In view of the importance of pulmonary and critical care medicine to the field of internal medicine and the speed with which the scientific basis of the discipline is evolving, this Sectional was developed. The purpose of this book is to provide the readers with an overview of the field of pulmonary and critical care medicine. To achieve this end, this Sectional comprises the key pulmonary and critical care medicine chapters in Harrison's Principles of Internal Medicine, 17th edition, contributed by leading experts in the fields. This Sectional is designed not only for physicians-in-training, but also for medical students, practicing clinicians, and other health care professionals who seek to maintain adequately updated knowledge of this rapidly advancing field. The editors believe that this book will improve the reader's knowledge of the discipline, as well as highlight its importance to the field of internal medicine.

Contributors

Preface

           SECTION I

DIAGNOSIS OF RESPIRATORY DISORDERS

1 Approach to the Patient with Disease of the Respiratory System

2 Dyspnea and Pulmonary Edema

3 Cough and Hemoptysis

4 Hypoxia and Cyanosis

5 Disturbances of Respiratory Function

6 Diagnostic Procedures in Respiratory Disease

7 Atlas of Chest Imaging

           SECTION II

DISEASES OF THE RESPIRATORY SYSTEM

8 Asthma

9 Hypersensitivity Pneumonitis and Pulmonary Infiltrates with Eosinophilia

10 Environmental Lung Disease

11 Pneumonia

12 Tuberculosis

13 Influenza

14 CommonViral Respiratory Infections and Severe Acute Respiratory Syndrome (SARS)

15 Pneumocystis Infection

16 Bronchiectasis and Lung Abscess

17 Cystic Fibrosis

18 Chronic Obstructive Pulmonary Disease

19 Interstitial Lung Diseases

20 Deep Venous Thrombosis and Pulmonary Thromboembolism

21 Disorders of the Pleura and Mediastinum

22 Disorders of Ventilation.

23 Sleep Apnea

24 Lung Transplantation

25 Infections in Lung Transplant Recipients

           SECTION III

GENERAL APPROACH TO THE CRITICALLY ILL PATIENT

26 Principles of Critical Care Medicine

27 Mechanical Ventilatory Support

28 Approach to the Patient with Shock

           SECTION IV

COMMON CRITICAL ILLNESSES AND SYNDROMES

29 Severe Sepsis and Septic Shock

30 Acute Respiratory Distress Syndrome

31 Cardiogenic Shock and Pulmonary Edema

32 Cardiovascular Collapse, Cardiac Arrest, and Sudden Cardiac Death

33 Unstable Angina and Non-ST-Elevation Myocardial Infarction

34 ST-Segment Elevation Myocardial Infarction

35 Coma

36 Neurologic Critical Care, Including Hypoxic-Ischemic Encephalopathy and Subarachnoid Hemorrhage

           SECTION V

DISORDERS COMPLICATING CRITICAL ILLNESSES AND THEIR MANAGEMENT

37 Acute Renal Failure

38 Dialysis in the Treatment of Renal Failure

89 Fluid and Electrolyte Disturbances

40 Acidosis and Alkalosis

41 Coagulation Disorders

42 Treatment and Prophylaxis of Bacterial Infections

43 Antiviral Chemotherapy, Excluding Antiretroviral Drugs

44 Diagnosis and Treatment of Fungal Infections

45 Oncologic Emergencies

Appendix LaboratorvValues of Clinical Importance

Review and Self-Assessment

Index