Current Medical Diagnosis & Treatment, 2006 (Current Medical Diagnosis and Treatment)
Tierney, Lawrence M., McPhee, Stephen J., Papadakis, Maxine A.
Current Medical Diagnosis & Treatment, 45th Edition
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D
D antigen, in compatibility testing
533
D&C
729
for abnormal premenopausal bleeding
729
D cells, pancreatic
1178
D-dimer fibrin
in deep venous thrombosis/pulmonary embolism
281
471
in disseminated intravascular coagulation
530
laboratory reference range for
1738
D state sleep
1078
D-xylose test, in bacterial overgrowth
605
Dacarbazine
1672
Daclizumab
805
Dacryocystitis
155
Dactinomycin
1674
Dairy intolerance See Lactose (milk) intolerance
Dalfopristin/quinupristin See Quinupristin/dalfopristin
“Dallas” criteria, in infectious myocarditis
399–400
Dalmane See Flurazepam
Dalteparin, for venous thrombosis/pulmonary embolism
in prevention
287
in treatment
288
Danaparoid, for venous thrombosis/pulmonary embolism prevention
287
Danazol, for endometriosis
740
Dander, animal, avoidance therapy for allergies caused by
788
Dandruff
100
Dantrolene
for neuroleptic malignant syndrome
1063
1633
for spasticity
1016
Dapsone
1576
for leprosy
1440
1576
for malaria chemoprophylaxis/treatment
with proguanil (Lapdap)
1488
with pyrimethamine (Maloprim)
1488
for Pneumocystis jiroveci infection chemoprophylaxis/treatment
1346
1347
1542
1576
prophylactic
1290
1576
resistance to
1440
1576
Daptomycin
1579
cost of
1561
therapy adjustments in renal or hepatic failure and
1558
Darbopoetin, for chemotherapy-induced toxicity
1678
1681
Darier's disease, vaccinia and
111
Darkfield microscopic examination
in leptospirosis
1456
in syphilis
1445
DASH diet, in hypertension/hypertension prevention
421
426
“Date-rape” drug (gamma-hydroxybutyrate/GHB)
1625
Datril See Acetaminophen
Datura stramonium, toxicity of
1620
Daunorubicin/daunomycin
1675
liposomal
1666
1675
toxicity of
1675
1685
Daunosome See Daunorubicin/daunomycin, liposomal
DaunoXome See Daunorubicin/daunomycin, liposomal
Dawn phenomenon
1219
1219
DAX-1 gene mutation, in congenital adrenal hypoplasia/hypogonadism/azoospermia
1104
1181
Daypro See Oxaprozin
Daytime somnolence See Somnolence
DBE See Deep breathing exercises
DC cardioversion See Cardioversion, electrical
DCCT (Diabetes Control and Complications Trial)
1202
1226
DCIS See Ductal carcinoma in situ
DDAVP See Desmopressin
ddC See Zalcitabine
ddI See Didanosine
DDT (chlorophenothane), poisoning caused by
1622
De-efferented state (locked-in syndrome)
1019
De Quervain's (subacute) thyroiditis
1131
1135
1141
1144–1145
1146
“Deadly quartet.” See Syndrome X
Deafness See Hearing loss
Dean Ornish Diet
1247
Death See also End of life
hypothermia simulating
1590
1608
K bler-Ross' stages of
82–83
patient expectations about
67–68
preventable causes of
2
pronouncement of
84–85
sudden See Sudden death
tasks after
84–85
Death certificate
84–85
Decerebrate posturing
1017
Decision making, medical
advance directives and
70
assessment of older patient's capacity for
53–54
Decompression sickness
1603–1604
Decontamination
eye
172
1611
1617
1618
gastrointestinal
1607
1611–1613
for radiation accident victims
1601
skin
1610–1611
1617
1618
1632
nerve agents in chemical warfare and
1611
1622
Decorticate posturing
1017
Decubitus ulcers (bed/pressure sores)
140–141
141
bed rest/immobility and
60
140–141
De-efferented state (locked-in syndrome)
1019
Deep breathing exercises, prevention of postoperative pulmonary complications and
