPENDENCE (ALCOHOL AND TOBACCO)

EATING DISORDERS

DOMESTIC VIOLENCE

DELIRIUM AND DEMENTIA

SOMATIZATION

CHAPTER 15 Genitourinary System Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

INCONTINENCE

IMPOTENCE

BENIGN PROSTATIC HYPERPLASIA

PROSTATE CANCER

URINARY TRACT INFECTION

PYELONEPHRITIS

CHAPTER 16 Women's Health Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

CERVICAL CANCER

BREAST DISEASE

OVARIAN CANCER

ENDOMETRIAL CANCER

MENOPAUSE

OSTEOPOROSIS

UTERINE LEIOMYOMAS

ENDOMETRIOSIS

VAGINITIS

CERVICITIS/PELVIC INFLAMMATORY DISEASE, AND SEXUALLY TRANSMITTED INFECTIONS

CONTRACEPTION

INFERTILITY

Table 16.1Infertility Diagnostic Tests

PREGNANCY

CHAPTER 17 Pediatrics Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

NEWBORNS AND INFANTS

INFANT FEEDING

GROWTH AND DEVELOPMENT

ADOLESCENTS

SAFETY AND PREVENTION

CARDIOLOGY

JAUNDICE AND HYPERBILIRUBINEMIA

GASTROENTEROLOGY

PULMONOLOGY

NEUROLOGY

INFECTIOUS DISEASE

MISCELLANEOUS

CHAPTER 18 Clinical Vignettes Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

Index Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.

A ABR.See auditory brain response AC.See acromioclavicular joint acalculous cholecystitis.See cholecystitis, acalculous ACD.See anemia of chronic disease ACEI.See angiotensin-converting enzyme inhibitor ACL.See anterior cruciate ligament acne causes of comedones and

isotretinoin therapy for OCPs and treatment for ACOG.See American College of Obstetricians and Gynecologists acromioclavicular (AC) joint, injury to ACS.See acute coronary syndrome; American Cancer Society actinic keratosis (AK), skin cancer and activated partial thromboplastin time (aPTT) acute cholecystitis.See cholecystitis, acute acute coronary syndrome (ACS) acute labyrinthitis acute otitis media (AOM) antibiotics for peak age/season of TM and

treatment for acute poststreptococcal glomerulonephritis (APSGN) prognosis of acute sprains/strains of ankle treatment for typical history of ADHD.See attention deficit hyperactivity disorder adolescents death of evaluation of puberty and Tanner stages of adults, anemia in AF.See atrial fibrillation AI.See aortic insufficiency (AI)

AK.See actinic keratosis albuminuria alcohol dependence.See chemical dependence Alcoholics Anonymous, 12 step program of allergic rhinitis antihistamines for causes of immunotherapy for skin tests, allergen, and alpha-1-adrenergic blockers, side effects of Alzheimer's dementia American Academy of Pediatrics, on circumcision American Cancer Society (ACS), on CRC American College of Obstetricians and Gynecologists (ACOG), on Pap smears American College of Rheumatology, FMS criteria of

American Heart Association, on IE amoxicillin anemia in adults aplastic macrocytic, SLE and microcytic pernicious anemia of chronic disease (ACD) IDAv., angina pectorisSee also unstable angina BBs/CCBs and MI and relief for angioedema, urticariav., angiotensin receptor blocker (ARB),

angiotensin-converting enzyme inhibitor (ACEI) anorexia, signs/subtypes of Antabuse.See disulfiram anterior cruciate ligament (ACL) typical history for antibiotics for AOM rhinosinusitis and antidepressants, children and antihistamines, for allergic rhinitis anxiety CBT for GAD and panic disorder and phobias and

AOM.See acute otitis media aortic insufficiency (AI) aortic stenosis (AS) APGAR score, newborns and aplastic anemia APSGN.See acute poststreptococcal glomerulonephritis aPTT.See activated partial thromboplastin time ARB.See angiotensin receptor blocker arthritis AS.See aortic stenosis ASC-US.See atypical squamous cell of uncertain significance ASD.See atrial septal defect ASH.See asymmetric septal hypertrophy asthma in children CXR for

exacerbation of medicine for signs of treatment for triggers for asymmetric septal hypertrophy (ASH) atherosclerosis atopic dermatitis eczema and triad of atrial fibrillation (AF) atrial septal defect (ASD), attention deficit hyperactivity disorder (ADHD) children and DSM-IVon

medicine for atypical squamous cell of uncertain significance (ASC-US) HPV and auditory brain response (ABR) Auspitz sign, psoriasis and azathioprine azithromycin AZT.See zidovudine

