Edited by
Lawrence M. Tierney Jr. MD
Professor of Medicine
University of California, San Francisco; Associate Chief of Medical Service, Veterans Affairs Medical Center, San Francisco
Stephen J. McPhee MD
Professor of Medicine
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco
Maxine A. Papadakis MD
Professor of Clinical Medicine; Associate Dean for Student Affairs
School of Medicine, University of California, San Francisco
With Associate Authors
Secondary Editors
This book was set by Silverchair Science + Communications, Inc.
Janet Foltin
Editor
Harriet Lebowitz
Editor
Barbara Holton
Editor
Phil Galea
Production Supervisor
Charissa Baker
Illustration Manager
Eve Siegel
Book Designer
Linda F. Harris
Illustrator
Kathy Pitcoff
Indexer
RR Donnelley
Printer and Binder
Authors
Daniel C. Adelman MD
Adjunct Professor of Medicine
Division of Allergy and Immunology, University of California, San Francisco
dadelman@sunesis.com
Allergic & Immunologic Disorders
Joshua S. Adler MD
Associate Professor of Clinical Medicine
Department of Medicine, University of California, San Francisco; Director of Ambulatory Practices, University of California, San Francisco
jadler@itsa.ucsf.edu
Preoperative Evaluation & Perioperative Management
Michael J. Aminoff MD, DSc, FRCP
Professor of Neurology
University of California, San Francisco; Attending Physician, University of California Medical Center, San Francisco
aminoff@itsa.ucsf.edu
Nervous System
David M. Barbour PharmD, BCPS
Adjunct Clinical Faculty
School of Pharmacy, University of Colorado Health Sciences Center, Denver; Lead Pharmacist, Acute Care, University of Colorado Hospital, Denver
david.barbour@uch.edu
Drug References
Robert B. Baron MD, MS
Professor of Medicine; Associate Dean for Continuing Medical Education; Vice Chief and Director
Educational Programs, Division of General Internal Medicine; Director, Primary Care Internal Medicine Residency Program, University of California, San Francisco
baron@medicine.ucsf.edu
Lipid Abnormalities; Nutrition
Thomas M. Bashore MD
Professor of Medicine; Director of Cardiology Fellowship Program
Duke University Medical Center, Durham, North Carolina
thomas.bashore@duke.edu
Heart
Timothy G. Berger MD
Professor of Clinical Dermatology
Department of Dermatology, University of California, San Francisco
bergert@derm.ucsf.edu
Skin, Hair, & Nails
Brian M. Berman MD
Professor of Family Medicine and Director
Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore
bberman@compmed.umm.edu
Complementary & Alternative Medicine
Peter R. Carroll MD, FACS
Professor and Chair
Department of Urology, University of California, San Francisco
pcarroll@urol.ucsf.edu
Urology
Henry F. Chambers MD
Professor of Medicine
University of California, San Francisco; Chief, Division of Infectious Diseases, San Francisco General Hospital
chipc@itsa.ucsf.edu
Infectious Diseases: Bacterial & Chlamydial
Mark S. Chesnutt MD
Associate Professor of Medicine, Pulmonary & Critical Care Medicine; Director
Medical Critical Care, Oregon Health & Science University, Portland
chesnutm@ohsu.edu
Lung
Richard Cohen MD, MPH
Clinical Professor
Division of Occupational and Environmental Medicine, University of California, San Francisco
rcohenmd@pacbell.net
Disorders Due to Physical Agents
William R. Crombleholme MD
Professor of Clinical Obstetrics & Gynecology
Columbia University College of Physicians and Surgeons, New York; Chairman, Department of Obstetrics and Gynecology, The Stamford Hospital, Stamford, Connecticut
wcrombleholme@stamhealth.org
Obstetrics
Stuart J. Eisendrath MD
Professor of Clinical Psychiatry
University of California, San Francisco
stuarte@lppi.ucsf.edu
Psychiatric Disorders
Paul A. Fitzgerald MD
Clinical Professor of Medicine
