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TOC.fm Page vii Tuesday, August 11, 2009 11:39 AM CONTENTS A Guide for Readers xxxix Understanding Medical Terms SECTION 1 xli FUNDAMENTALS 1 1 2 3 4 5 6 7 8 SECTION 2 9 10 11 12 13 14 15 16 SECTION 3 17 18 19 20 21 22 23 24 25 The Human Body 2 Genetics 8 Making the Most of Health Care 17 Prevention 28 Exercise and Fitness 38 Rehabilitation 45 Death and Dying 57 Legal and Ethical Issues 67 DRUGS 75 Overview of Drugs 76 Administration and Kinetics of Drugs 80 Drug Dynamics 85 Factors Affecting Response to Drugs 88 Adverse Drug Reactions 93 Adherence to Drug Treatment 97 Trade-Name and Generic Drugs 99 Over-the-Counter Drugs 104 DIGESTIVE DISORDERS 109 Biology of the Digestive System 110 Symptoms and Diagnosis of Digestive Disorders 114 Esophageal Disorders 132 Peptic Disorders 137 Gastroenteritis 145 Hiatus Hernia, Bezoars, and Foreign Bodies 156 Pancreatitis 159 Malabsorption 163 Inflammatory Bowel Diseases 168 vii TOC.fm Page viii Tuesday, August 11, 2009 11:39 AM viii Contents 26 27 28 29 30 31 SECTION 4 32 33 34 35 36 37 38 39 SECTION 5 40 41 42 43 44 45 46 47 48 49 50 51 SECTION 6 52 53 54 55 56 Clostridium difficile–Induced Colitis 176 Diverticular Disease 177 Irritable Bowel Syndrome 181 Anal and Rectal Disorders 182 Tumors of the Digestive System 188 Gastrointestinal Emergencies 201 LIVER AND GALLBLADDER DISORDERS 209 Biology of the Liver and Gallbladder 210 Diagnostic Tests for Liver, Gallbladder, and Biliary Disorders 212 Manifestations of Liver Disease 214 Fatty Liver, Cirrhosis, and Related Disorders 221 Hepatitis 227 Blood Vessel Disorders of the Liver 232 Tumors of the Liver 238 Gallbladder and Bile Duct Disorders 242 KIDNEY AND URINARY TRACT DISORDERS 249 Biology of the Kidneys and Urinary Tract 250 Symptoms and Diagnosis of Kidney and Urinary Tract Disorders 253 Kidney Failure 260 Dialysis 265 Kidney Filtering Disorders 269 Blood Vessel Disorders of the Kidneys 278 Tubular and Cystic Kidney Disorders 283 Urinary Incontinence 290 Obstruction of the Urinary Tract 297 Urinary Tract Infections 302 Injury to the Urinary Tract 308 Cancers of the Kidney and Urinary Tract 311 HEART AND BLOOD VESSEL DISORDERS 315 Biology of the Heart and Blood Vessels 316 Symptoms and Diagnosis of Heart and Blood Vessel Disorders 320 High Blood Pressure 333 Low Blood Pressure 343 Shock 350 TOC.fm Page ix Tuesday, August 11, 2009 11:39 AM Contents 57 58 59 60 61 62 63 64 65 66 67 68 69 SECTION 7 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 SECTION 8 89 90 Heart Failure 352 Cardiomyopathy 361 Abnormal Heart Rhythms 366 Heart Valve Disorders 378 Infective Endocarditis 386 Pericardial Disease 390 Heart Tumors 393 Atherosclerosis 396 Coronary Artery Disease 401 Peripheral Arterial Disease 418 Aneurysms and Aortic Dissection 427 Venous Disorders 433 Lymphatic Disorders 440 LUNG AND AIRWAY DISORDERS 443 Biology of the Lungs and Airways 444 Symptoms and Diagnosis of Lung Disorders 448 Rehabilitation for Lung and Airway Disorders 459 Acute Bronchitis 