B B12deficiency, back pain.See lower back pain bacterial infection, rhinosinusitis and, bacterial vaginosis (BV) treatment of vaginal pH of Barrett's esophagus, GERD and

basal cell carcinoma (BCC) presentation of subtypes of treatment for BB.See beta-blocker BCC.See basal cell carcinoma benign positional vertigo benign prostatic hyperplasia (BPH) medical/surgical treatment of obstructive/irritative symptoms of prevalence of bi-level positive airway pressure (BiPAP) biliary colic cholecystectomy and gallstone disease and

treatment for biliary pancreatitis BiPAP.See bi-level positive airway pressure bipolar I disorder, manic episode and bipolar II disorder, manic episode and bleomycin blepharitis beta-blocker (BB) angina and contraindications for blood alcohol level, side effects of blood pressure (BP) CVD and desired range of DM and SBP/DBP

BMI.See body mass index BNP.See brain natriuretic peptide body mass index (BMI), pregnancy and bone mass density scan (DEXA), for osteoporosis Bowen's disease, SCC and BP.See blood pressure BPH.See benign prostatic hyperplasia brain natriuretic peptide (BNP) brain trauma epidural hematoma and intracranial hemorrhage and breast cancer screening of types/presentations of

breast disease fibroadenoma as intraductal papilloma as breastfeeding benefits of contraceptives during contraindications to infant formulav., promotion of bronchitis, chronic.See chronic bronchitis Brudzinski sign bulimia, subtypes/signs of bupropion (Zyban) bursitis BV.See bacterial vaginosis

C

calcium pyrophosphate crystal deposition disease (CPPD), OAv., calcium-channel blocker (CCB) angina and cancer.See also breast cancer; cervical cancer; colorectal cancer; endometrial cancer; lung cancer; ovarian cancer; prostate cancer; skin cancer; testicular cancer HIV and screening of epidemiology of USPSTF and cantharidin CaP.See prostate cancer caput succedaneum, newborns and carcinoembryonic antigen (CEA) cardiology cardiomyopathy and cardiovascular examination and

congenital defects and coronary artery disease and HF and HTN and lipid lowering and pediatrics and valvular heart disease and VTE and cardiomyopathy.See also dilated cardiomyopathy cardiovascular disease (CVD) BP and HF and cardiovascular examination ASD and bacterial endocarditis findings of

carpal tunnel syndrome (CTS) clinical testing for numbness from treatment for cataracts, risk factors for cauda equina syndrome CBE.See clinical breast exam CBT.See cognitive behavioral therapy CCB.See calcium-channel blocker CDC.See Centers for Disease Control and Prevention CEA.See carcinoembryonic antigen cefazolin ceftriaxone cellulitis diagnosis of orbital

treatment for Centers for Disease Control and Prevention (CDC) on chlamydia on HIV central retinal artery occlusion (CRAO), cephalexin cephalohematoma cephalosporin cerebral palsy (CP) cerebrovascular accident (CVA) cervical cancer colposcopy and HPV and Pap smears and screening of

vaccine against cervical dysplasia, LEEP for cervicitis chlamydia/gonorrhea infections causing PID and chalazion Charcot's triad, acute cholecystitis and CHD.See congenital heart disease; coronary heart disease chemical dependence of alcohol treatment for of illegal substances, side effects of prevalence of of tobacco/nicotine NRT for

pregnancy and chest x-ray (CXR) for asthma for COPD Hampton's hump on for PE for pneumonia children ADHD and asthma in death of Denver Developmental Screening Test for fine motor skills of gross motor skills of heart murmurs of

immunizations for language skills of lead exposure and leukemia and meningitis in obesity in sinus development/sinusitis and social cognition skills of UTI and chlamydia CDC on chloramphenicol chocolate cysts, endometriosis and cholangitis, Reynolds's pentad and cholecystectomy biliary colic and

cholecystitis, acalculous cholecystitis, acute Charcot's triad and chronic bronchitis, as COPD chronic obstructive pulmonary disease (COPD) chronic bronchitis/emphysema as corticosteroids and CXR for exacerbation of causes/symptoms of oxygen therapy for Churg-Strauss syndrome, asthma and cimetidine circumcision, American Academy of Pediatrics on cisplatin

clarithromycin clindamycin clinical breast exam (CBE) clomiphene citrate clonidine COCs.See combined oral contraceptives cognitive behavioral therapy (CBT), for anxiety cold.See common cold colonoscopy, for CRC colorectal cancer (CRC) ACS on colonoscopy for diagnosis of genetic predisposition to HNPCC IBD and

