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本書是為了幫助醫學生於見習、實習時，在臨床上經常所面臨複雜的或難判斷的疾病或個案而編寫的，內容是依專科主題共劃分成13個單元，聚焦於常見疾病及最適用治療方法，以及提供診斷準則與診療方針，並將龐雜的資訊彙整成條列式說明，再輔以簡潔易懂的圖、表、記憶法及「熱鍵」提示。此新版亦增入了手術全期醫學及醫療處置等章節，不僅可以提升醫學生臨床技能且在處置時更駕輕就熟。
目次
序言 xiii
致謝 xiv
譯者序 xv
協同作者 xvi
Section 1：一般診察原則(General Approach to Medical Problems)
1. 踏入鑑別診斷之殿(Approach to Differential Diagnosis) 3
2. 醫療處置的抉擇(Approach to Medical Decision-Making) 5
3. 臨終照護(Care at the End of Life) 9
4. 預防院內併發症(Preventing Hospital-Acquired Complications) 21
Section 2：心臟內科(Cardiology)
5. 看懂心電圖〔Electrocardiogram (ECG) Interpretation〕 33
6. 昏厥(Syncope) 41
7. 心律不整(Arrhythmias) 47
8. 心房顫動(Atrial Fibrillation) 61
9. 胸痛(Chest Pain) 69
10. 心絞痛(Angina) 75
11. 急性冠狀動脈症候群(Acute Coronary Syndrome) 83
12. 心衰竭(Heart Failure) 95
13. 休克(Shock) 103
Section 3：胸腔內科及重症照護(Pulmonary and Critical Care Medicine)
14. 忽然喘起來(Acute Dyspnea) 111
15. 咳血(Hemoptysis) 117
16. 看透胸部X光(Approach to the Chest Radiograph) 121
17. 低血氧(Hypoxemia) 125
18. 肺功能測試(Pulmonary Function Tests) 129
19. 阻塞性肺病(Obstructive Lung Disease) 133
20. 間質性肺病(Interstitual Lung Disease) 139
21. 肺炎(Pneumonia) 145
22. 肺高壓(Pulmonary Hypertension) 149
23. 肺栓塞(Pulmonary Embolism) 155
24. 肋膜積液(Pleural Effusion) 161
25. 呼吸衰竭(Respiratory Failure) 165
26. 呼吸器(Mechanical Ventilation) 169
Section 4：腸胃科(Gastroenterology)
27. 腹痛(Abdominal Pain) 177
28. 肝功能檢查(Liver Tests) 183
29. 急性腹瀉(Acute Diarrhea) 187
30. 急性腸胃道出血(Acute Gastrointestinal Bleeding) 191
31. 脾臟腫大(Splenomegaly) 197
32. 腹水(Ascites) 201
33. 急性胰臟炎(Acute Pancreatitis) 205
34. 酒精性肝臟疾病(Alcoholic Liver Disease) 209
35. 肝衰竭(Liver Failure) 213
Section 5：腎臟內科及酸鹼平衡(Nephrology and Acid-base)
36. 腎臟學總論(Overview of Nephrology) 223
37. 急性腎損傷(Acute Kidney Injury) 225
38. 腎病症候群(Nephrotic Syndrome) 233
39. 腎炎症候群(Nephritic Syndrome) 237
40. 腎小管異常(Renal Tubular Defects) 241
41. 泌尿道感染(Urinary Tract Infections) 243
42. 酸鹼失衡的診察(Approach to Acid-Base Disorders) 249
43. 低血鈉(Hyponatremia) 255
44. 高血鈉(Hypernatremia) 259
45. 低血鉀(Hypokalemia) 261
46. 高血鉀(Hyperkalemia) 265
47. 高血壓(Hypertension) 269
Section 6：感染科(Infectious Diseases)
48. 發燒(Approach to Fever) 275
49. 微生物學簡介(Approach to Microbiology) 281
50. 發燒與皮疹(Fever and Rash) 285
51. 不明熱(Fever of Unknown Origin) 289
52. 皮膚及軟組織感染(Skin and Soft Tissue Infections) 293
53. 急性風溼熱(Acute Rheumatic Fever) 297
54. 感染性心內膜炎(Infective Endocarditis) 299
55. HIV感染的併發症(Complications of HIV Infection) 305
56. HIV感染者之肺部疾病(Pulmonary Disease in HIV-Infected Patients) 307
57. HIV疾病的腸胃症狀(Gastrointestinal Manifestations of HIV Disease) 311
58. HIV疾病的神經症狀(Neurologic Manifestations of HIV Disease) 315
Section 7：血液腫瘤科(Hematology and Oncology)
59. 全血球低下(Pancytopenia) 323
60. 血小板低下(Thrombocytopenia) 329
61. 血小板過多(Thrombocytosis) 335
62. 貧血(Anemia) 339
63. 紅血球增多症(Polycythemia) 345
64. 白血球增多症(Leukocytosis) 349
65. 嗜酸性球增多(Eosinophilia) 353