42
Deep neck infections
207
Deep sulcus sign, in pneumothorax
303
Deep venous thrombosis
470–472
See also Venous thrombosisBaker's cyst differentiated from
471
823
in burn injury
1598
cellulitis differentiated from
125
detection of
281–284
282
285
471
hypercoagulability and
281
470
531
532
lower extremity edema and
24–26
25
oral contraceptive use and
470
752–753
prevention of
284
286
287
471–472
pulmonary embolism and
280–281
283
treatment of
284–289
288
venous insufficiency/stasis and
24–26
25
281
470
471
473
P.1781
in Wegener's granulomatosis
848
Deer ticks See Ticks
DEET (N,M-diethyl-3-methylbenzamide) mosquito repellent
1488
Deferipone, for transfusional hemosiderosis
486
Deferoxamine
for hemochromatosis/iron toxicity
677
1625–1626
for transfusional hemosiderosis
486
Defibrillator cardioverter, implantable See Implantable cardioverter defibrillator
Deflazacort
1192
1193
See also CorticosteroidsDegenerative joint disease/arthritis
807–810
See also OsteoarthritisDehydration
calculating water deficit in
872
in cholera
1428
in diabetes insipidus
1109
in diabetic ketoacidosis
1229
1230
hypercalcemia/hyperparathyroidism and
879
880
hypernatremia and
871
872
enteral nutritional support and
1283
hyperosmolality and
872
in hyperglycemic hyperosmolar state
1231
1232
hyperosmolar nonketotic, parenteral nutritional support and
1284
management of See Fluid management/hydration
vomiting and
538–539
Dehydroemetine
adverse effects of
1472
for amebiasis
1470
1471
1472
Dehydroepiandrosterone (DHEA)
1163
1721
1721
for Addison's disease
1166
1721
1721
for hypopituitarism
1106–1107
serum levels of, in Addison's disease
1166
for systemic lupus erythematosus
835
1721
1721
Dehydroepiandrosterone sulfate (DHEAS)
1163
1170
1721
1721
hirsutism/virilization and
1170
1171
1721
D j vu
seizures and
981
temporal lobe lesions causing
1001
Dejerine-Sottas disease
1024
Delavirdine
1338
1342
1343
See also Antiretroviral therapyresistance to
1345
Delayed hypersensitivity reactions See also Hypersensitivity reactions
in nutritional assessment
1263
in schistosomiasis
1502
Delayed puberty See Puberty
Delirium
59
1090–1094
1091
alcohol use/abuse and
1084
1093
clinical findings in
1091–1092
in elderly
59
postoperative
44
44
urinary incontinence and
62
hospitalization and medical-surgical disorders and
1095
1096
lithium-induced
1076
postoperative
44
in terminally ill/dying patient
81
treatment of
59
1092–1093
Delirium tremens
1084
Delivery See Labor and delivery
Delta agent (hepatitis D virus)
654
Delta F508 mutation, in cystic fibrosis
245
Delta sleep
1078
Delta wave, in preexcitation syndromes
374
Delusional disorders/delusions
1057
1057–1058
Demadex See Torsemide
Demeclocycline
adverse effects of
1571
for hyponatremia
870
Dementia
55–58
1014
1090–1094
See also Alzheimer's diseasecaregiver issues and
57
clinical findings in
56
1092
cortical
1092
in Creutzfeldt-Jakob disease
1092
1374
depression and (pseudodementia)
1092
in elderly
1094
in Down's syndrome
1704–1705
in elderly
55–58
1092
1094
assessment of/screening for
51
52–53
decision-making capacity and
53–54
estrogen replacement therapy and
761
1187
1188
frontotemporal
56
ginkgo for
57
1712
1715
in HIV infection/AIDS
1092
1324
in Huntington's disease
1010
1011
1092
hypertension and
425
with Lewy bodies
56
medication use and
56–57
motor findings and
56
multi-infarct (vascular)
425
1092
in niacin deficiency/pellagra
1103
1274
subcortical
56