screening of colposcopy cervical cancer and combined oral contraceptive pills (OCPs) acne and fibroids and combined oral contraceptives (COCs) benefits/risks/side effects of comedone.See acne common cold complications from nasal discharge and relief from URI and compartment syndrome, acute/chronic, soft tissue injuries and

complex regional pain syndrome (CRPS), classifications/signs of concussions, sports medicine and return to play and symptoms of condoms congenital heart disease (CHD), IE and conjunctivitis bacterial chlamydial gonococcal neonatal constipation, treatment for contact dermatitis allergic confinement of types of

contact lens syndrome contraceptives after pregnancy during breastfeeding emergency estrogen/progesterone as HIV transmission and unintended pregnancy and coronary artery disease angina pectoris and atherosclerosis and drug therapy for, coronary heart disease (CHD) equivalent to risk factors for

corticosteroids COPD and injections of, for fibrositis/myalgias/arthralgias CP.See cerebral palsy CPPD.See calcium pyrophosphate crystal deposition disease crabs, diagnosis/treatment of CRAO.See central retinal artery occlusion CRC.See colorectal cancer Crohn's disease clinical findings/complications of as IBD croup CRPS.See complex regional pain syndrome crutches, fitting of CTS.See carpal tunnel syndrome Cushingoid features, glucocorticoids and

CVA.See cerebrovascular accident CVD.See cardiovascular disease CXR.See chest x-ray cyclosporine

D dacryocystitis danazol DASH.See Dietary Approaches to Stop Hypertension DBP.See diastolic blood pressure DCM.See dilated cardiomyopathy De Quervain's tenosynovitis deep venous thrombosis (DVT) diagnosis of heparin/warfarin and degenerative joint disease, OA as

dehydration, in infants delirium/dementia Alzheimer's disease and characteristics of management of dementia.See delirium/dementia Denver Developmental Screening Test, for children depomedroxyprogesterone (DMPA) side effects of depression in adults/children diagnostic criteria for grief and medical problems causing seasonal affective disorder and SSRIs/TCAs/MAOI for

symptoms of dermatitis atopic triad of contact dermatology acne and atopic dermatitis and cellulitis and contact dermatitis and herpes zoster and psoriasis and skin cancer and superficial fungal infections and urticaria and

warts and dermatophytes superficial fungal infections and DEXA.See bone mass density scan diabetes mellitus (DM), BP and diagnosis of gestational HbA1c and HONK and hypoglycemic agents and side effects of micro-/macrovascular complications of neuropathies and manifestations of symptoms of

Type I mechanisms of treatment for Type IIv. Type II mechanisms of treatment for Type Iv. UK Prospective Diabetes Study on diabetic ketoacidosis (DKA) insulin deficiency and treatment of Diagnostic and Statistical Manual of Mental Disorders(Fourth Edition)(DSM-IV), on ADHD diarrhea.See also infectious diarrhea acute

traveler's diastolic blood pressure (DBP) dietary approaches to stop hypertension (DASH) digital rectal exam (DRE) dilated cardiomyopathy (DCM) conditions/evaluation for DIP.See distal interphalangeal diphtheria, tetanus, and acellular pertussis (DTaP) dosing schedule for disease prevalence/incidence and relative risks/odds ratios and disease modifying anti-rheumatic drugs (DMARDs) dislocation.See fractures/dislocations distal interphalangeal (DIP)

fracture of disulfiram (Antabuse) diverticular disease causes/symptoms of clinical findings of diverticulosisv . diverticulitis Meckel's treatment of dizziness causes of DKA.See diabetic ketoacidosis DM.See diabetes mellitus DMARDs.See disease modifying anti-rheumatic drugs DMPA.See depomedroxyprogesterone domestic violence

reporting of signs of DRE.See digital rectal exam DSM-IV. See Diagnostic and Statistical Manual of Mental Disorders(Fourth Edition) DTaP.See diphtheria, tetanus, and acellular pertussis DVT.See deep venous thrombosis dysentery, infectious diarrhea and

E eating disorders, anorexia/bulimia Eaton-Lambert Syndrome, lung cancer and ECG.See echocardiography echocardiography (ECG), STEMI and eclampsia, pregnancy and ectropion eczema, atopic dermatitis and