66. 出血疾病(Bleeding Disorders) 357
67. 過度凝血狀態(Hypercoagulable States) 367
68. 淋巴結病變(Lymphadenopathy) 373
69. 淋巴癌(Lymphoma) 377
70. 骨髓增生腫瘤與骨髓增生不良症候群 385
(Myeloproliferative Neoplasms and Myelodysplastic Syndromes)
71. 急性白血病(Acute Leukemia) 395
72. 漿細胞病變(Plasma Cell Dyscrasias) 401
73. 轉移性腫瘤(Metastatic Neoplasms) 407
Section 8：風濕免疫科(Rheumatology)
74. 關節炎(Arthritis) 413
75. 全身性自體免疫疾病(Systemic Autoimmune Diseases) 425
Section 9：內分泌科(Endocrinology)
76. 高血鈣(Hypercalcemia) 445
77. 低血鈣(Hypocalcemia) 447
78. 糖尿病酮酸中毒(Diabetic Ketoacidosis) 449
79. 甲狀腺疾病(Thyroid Disease) 453
80. 腎上腺機能低下(Adrenal Insufficiency) 457
Section 10：神經科(Neurology)
81. 意識改變(Altered Mental Status) 463
82. 周邊神經病變(Peripheral Neuropathy) 467
83. 眩暈(Vertigo) 473
84. 打嗝(Hiccoughs) 477
85. 癲癇(Seizure Disorders) 479
86. 中風(Stroke) 485
87. 腦膜炎(Meningitis) 491
88. 脊髓壓迫(Spinal Cord Compression) 497
Section 11：皮膚科(Dermatology)
89. 全身性出疹(Exanthems) 503
90. 搔癢(Pruritus) 507
91. 杵狀指(Clubbing) 511
Section 12：毒物科(Toxicology)
92. 酒精中毒與戒斷症狀(Alcohol Intoxication and Withdrawal) 517
93. 中毒急症(Toxicologic Emergencies) 523
Section 13：手術全期醫學(Perioperative Medicine)
94. 非心臟外科手術的心血管風險術前評估
(Preoperative Cardiovascular Risk Assessment for Noncardiac Surgery) 531
95. 非心臟外科手術在手術前後之心血管風險控制
(Perioperative Cardiovascular Risk Reduction in Noncardiac Surgery) 535
96. 手術前後肺部併發症風險之評估與控制策略
(Perioperative Pulmonary Risk Assessment and Reduction Strategies) 537
97. 手術前後的藥物治療(Perioperative Medication Management) 539
附錄：醫療處置(Appendix: Procedures) 543
索引 559
致謝 xiv
譯者序 xv
協同作者 xvi
Section 1：一般診察原則(General Approach to Medical Problems)
1. 踏入鑑別診斷之殿(Approach to Differential Diagnosis) 3
2. 醫療處置的抉擇(Approach to Medical Decision-Making) 5
3. 臨終照護(Care at the End of Life) 9
4. 預防院內併發症(Preventing Hospital-Acquired Complications) 21
Section 2：心臟內科(Cardiology)
5. 看懂心電圖〔Electrocardiogram (ECG) Interpretation〕 33
6. 昏厥(Syncope) 41
7. 心律不整(Arrhythmias) 47
8. 心房顫動(Atrial Fibrillation) 61
9. 胸痛(Chest Pain) 69
10. 心絞痛(Angina) 75
11. 急性冠狀動脈症候群(Acute Coronary Syndrome) 83
12. 心衰竭(Heart Failure) 95
13. 休克(Shock) 103
Section 3：胸腔內科及重症照護(Pulmonary and Critical Care Medicine)
14. 忽然喘起來(Acute Dyspnea) 111
15. 咳血(Hemoptysis) 117
16. 看透胸部X光(Approach to the Chest Radiograph) 121
17. 低血氧(Hypoxemia) 125
18. 肺功能測試(Pulmonary Function Tests) 129
19. 阻塞性肺病(Obstructive Lung Disease) 133
20. 間質性肺病(Interstitual Lung Disease) 139
21. 肺炎(Pneumonia) 145
22. 肺高壓(Pulmonary Hypertension) 149
23. 肺栓塞(Pulmonary Embolism) 155
24. 肋膜積液(Pleural Effusion) 161
25. 呼吸衰竭(Respiratory Failure) 165
26. 呼吸器(Mechanical Ventilation) 169
Section 4：腸胃科(Gastroenterology)
27. 腹痛(Abdominal Pain) 177
28. 肝功能檢查(Liver Tests) 183
29. 急性腹瀉(Acute Diarrhea) 187
30. 急性腸胃道出血(Acute Gastrointestinal Bleeding) 191
31. 脾臟腫大(Splenomegaly) 197
32. 腹水(Ascites) 201
33. 急性胰臟炎(Acute Pancreatitis) 205
34. 酒精性肝臟疾病(Alcoholic Liver Disease) 209