Department of Medicine, Division of Endocrinology, University of California, San Francisco
paulf@itsa.ucsf.edu
Endocrinology
Lawrence S. Friedman MD
Professor of Medicine
Harvard Medical School, Boston, Massachusetts; Chair, Department of Medicine, Newton-Wellesley Hospital, Newton, Massachusetts; Assistant Chief of Medicine, Massachusetts General Hospital, Boston, Massachusetts
lfriedman@partners.org
Liver, Biliary Tract, & Pancreas
Masafumi Fukagawa MD, PhD
Associate Professor and Director
Division of Nephrology and Dialysis Center, Kobe University School of Medicine, Japan
fukagawa@med.kobe-u.ac.jp
Fluid & Electrolyte Disorders
Armando E. Giuliano MD
Chief of Surgical Oncology
John Wayne Cancer Institute; Director, Joyce Eisenberg Keefer Breast Center, Saint John's Health Center, Santa Monica, California
giulianoa@jwci.org
Breast
Lee Goldman MD, MPH
Julius R. Krevans Distinguished Professor and Chair
Department of Medicine; Associate Dean for Clinical Affairs, School of Medicine, University of California, San Francisco
goldman@medicine.ucsf.edu
Preoperative Evaluation & Perioperative Management
Robert S. Goldsmith MD, MPH, DTM&H
Professor Emeritus of Tropical Medicine and Epidemiology
Department of Epidemiology and Biostatistics, University of California, San Francisco
rg645@itsa.ucsf.edu
Infectious Diseases: Protozoal & Helminthic
Ralph Gonzales MD, MSPH
Associate Professor of Medicine
Epidemiology & Biostatistics, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco
ralphg@medicine.ucsf.edu
Common Symptoms
Justin Graham MD, MS
Associate Medical Director for Quality and Informatics
Lumetra, San Francisco, California
Justin@jugmd.jvgmd.com
Christopher B. Granger MD
Associate Professor
Department of Medicine, Division of Cardiology, Duke University Medical Center, Durham, North Carolina
grang001@mc.duke.edu
Heart
B. Joseph Guglielmo PharmD
Professor and Vice Chair
Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco
bjg@itsa.ucsf.edu
Anti-infective Chemotherapeutic & Antibiotic Agents
Richard J. Hamill MD
Professor
Division of Infectious Diseases, Departments of Medicine and Molecular Virology & Microbiology, Baylor College of Medicine, Houston, Texas
richard.hamill@med.va.gov
Infectious Diseases: Mycotic
G. Michael Harper MD
Associate Clinical Professor of Medicine
Geriatric Medicine, University of California School of Medicine, San Francisco; Director of Geriatrics Fellowship Training Program, San Francisco Veterans Affairs Medical Center, San Francisco, California
michael.harper3@med.va.gov
Geriatric Medicine
David B. Hellmann MD, FACP
Mary Betty Stevens Professor of Medicine; Chairman
Department of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore
hellmann@jhmi.edu
Arthritis & Musculoskeletal Disorders
David F. Hemsey MD
Chief Medical Resident
San Francisco General Hospital
dhemsey@medsfgh.ucsf.edu
References
Harry Hollander MD
Professor of Clinical Medicine and Director
Categorical Medicine Residency Program, University of California, San Francisco
drwine@itsa.ucsf.edu
HIV Infection
Ellen F. Hughes MD, PhD
Clinical Professor of Medicine
University of California, San Francisco
ehughes@medicine.ucsf.edu
Complementary & Alternative Medicine
Robert K. Jackler MD
Sewall Professor and Chair
Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California
jackler@stanford.edu
Ear, Nose, & Throat
Bradly P. Jacobs MD, MPH
Assistant Clinical Professor
Department of Medicine and Osher Center for Integrative Medicine, University of California, San Francisco
jacobsb@ocim.ucsf.edu
Complementary & Alternative Medicine
Richard A. Jacobs MD, PhD
Clinical Professor of Medicine and Clinical Pharmacy
Division of Infectious Diseases, University of California, San Francisco
jacobsd@medicine.ucsf.edu