ED.See erectile dysfunction EF.See ejection fraction EGD.See esophagogastroduodenoscopy (EGD) ejection fraction (EF), normal electroconvulsive therapy (ECT), indications/side effects of ELISA.See enzyme-linked immunosorbent assay emergency contraceptives, Plan B as emphysema centrilobular as COPD panacinar encopresis endocrinology DM and hyperthyroidism and hypothyroidism and

parathyroids and endometrial cancer, risks/diagnostic tests for endometriosis chocolate cysts and symptoms of treatment of endomyometritis end-stage renal disease (ESRD) enzyme-linked immunosorbent assay (ELISA), epidemiology descriptive study designs of, sensitivity and epidural hematoma erectile dysfunction (ED) medications causing

risk factors for sickle-cell disease and treatment for erythromycin, erythropoietin esophageal varices esophagogastroduodenoscopy (EGD) ESRD.See end-stage renal disease estrogen, as contraceptive ethambutol exanthem infectious agent of eye eight-point examination of injuries to burns/lacerations of

intraocular tumors and red, signs/symptoms of stye/chalazion/blepharitis and vision conditions of vision loss and

F failure to thrive (FTT), causes/treatment of familial adenomatous polyposis (FAP), CRC and FAP.See familial adenomatous polyposis ferritin FEV1.See forced expiratory volume in first one second of expiration fibroadenoma, as breast disease fibroids.See uterine leiomyomas fibromyalgia syndrome (FMS) American College of Rheumatology criteria for

symptoms of treatment of, fibrositis/myalgias/arthralgias corticosteroid injections for FMS.See fibromyalgia syndrome folate deficiency folic acid deficiency.See folate deficiency follicle-stimulating hormone (FSH) follicular cyst, ovarian cancer and fontanelle, of newborns forced expiratory volume in first one second of expiration (FEV1) forced vital capacity of lungs (FVC) fractures/dislocations of DIP of growth plate of lower extremities

limps and OSD and risks/complications of orthopedic care for Salter-Harris symptoms of treatment for types of of upper extremities causes of risks/complications of FSH.See follicle-stimulating hormone FTT.See failure to thrive FVC.See forced vital capacity of lungs

G

GABHS.See group A beta-hemolytic streptococcus GAD.See generalized anxiety disorder gallstone disease biliary colic and biliary pancreatitis and calcium/cholesterol stones gallstone ileus and Murphy's sign and gallstone ileus gastroenterology CRC and diverticular disease and gallstone disease GERD and HBV and IBD and

infectious diarrhea and pediatrics and constipation and PUD and gastroesophageal reflux disease (GERD) Barrett's esophagus and diagnosis of management of physiologic reflux as reflux esophagitis as symptoms of gastrointestinal (GI) bleeding of GC.See gonorrhea GCA.See giant cell arteritis

generalized anxiety disorder (GAD) genital warts appearance of transmission/treatment of genitourinary BPH and impotence and incontinence and pyelonephritis and UTI and GERD.See gastroesophageal reflux disease gestational diabetes, pregnancy and GFR.See glomerular filtration rate GI.See gastrointestinal giant cell arteritis (GCA) diagnosis of

treatment of glaucoma open-angle open-angle-closure risks/medication for globe perforation, exclusion of glomerular filtration rate (GFR) glucocorticoids, Cushingoid features and gonorrhea (GC), PID and gout diagnosis of hyperuricemia and risk for stages/symptoms of treatment for

uric acid and Graves' disease pathology/physical findings of grief, depression and griseofulvin group A beta-hemolytic streptococcus (GABHS) complications of pharyngitis and treatment for

H H. pylori. See Helicobacter pylori Haemophilus influenzaetype b (Hib), dosing schedule for Hallpike maneuver Hampton's hump, on CXR hand deformities, of RA Hashimoto's thyroiditis, risk factors for

HBV.See hepatitis B virus ß-hCG.See ß-human chorionic gonadotropin HCM.See hypertrophic cardiomyopathy headache classic migraine cluster meningitis and types of hearing loss, newborns and, OAEs/ABR for heart failure (HF) causes of CVD and lifestyle changes for medication for symptoms/physical findings of

types of heart murmurs of children PPS and Helicobacter pylori (H. pylori), eradication of hematology, adult anemia and hemolytic uremic syndrome (HUS) hemorrhage intracranial subarachnoid, heparin, DVT and hepatitis A vaccine, dosing schedule for hepatitis B virus (HBV) vaccine for, dosing schedule for hereditary nonpolyposis colorectal cancer (HNPCC)

herpes simplex virus (HSV) lesions of treatment of herpes zoster PHN and risk for treatment for Hib.See Haemophilus influenzae type b HIV.See human immunodeficiency virus hives.See urticaria HNPCC.See hereditary nonpolyposis colorectal cancer HOCM.See hypertrophic obstructive cardiomyopathy Homan's sign, venous thromboembolism and HONK.See hyperosmolar nonketotic hormone replacement therapy (HRT)

for menopause for osteoporosis HPV.See human papillomavirus HRT.See hormone replacement therapy HSV.See herpes simplex virus HTN.See hypertension ß-human chorionic gonadotropin (ß-hCG) hyperthyroidism and human immunodeficiency virus (HIV) cancer and CDC on differential diagnosis and infections and pulmonary medication for side effects of

