Q

U

U-Lactin

90

Ubidecarenone/ubiquinone-10 (coenzyme Q₁₀)

1721

1722

UGT1A1 gene polymorphisms, irinotecan response and

1642

Uhl's disease

401

UIP See Usual interstitial pneumonia/pneumonitis

UKPDS (United Kingdom Prospective Diabetes Study)

1203–1205

1226

UL (tolerable upper intake level)

1253

Ulcer penetration

587

594

back pain and

817

Ulcer perforation

587

593–594

Ulcerative colitis

627–631

627

628

arthritis in

855

colorectal cancer and

630

638

diarrhea in

549

627

627

drug therapy for

628–630

628

fulminant

627

629

gastrointestinal bleeding and

555

primary sclerosing cholangitis and

691

refractory

630

social support for patient with

622

Ulcerative stomatitis (aphthous ulcers)

204

in HIV infection/AIDS

1326

Ulcers See also Peptic ulcer disease

amebic

1468

anal fissures

647

aphthous

204

HIV infection/AIDS

1326

Buruli

1438

chiclero's

1485

contact, of arytenoid cartilage

210

corneal

158–159

See also Keratitis

contact lens wear and

154

158

159

genitourinary See Genital ulcers

intraoral

204

in Beh et's syndrome

851

in HIV infection/AIDS

216

1326

rectal, solitary

646

skin See Skin disorders, ulcers

stress, in respiratory failure

309

583

Ulnar nerve lesions

1028–1029

in leprosy

1439

Ultralente insulin

1212

1213

1215

1218

See also Insulin

in mixtures/combination therapy

1215

1218

1219

Ultram See Tramadol

Ultrarapid detoxification, for opioid withdrawal

1087

Ultrasonography/Doppler ultrasonography/duplex ultrasonography

in abdominal aortic aneurysms

447

in abnormal premenopausal bleeding

728

in ascites

560

in breast mass evaluation

711

712

713

in cardiomyopathy

401

401

403

in carotid occlusive disease

456

in deep venous thrombosis/pulmonary embolism

25

25

283

471

in ectopic pregnancy

770

fetal

765

in gastric adenocarcinoma

597

in gastric lymphoma

599

in gastric mesenchymal tumors

599–600

in gestational trophoblastic disease

774

in heart disease See Echocardiography

in hematuria evaluation

936

in hepatic vein obstruction (Budd-Chiari syndrome)

679

high-intensity focused (HIFU), for benign prostatic hyperplasia

961

in infertility workup

749

for insulinoma localization

1235

intravascular, in angina

347

in leiomyoma of uterus

737

in liver disease/jaundice

650–652

for ovarian cancer screening/evaluation

743

746

1656

in popliteal aneurysms

450

in postmenopausal bleeding

730

during pregnancy

765

ectopic

770

in prostate cancer

963

for biopsy guidance

962–963

in pulmonary hypertension

291

411

in renal disease

899

renal artery stenosis

460

914

in spontaneous abortion

768

in third-trimester bleeding

774

in thyroid disorders

1117

1119

thyroid cancer

1125

1128

thyroid nodules

1120

1121

thyroiditis

1145

in tumor size evaluation

1686

in valvular heart disease

325

in varicose veins

469

in Zollinger-Ellison syndrome/gastrinoma

595–596

Ultravate See Halobetasol

Ultraviolet (actinic) keratitis

172

Ultraviolet light/sunlight

exposure to

actinic keratoses and

107

basal cell carcinoma and

130

Bowen's disease and

107

hyperpigmentation and

143

hypersensitivity to (photodermatitis)

92

139–140

protection from

in cancer prevention

91

1648

in herpes simplex infection prevention

108

in lupus erythematosus

105

835

in porphyria cutanea tarda

112

sunscreens for

91

squamous cell carcinoma and

130

131

with psoralen See PUVA therapy

Umbilical cord blood, stem cells in, for transplantation

802

Unasyn See Ampicillin-sulbactam

Uncinate (temporal lobe) lesions

1001

Undernutrition See Malnutrition; Nutritional disorders

Underwater diving See Scuba/deep sea diving

Undescended testes (cryptorchism)

1101–1102

testicular cancer and

971

1102

Undifferentiated schizophrenia

1057

Unilocular (cystic) hydatid disease

1513

1513–1515

Unipolar disorder, endogenous

1066

See also Depression

United Kingdom Prospective Diabetes Study (UKPDS)