1092
treatment of
57–58
1092–1093
Demerol See Meperidine
Demyelinating neuropathies/polyneuropathies
1023
See also specific typein HIV infection/AIDS
1026
1325
optic neuritis and
169
in paraproteinemia/myeloma
517
1025
Demyelination See also Demyelinating neuropathies/polyneuropathies
in Guillain-Barr syndrome
1027
hyponatremia treatment and
870
in multiple sclerosis
1014
in progressive multifocal leukoencephalopathy
1375
Dendritic cell tumor vaccines
1700
Dengue
1371
1377–1378
Denileukin diftitox (ONTAK)
1668
1676
Dental disorders
actinomycosis and
1436
anaerobic pleuropulmonary infections and
255
1434
deep neck infections and
207
earache and
187
facial pain caused by
979
hepatic abscess and
681
sinusitis and
195
Dental pain, acupuncture for
1726
1728
Dentatorubral-pallidolysian atrophy
1011
Dentures, foreign body aspiration and
214
Dependence (drug) See also specific drug and
Substance use disorders
in opioid therapy
73
1087
Dependent personality disorder
1055
Depersonalization
1044
in schizophrenia/psychotic disorders
1058
temporal lobe lesions causing
1001
Depigmentation disorders
143
See also HypopigmentationDepression
58–59
1065–1078
adjustment disorder with
1066
alcohol dependency and
1067
1075
1083
with atypical features
1066
1068
bipolar disorder and
1066–1067
chronic pain and
1050
complications of
1067–1068
dehydroepiandrosterone (DHEA) for
1721
1721
dementia in (pseudodementia)
1092
in elderly
1094
differential diagnosis of
1067
dispensing medications and
1068
1068–1069
drug-induced
1067
drug therapy for
1068–1073
1069
1071
1072
1074
See also Antidepressantsdysthymia
1066
in elderly
58–59
1094
caregiver issues and
54
screening for
51
53
53
stimulants for
1068
1095
urinary incontinence and
62
electroconvulsive therapy for
1068
1073–1074
at end-of-life
83
experimental treatments for
1074
headache associated with
975
hospitalization and medical-surgical disorders and
1095
1096
1097
illness/drugs causing
1067
lithium for
1068
1073
major depressive disorder
1066
obsessive-compulsive disorder and
1044
oral contraceptive use and
753
1067
panic disorder and
1043
phototherapy for
1074
postmenopausal (involutional melancholia)
760
1187
with postpartum onset
1066
1103
premenstrual
1066
1103
S-adenosylmethionine (SAMe) for
1719
1721
schizophrenia/psychotic disorders/ideation and
1057
1058
1067
1068
screening for
3
1040
in elderly
51
53
53
with seasonal onset
1066
1068
1074
sleep disorders and
1079
somatization disorder and
1048
St. John's wort (Hypericum perforatum) for
1711–1714
1713
suicide and
1067–1068
in terminally ill/dying patient
83
treatment of
1068–1075
1069
See also AntidepressantsDermabrasion, for acne scars
117
Dermacentor ticks See Ticks
Dermatitis
atopic See Atopic dermatitis
cercarial, in schistosomiasis
1502
contact
allergic
113–115
impetigo differentiated from
113
114
urticarial lesions in
121–122
irritant
114
tinea pedis differentiated from
103
contagious pustular (orf)
1388
drugs causing
146–149
147–149
exfoliative (exfoliative erythroderma)
106–107
drugs causing
106
147
psoriatic
97
107
See also Psoriasishand, vesiculobullous (pompholyx/dyshidrosis/dyshidrotic eczema)
111–112
herpetiformis
112–113
P.1782
celiac disease and
113
602
HLA in
112–113
801
in hookworm disease (ground itch)
1525
medicamentosa (drug eruption)
146–149
147–149
in niacin deficiency/pellagra
1274
perioral
115
118
seborrheic See Seborrheic dermatitis
stasis
474
leg ulcers and
141
474
Dermatologic therapy