pneumonia/TB in pregnancy and risk factors for transmission of, contraceptives and USPSTF on human papillomavirus (HPV) ASC-US and cervical cancer and vaccine dosing schedule for Hurdler's injury HUS.See hemolytic uremic syndrome hydroxyurea hyperbilirubinemia, complications of hyperosmolar nonketotic (HONK), DM and hypertension (HTN).See also renovascular hypertension; secondary hypertension

antihypertension drug therapy for causal factors for lifestyle modifications of lifetime risk of primary/secondary symptoms of hyperthyroidism causes of, thyroid size and clinical manifestations of cold nodule and lab tests for pregnancy and RAIU and hypertrophic cardiomyopathy (HCM) evaluation for hypertrophic obstructive cardiomyopathy (HOCM)

hyperuricemia, gout and hypoglycemic agents DM and side effects of hypothyroidism cause of clinical manifestations of lab findings of medications causing

I IBD.See inflammatory bowel disease IDA.See iron-deficiency anemia idiopathic hypertrophic subaortic stenosis (IHSS) IE.See infective endocarditis prophylaxis IHSS.See idiopathic hypertrophic subaortic stenosis

iliotibial band (ITB) syndrome physical examination and treatment of illegal substances, side effects of IM.See infectious mononucleosis imiquimod immune reconstitution syndrome immunizations for children dosing schedule for HBV vaccine and MMR/VZV immunotherapy, for allergen rhinitis impotence.See erectile dysfunction inactivated polio vaccine (IPV) dosing schedule for

incidence, disease and incontinence menopause and neuropathic stress, signs/pathophysiology of urge pathophysiology of signs/symptoms of urinary infant feeding.See also breastfeeding food allergens and solid foods and teething and infant formula, breastfeedingv., infants.See also newborns

dehydration in infectious diarrhea in infection bacterial, pulmonary superficial fungal viral infectious agent of pertussis (whooping cough) stages of infectious diarrhea dysentery and in infants pseudomembranous colitis and viral/bacterial causes of infectious disease HIV and

pediatrics and STI, of males/females TB and infectious mononucleosis (IM) complications of pharyngitis and infective endocarditis (IE) prophylaxis American Heart Association on CHD and recommendations for infertility causes of diagnostic tests for induced ovulation and prevalence of

inflammatory bowel disease (IBD) CRC and medication for risk factors for UC/Crohn's disease as influenza vaccine INR.See international normalized ratio insulin deficiency of, DKA and duration of international normalized ratio (INR) intracranial hemorrhage intraductal papilloma intrauterine device (IUD) Mirena ParaGard Copper T

side effects of intussusception IPV.See inactivated polio vaccine iron-deficiency anemia (IDA) ACDv., causes of pica and treatment for isotretinoin therapy, for acne ITB.See iliotibial band syndrome itraconazole IUD.See intrauterine device

J jaundice breast-feeding failurev . breast milk

newborns and physiologic/nonphysiologic

K Kallmann syndrome Kanavel's signs, of tenosynovitis Kerning's sign Klinefelter's syndrome knee injury, ACL/PCL/MCL and, meniscus tear and PFD and Köbner's phenomenon, psoriasis and Korsakoff's syndrome

L language skills, of children

large for gestational age (LGA) lateral cruciate ligament (LCL) LBW.See low birth weight LCL.See lateral cruciate ligament LDL.See low-density lipoprotein LEEP.See loop electrosurgical excision procedure left ventricle (LV) left ventricular hypertrophy (LVH) Legg-Calve-Perthes disease leukemia children and initial presentation of leukocoria levothyroxine LFTs.See liver function tests LGA.See large for gestational age

LH.See luteinizing hormone lifestyle changes for HF for HTN for LDL lowering lipid lowering, for LDL liver function tests (LFTs) methotrexate and statins and lochia loop electrosurgical excision procedure (LEEP), for cervical dysplasia low birth weight (LBW), of newborns low-density lipoprotein (LDL) goal for lifestyle changes/drug therapy for

lowering of statins and treatment initiation of lower back pain differential diagnosis of risk factors for lower extremities fractures/dislocations of limps and risks/complications of soft tissue injuries of lumbar disc herniation lung cancer Eaton-Lambert Syndrome and SVC syndrome and types of

luteinizing hormone (LH) LV.See left ventricle LVH.See left ventricular hypertrophy

