Sections
Index
Symptoms
Cardiovascular Disorders
Clinical Pharmacology
Critical Care Medicine
Dental Disorders
Dermatologic Disorders
Ear, Nose, and Throat Disorders
Endocrine and Metabolic Disorders
Eye Disorders
Gastrointestinal Disorders
Genitourinary Disorders
Geriatrics
Gynecology and Obstetrics
Hematology and Oncology
Hepatic and Biliary Disorders
Immunology; Allergic Disorders
Infectious Diseases
Injuries; Poisoning
Musculoskeletal and Connective Tissue Disorders
Neurologic Disorders
Nutritional Disorders
Pediatrics
Psychiatric Disorders
Pulmonary Disorders
Special Subjects
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
Abdominal Pain, Acute
Abdominal pain, Chronic
Alopecia
Amenorrhea
Amnesia
Anosmia
Bleeding, Excessive
Breast Lumps
Chest Pain
Constipation in Adults
Constipation in Children
Cough in Adults
Cough in Children
Crying
Diarrhea in Adults
Diarrhea in Children
Diplopia
Dizziness
Dry Mouth
Dysmenorrhea
Dyspepsia
Dysphagia
Dyspnea
Dysuria
Earache
Ear Discharge
Edema
Edema During Late Pregnancy
Epistaxis
Erectile dysfunction
Eyelid Swelling
Eye Pain
Fever
Fever, Acute, in Adults
Fever, Chronic (FUO)
Fever in Infants and Children
Floaters
Gas
Gastrointestinal Bleeding
Halitosis
Headache
Hearing Loss
Hearing Loss: Sudden Deafness
Hematospermia
Hematuria
Hemoptysis
Hiccups
Hirsutism
Insomnia and Excessive Daytime Sleepiness
Itching
Itching, Anal
Jaundice in Adults
Jaundice in Neonates
Joint Pain, Monarticular
Joint Pain, Polyarticular
Knee pain
Lump in Throat
Nasal Congestion and Rhinorrhea
Nausea and Vomiting During Early pPregnancy
Nausea and Vomiting in Adults
Nausea and Vomiting in Infants and Children
Neck and Back Pain
Neck Mass
Nipple Discharge
Orthostatis Hypotension
Pain
Pain, Chronic
Palpitations
Pelvic Pain
Pelvic Pain During Early Pregnancy
Polyuria
Priapism
Red Eye
Scrotal Pain
Sore Throat
Stomatitis
Stridor
Syncope
Tearing
Tinnitus
Toothache
Tremor
Urinary Frequency
Urinary Incontinence in Adults
Urinary Incontinence in Children
Urinary Retention
Urticaria
Vaginal Bleeding
Vaginal Bleeding During Early Pregnancy
Vaginal Bleeding During Late Pregnancy
Vaginal Itching and Discharge
Vision, Blurred
Vision Loss, Acute
Weakness, Generalized
Wheezing
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Sections
in
Health Care Professionals
Cardiovascular Disorders
Clinical Pharmacology
Critical Care Medicine
Dental Disorders
Dermatologic Disorders
Ear, Nose, and Throat Disorders
Endocrine and Metabolic Disorders
Eye Disorders
Gastrointestinal Disorders
Genitourinary Disorders
Geriatrics
Gynecology and Obstetrics
Hematology and Oncology
Hepatic and Biliary Disorders
Immunology; Allergic Disorders
Infectious Diseases
Injuries; Poisoning
Musculoskeletal and Connective Tissue Disorders
Neurologic Disorders
Nutritional Disorders
Pediatrics
Psychiatric Disorders
Pulmonary Disorders
Special Subjects
Merck Manual
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Health Care Professionals
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Critical Care Medicine
Critical Care Medicine
Approach to the Critically Ill Patient
Introduction
Monitoring and Testing the Critical Care Patient
Blood Tests
Cardiac Monitoring
Pulmonary Artery Catheter Monitoring
Procedure
Pulmonary artery occlusion pressure (PAOP)
Mixed venous oxygenation
Cardiac output
Complications and precautions
Noninvasive Cardiac Output
Thoracic bioimpedance
Esophageal Doppler monitor (EDM)
Intracranial Pressure Monitoring
Other Types of Monitoring
Critical Care Scoring Systems
Vascular Access