461 Pneumonia 463 Abscess in the Lungs 472 Asthma 473 Chronic Obstructive Pulmonary Disease 480 Sleep Apnea 485 Pulmonary Embolism 488 Bronchiectasis 491 Atelectasis 495 Environmental Lung Diseases 496 Interstitial Lung Diseases 505 Allergic and Autoimmune Diseases of the Lungs 514 Pleural Disorders 518 Pulmonary Hypertension 522 Respiratory Failure and Acute Respiratory Distress Syndrome 524 Cancer of the Lungs 528 BONE, JOINT, AND MUSCLE DISORDERS 533 Biology of the Musculoskeletal System 534 Symptoms and Diagnosis of Musculoskeletal Disorders 538 ix TOC.fm Page x Tuesday, August 11, 2009 11:39 AM x Contents 91 92 93 94 95 96 97 98 99 100 101 102 103 SECTION 9 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 Osteoporosis 544 Paget’s Disease of Bone 547 Osteonecrosis 549 Bone and Joint Tumors 552 Bone and Joint Infections 556 Joint Disorders 559 Autoimmune Disorders of Connective Tissue 572 Vasculitic Disorders 582 Gout and Pseudogout 594 Hand Disorders 598 Foot Problems 605 Muscular Dystrophies and Related Disorders 612 Muscle, Bursa, and Tendon Disorders 615 BRAIN, SPINAL CORD, AND NERVE DISORDERS 621 Biology of the Nervous System 623 Diagnosis of Brain, Spinal Cord, and Nerve Disorders 629 Pain 637 Headaches 648 Dizziness and Vertigo 657 Sleep Disorders 666 Brain Dysfunction 677 Delirium and Dementia 682 Stupor and Coma 701 Seizure Disorders 709 Stroke 718 Head Injuries 733 Tumors of the Nervous System 741 Infections of the Brain and Spinal Cord 749 Prion Diseases 765 Movement Disorders 768 Multiple Sclerosis and Related Disorders 787 Spinal Cord Disorders 793 Low Back and Neck Pain 806 Peripheral Nerve Disorders 815 Autonomic Nervous System Disorders 831 Cranial Nerve Disorders 835 TOC.fm Page xi Tuesday, August 11, 2009 11:39 AM Contents SECTION 10 126 127 128 129 130 131 132 133 134 135 SECTION 11 136 137 138 139 140 141 142 143 144 SECTION 12 145 146 147 148 149 150 151 152 SECTION 13 153 154 MENTAL HEALTH DISORDERS 845 Overview of Mental Health Care 846 Somatoform Disorders 849 Anxiety Disorders 853 Mood Disorders 862 Suicidal Behavior 873 Eating Disorders 876 Personality Disorders 880 Dissociative Disorders 885 Schizophrenia and Delusional Disorder Sexuality 895 889 DISORDERS OF NUTRITION AND METABOLISM Overview of Nutrition 902 Undernutrition 913 Vitamins 917 Minerals and Electrolytes 932 Obesity and the Metabolic Syndrome Cholesterol Disorders 961 Water Balance 969 Acid-Base Balance 972 Porphyrias 975 HORMONAL DISORDERS 951 979 Biology of the Endocrine System 979 Pituitary Gland Disorders 983 Thyroid Gland Disorders 990 Adrenal Gland Disorders 999 Diabetes Mellitus 1005 Hypoglycemia 1014 Multiple Endocrine Neoplasia Syndromes Carcinoid Tumors 1018 BLOOD DISORDERS 1016 1021 Biology of Blood 1022 Symptoms and Diagnosis of Blood Disorders 1023 901 xi TOC.fm Page xii Tuesday, August 11, 2009 11:39 AM xii Contents 155 156 157 158 159 160 161 162 163 SECTION 14 164 165 166 SECTION 15 167 168 169 170 171 SECTION 16 172 173 174 175 176 177 178 179 180 181 182 183 184 Blood Transfusion 