M macrocytosis mammogram manic episode bipolar I/II disorder and symptoms of MAOI.See Monoamine Oxidase Inhibitor McCune-Albright syndrome, triad of MCL.See midclavicular line MCV.See mean corpuscular volume mean corpuscular volume (MCV), RBCs and measles, mumps, and rubella (MMR)

dosing schedule for Meckel's diverticulum medial tibial stress syndrome (MTSS), risk factors for melanoma criteria for treatment for Ménière's disease meningitis in children headaches and signs/symptoms of meniscus tear, knee injury and menopause causes of HRT for incontinence and

meperidine mesalamine mesothelioma metabolic syndrome, clinical manifestations of metformin methotrexate, LVTs and side effects/mechanisms of metronidazole, MI.See myocardial infarction microalbuminuria microcytosis midclavicular line (MCL) typical history for migraine.See also headache

commonv . classic testing for treatment for, mitral stenosis (MS) mitral valve regurgitation (MVR), medical therapy for MMR.See measles, mumps, and rubella molluscum contagiosum.See genital warts Monoamine Oxidase Inhibitor (MAOI) motor skills fine, of children gross, of children MTSS.See medial tibial stress syndrome Murphy's sign, gallstone disease and musculoskeletal acute sprains/strains bursitis/synovitis/tenosynovitis and

CTS and degenerative joint disease and fibrositis/myalgias/arthralgias and, fractures/dislocations and lower back pain soft tissue injuries and sports medicine and MVR.See mitral valve regurgitation myocardial infarction (MI) angina and myocarditis, causes of myomectomy, for fibroids myxedema coma, treatment of

N nasal discharge, common cold and

negative predictive value (NPV) prevalence and neurology brain trauma and dizziness and pediatrics and stroke and neuropathic incontinence newborns abnormality testing and APGAR score and caput succedaneum and cephalohematoma and fontanelle of hearing loss and heart/respiration rate and

jaundice and LBW of LGA reflexes of respiratory failure in weight/length of nicotine dependence.See chemical dependence nicotine replacement therapy (NRT) non-ST-elevation MI (NSTEMI) nonsteroidal anti-inflammatory drug (NSAID), nortriptyline NPV.See negative predictive value NRT.See nicotine replacement therapy NSAID.See nonsteroidal anti-inflammatory drug NSTEMI.See non-ST-elevation MI

NuvaRing nystatin

O OA.See osteoarthritis OAEs.See otoacoustic emissions obesity, in children obsessive-compulsive disorder, SSRIs/TCAs for OCPs.See combined oral contraceptive pills OE.See otitis externa ophthalmology conjunctivitis and eight-point eye examination and eye injury and glaucoma and globe perforation and leukocoria and

optic neurits and PVD/CRAO and systemic disease and optic neuritis orbital abscess orbital cellulitis signs/symptoms of treatment of Ortho Evra patch OSD.See Osgood-Schlatter disease Osgood-Schlatter disease (OSD) osteoarthritis (OA) complications of CPPDv., joints involved with

osteophytes and physical examination of predisposing factors for RAv., treatment options for osteophytes OA and osteoporosis DEXA for risk factors for treatment for HRT for otitis externa (OE) causes of malignant prevention of

otoacoustic emissions (OAEs) otolaryngology allergic rhinitis and AOM and common cold and OE and pharyngitis and rhinosinusitis and Ottawa, rules/guidelines of, for radiology ovarian cancer follicular cyst and treatment for tumor types and ovulation, after pregnancy

P

paclitaxel (Taxol) pancreatitis.See biliary pancreatitis panic disorder, anxiety and Pap smear abnormal, cytologic/pre-cancerous histologic classifications of ACOG on cervical cancer and papaverine parasites/scabies, as STI parathyroid hormone (PTH) parathyroids, cause of patellofemoral dysfunction (PFD) patent ductus arteriosus (PDA) PCL.See posterior cruciate ligament PCOS.See polycystic ovarian syndrome PCV7.See pneumococcal conjugate vaccine

PDA.See patent ductus arteriosus PE.See pulmonary embolism peak expiratory flow rate (PEFR) pediatrics adolescents and cardiology and gastroenterology and growth/development of infant feeding and infectious disease and jaundice/hyperbilirubinemia and neurology and newborns/infants and pulmonology and safety/prevention of

pediculosis pubis.See crabs PEFR.See peak expiratory flow rate pelvic inflammatory disease (PID) cervicitis/GC and penicillin peptic ulcer disease (PUD) diagnosis of duodenal gastric surgical management of symptoms of peripheral pulmonic stenosis (PPS) peritonsillar abscess pernicious anemia PFD.See patellofemoral dysfunction PFTs.See pulmonary function tests

pharyngitis causes of GABHS and IM and PHN.See post-herpetic neuralgia phobias, anxiety and physiologic reflux pica, IDA and PID.See pelvic inflammatory disease PIP.See proximal interphalangeal joint Plan B, as emergency contraceptives pneumococcal conjugate vaccine (PCV7) dosing schedule for pneumonia causes of

chemical CXR for in HIV infection types of influenza vaccine for symptoms of podophyllin polycystic ovarian syndrome (PCOS), POP.See progesterone-only pill positive predictive value (PPV) prevalence and posterior cruciate ligament (PCL) typical history for posterior vitreous detachment (PVD) post-herpetic neuralgia (PHN), herpes zoster and PPD.See purified protein derivative

