INDEX
Abdominojugular reflux
Accuracy
Acronyms
Adherence to medication
Admission history. See History
Aging
frailty syndrome
physiological
AIM-HIGH
Aird, Dr. William
Allergy, drug
Allium sativum (garlic)
Altman, Dr. Lawrence K.
Ambiguity, evidence-based medicine (EBM) and
Anchoring
Antiarrhythmic drugs
Anticipatory intuition
Antidiuretic hormone
Art of medicine
Aspirin
Atrial fibrillation
Autopsy, in situ cancers discovered at
Autoregulation
Base rate neglect
Bedside Cardiology
Beeson, Dr. Paul
Bell, Dr. Sigall
Bernard, Claude
Beta-blockers
Bevacizumab
Bias
acceptable
affective
aggregate
confirmation
creating listener
formulation
in randomized controlled trials (RCTs)
selection
semantic
Blink: The Power of Thinking Without Thinking
Blood pressure
Body as servomechanism
Brain natriuretic peptide (BNP)
Breathing, examination of
Butterfly effect
Cancers
breast
colorectal cancer frequency by age
in situ discovered at autopsy
Cannon, Dr. Walter B.
Carbon monoxide poisoning
Cardiac catheterization
Cardiac electrophysiologically active agents
Cardiac exam
Cardiac murmur, grading
Cardiac rhythm
Caregiver syndrome
Case presentations
attending’s perspective on
communication problems
context, adding
flow of information recommended in
freeze-framing technique
guideposts, use of
indicators (orienting phrases), use of
notes, use of
patient history
chief complaint
history of present illness
indicator of success for history-telling
medication profile
past medical history
review of systems
pitfalls, common
Causality
Central venous pressure (CVP)
Certainty
Chagas disease
Chest discomfort, differential diagnosis of
all things considered
cardiovascular causes
gastrointestinal causes
pleuropulmonary causes
worsts first approach
Cheyne–Stokes respiration
Chief complaint
Cholecystokinin (CCK)
Cholesterol
Chronic obstructive pulmonary disease (COPD)
Classroom-to-clinic gap
Clinical inertia
Clinical Problem-Solving (CPS) cases
Clinical rounds. See also Case presentations
flow of information recommended in case presentations
purposes served by
Clinicopathologic Conferences (CPCs)
Cognitive errors
Colorectal cancer frequency by age
Complex systems
Compliance with prescribed medication
Computer interpretations of data
Concordance
Confidence intervals
Confirmation bias
Constant, Dr. Jules
Constrictive pericarditis
Cook, Dr. Deborah J.
Coronary artery disease
Croskerry, Dr. Pat
Cut-and-paste workups
Data
computer interpretations
critical examination of
cut-and-paste workups
evidence-based assessment of test results
importance of reviewing
open-access
sourcing and validation of primary data
variability
assessing observer
coping with observer
interobserver
intraobserver
kappa statistic
unexpected sources
Delbanco, Dr. Tom
Diagnosis
differential
dual or multiple
key questions
Diamond, Dr. Louis K.