1026 Anemia 1031 Bleeding and Clotting Disorders 1040 White Blood Cell Disorders 1046 Plasma Cell Disorders 1051 Leukemias 1055 Lymphomas 1061 Myeloproliferative Disorders 1067 Spleen Disorders 1071 CANCER 1075 Overview of Cancer 1075 Symptoms and Diagnosis of Cancer 1079 Prevention and Treatment of Cancer 1086 IMMUNE DISORDERS 1095 Biology of the Immune System 1095 Immunodeficiency Disorders 1104 Allergic Reactions 1112 Autoimmune Disorders 1124 Transplantation 1128 INFECTIONS 1137 Biology of Infectious Disease 1138 Immunization 1144 Bacterial Infections 1151 Bacteremia, Sepsis, and Septic Shock 1185 Antibiotics 1188 Tuberculosis 1194 Leprosy 1200 Rickettsial and Related Infections 1202 Parasitic Infections 1206 Fungal Infections 1229 Viral Infections 1236 Human Immunodeficiency Virus Infection 1254 Sexually Transmitted Diseases 1264 TOC.fm Page xiii Tuesday, August 11, 2009 11:39 AM Contents SECTION 17 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 SECTION 18 202 203 204 205 206 207 208 209 210 SECTION 19 211 212 213 214 215 216 217 SKIN DISORDERS 1275 Biology of the Skin 1276 Diagnosis and Treatment of Skin Disorders Itching and Noninfectious Rashes 1283 Acne 1296 Pressure Sores 1299 Sweating Disorders 1302 Hair Disorders 1303 Pigment Disorders 1308 Blistering Diseases 1310 Parasitic Skin Infections 1312 Bacterial Skin Infections 1315 Fungal Skin Infections 1320 Viral Skin Infections 1324 Sunlight and Skin Damage 1325 Noncancerous Skin Growths 1329 Skin Cancers 1333 Nail Disorders 1337 MOUTH AND DENTAL DISORDERS 1278 1343 Biology of the Mouth 1343 Lip and Tongue Disorders 1346 Salivary Gland Disorders 1348 Mouth Sores 1349 Mouth Growths 1352 Tooth Disorders 1355 Periodontal Diseases 1363 Temporomandibular Disorders 1367 Urgent Dental Problems 1371 EAR, NOSE, AND THROAT DISORDERS 1375 Biology of the Ears, Nose, and Throat 1375 Hearing Loss and Deafness 1378 Outer Ear Disorders 1385 Middle and Inner Ear Disorders 1387 Nose, Sinus, and Taste Disorders 1393 Throat Disorders 1402 Nose and Throat Cancers 1406 xiii TOC.fm Page xiv Tuesday, August 11, 2009 11:39 AM xiv Contents SECTION 20 218 219 220 221 222 223 224 225 226 227 228 229 230 SECTION 21 231 232 233 234 SECTION 22 235 236 237 238 239 240 241 242 243 244 245 246 247 248 EYE DISORDERS 1411 Biology of the Eyes 1412 Symptoms and Diagnosis of Eye Disorders 1415 Refractive Disorders 1424 Injuries to the Eye 1429 Eyelid and Tearing Disorders 1434 Conjunctival and Scleral Disorders 1437 Corneal Disorders 1441 Cataract 1445 Uveitis 1447 Glaucoma 1448 Retinal Disorders 1452 Optic Nerve Disorders 1459 Eye Socket Disorders 1462 MEN’S HEALTH ISSUES 1465 Male Reproductive System 1465 Penile and Testicular Disorders 1468 Prostate Disorders 1474 Sexual Dysfunction in Men 1482 WOMEN’S HEALTH ISSUES 1489 Female Reproductive System 1491 Symptoms and Diagnosis of Gynecologic Disorders 1496 Sexual Dysfunction in Women 1505 Menopause 1514 Menstrual Disorders and Abnormal Vaginal Bleeding 1521 Endometriosis 1529 Fibroids 1533 Vaginal Infections 