PPE.See Preparticipation Physical Examination PPS.See peripheral pulmonic stenosis PPV.See positive predictive value preeclampsia, pregnancy and pregnancy ß-hCG and BMI and contraceptives after eclampsia/preeclampsia and gestational diabetes and HIV and hyperthyroidism and ovulation after RhoGAM for tobacco dependence and

trichomonas and unintended contraceptives and urine test for vaccines and prehypertension.See also hypertension therapy for premature ovarian failure, FSH/LH and Preparticipation Physical Examination (PPE), sports medicine and preventive medicine cancer screening and epidemiology of, IE and vaccines and progesterone, as contraceptive progesterone-only pill (POP) propranolol

propylthiouracil prostate cancer (CaP) diagnosis/pathology of risk factors of screening of treatment for prostate specific antigen (PSA) prostatectomy proximal interphalangeal (PIP) joint PSA.See prostate specific antigen pseudomembranous colitis psoriasis Auspitz sign and Köbner's phenomenon and pathogenesis of

primary lesion of treatment for types/characteristics of psychiatry anxiety and chemical dependence and delirium/dementia and depression and domestic violence and eating disorders and somatization and PTH.See parathyroid hormone; serum parathyroid hormone puberty, adolescents and PUD.See peptic ulcer disease puerperium pulmonary embolism (PE), CXR for

pulmonary function tests (PFTs) pulmonary infection, in HIV pulmonology asthma and COPD and lung cancer and pediatrics and pneumonia and purified protein derivative (PPD) positive from TB PVD.See posterior vitreous detachment pyelonephritis hospital/antibiotic treatment for signs/symptoms of

triad of urosepsis and

R RA.See rheumatoid arthritis radioactive iodine uptake (RAIU), hyperthyroidism and RAIU.See radioactive iodine uptake randomized controlled trials (RCTs) RBCs.See red blood cells RCM.See restrictive cardiomyopathy RCTs.See randomized controlled trials red blood cells (RBCs) hemolysis of MCV and reflux esophagitis renovascular hypertension respiratory failure, in newborns

restrictive cardiomyopathy (RCM) evaluation for reticulocyte index (RI) indications of retinopathy, diabetic/hypertensive, prevention of Reynolds's pentad, cholangitis and RF.See rheumatoid factor rheumatoid arthritis (RA) diagnosis of disease assessment and hand deformities of joints involved with, x-ray of OAv., pathogenesis of RF and

treatment goals of drugs and rheumatoid factor (RF), RA and rheumatology gout and RA and SLE and rhinosinusitis antibiotics and bacterial infection and, complications of signs/symptoms of surgery for viral infection and RhoGAM, for pregnancy RI.See reticulocyte index

rifampin rosacea, treatment for roseola rotator cuff, injury to,

S SAH.See subarachnoid hemorrhage Salter-Harris fractures SBP.See systolic blood pressure scabies.See parasites/scabies SCFE.See slipped capital femoral epiphysis sciatica seasonal affective disorder secondary hypertension, causes of evaluation of selective serotonin reuptake inhibitors (SSRIs),

serum parathyroid hormone (PTH) sexually transmitted diseases (STD) chlamydia and genital ulcers and genital warts and HSV and of males/females parasites/scabies and syphilis and shin splints.See medial tibial stress syndrome Sicca syndrome sickle-cell disease, ED and SIDS.See sudden infant death syndrome sinus development/sinusitis, children and sinusitis.See sinus development/sinusitis skin cancer

AK and BCC melanoma SCC SPF and tanning beds and skin tests, allergen, allergic rhinitis and SLE.See systemic lupus erythematosus slipped capital femoral epiphysis (SCFE) risk factor for social cognition skills, of children soft tissue injuries clinical scenarios of compartment syndromes and, acute/chronic of lower extremities

of upper extremities rotator cuff and somatization, diagnosis of SPF.See sun protection factor sports medicine concussions and return to play and symptoms of PPE and sprains.See acute sprains/strains squamous cell carcinoma (SCC) Bowen's disease and treatment for UVA/UVB exposure and SSRIs.See selective serotonin reuptake inhibitors statin