General Problems in Infectious Diseases; Infectious Diseases: Spirochetal; Anti-infective Chemotherapeutic & Antibiotic Agents
C. Bree Johnston MD
Associate Professor of Clinical Medicine
Division of Geriatrics, Department of Medicine, Veterans Affairs Medical Center, University of California, San Francisco
bree526@itsa.ucsf.edu
Geriatric Medicine
Michael J. Kaplan MD
Professor
Department of Otolaryngology-Head and Neck Surgery; Professor, Neurosurgery and Surgery, Stanford University School of Medicine, Stanford, California
mjkaplan@stanford.edu
Ear, Nose, & Throat
Mitchell H. Katz MD
Clinical Professor of Medicine
Epidemiology & Biostatistics, University of California, San Francisco; Director of Health, San Francisco Department of Public Health
MHKATZ59@yahoo.com
HIV Infection
Jeffrey L. Kishiyama MD
Assistant Clinical Professor of Medicine
University of California, San Francisco
jkish@itsa.ucsf.edu
Allergic & Immunologic Disorders
Rick Kulkarni MD
Assistant Professor of Medicine
David Geffen School of Medicine at UCLA, Los Angeles, California
rkulkarn1@eresidency.net
Kiyoshi Kurokawa MD, MACP
Adjunct Professor
Division of Health Policy, Research Center for Advanced Science, The University of Tokyo, Tokyo, Japan
kurokawa@is.icc.u-tokai.ac.jp
Fluid & Electrolyte Disorders
C. Seth Landefeld MD
Professor & Chief
Division of Geriatrics, University of California, San Francisco and the Veterans Affairs Medical Center
Geriatric Medicine
Jonathan E. Lichtmacher MD
Assistant Clinical Professor of Psychiatry
University of California, San Francisco; Associate Director, Adult Psychiatry Clinic, Langley Porter Hospitals and Clinics, University of California, San Francisco
jonathanl@lppi.ucsf.edu
Psychiatric Disorders
Charles A. Linker MD
Clinical Professor of Medicine; Director
Bone Marrow Transplant Program, Division of Hematology/Oncology, University of California, San Francisco
linkerc@medicine.ucsf.edu
Blood
H. Trent MacKay MD, MPH
Professor of Obstetrics and Gynecology
Uniformed Services, University of the Health Sciences, Bethesda, Maryland; Associate Director, Women's Health Services, National Naval Medical Center, Bethesda, Maryland
mackayt@mail.nih.gov
Gynecology
Umesh Masharani MB, BS, MRCP(UK)
Associate Clinical Professor of Medicine
Division of Endocrinology and Metabolism, University of California, San Francisco
ubm@itsa.ucsf.edu
Diabetes Mellitus & Hypoglycemia
Barry M. Massie MD
Professor of Medicine
University of California, San Francisco; Chief, Cardiology Division, San Francisco Veterans Affairs Medical Center
barry.massie@med.va.gov
Systemic Hypertension
Stephen J. McPhee MD
Professor of Medicine
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco
smcphee@medicine.ucsf.edu
Approach to the Patient & Health Maintenance; Systemic Hypertension
Kenneth R. McQuaid MD
Professor of Clinical Medicine
University of California, San Francisco; Director of Endoscopy, San Francisco Veterans Affairs Medicine Center
kenneth.mcquaid@med.va.gov
Alimentary Tract
Louis M. Messina MD
Professor and Chief
Division of Vascular Surgery, University of California, San Francisco
messinal@surgery.ucsf.edu
Blood Vessels & Lymphatics
Brent R.W. Moelleken MD, FACS
Plastic and Reconstructive Surgery; Assistant Clinical Professor, Division of Plastic Surgery, Attending Physician, University of California, Los Angeles Medical Center; Private Practice, Beverly Hills, California
drbrent@drbrent.com
Disorders Due to Physical Agents
Leila Alpers Moore MS, MD
Chief Medical Resident
San Francisco General Hospital
alpersl@itsa.ucsf.edu
References
Ana Moran MD
Clinical Fellow
Department of Infectious Diseases, Baylor College of Medicine, Houston, Texas
amoran@bcm.tmc.edu
Infectious Diseases: Viral & Rickettsial
Gail Morrison MD