1536 Pelvic Inflammatory Disease 1541 Pelvic Floor Disorders 1543 Breast Disorders 1546 Noncancerous Gynecologic Abnormalities 1563 Cancers of the Female Reproductive System 1570 Violence Against Women 1581 TOC.fm Page xv Tuesday, August 11, 2009 11:39 AM Contents 249 250 251 252 253 254 255 256 257 258 259 SECTION 23 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 Infertility 1585 Family Planning 1593 Detection of Genetic Disorders 1607 Normal Pregnancy 1616 High-Risk Pregnancy 1626 Pregnancy Complicated by Disease 1628 Pregnancy and Drug Use 1636 Complications of Pregnancy 1643 Normal Labor and Delivery 1651 Complications of Labor and Delivery 1657 Postdelivery Period 1665 CHILDREN’S HEALTH ISSUES 1673 Newborns and Infants 1675 Problems in Newborns 1686 Birth Defects 1708 Chromosomal and Genetic Abnormalities 1726 Problems in Infants and Very Young Children 1731 Preschool and School-Aged Children 1740 Behavioral and Developmental Problems in Young Children 1745 Adolescents 1751 Problems in Adolescents 1754 Bacterial Infections 1760 Viral Infections 1768 Respiratory Disorders 1784 Cystic Fibrosis 1788 Digestive Disorders 1792 Neurologic Disorders 1802 Ear, Nose, and Throat Disorders 1808 Eye Disorders 1817 Bone Disorders 1820 Hereditary Connective Tissue Disorders 1825 Juvenile Idiopathic Arthritis 1829 Diabetes Mellitus 1830 Hereditary Metabolic Disorders 1834 Hereditary Periodic Fever Syndromes 1841 Childhood Cancers 1843 Learning and Developmental Disorders 1849 Cerebral Palsy 1856 xv TOC.fm Page xvi Tuesday, August 11, 2009 11:39 AM xvi Contents 286 287 288 289 SECTION 24 290 291 292 293 294 295 296 297 298 SECTION 25 299 300 301 302 303 304 305 306 307 308 309 310 311 SECTION 26 312 313 314 315 316 317 Mental Retardation/Intellectual Disability 1858 Mental Health Disorders 1862 Social Issues Affecting Children and Their Families 1873 Child Neglect and Abuse 1879 OLDER PEOPLE’S HEALTH ISSUES 1883 The Aging Body 1884 Aging and Drugs 1896 Provision of Care 1902 Health Care Coverage for Older People 1910 Long-Term Care 1917 Coping With Changes Related to Aging 1924 Driving 1927 Falls 1931 Elder Mistreatment 1934 INJURIES AND POISONING 1939 First Aid 1940 Burns 1948 Fractures 1952 Sports Injuries 1965 Heat Disorders 1977 Cold Injuries 1980 Radiation Injury 1984 Electrical and Lightning Injuries 1990 Drowning 1994 Diving and Compressed Air Injuries 1996 Altitude Illness 2003 Poisoning 2006 Bites and Stings 2015 SPECIAL SUBJECTS 2023 The Science of Medicine and Clinical Trials 2024 Medical Decision Making 2030 Common Imaging Tests 2034 Hospital Care 2046 Surgery 2052 Complementary and Alternative Medicine 2059 TOC.fm Page xvii Tuesday, August 11, 2009 11:39 AM Contents 318 319 320 321 322 Medicinal Herbs and Nutraceuticals 2067 Drug Use and Abuse 2078 Travel and Health 2100 Amyloidosis 2107 Disorders of Unknown Cause 2109 APPENDIXES I II III IV 2113 Weights and Measures 2113 Common Medical Tests 2116 Drug Names: Generic and Trade 2124 Resources for Help and Information 2151 INDEX 2165 xvii