LDL/LFTs and ST-elevation MI (STEMI) ECG changes in STEMI.See ST-elevation MI STI.See sexually transmitted diseases strains.See acute sprains/strains stress incontinence.See incontinence stroke ischemic/hemorrhagic signs/symptoms of TIA and tPA use for contraindications of stye subarachnoid hemorrhage (SAH)

diagnosis of subconjunctival hemorrhage, management of sudden infant death syndrome (SIDS) sulfasalazine sulfonylureas sun protection factor (SPF), skin cancer and superficial fungal infections candidiasis dermatophytes and diagnosis of types of superior vena cava (SVC) syndrome, lung cancer and SVC.See superior vena cava syndrome synovitis syphilis diagnosis of

primary/secondary/tertiary treatment of systemic lupus erythematosus (SLE), autoantibodies involved in diagnostic criteria for initial presentation of macrocytic anemia and pathogenesis of skin manifestations of survival of treatment for WHO on systolic blood pressure (SBP)

T tamoxifen

Tanner stages, of adolescents tanning beds, skin cancer and Taxol.See paclitaxel TB.See tuberculosis TCAs.See tricyclic antidepressants tenosynovitis De Quervain's Kanavel's signs of treatment for terbinafine testicular cancer detection of surgical correction of testicular torsion tetracycline thalassemia

thyroid stimulating hormone (TSH), thyroiditis, Hashimoto's TIA.See transient ischemic attack TIBC.See total iron-binding capacity tinea infections.See also superficial fungal infections capitis pedis unguium versicolor tissue-plasminogen activator (tPA), for stroke contraindications of TM.See tympanic membrane TOA.See tuboovarian abscess tobacco dependence.See chemical dependence

total iron-binding capacity (TIBC) toxic megacolon tPA.See tissue-plasminogen activator transient ischemic attack (TIA), stroke and traveler's diarrhea trazodone trichomonas pregnancy and treatment of tricyclic antidepressants (TCAs), trochanteric bursitis TSH.See thyroid stimulating hormone tuberculosis (TB) drugs for side effects of

in HIV military PPD from primary pulmonary, respiratory isolation risk factors for secondary tuboovarian abscess (TOA) Turner's syndrome tympanic membrane (TM), AOM and Type I diabetes.See diabetes mellitus Type II diabetes.See diabetes mellitus

U UA.See unstable angina

UC.See ulcerative colitis UK Prospective Diabetes Study, on DM ulcerative colitis (UC) clinical findings of as IBD ultraviolet A (UVA), SCC and ultraviolet B (UVB), SCC and umbilical hernia United States Preventive Services Task Force (USPSTF) cancer screening and on HIV unstable angina (UA), drug therapy for testing and upper extremities fracture/dislocation of

risks/complications of soft tissue injuries of upper respiratory infection (URI) common cold and urge incontinence.See incontinence URI.See upper respiratory infection uric acid, gout and urinary tract infection (UTI), children and quantitative urine culture for risk factors for, treatment for urosepsis, pyelonephritis and urticaria acutev . chronic

allergic contact angioedemav., characteristics of treatment for USPSTF.See United States Preventive Services Task Force uterine leiomyomas (fibroids) OCPs and treatment for types of UVA.See ultraviolet A UVB.See ultraviolet B uveitis

V vaccines.See also immunizations in adults/children influenza

pregnancy and vaginitis.See also bacterial vaginosis; vulvo-vaginal candidiases causes of medications for valvular heart disease AS and AI and MS/MVR and vancomycin Varicella-zoster virus (VZV), dosing schedule for varicocele treatment of venous thromboembolism (VTE).See also deep venous thrombosis; pulmonary embolism DVT/PE Homan's sign and

inherited/acquired risk for Virchow's triad and ventral septal defect (VSD) viral infection, rhinosinusitis and Virchow's triad, venous thromboembolism and VSD.See ventral septal defect VTE.See venous thromboembolism vulvovaginal candidiases, treatment for VZV.See Varicella-zoster virus

W warfarin, DVT and warts characteristics of genital prevention of transmission of

treatment for Wernicke's encephalopathy Westermark's sign Western blot, WHO.See World Health Organization whooping cough.See infectious agent of pertussis women's health breast disease and cervical cancer and cervicitis/PID/STI and contraception and endometriosis and infertility and menopause and osteoporosis and

ovarian cancer and pregnancy and vaginitis and World Health Organization (WHO) on SLE

X xanthomas

Z zidovudine (AZT) Zollinger-Ellison syndrome Zyban.See bupropion

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