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contributors
acknowledgments
i. introduction
  1. welcome (brian c george, md, alden h. harken, md, and
    debra a. darosa, phd)
  2. how to read this book (brian c. george, md,
    alden h. harken, md, and debra a. darosa, phd)
  3. general advice (brian c. george, md and aiden h. harken, md)
  4. a 28-year-old female incoming surgery resident
    (amanda v. hayman, md, mpt-i)
  5. how to write a note--fast! (teresa s. kim, md)
ii. handling patients in the [d
  6. admissions (anthony visioni, md and
    roy phitayakom, md, mhpe (ivied))
  7. a 56-year-old female status post motor vehicle accident
    (ashley hardy, md and marie crandall, md, mpi-i)
  8. a 40-year-old female with abdominal pain
    (aisha shaheen, md, mha and marie crandall, md, mpi-i)
  9. a 42-year-old man with severe right upper quadrant pain
    (brian c. george, md)
  10. a 23-year-old student with periumbilical pain that has migrated
    to her rlq (brian c. george, md and aiden h. harken, md)
  11. a 65-year-old female in severe abdominal pain
    (aisha shaheen, md, mha and marie crandall, md, mph)
  12. a patient in the er with a blood pressure of 60/- and a
    heart rate of 140 (alden h. harken, md and brian c. george, md)
  13. a 67-year-old man with mental status changes and a suspected
    diverticular abscess (alexander t. hawkins, md, mph)
  14. a 57-year-old man with a chief complaint of nausea and vomiting
    (alexander t. hawkins, md, mph)
  15. a 65-year-old man status post surgery with a hct of 24%
    (alden h. harken, md and brian c. george, md)
  16. a 70-year-old man with "bad blood" (emily miraflor, md,
    louise y. yeung, md, brian c. george, md, and alden h. harken, md)
  17. a 37-year-old man with a painful bulge over his left forearm
    (eric n. feins, md)
  18. three patients all present with issues related to
    laboratory tests (abigail k. tarbox, md and mamta swaroop, md, facs)
  19. a 73-year-old man with acute right lower extremity pain
    (joel t. adler, md and virendra l patel, md, mph)
  20. a 36-year-old woman status post motor vehicle accident while
    intoxicated (shamim h. nejad, md and nadia ouijije, md)
  21. a 50-year-old man presenting with extensive bums
    (jeremy goverman, md, facs and shawn p. fagan, md, facs)
  22. a 56-year-old man 6 days status post colectomy with new pelvic
    discomfort (michael f. mcgee, md and brian c. george, md)
iii. handling inpatients
  23. a 75-year-old man with postoperative pain (ezra n. teitelbaum, md)
  24. a 72-year-old man with acute confusion postoperatively
    (shamim h. nejad, md and justin b. smith, md)
  25. you (the intern) are asked to read a chest x-ray
    (alexander t. hawkins, md, mph and amy robin deipolyi, md, phd)
  26. a 6s-year-old woman in respiratory distress
    (alden h. harken, md and brian c george, md)
  27. a patient who is postoperative day 2 with new-onset chest pain
    (alden h. harken, md and brian c george, md)
  28. a 6s-year-old woman with a new-onset cardiac arrhythmia
    (alden h. harken, md)
  29. a 60-year-old man in the pacu with new-onset pvcs
    (alden h. harken, md)
  30. a 65-year-old man with bradycardia (alden h. harken, md and
    brian c george, md)
  31. a 6s-year-old man with a pacemaker who needs surgery
    (alden h. harken, md and brian c george, md)
  32. a patient with pulseless electrical activity
    (alden h. harken, md and brian c george, md)
  33. a 55-year-old man who may require perioperative 13-blockade
    (alden h. harken, md and brian c george, md)
  34. a 65-year-old man who is in respiratory
    distress 3 days postoperatively (jahan mohebali, md)
  35. a 68-year-old man with postoperative hypotension
    (allan b. peetz, md and marie crandall, md, mpi-i)
  36. a 57-year-old man who is postoperative with a
    blood pressure of 210/95 (eric n. feins, md)
  37. a 65-year-old female who is 4 days postoperative with
    nausea, vomiting, and a distended abdomen
    (ashley hardy, md and marie crandall, md, mph)
  38. a 30-year-old woman with postoperative nausea and vomiting
    (abigail k. tarbox, md and mamta swaroop, md, facs)
  39. a 79-year-old man, postoperative day 3,
    who has not had a bowel movement in 4 days
    (anne-marie boiler, md and joel m. stembach, md, mba)
  40. a 70-year-old postoperative colectomy patient who is not putting
    out much urine (brian c. george, md and aiden h. harken, md)
  41. a 55-year-old male with postoperative urinary retention
    (selma marie siddiqui, md and marie crandall, md, mpt-i)
  42. a 52-year-old female who is dehydrated postoperative day #1
    (aisha shaheen, md, mha and marie crandall, md, mph)
  43. a 68-year-old woman with electrolyte abnormalities
    (molly a. wasserman, md and mamta swaroop, md, facs)
  44. a 58-year-old man with a postoperative fever (jahan mohebali, md)
  45. a 42-year-old woman 4 hours postoperative with a fever and
    extreme pain (michael w. wandling, md and
    mamta swaroop, md, facs)
  46. a 35-year-old man with crohn disease
    who needs postoperative orders (roy phitayakom, md, mhpe (med))
  47. a 65-year-old man with diabetes needing
    postoperative orders (roy phitayakorn, md, mhpe (ivied))
  48. a 65-year-old female presenting for preoperative evaluation
    uahan mohebali, md)
  49. a 33-year-old woman who needs postoperative orders for dvt
    prophylaxis (brian c. george, md and aiden h. harken, md)
  50. a 78-year-old woman and a 62-year-old man with drains
    (michael f. mcgee, md and brian c. george, md)
  51. a 58-year-old woman who had a drain pulled by the resident in error
    (peter angelos, md, phd, facs and debra a. darosa, phd)
  52. a resident who is unsure about how to remove a chest tube
    (peter angelos, md, phd, facs and debra a. darosa, phd)
  53. a surgical intern in a moral dilemma
    (peter angelos, md, phd, facs and debra a. darosa, phd)
  54. a 35-year-old man who is disruptive on the floor
    (xavier jimenez, md and shamim h. nejad, md)
iv. handling patients in clinic
  55. ambulatory care and the surgery intern (john maa, md, facs)
  56. a 55-year-old man who was struck by a beer truck and needs a
    ct scan (haytham m.a. kaafarani, md, mph, brian c george, md,
    and hasan b. alam, md)
  57. a 60-year-old man with postoperative wound complications
    (michael w. wandling, md and mamta swaroop, md, facs)
  58. a 35-year-old woman who needs a lipoma removed in clinic
    (roy phitayakorn, md, mhpe (med))
  59. a 52-year-old woman with a suspected congenital coagulopathy
    (jahan mohebali, md)
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