Contemporary Internal Medicine

1. Front Matter

   Pages i-xv

   PDF

2. Chronic Liver Disease and Neurologic Abnormalities

   • Fred B. Thomas

   Pages 1-17

3. Dyspnea and Rapidly Enlarging Goiter

   • Ernest L. Mazzaferri

   Pages 18-32

4. Atheroembolic Disease Mimicking Systemic Vasculitis

   • Fernando G. Cosio

   Pages 33-44

5. Erythrocytosis

   • Stanley P. Balcerzak

   Pages 45-58

6. Obstructive Sleep Apnea

   • Eric R. Pacht

   Pages 59-69

7. Dyspnea and Cirrhosis

   • Mark D. Wewers

   Pages 70-81

8. Chest Pain in a Young Man

   • James M. Ryan

   Pages 82-94

9. A Reactive Arthropathy

   • N. Paul Hudson

   Pages 95-103

10. Community-Acquired Pneumonia

    • Joseph F. Plouffe

    Pages 104-115

11. Lens Subluxation and Tall Stature

    • Juan Bowen

    Pages 116-127

12. Breast Cancer in a Premenopausal Woman

    • Jane M. Leiby, Earl N. Metz

    Pages 128-139

13. Recurrent Fever, Chills, Pyuria, and Bacteriuria in an Adult Male Following Urinary Catheterization

    • Calvin M. Kunin

    Pages 140-147

14. Fever and Bloody Diarrhea

    • William E. Maher

    Pages 148-158

15. Chest Pain and Heart Murmur in a Young Woman

    • Mary E. Fontana

    Pages 159-175

16. Peptic Ulcer Disease

    • James H. Caldwell

    Pages 176-190

17. Microcytic Anemia

    • Pierre L. Triozzi

    Pages 191-201

18. Recurrent Abdominal Pain and Edema

    • Donald L. McNeil

    Pages 202-215

19. Hepatitis in a Chinese Student

    • Robert Kirkpatrick

    Pages 216-226

20. A Woman with Rheumatoid Arthritis

    • Seth M. Kantor

    Pages 227-239

Read with two objectives: first, to acquaint yourself with the current knowledge of a subject and the steps by which it has been reached; and secondly, and more important, read to understand and analyze your cases. William Osler, The Student Life What follows is a collection of cases-or more aptly, the stories of our patients and friends who have been seen at The Ohio State University Hospitals where our faculty have provided their care and about whom this volume is written. Today many fear that our patients are being moved from center stage while we are being distracted by the technology of medicine. This volume was written with patients in mind. The idea is that the most intriguing questions and the most rewarding answers begin and end at the bedside. This is a story of our patients, told by expert clinicians and spiced with commentary along the way. This volume in no way at­ tempts to be comprehensive. Instead, it is like the practice of medicine, scattered, somewhat disjointed, while at the same time intensely personal and focused upon whatever problem the patient brings to us. The discussions are not so much about disease entities as they are about patients with problem". The two are uniquely dif­ ferent. For instance, when the physician suspects hepatitis, not every imaginable cause can be actively investigated. Instead, tests and procedures are discriminate­ ly chosen, a part of medicine that is still more art than science.

• Internal medicine
• care
• hospital
• medicine

• The Ohio State University, Columbus, USA

  Juan Bowen, Ernest L. Mazzaferri

Policies and ethics