Voices and Time
(1) Department of Medicine, Primary, Vanderbilt University, Nashville, TN, USA 6.1 Taking Time, Listening to the Voices My critique of the casuist proposal serves to highlight several points of…
Introduction
(1) Department of Medicine, Primary, Vanderbilt University, Nashville, TN, USA I should note at the outset that an early version of this book was published several years ago in…
Themes and Schemes: A Prelude
(1) Department of Medicine, Primary, Vanderbilt University, Nashville, TN, USA I should confess at the outset that each time I have set out to write something introductory about the…
Openings into Clinical Ethics
(1) Department of Medicine, Primary, Vanderbilt University, Nashville, TN, USA 5.1 What Are We to Make of the Backlash Against Ethics? I want to pick up where I left…
Systemic Infectious Disorders—6%
CENTRAL NERVOUS SYSTEM INFECTIONS Bacterial Meningitis BASICS An acute inflammation and infection of the meninges which surround the brain and spinal cord ETIOLOGY Children: group B streptococci and E. coli,…
Pulmonary Disorders—9%
BRONCHITIS, PNEUMONIA, LUNG ABSCESS, AND EMPYEMA Bronchitis BASICS Infection of the conducting airways of the lung (bronchial inflammation) ETIOLOGY Generally viral (influenza, parainfluenza, respiratory syncytial virus [RSV]) SIGNS AND SYMPTOMS…
Traumatic Disorders—12%
FACIAL TRAUMA Mandibular Fracture BASICS Most commonly caused by assault or motor vehicle crash SIGNS AND SYMPTOMS Malocclusion Floor of mouth ecchymosis Lower lip/chin paresthesias DIAGNOSTICS X-ray two views or…
Nervous System Disorders—5%
BELL’S PALSY BASICS Unilateral (sometimes bilateral) motor dysfunction of cranial nerve (CN) VII ETIOLOGY Associated with pregnancy, diabetes mellitus, trauma, infection, neoplasm, Lyme disease, herpes simplex virus SIGNS AND SYMPTOMS…
Psychobehavioral Disorders—3%
ABUSE Elder Abuse and Neglect BASICS Neglect or failure of the individual responsible to provide needs and protection to a vulnerable person Considered elder abuse in patients >60 years old…
Musculoskeletal Disorders—5%
BACK PAIN Cauda Equina BASICS Compression of lumbar and sacral nerve ETIOLOGY Most commonly from tumor or disc herniation SIGNS AND SYMPTOMS Back pain Bowel or bladder dysfunction (urinary retention,…