86–91
87–90
adverse ocular effects of
179
complications of
91
Dermatomes, herpes zoster following
109
1356
Dermatomyositis
840–842
autoantibodies in
836
841
cancer-related
840
841
862
1005
1696
1698
sine myositis
840
Dermatop See Prednicarbate
Dermatopathic lymphadenitis/lymphadenopathy
106
Dermatophytosis
103–104
tinea corporis/circinata and
101–102
Dermoid cysts, ovarian
744
Dermopathy
in Graves' disease (pretibial myxedema)
1135
1137
1142
kava use and
1717
DES See Diethylstilbestrol
Des-gamma-carboxy prothrombin, in hepatocellular carcinoma
682
Desensitization techniques
for depression
1075
for phobic disorders
1047
for surgery- or illness-related anxiety
1097
Desensitization therapy See also Immunotherapy
for asthma
234
790–791
for drug allergies
794
1315–1316
to penicillin
1315–1316
1564
Designer drugs
1090
Desipramine
1068
1071
1072
See also Antidepressantsmonitoring concentrations of
1071
1733
for neuropathic pain/painful diabetic neuropathy
79
1223
Desloratadine
789
See also AntihistaminesDesmogleins, in pemphigus
125
126
Desmopressin (DDAVP)
for bleeding in uremia/chronic renal failure
526
910
in diabetes insipidus diagnosis
1109
in diabetes insipidus treatment
1109
for hemophilia A
527
for von Willebrand's disease
524
Desmosomal proteins, in pemphigus
125–126
Desogestrel, in combination oral contraceptives
751–752
thromboembolism and
753
Desonide
87
Desquamative interstitial pneumonia (DIP)
276–278
Desynchronization sleep disorder
1078
Desyrel See Trazodone
Detergent worker's lung
296
Detrusor muscle disorders, urinary incontinence and
62–63
63
64
948
949
See also Overflow incontinence; Urge incontinenceDEV (duck embryo) rabies vaccine
1370
1371
DeVega annuloplasty
337
DEXA See Dual energy x-ray absorptiometry
Dexamethasone
1192
1193
See also Corticosteroidsfor acute mountain sickness
1604
in cancer chemotherapy
1674
for nausea and vomiting
540
1682
for ophthalmic disorders
174
in pain management
80
for spinal tumors/cord compression
1003
1689–1690
Dexamethasone suppression test, in Cushing's syndrome diagnosis
1168
Dexfenfluramine, withdrawal of from market
1269
Dexrazoxane, for chemotherapy-induced toxicity
1677
1685
Dextroamphetamine
for depression
1068
for narcolepsy
1080
Dextromethorphan
monoamine oxidase inhibitor interaction and
1074
overdose/toxicity of
1631
Dextrose
for coma
1017
1608
in fluid management
894
895
for hypernatremia
872
DHEA See Dehydroepiandrosterone
DHEAS See Dehydroepiandrosterone sulfate
DHT See Dihydrotachysterol; Dihydrotestosterone
Diabeta See Glyburide
Diabetes Control and Complications Trial (DCCT)
1202
1226
Diabetes insipidus
1108–1110
craniopharyngioma and
1106
nephrogenic
874
1108
1109–1110
demeclocycline causing
1571
hypercalcemia/hyperparathyroidism and
879
880
1150
hypernatremia in
871
1109
1110
lithium causing
1076
in Wolfram syndrome
1108
Diabetes mellitus
1194–1227
See also underDiabetic
antipsychotic drug use and
1062
1063
atrial fibrillation and
375
375
beta-blocker use in
433
blood glucose self-monitoring in
1200
1217
chronic intestinal pseudo-obstruction/gastroparesis in
609
1224
cirrhosis and
669
classification and pathogenesis of
1194–1197
1195
clinical findings in
1198–1201
1198
complications of
1221–1226
clinical studies of glycemic control and
1202
1203–1205
insulin therapy causing
1220–1221
ocular
167
1198
1198
1221
See also Diabetic retinopathytransient refractive errors
154
continuous glucose monitoring systems in
1200–1201