1203–1205

1226

Univasc See Moexipril

Universal precautions

1292

in HIV infection/AIDS prevention

1331

in SARS

1386

Unlawful sexual intercourse (statutory rape)

759

Unoprostone, for glaucoma/intraocular hypertension

161

174

Unstable angina See also Acute coronary syndromes

pathophysiology of

342

revascularization procedures for

354

354

surgery in patient with

415

Unstable hemoglobins

495

Upper airway/respiratory tract disorders

225

anaerobic infection

1434

echinacea for

1712

1716

foreign body

214

obstruction

225

obstructive sleep apnea

305–306

thermal injury, smoke inhalation and

293

1596

Upper endoscopy See Endoscopy

Upper gastrointestinal bleeding

551–552

See also Gastrointestinal bleeding

Upper gastrointestinal series

in Crohn's disease

623

in dyspepsia

536

in gastric carcinoma

597

in occult gastrointestinal bleeding

558

in peptic ulcer disease

588

Upper motor neuron lesions

spasticity and

1016

weakness caused by

988

UPPP See Uvulopalatopharyngoplasty

Urate crystals See also Uric acid

in gout

811

812

in urine

935

Urate (uric acid) nephropathy

811

cancer-related

1691–1692

Urea

898

hyperosmolality caused by

872

lithium interactions and

1077

Urea breath testing, in Helicobacter pylori infection

584

588

Urea clearance, renal function assessment and

898–899

899

Urea nitrogen See Blood urea nitrogen

Ureacin See Urea

Ureaplasma urealyticum

1441

Uremia

900

908

908

See also Renal failure

in hemolytic-uremic syndrome

522

neuropathy associated with

911

1025

platelet function affected in

526

910

pruritus in

133

907

Uremic acidosis

888

Uremic encephalopathy

910

Uremic fetor

907

Uremic frost

907

Uremic pericarditis

408

909–910

Ureter

cancer of

969

hematuria in

936

969

obstruction of See also Urinary tract obstruction

stones causing

944

946–947

Ureteral pain/colic

931

Ureteral stones

944

946–947

See also Nephrolithiasis

P.1878

Ureteroscopic stone extraction

947

Urethra, incompetence/obstruction of, urinary incontinence and

63

63–64

Urethral discharge

932

in epididymitis

943

in gonorrhea

1431

1432

Urethral stents, for benign prostatic hyperplasia

961

Urethritis

1556

adenovirus causing

1387

atrophic, urinary incontinence and

62

chlamydial

1441

1554

1556

dysuria caused by

33

gonococcal

1431–1432

1432

1556

postgonococcal

1432

1441

Urethrocele

741

Urge incontinence

62–63

63

932

948

949

spinal trauma and

1021

Urgencies, hypertensive

442–445

443–444

Urgency, urinary

932

See also Irritative voiding symptoms; Urge incontinence

spinal trauma and

1021

Uric acid

calcium nephrolithiasis and

945–946

diuretics affecting

812

in gout

810

811

811

reducing levels of

813

laboratory reference range for

1743

in preeclampsia differential diagnosis

772

772

renal failure and

904

uric acid nephrolithiasis/nephropathy and

811

930

943

946

cancer-related

1691–1692

Uric acid crystals See Urate crystals

Uric acid nephropathy See Urate (uric acid) nephropathy

Uric acid urinary stones

811

930

943

946

Uricosuric drugs

812

Urinalysis

896–897

897

934–935

See also specific disorder

dipstick

896

934–935

for drug detection

1083

in dysuria evaluation

34

in fluid and electrolyte disorders

865

in hematuria evaluation

897

935

935–936

for marijuana detection

1088

microscopic

896

935

for proteinuria evaluation

897

specimen collection for

896

934

Urinary anion gap, in hyperchloremic metabolic acidosis

889

890

Urinary antiseptics

1582

quinolones as

1579

1580

Urinary bladder See Bladder

Urinary calculi See Urinary stones

Urinary casts

896

897

935

See also specific type

in acute renal failure

901

904

in acute tubular necrosis

904

in chronic renal failure

908

in glomerulonephritis

906

in interstitial nephritis

905

Urinary catheterization, intermittent, for incontinence management

949

Urinary cytology

in bladder cancer