Differential diagnosis
of chest discomfort
ECG example
“n-plus” rule
onion skinning (mental body scanning)
pathophysiologic-based
of right quadrant pain
suggested exercise for
two-tier approach to framing
Digitalis toxicity
Digoxin
Disease
definitions of
external stress and
fetal origins of disease hypothesis
germ theory of
iatrogenic
internal stress and
mechanisms of
primary disease versus inadvertent injury
syndromes
Disease process
DNA
DNR (do not resuscitate)
Dock, Dr. William
Domino effect
Doyle, Sir Arthur Conan
Drug-resistant organisms
Drugs. See also Medication profile; Medications
adverse effects
changes in targets
off-target effects
pleiotrophy of effect
withdrawals
Dynamical system
Dyspnea
Earthquake, Los Angeles (1994)
EBM. See Evidence-based medicine
Echocardiogram
Edema, pedal
Efficacy
Ehrlich, Paul
Electrocardiogram (ECG)
Emergent ideas
Emergent property
Emerson, Ralph Waldo
Eponyms
“Error bars”
Errors, medical
cognitive
medical
classification of
communication flaws
cost of
definition of
guilt concerning
harm to doctors
medication errors
near-misses
reducing
surgery errors
system
motivation in reducing
propagation of
unclassified
Etiology, Concept and Prophylaxis of Childbed Fever
Evidence-based medicine (EBM)
ambiguity
assessment of test results
clinical inertia and exit block syndromes
clinical use of
critical examination of the data
guiding assumptions/propositions
importance of
as a new paradigm
origin of term
quantitative versus pseudoquantitative medicine
uncertainty and
Evidence-Based Physical Diagnosis
Exclusion criteria in randomized controlled trials
Exit block
Explicit decisions
False positives
Fetal origins of disease hypothesis
Fever
First impressions, validity of
Flamingo sign
Fleming, Alexander
Folkman, Judah
Forme fruste
Formulation bias
Fracture, pathologic
Frailty syndrome
Freeze-framing technique
described
lab test presentation
Galileo
Gallavardin, Jean Pierre
Gallavardin phenomenon
Gap, bridging classroom-to-clinic
Garlic (Allium sativum)
Germ theory of disease
Gladwell, Malcom
Glimpse versus gaze
Glucometer
Glucose, homeostatic regulation of serum
Goiter
Groopman, Dr. Jerome
Guidepost qualifiers
Guilt, concerning medical errors
Guyatt, Dr. Gordon
Hand-washing
Hayward, Dr. Rodney
Health, definition of
Health Insurance and Portability Act (HIPAA)
Heart failure
pulsus alternans in
as a syndrome
Heart rate
Heartbeat
Height
Helicobacter pylori
Herbs and supplements
Hickam’s principle
Hidden curriculum
High-throughput medicine
History
chief complaint
elements of
history of present illness
medication profile
past medical history
pitfalls, common
review of systems
Hofer, Dr. Tim
Holmes, Sherlock
Homeostasis
Hoofbeats
How Doctors Think
Hypericum perforatum (St. John’s wort)
Hyperkalemia
Hypertension
Hypertexting
Hyperthyroidism
Hyponatremia
Hypothesis testing
Iatrogenic disease
Illusion
Rubin vase
Zoellner
Imaging studies
correlating physical findings with
diagnostic limitations of
overreliance on
reporting of
testing hypothesis developed on physical exam
Implantable cardioverter-defibrillator therapy
Implicit decisions
In situ tumors
“Incidental” findings
Indicators
Inertia
Injury, primary disease versus inadvertent
Innovation, unexpected
Insulin, noncompliance to regimen
Intermittency in biological systems
Interobserver checking
Interstitial curriculum
Intolerance, drug
Intuition
anticipatory
creative
overreliance on
Irritable bowel syndrome
Kafka, Franz
Kalluri, Dr. Raghu
Kappa statistic
Kent, Dr. David
Kolletschka, Jakob
Lab tests
Brain natriuretic peptide (BNP)
checking primary sources
classification of basic data
communicating results
compliance, patient
contingency plans
electrocardiogram (ECG)
false-positive results
four C’s of lab test ordering
“incidental” findings
notes to attendings
physical exam elements as equivalent of
presentation of
attending’s perspective on
expedited presentations
freeze-framing
sourcing and validation of primary data
“zigzag”
routine or baseline
“zero-based” attitude toward ordering
Lateral thinking
Learning
with mnemonic devices
multisourcing
“patho-lists”
pathophysiologic approach to
saltation
sketching
spiral curve of
styles
by teaching
Leor, Dr. Jonathan
Lorenz attractor
Magic bullet
Mandelbrot set
Marshall, Dr. Barry
McGee, Dr. Steven
Mechanisms of disease
Medical errors. See Errors, medical
Medication profile
adherence/compliance
adverse effects
herbs and supplements
medication reconciliation
medications defined
rules for prescribing medications
Medications. See also Drugs
dosage
drug withdrawals
errors
names of drugs
off-target effects
polypharmacy
semantic bias
Mental body scanning (onion skinning)
Mnemonic devices
Moore’s law
MRSA (methicillin-resistant Staphylococcus aureus)
Multifocal atrial tachycardia
Multimodal testing
Multisourcing
Murmur, grading
Murrow, Edward R.