differential diagnosis of
1201–1202
epidemiologic considerations in
1194
1195
erectile dysfunction in
1101
1224
1224–1225
exercise in prevention/management of
12
1203
1216–1217
external otitis/osteomyelitis of skull base and
182–183
foot disorders/foot care in
1223
1225
gestational
776–777
777
glaucoma in
1221
glucose tolerance test in
1199
1199
glucosuria in
1198
1199
glycemic control in
acceptable levels of
1219–1220
clinical studies in evaluation of
1202
glycated hemoglobin (hemoglobin A1) measurements in evaluation of
1199–1200
1202
1203
1204
1205
1218
1220
intensive insulin therapy for See Insulin therapy, intensive
pregnancy and
776
777
1226
surgery and
45–46
45
glycosuria in
1198
HLA in
801
1195
1195
hypernatremia and
871
hypertension in
423
425
439–440
1222
ACE inhibitors for
425
433
440
440
923
1203–1205
1205
1222
antihypertensive therapy regimens for
439
439–440
440
1203–1205
1205
1222
1225
benefits of control of
423
425
439–440
923
1204–1205
1222
hypertriglyceridemia in
1201
1243
1244
insulin resistance and
1196–1197
1197–1198
See also Insulin resistance/insulin insensitivity; Insulin resistance syndromeketonuria in
1199
laboratory findings in
1199–1201
1199
latent autoimmune of adulthood (LADA)
1195
lipid/lipoprotein abnormalities in
1201
1243
1244
maturity-onset of young (MODY)
1195
1197
mitochondrial DNA mutations and
1197
mucormycosis in
197
mutant insulin/mutant insulin receptors causing
1197
neurogenic arthropathy (Charcot joint) in
862
1223
nonalcoholic fatty liver disease and
667
668
occult (late hypoglycemia)
1234
1238
ocular examinations in
161
167
in pancreatic and periampullary carcinoma
700
patient education (self-management training) in
1217
prebreakfast hyperglycemia in
1218–1219
1219
during pregnancy
776–777
777
1226
screening for
765
777
prognosis for
1226
renal failure and
911
923
1222
dialysis for
912
1222
self-monitoring of blood glucose and
1200
1217
serum fructosamine levels in
1200
surgery in patients with
44–46
44
treatment of
aspirin in
1205
1225
clinical trials in evaluation of
1202–1205
diet in
1205–1206
1216–1217
See also Dietgeneral considerations in
1216–1217
goals of
1202
insulin in
1212–1216
See also Insulin therapyoral drugs in
1206–1212
1207
1208
See also Antidiabetic agents, oralregimens for
1205–1216
steps in
1217–1219
transplantation in
1216
type 1
1194–1196
1195
P.1783
clinical findings in
1198
1198
clinical trials in
1202
coxsackievirus infection and
1390
HLA in
801
1195
1195
idiopathic (type 1B)
1195
1195
immune-mediated (type 1A)
1194
1195
1195
1196
insulin therapy for
1212–1216
1213
1214
1218–1219
1219
type 2
1196–1197
antipsychotic use and
1062
1063
clinical findings in
1198–1199
1198
clinical trials in
1202–1205
coenzyme Q10 for
1722
hepatitis C and
655
insulin therapy for
1203
1218
in nonobese patients
1196–1197
1218
in obese patients
1098
1196
1198
1217
oral drugs for management of
1206–1212
1207
1208
polycystic ovary syndrome and
746–747
urinalysis findings in
1199
weight loss (unintended) in
1099
1198
1198
in Wolfram syndrome
1197
Diabetes Prevention Program (DPP)
1203
Diabetes Prevention Trial-1 (DPT-1)
1202
Diabetic amyotrophy
1025
1223
Diabetic cataracts
1221
Diabetic coma
1198
1227–1233
1228
See also specific causein diabetic ketoacidosis
1227–1231
1228
in hyperglycemic hyperosmolar state
1228
1231–1232
lactic acidosis and
1228
1233
Diabetic diarrhea
1224
Diabetic dyslipidemia
1201
1243
1244
Diabetic ketoacidosis
887–888
1198
1227–1231