35. 肝衰竭(Liver Failure) 213
Section 5：腎臟內科及酸鹼平衡(Nephrology and Acid-base)
36. 腎臟學總論(Overview of Nephrology) 223
37. 急性腎損傷(Acute Kidney Injury) 225
38. 腎病症候群(Nephrotic Syndrome) 233
39. 腎炎症候群(Nephritic Syndrome) 237
40. 腎小管異常(Renal Tubular Defects) 241
41. 泌尿道感染(Urinary Tract Infections) 243
42. 酸鹼失衡的診察(Approach to Acid-Base Disorders) 249
43. 低血鈉(Hyponatremia) 255
44. 高血鈉(Hypernatremia) 259
45. 低血鉀(Hypokalemia) 261
46. 高血鉀(Hyperkalemia) 265
47. 高血壓(Hypertension) 269
Section 6：感染科(Infectious Diseases)
48. 發燒(Approach to Fever) 275
49. 微生物學簡介(Approach to Microbiology) 281
50. 發燒與皮疹(Fever and Rash) 285
51. 不明熱(Fever of Unknown Origin) 289
52. 皮膚及軟組織感染(Skin and Soft Tissue Infections) 293
53. 急性風溼熱(Acute Rheumatic Fever) 297
54. 感染性心內膜炎(Infective Endocarditis) 299
55. HIV感染的併發症(Complications of HIV Infection) 305
56. HIV感染者之肺部疾病(Pulmonary Disease in HIV-Infected Patients) 307
57. HIV疾病的腸胃症狀(Gastrointestinal Manifestations of HIV Disease) 311
58. HIV疾病的神經症狀(Neurologic Manifestations of HIV Disease) 315
Section 7：血液腫瘤科(Hematology and Oncology)
59. 全血球低下(Pancytopenia) 323
60. 血小板低下(Thrombocytopenia) 329
61. 血小板過多(Thrombocytosis) 335
62. 貧血(Anemia) 339
63. 紅血球增多症(Polycythemia) 345
64. 白血球增多症(Leukocytosis) 349
65. 嗜酸性球增多(Eosinophilia) 353
66. 出血疾病(Bleeding Disorders) 357
67. 過度凝血狀態(Hypercoagulable States) 367
68. 淋巴結病變(Lymphadenopathy) 373
69. 淋巴癌(Lymphoma) 377
70. 骨髓增生腫瘤與骨髓增生不良症候群 385
(Myeloproliferative Neoplasms and Myelodysplastic Syndromes)
71. 急性白血病(Acute Leukemia) 395
72. 漿細胞病變(Plasma Cell Dyscrasias) 401
73. 轉移性腫瘤(Metastatic Neoplasms) 407
Section 8：風濕免疫科(Rheumatology)
74. 關節炎(Arthritis) 413
75. 全身性自體免疫疾病(Systemic Autoimmune Diseases) 425
Section 9：內分泌科(Endocrinology)
76. 高血鈣(Hypercalcemia) 445
77. 低血鈣(Hypocalcemia) 447
78. 糖尿病酮酸中毒(Diabetic Ketoacidosis) 449
79. 甲狀腺疾病(Thyroid Disease) 453
80. 腎上腺機能低下(Adrenal Insufficiency) 457
Section 10：神經科(Neurology)
81. 意識改變(Altered Mental Status) 463
82. 周邊神經病變(Peripheral Neuropathy) 467
83. 眩暈(Vertigo) 473
84. 打嗝(Hiccoughs) 477
85. 癲癇(Seizure Disorders) 479
86. 中風(Stroke) 485
87. 腦膜炎(Meningitis) 491
88. 脊髓壓迫(Spinal Cord Compression) 497
Section 11：皮膚科(Dermatology)
89. 全身性出疹(Exanthems) 503
90. 搔癢(Pruritus) 507
91. 杵狀指(Clubbing) 511
Section 12：毒物科(Toxicology)
92. 酒精中毒與戒斷症狀(Alcohol Intoxication and Withdrawal) 517
93. 中毒急症(Toxicologic Emergencies) 523
Section 13：手術全期醫學(Perioperative Medicine)
94. 非心臟外科手術的心血管風險術前評估
(Preoperative Cardiovascular Risk Assessment for Noncardiac Surgery) 531
95. 非心臟外科手術在手術前後之心血管風險控制
(Perioperative Cardiovascular Risk Reduction in Noncardiac Surgery) 535
96. 手術前後肺部併發症風險之評估與控制策略
(Perioperative Pulmonary Risk Assessment and Reduction Strategies) 537
97. 手術前後的藥物治療(Perioperative Medication Management) 539
附錄：醫療處置(Appendix: Procedures) 543
索引 559
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