Manual for Pulmonary and Critical Care Medicine 1st Edition by Judd Landsberg ISBN 32348056X 9780323480567

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ISBN 10: 32348056X 
ISBN 13: 9780323480567
Author: Judd Landsberg

Clinical Practice Manual for Pulmonary and Critical Care Medicine, by Judd W. Landsberg, MD, is a unique point-of-care manual that provides essential information on managing inpatients and outpatients with common, serious respiratory and internal medicine presentation and problems. Easy-to-follow diagnostic and therapeutic algorithms are accompanied by case-based illustrations encountered on a daily basis by attendings, fellows, residents, and students. The bulleted format, concise approach, and familiar examples provide a framework for effective teaching, learning, and patient care.

Manual for Pulmonary and Critical Care Medicine 1st Table of contents:

Chapter 1: Approach to oxygenation, hypoxemia, and hypoxemic respiratory failure
Common misconceptions and mistakes
Oxygenation
Acute hypoxemic respiratory failure
Chronic hypoxemic respiratory failure (physiology and underlying disease)
Clinical approach to acute hypoxemic respiratory failure
Co2 retention and high Fio2
Common causes and initial treatment of acute hypoxemic respiratory failure
Common questions generated by this teaching
Chapter 2: Ventilation and hypercapnic respiratory failure
Common misconceptions and mistakes
Normal ventilation
Compensatory ventilatory responses to acidemia and alkalemia (A.K.A. ABG interpretation)
Acute Hypercapnic Respiratory Failure
Common questions generated by this teaching
Chapter 3: Pulmonary function testing
Common misconceptions and mistakes
Pulmonary function testing
Spirometry
Flow volume loop
Lung volumes
Diffusion capacity
Bronchodilator responsiveness
Respiratory muscle strength
Pulmonary function testing interpretation (Figs. 3.7, 3.8, and 3.9)
Common questions generated by this teaching
Chapter 4: The chest radiograph
Common misconceptions and mistakes
Approach to the chest radiograph
Common questions generated by this teaching
Chapter 5: Dyspnea and exercise limitation
Common misconceptions and mistakes
Major mechanisms of dyspnea (Fig. 5.1)
Physiology of exercise (Table 5.1)
Evaluation of dyspnea and exercise limitation (Fig. 5.2)
Common questions generated by this teaching
Chapter 6: Heart failure for the pulmonary critical care physician
Common misconceptions and mistakes
Heart failure and the pulmonologist (A.K.A. Occult left heart failure)
The many faces of biventricular heart failure secondary to diastolic dysfunction (A.K.A. HFpEF)
How left-sided heart failure causes pulmonary hypertension and right-sided heart failure (the biventricular heart failure reflex—not back pressure)
The misleading nature of the transpulmonary gradient and “passive,” “reactive,” and “out of proportion” pulmonary hypertension
Individual variability in the biventricular heart failure reflex challenges the concept of out-of-proportion ph
Pathophysiology of biventricular heart failure (the numbers)
Pathophysiology of biventricular heart failure (the process)
Residual small vessel disease
Biventricular heart failure: reflex, not back pressure … so what?
Pitfalls in screening for HFpEF (A.K.A. biventricular HEART FAILURE from diastolic dysfunction)
Bilateral pleural effusions: the Physiologic Proof of biventricular HEART FAILURE
Management of biventricular HEART FAILURE from diastolic dysfunction (trial of euvolemia)
Fluid “spaces” and the anticipated sequence of fluid accumulation and mobilization in biventricular HEART FAILURE (HEpEF and HFrEF)
Separating decompensated heart failure from end stage heart failure
Effective diuresis (IE, achieving a significant net negative fluid balance)
Perceived (but not actual) stumbling blocks encountered While Diuresing edematous LEFT-SIDED HEART FAILURE patients to euvolemia
Real problems encountered while diuresing the edematous patient
HEART FAILURE—Important review points
Common questions generated by this teaching
Chapter 7: Evaluation and treatment of pulmonary hypertension
Common misconceptions and mistakes
Pulmonary hypertension
COMMON Questions generated by this teaching
Chapter 8: Exacerbation of obesity hypoventilation syndrome
Common misconceptions and mistakes
Obesity hypoventilation syndrome
Common questions generated by this teaching
Chapter 9: Lung cancer
Common misconceptions and mistakes
Lung cancer epidemiology
Concern for lung cancer
Typical clinical radiographic and histopathologic features of lung cancer (and mesothelioma) by cell type
Lung cancer staging
Therapeutic approach to lung cancer
Questions commonly generated by this teaching
Chapter 10: Aspergillus lung disease
Common misconceptions and mistakes
Aspergillus
Allergic aspergillus diseases
Common questions generated by this teaching
Chapter 11: Oral anaerobic lung infection, aspiration pneumonia, lung abscess, and empyema