967

in hematuria evaluation

936

Urinary frequency

932

See also Irritative voiding symptoms

Urinary hesitancy

932

Urinary incontinence

62–64

62

932

947–949

in elderly

62–64

62

947

screening for

51

53

enuresis

1081

estrogen replacement therapy and

949

1188

in multiple sclerosis

1014

spinal trauma and

1021

stroke and

991

syncope and

987

Urinary retention

in acute bacterial prostatitis

940

overflow incontinence and

932

948

vesical pain caused by

931

Urinary sphincter, dysfunction of

in spinal trauma

1021

in urinary incontinence

947

948

Urinary stones

943–947

944

See also Nephrolithiasis

metabolic analysis of

944

944

Urinary stream

decreased force of

932

interruption of (intermittency)

932

Urinary tract infection

936–943

939

1555

ascending infection and

937

bacterial virulence factors and

937

in female

937

938

host susceptibility factors and

937

incontinence and

62

in male

937

938

nosocomial

936

1292

during pregnancy

782

reinfections/reinfection prevention and

937

1555

renal failure caused by

908

in schistosomiasis

1501

1502

spread of

937

sulfonamides for

1575

1576

urinary antiseptics for

1582

Urinary tract obstruction

renal failure caused by

908

tubulointerstitial disease caused by

926

927

urinary stones causing

944

Urinary urgency

932

See also Irritative voiding symptoms; Urge incontinence

spinal trauma and

1021

Urination See Voiding

Urine

acidification of, in poisoning/drug overdose

1613

alkalinization of

for lithium overdose/toxicity

1077

in poisoning/drug overdose

1613

for salicylate toxicity

1634

candida in

935

cloudy

932

crystal deposition in

935

gas in (pneumaturia)

932

ketones in See Ketonuria

lymph in (chyluria)

932

in filariasis

1522

osmolality of See Osmolality, urine

pH of

934

cystine calculi and

946

in renal tubular acidosis

889

stone disease and

944–945

struvite calculi and

946

uric acid calculi and

930

945

946

sodium in See Sodium, urine

specimen collection and

896

934

for toxicology screening

1615

1615

Urine culture

in dysuria evaluation

34

in hematuria evaluation

936

Urine output

excess, incontinence in elderly and

62

monitoring, in burn care

1597

in preeclampsia-eclampsia

772

Urine protein-to-creatinine ratio

897

Urobilinogen

934

Urodynamic studies

in prostatodynia

942

in urinary incontinence

948

Urofollitropins, for male infertility

1107

Urography, intravenous

899

See also Pyelogram, intravenous

Urokinase See also Thrombolytic therapy

Urolithiasis

943–947

944

See also Nephrolithiasis

Urologic surgery, antibiotic prophylaxis for

47

Urology

931–973

See also Genitourinary system

Uropathy, obstructive

renal failure caused by

908

tubulointerstitial disease caused by

926

927

Uroporphyrins, in porphyria cutanea tarda

112

Ursodeoxycholic acid

for biliary cirrhosis

675

for cholelithiasis/gallstones

686

for primary sclerosing cholangitis

691

692

Urticaria

121–122

791–792

ACE inhibitor/angiotensin II receptor antagonist therapy and

121

antihistamines for

122

cholinergic

121

122

cold

121

1589

drugs causing

121

122

148

insect bites/stings causing

121

122

136

papular

121

bedbugs causing

136

in strongyloidiasis

1530

Urticating hairs, skin lesions caused by

136

USDA food guide

1261–1262

Usual interstitial pneumonia/pneumonitis (UIP)

276–278

277

Uterine bleeding See Menstruation; Vaginal bleeding

Uterine tubes, ligation of

758

Uterus

cancer of See Endometrial carcinoma

disorders of, amenorrhea in

1183

1184

gravid See Pregnancy

leiomyoma (fibroid tumor) of

737–738

perforation of by IUD

755

756

prolapse of

741

UVA therapy, with psoralen See PUVA therapy

Uveitis

151

162

acanthamoeba

1473

in ankylosing spondylitis

852

in Beh et's syndrome

162

851

inflammation/redness in

151

162

in leptospirosis

1456

Uvulopalatopharyngoplasty, for sleep apnea

306