Myocardial infarction, “silent”
“n-plus” rule
Niacin
Naming of drugs
National Coordinating Council for Medication Error Reporting and Prevention
National Organization of Rare Diseases
Nautilus shell
Near-misses
Newton, Sir Isaac
9/11 Commission Report
9/11 syndrome
Nonlinearity
Observed versus expected
Obstructive sleep apnea
Occam’s/Ockham’s razor
Off-target effects
Onion skinning (mental body scanning)
Open-access data
Optical illusion
Outliers
Parsimony, principle of
Past medical history
Pathognomonic presentation
Pathologic fracture
Pathophysiologic approach to learning
Patient history. See History
Pedal edema
Penicillin, discovery of
Peptic ulcers
Pericarditis, constrictive
Petersdorf, Dr. Robert
Phase changes
Physical exam
attending’s perspective on
cardiac exam
correlating findings to imaging studies
elements as equivalent of lab tests
general appearance of the patient
as hypothesis testing
level of certainty, increasing
limitations of
replacing semi- or pseudoquantitative measures with qualitative measures
semantic and scientific precision
vital signs
Pleiotrophy of effect
Pneumonia, community-acquired
Polypharmacy
Posner, Dr. Jean
Precision, semantic and scientific in physical exam
Premature aging
Presentations. See Case presentations
Prior probability
Proarrhythmic effects of drugs
Prostate cancer
Puerperal fever
Pulse oximetry
Pulsus alternans in heart failure
QT intervals
Quality, culture of
Quantitative versus pseudoquantitative medicine
Randomized controlled trials (RCTs)
applicability to your patient
clinical efficacy
critical examination of data
exclusion criteria in
limitations of
Rare diseases
The Rational Clinical Examination
Re-look modality of seeing
Rennie, Dr. Drummond
Reproducibility of findings
Respiration
Restless legs syndrome
Review of systems (ROS)
Right quadrant pain, differential diagnosis of
ROS (review of systems)
Rosiglitazone
Rubin vase
S3 gallop rhythm
Saltation
Schistosomiasis
Second opinion
Semantics
bias
biochemical bias
prescribed drugs
targeted therapies
precision in physical exam
Semmelweis, Ignaz
Servomechanism, body as
Simel, Dr. David
Simvastatin
Sleep apnea, obstructive
Spiral curve of learning
SpO2
Spodick, Dr. David
“Square root sign”
St. John’s wort (Hypericum perforatum)
Staphylococcus aureus, methicillin resistant (MRSA)
Static biomarkers
Stewart, Potter
Stress
external
internal
Supplements
Sutton, William (Willie)
Sutton’s law
Syndrome
Tachypnea
Talks, guidelines for prepared
Targeted medicine
Targeted therapy
factors thwarting search for targets
goal of
semantic bias and
Teachable moment
Teaching, learning by
10% rule
Tests. See also Lab tests
multimodal testing
static biomarkers
Thrifty phenotype hypothesis
Thyroid cancer
Thyroid gland, examination of
To Err Is Human: Building a Safer Healthcare System
Torcetrapib
Translational medicine
Uncertainty in medicine
Unintended consequences, law of
Units, assigning proper to vital signs
Vancomycin, allergy to
Variability
assessing observer
coping with observer
interobserver
intraobserver
kappa statistic for measuring
note to attendings on
unexpected sources of
Vasopressin
Ventilator
Vital signs
blood pressure
comparison with previous values
finding hidden information in
heart rate
height
lapses in reporting
pulse oximetry
respiration
weight
Volatility in biological systems
Warren, Robin
Washing hands
Where the Money Was: The Memoirs of a Bank Robber
“White coat” effects
William of Ockham
Wilson’s disease
Woodward, Dr. Theodore E.
Worsts first principle
described
differential diagnosis of chest discomfort
differential diagnosis of right quadrant pain
“Yips”
Zebras
Zoellner illusion