Common misconceptions and mistakes
Aspiration defined
Oral anaerobic lung infection
Infected bullae (A.K.A. “bullaetis”): a lung abscess mimic
Distinguishing a lung abscess (do not drain) from an empyema (must drain)
Common questions generated by this teaching
Chapter 12: Cough
Common misconceptions and mistakes
Common questions generated by this teaching
Chapter 13: Cough syncope
Common misconceptions and mistakes
Cough syncope
Conditions to be excluded when coughing is associated with syncope
Diagnosis of cough syncope
Treatment of cough syncope
Common question generated by this teaching
Chapter 14: Sarcoidosis
Common misconceptions and mistakes
Pathophysiology of sarcoidosis
Questions commonly generated by this teaching
Chapter 15: Acute venous thromboembolic disease
Common misconceptions and mistakes
Common questions generated by this teaching
Chapter 16: Pneumothorax and bronchopleural fistulas: air in the pleural space
Common misconceptions and mistakes
Approach to the pneumothorax
Pathophysiology of bronchopleural fistulas
Common questions generated by this teaching
Chapter 17: Diffuse parenchymal lung disease and its mimics
Common misconceptions and mistakes
Common questions generated by this teaching
Section II: Critical Care
Chapter 18: Shock
Common misconceptions and mistakes
Shock
General principles of shock management
Cirrhosis
Common questions generated by this teaching
Chapter 19: Invasive mechanical ventilation
Common misconceptions and mistakes
Invasive mechanical ventilation
Choosing a mode of ventilation (volume controlled vs Pressure controlled)
Improving oxygenation
Common questions generated by this teaching
Chapter 19e: Liberation from mechanical ventilation
Common misconceptions and mistakes
Approach to extubation
Assessing readiness to extubate (Fig. 1)
Performing an SBT
Troubleshooting apparent sbt failure (Fig. 2)
Proceeding after a failed sbt: optimization and exercise (Fig. 3)
Spontaneous breathing trial versus exercise
Treatment of delirium in the intubated patient (haloperidol or dexmedetomidine)
Evaluation of upper airway narrowing and/or laryngeal edema
Common failure to wean situations (consults from surgery)
Common questions generated by this teaching
Chapter 20: Noninvasive ventilatory support with bilevel positive pressure ventilation
Common misconceptions and mistakes
Noninvasive ventilatory support
Initiation of bilevel positive airway pressure (Fig. 20.1)
Trialing patients off of bilevel positive airway pressure
Common questions generated by this teaching
Chapter 21: Hemoptysis
Common misconceptions and mistakes
Initial assessment/risk stratification
Pathophysiology and management of massive hemoptysis
Intubation in massive hemoptysis (when, why, and with what)
Interventional radiology vs cardiothoracic surgery
Nonmassive hemoptysis
Common questions generated by this teaching
Chapter 22: Salt and water: the physiology and regulation of volume and tonicity
Common misconceptions and mistakes
Volume status and tonicity
The normal homeostasis of tonicity and water balance
The pathophysiology and evaluation of hyponatremia
The pathophysiology and evaluation of hypernatremia
Treatment of hypernatremia (fig. 22.5)
Common questions generated by this teaching
Chapter 23: Diabetic emergencies
Common misconceptions and mistakes
Acute diabetic presentations
Ketoacidosis
Diabetic ketoacidosis classic presentation and pathophysiology
Hyperglycemic hyperosmolar nonketotic syndrome (HHNK): classic presentation and pathophysiology
Overlap syndromes
Typical derangements, causes, and initial treatments of diabetic emergencies
Alcoholic ketoacidosis: classic presentation and pathophysiology
Common questions generated by this teaching
Chapter 24: The obtunded inpatient with normal vital signs
Common misconceptions and mistakes
Obtundation with normal vital signs
God helps or dogs help
Common questions generated by this teaching
Chapter 25: Bedside presentations in the ICU
Common misconceptions and mistakes
Goal of the bedside presentation
New admission
Daily presentation
Common questions generated by this teaching
Chapter 26: Code status
Common misconceptions and mistakes
Approach to code status
Common questions generated by this teaching
Chapter 27: Advanced care planning and the family meeting
Common misconceptions and mistakes
Advanced care planning
Establishing a surrogate decision maker
The family meeting (helping loved ones accept futility)
Special situations
Common questions generated by this teaching
Chapter 28: Pulmonary and critical care pearls
Respiratory mechanics and sounds: (Fig. 28.1)
Smoking cessation
Bronchiectasis
Atypical and typical pneumonia (definitions and things to consider)
Troubleshooting poorly controlled obstructive lung disease (asthma and copd)
Tracheostomy
Evaluation of the presumed exudative effusion (Fig. 28.2)

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