The Washington Manual Internship Survival Guide (39 page)

Mallory-Weiss tear,
74

Mannitol,
15

Marcus Gunn pupil,
166

Mean arterial pressure (MAP),
15

Mechanical ventilation,
206
t

respiratory alkalosis and,
93
t

Medication errors,
25

Medications.
See also
Antibiotics; Drugs; Narcotics; Nonsteroidal antiinflammatory drugs

adjustments in,
47

admissions and,
34

daily review of,
41

discharges and,
44

end-of-life and,
24
t

for hepatic failure,
41

for pericarditis,
112

Melena,
55

Ménière’s disease,
184

Meningitis,
56
,
150
–
152
,
168

bacterial

antibiotics for,
57

fever and,
68

headaches and,
60

treatment for,
153
t

Menstruation,
55
,
152

Meperidine,
80

for pain,
77

Meropenem,
176

Mesenteric ischemia,
55

Metabolic acidosis,
93
t
,
94

causes of,
94
t

Metabolic alkalosis,
95
–
96

causes of,
95
t

Methanol, osmolal gap and,
15

Methicillin-resistant
S. aureus
(MRSA),
70
,
123
,
144

Methotrexate,
158

Methyl-prednisolone (Solu-Medrol),
74
,
183

Metoprolol,
52
,
67
,
101

Metronidazole,
155
,
157

Midazolam,
209
t

Midline catheter,
217
t
–
218
t

Migraine,
62
,
166

vertigo and,
184

Milrinone,
213
t

MiraLax,
91

Morphine,
52
,
209
t

dosage of,
79
t
,
81
t

for SOB,
74

Morphine sulfate,
38
t

Moxifloxacin,
164
,
165

Mucomyst.
See
N-acetylcysteine

Multifocal atrial tachycardia (MAT),
98
,
101

Multi-organ system failure,
35

Multiple myeloma,
90
,
176

Multiple sclerosis,
168

Mycophenolate mofetil,
144

Myocardial infarction (MI),
51
,
64
,
108
–
113

arrhythmias and,
66

ECG of,
109
f

Q-waves,
111

R-waves,
111

Myocardial ischemia,
108
–
113

N-acetylcysteine (Mucomyst),
121

Naloxone,
56
,
74
,
96

Naltrexone,
192

Narcotics

difficult patients and,
22
t

for pericarditis,
112

Narrow-complex tachycardias,
98
–
103
,
99
f

Nasal trumpet,
178

Nasogastric tube,
116
,
194

for GI bleeding,
76

Nasopharyngeal airway,
178

Nausea,
120
,
142
,
147
,
167

with small bowel obstruction,
194

with vertigo,
184

Necrotizing fascitiis,
143

Negative predictive value (NPV),
16
,
17
t

Neisseria
spp,
173

Neoplasms,
69
,
74

Nephrotic syndrome,
59

Neuroleptic malignant syndrome (NMS),
57

Neurology,
146
–
152

Neuromuscular blocking agents,
210
t

Neutropenia, fever and,
68

Nitrates,
52

Nitroglycerine (NTG),
213
t

for angina,
52

drips of,
213
t

for SOB,
74

Nitroprusside,
213
t

Nonsteroidal antiinflammatory drugs (NSAIDs),
58
,
90
,
133
,
141
,
145

for pericarditis,
112

Norepinephrine,
213
t

Number needed to harm (NNH),
16

Number needed to treat (NNT),
16

Nutrition, end-of-life and,
24
t

Nystagmus,
184

Obstetrics and gynecology,
152
–
161

Occupational exposures,
220
–
221

Occupational therapy (OT)

daily review of,
41

from home,
44

Octreotide, for GI bleeding,
76

Off-service notes,
49

Oliguria,
58

Olopatadine (Patanol),
170

Ondansetron (Zofran),
192

Ophthalmology,
162
–
170

trauma in,
162

Ophthalmoscope,
9

Opioids,
80

dosage of,
81
t

withdrawal from,
191

Optic disc edema,
65

Orthopedic surgery,
170
–
177

radiographs for,
170

Osmolal gap

causes of,
15

formula for,
15

Osmolality, formula for,
15

Otolaryngology,
177
–
184

OT.
See
Occupational therapy

Outpatient,
vs.
admission,
31

Ovarian torsion,
160

Oxacillin-resistant
S. aureus
(ORSA),
72

Oxycodone,
79
t
,
81
t

Oxygen,
47
,
178

Oxygen saturation,
47
,
205

discharges and,
44

hypotension and,
62

Oxymetazoline hydrochloride (Afrin),
182

Pagers,
177

Pain.
See also
Abdominal pain; Chest pain

control of,
77
–
82

new onset of,
47

respiratory alkalosis and,
96
t

Palpable purpura,
144

Papilledema,
167
–
168

Papillitis,
168

Paraldehyde,
94

Pelvic mass,
160
–
161

causes of,
161
t

Pemphigus vulgaris (PV),
144

Penicillin,
70
,
95
t
,
141
,
145

Penicillin-resistant pneumococcus,
70

Pentamidine,
90

Peptic ulcer disease (PUD),
36
,
51
,
74

Pericarditis,
51
,
59
,
112
,
112
f