Vice Dean for Education; Director of Academic Programs, and Professor of Medicine
School of Medicine, Division of Renal-Electrolytes, University of Pennsylvania Health System, Philadelphia
morrisog@mail.med.upenn.edu
Kidney
Deepu Nair MD
Chief Medical Resident
Moffitt Hospital, University of California, San Francisco
dnair@itsa.ucsf.edu
References
C. Diana Nicoll MD, PhD, MPA
Clinical Professor and Vice Chair
Department of Laboratory Medicine; Associate Dean, University of California, San Francisco; Chief of Staff and Chief, Laboratory Medicine Service, San Francisco Veterans Affairs Medical Center
diana.nicoll@med.va.gov
Appendix: Therapeutic Drug Monitoring & Laboratory Reference Ranges
Kent R. Olson MD
Medical Director
San Francisco Division, California Poison Control System, University of California, San Francisco
olson@itsa.ucsf.edu
Poisoning
Steven Z. Pantilat MD
Associate Professor of Clinical Medicine
University of California, San Francisco; Director, Palliative Care Service and Comfort Care Suites, University of California, San Francisco
stevep@medicine.ucsf.edu
Care at the End of Life
Maxine A. Papadakis MD
Professor of Clinical Medicine and Associate Dean for Student Affairs
School of Medicine, University of California, San Francisco
papadakm@medsch.ucsf.edu
Fluid & Electrolyte Disorders
Michael Pignone MD, MPH
Associate Professor of Medicine
University of North Carolina, Chapel Hill
pignone@med.unc.edu
Approach to the Patient & Health Maintenance
Thomas J. Prendergast MD
Associate Professor of Medicine and Anesthesiology
Section of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
thomas.j.prendergast@hitchcock.org
Lung
Reed E. Pyeritz MD, PhD
Professor of Medicine and Genetics; Chief
Division of Medical Genetics, University of Pennsylvania Health System and School of Medicine, Philadelphia
reed.pyeritz@uphs.upenn.edu
Genetic Disorders
Michael W. Rabow MD
Associate Professor of Clinical Medicine
Division of General Internal Medicine, University of California, San Francisco; Project on Death in America Faculty Scholar
mrabow@medicine.ucsf.edu
Care at the End of Life
Paul Riordan-Eva FRCS, FRCOphth
Consultant Ophthalmologist
King's College Hospital, London, United Kingdom
paul.riordan-eva@kingsch.nhs.uk
Eye
Hope S. Rugo MD
Clinical Professor of Medicine and Director
Breast Oncology Clinical Trials Program, University of California, San Francisco Comprehensive Cancer Center
hope.rugo@ucsfmedctr.org
Cancer
Wayne X. Shandera MD
Assistant Professor of Internal Medicine
Baylor College of Medicine, Houston, Texas
shandera@bcm.tmc.edu
Infectious Diseases: Viral & Rickettsial
Samuel A. Shelburne MD
Assistant Professor
Department of Internal Medicine, Baylor College of Medicine, Houston, Texas
samuels@bcm.tmc.edu
Infectious Diseases: Mycotic
Marshall L. Stoller MD
Professor of Urology and Vice Chairman
Department of Urology, University of California, San Francisco
mstoller@urol.ucsf.edu
Urology
John H. Stone MD, MPH
Associate Professor of Medicine
Division of Rheumatology, Johns Hopkins University; Director, Johns Hopkins Vasculitis Center, Baltimore, Maryland
jstone@jhmi.edu
Arthritis & Musculoskeletal Disorders
Eduard Vasilevskis MD
Chief Medical Resident
San Francisco Veterans Affairs Medical Center
vasilev@itsa.ucsf.edu
References
Suzanne Watnick MD
Assistant Professor of Medicine
Division of Nephrology and Hypertension, Oregon Health & Science University, Portland; Director, Dialysis Unit, Portland VA Medical Center, Portland, Oregon
watnicks@ohsu.edu
Kidney
Lianne Wener MD
Chief Medical Resident
San Francisco Veterans Affairs Medical Center
lwener@itsa.ucsf.edu
References
Andrew R. Zolopa MD
Associate Professor of Medicine
Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, California
azolopa@stanford.edu
HIV Infection