Peripheral Vein Catheterization
Central Venous Catheterization
Procedure
Complications
Arterial Catheterization
Procedure
Complications
Intraosseous Infusion
Procedure
Complications
Oxygen Desaturation
Etiology
Evaluation
History
Physical examination
Testing
Treatment
O
2
therapy
Key Points
Oliguria
Etiology
Evaluation
History
Physical examination
Testing
Treatment
Key Points
Agitation, Confusion, and Neuromuscular Blockade
Etiology
Evaluation
History
Physical examination
Testing
Treatment
Analgesia
Sedation
Neuromuscular blockade
Key Points
Cardiac Arrest
Cardiac Arrest
Etiology
Pathophysiology
Symptoms and Signs
Diagnosis
Prognosis
Treatment
Cardiopulmonary Resuscitation (CPR) in Adults
Overview
Airway and Breathing
Circulation
Chest compression
Complications of chest compression
Defibrillation
Monitor and IV
Special Circumstances
Drugs for ACLS
First-line drugs
Other drugs
Dysrhythmia Treatment
Termination of Resuscitation
Postresuscitative Care
Neurologic support
BP support
Dysrhythmia treatment
Cardiopulmonary Resuscitation in Infants and Children
Major Differences Between Pediatric and Adult CPR
Prearrest
Equipment and environment
Airway
Rhythm disturbances
Respiratory Failure and Mechanical Ventilation
Overview of Respiratory Failure
Overview of Mechanical Ventilation
Indications
Respiratory Mechanics
Means and Modes of Mechanical Ventilation
Volume-cycled ventilation
Pressure-cycled ventilation
Noninvasive positive pressure ventilation (NIPPV)
Ventilator settings
Patient positioning
Sedation and comfort
Complications and safeguards
Acute Hypoxemic Respiratory Failure (AHRF, ARDS)
Etiology
Pathophysiology
ALI/ARDS
Refractory hypoxemia
Symptoms and Signs
Diagnosis
Prognosis
Treatment
Mechanical ventilation in cardiogenic pulmonary edema
Mechanical ventilation in ALI/ARDS
Ventilatory Failure
Pathophysiology
Symptoms and Signs
Diagnosis
Treatment
Status asthmaticus (SA)
ACRF
Other Types of Respiratory Failure
Liberation from Mechanical Ventilation
Respiratory Arrest
Overview of Respiratory Arrest
Etiology
Airway obstruction
Decreased respiratory effort
Respiratory muscle weakness
Symptoms and Signs
Impending respiratory arrest
Diagnosis
Treatment
Airway Establishment and Control
Clearing and Opening the Upper Airway
Heimlich maneuver (subdiaphragmatic abdominal thrusts)
Airway and Respiratory Devices
Bag-valve-mask (BVM) devices
Laryngeal mask airways (LMAs)
Endotracheal tubes
Other devices
Tracheal Intubation
Before intubation
Tube selection and preparation
Insertion technique
Alternative intubation devices
Postinsertion
Nasotracheal intubation
Surgical Airway
Cricothyrotomy
Tracheostomy
Complications of Tracheal Intubation
Drugs to Aid Intubation
Pretreatment
Sedation and analgesia
Paralysis
Topical anesthesia
Shock and Fluid Resuscitation
Shock
Pathophysiology
Compensation
Reperfusion
Multiple organ dysfunction syndrome (MODS)
Etiology and Classification
Hypovolemic shock
Distributive shock
Cardiogenic and obstructive shock
Symptoms and Signs
Diagnosis
Diagnosis of cause
Ancillary testing
Prognosis and Treatment
General management
Hemorrhagic shock
Distributive shock
Cardiogenic shock
Intravenous Fluid Resuscitation
Fluids
Hemorrhage
Nonhemorrhagic hypovolemia
Route and Rate of Fluid Administration
End Point and Monitoring
Central venous pressure
Traumatic hemorrhagic shock
Complications
Sepsis and Septic Shock
Sepsis and Septic Shock
Etiology
Pathophysiology
Symptoms and Signs
Diagnosis
Prognosis
Treatment
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