D

DDAVP. See desmopressin acetate decreased platelet survival. 515 decreased renal blood perfusion. 171 deep venous thrombosis (DVT). 344-345 deformities boutonnifire, 217 swan-neck. 217, 219/ degenerative joint disease. 497-503 delirium. 405,447.469-476

answers for comprehension questions. 475-476 approach to. 471 —475 clinical pearls for. 476 comprehension questions lor. 475 medical cases of. 472 delirium tremens (DTs). 473 dementia. 129. 447. See also Alzheimer dementia abbreviated workup for. 446/ approach to, 447-450 clinical approach to. 447-450 multi-inl'arct. 447 demyelination, 68 depression. 129.447. 523-529 answers for comprehension questions. 528-529 atypical. 525

clinical approach to, 525-527 clinical pearls for, 529 comprehension questions lor. 527-528 considerations for. 524-525 major. 525 symptoms of. 525/ dcrmopathy. 406

desmopressin acetate (DDAVP). 517 DEXA scan. See dual-energy x-ray absorptiometry diabetes, 155. 203 answers for comprehension questions. 392 clinical pearls, 392

comprehension questions for. 391-392 diagnosis. 385-392 medications available lor. 390/

mcllitus. 4. 91 criteria for diagnosis of, 388/ definitions of. 387-392 testing for. 388/ type. 386-392 type I, 387

type II. 200-201.387 diabetic ketoacidosis (DKA), 393-401 answers for comprehension questions, 401 approach to suspected, 394-399 bicarbonate. 398 clinical pearls for. 401 clinical presentation of. 395-399 complications. 399 electrolytes. 399 insulin and. 398 laboratory diagnosis for, 396 management of. 397 pathophysiology. 395 precipitating causes, 399 prevention. 399-400 diabetic nephropathy. 198 diagnosis. 11-13 diseases staging, 16 most likely. 15 diagnostic arthroccntesis. 208, 212 diagnostic thoracentesis, 413/ 414 dialysis. 175 diastolic dysfunction. 41 diastolic filling. 301 diastolic murmur. 76 DIC. See disseminated intravascular coagulopathy diffuse bilateral pulmonary infiltrate, 82 diffuse-ST segment elevation, 182 digoxin, 49, 52 dilantin hypersensitivity. 441 DIP. See distal intcrphalangea! dipyridamole. 433

disseminated intravascular coagulopathy (DIC). 5)8/ disease!s).

chronic obstructive pulmonary disease Buerger. 92 cardiovascular. 478 chronic. 41

chronic inflammatory. 246 coronary artery. 10 coronary heart. 424/ Crohn's. 163-165

degenerative joint. 497-503.498-503

diagnosis making. 16

DMARDs. 221

end-stage renal. 200

glomerular. 190-191

Graves, 403-409

inflammatory bowel. 164/

interstitial lung. 220

ischemic heart. 34

Paget. 465

polycystic kidney. 104 progressive. 41 renal, 104 renal vascular. 104

diseases) (Cum.): restrictive lung, 318/ rheumatic heart. 48, 5C>—51 staging. 16 disca.sc modifying antirheumatic drugs

(DMARDs). 221 disequilibrium. 533 disordcrts)

hcpalohiliary. 378-379 immunologic. 516 metabolic. 526 neuroendocrine. 128 nonimmunologic. 516 psychiatric. 535 distal intcrphalangcal (DIP). 217 distributive shock, 487 diurelics. 199

diverticulitis. 251-258. 254 answers for comprehension questions for.

257-258 approach to. 253-258 clinical approach to. 253-254 clinical pearls for. 258 comprehension questions. 257 therapy for. 255 diverticulosis. 253 diverticulum. 253 Dix-Ilallpikc maneuver. 532 Dix-Hallpike tesl. 534 dizziness. 531-539 answers for comprehension questions. 538-539 approach to. 532-537 clinical pearls for, 539 comprehension questions for. 537-538 nonspecific. 535 !)K A See diabetic ketoacidosis DMARDs. See disease modifying antirheumatic drugs doxycyclinc. 230 Dressier syndrome. 33 drug reactions. 437—143 DTs. Sec delirium tremens dual-energy x-ray absorptiometry (DEXA scan). 464

duodenal ulccrs. 57 DVT See deep venous thrombosis dysfunction(s) diastolic. 41 left ventricular. 34 myocardial, 148 papillary muscle. 33 sexual. 527 systolic. 41 dyspepsia. 56 functional. 56 new-onset. 57 dyspnea. 39, 47, 269 dysthymia. 525

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