1228
hyperchloremic normal anion gap acidosis and
887–888
1231
hyperkalemia and
875
1230
insulin infusion pump use and
1216
1229
Diabetic maculopathy/macular edema
1221
Diabetic nephropathy
923
1221–1223
glycemic control and
923
1202
1204
1222
hypertension/hypertension control and
423
425
439–440
923
1222
Diabetic neuropathic cachexia
1223–1224
Diabetic neuropathy
1025
1198
1222–1225
clinical studies of glycemic control and
1202
foot ulcers/gangrene and
1223
1225
Diabetic retinopathy
167
1221
glycemic control and
167
1202
1204
Diabetic shin spots
1100
1225
DiabetiSweet See Acesulfame potassium
Diabinese See Chlorpropamide
Diagnostic/laboratory tests See also specific disorder
in poisoning/drug overdose
1614–1615
1614
1615
in prenatal care
764
See also Prenatal testingfor screening See also Screening tests
specimen collection for
tubes for
1743
for urinalysis
896
934
Dialectical behavioral therapy, for personality disorders
1055
Dialysis
912–913
for acute tubular necrosis
904
“gut” (repeat-dose charcoal)
1613
hypercalcemia/hyperphosphatemia associated with
880
883
for hyperkalemia
876
877
for hyperphosphatemia
883
in older adult
930
for poisoning/drug overdose
1613
1613
with lithium
1077
1613
with methanol or ethylene glycol
1613
1628
with salicylates
1613
1634
with theophylline
1613
1637
with valproic acid
1613
preoperative
46
for renal failure
912–913
coagulopathy and
910
in diabetic
912
1222
for rewarming in hypothermia
1591
skin lesions and (porphyria cutanea tarda-like)
112
for uremic pericarditis
408
910
Diaminopyrimidines, for malaria chemoprophylaxis/treatment
1488
Diaphragm
221
Diaphragm (contraceptive)
756
Diarrhea
545–551
See also specific cause andColitis; Gastroenteritis
acute
545–548
546
547
547
1299–1300
1302–1303
antibiotic-associated (Clostridium difficile)
545
546
618–620
1300
1302
antibiotics for
548
in bacterial overgrowth
605
in balantidiasis
1475
bloody
546
555
See also Dysenterycampylobacter causing
545
1299
1300
1301
1302
1428–1429
Guillain-Barr syndrome and
1027
in carcinoid syndrome
611
1692
in celiac disease
602
603
in cholera
1299
1300
1428
chronic
548–551
548
550
clostridial
545
546
coccidial and microsporidial
1475–1478
in Crohn's disease
549
622
625
in diabetic autonomic neuropathy
1224
diet in management of
546
drugs in management of
546–548
See also Antidiarrheal agentsenteral nutritional support and
1283
Escherichia coli causing
545
546
1299
1300
1301
1302
1427
factitious
548
549
fecal impaction and
544
fluid management in
546
in giardiasis
545
546
549
550
1299
1479
in hyperoxaluric calcium nephrolithiasis
946
hypokalemia caused by
873
in immunocompromised host/HIV infection/AIDS
545
546
549
1326–1327
1475–1478
infectious
acute
545–548
546
547
547
1299–1300
1302–1303
chronic
548
549
inflammatory
545–546
546
548
549
1299
in intestinal amebiasis
545
546
549
550
1468
in irritable bowel syndrome
616
in lactase deficiency
549
606
in malabsorption
548
549
600
in measles
1363
in microscopic colitis
631
motility disorders and
548
549
in niacin deficiency/pellagra
1274
noninflammatory
545
546
1299
Norwalk/Norwalk-like agents causing
1299
1389
osmotic
548
549
radiation causing
1683
rotaviruses causing
1299
1389
in schistosomiasis
1502
secretory
548
549
in short bowel syndrome
606
traveler's
545
1300–1301
coccidial and microsporidial
1475
in typhoid fever
1425
in ulcerative colitis
549
627
627
in vibrio infection
546
1299
1300
1302
1428
viral
545
1299
1389
in Zollinger-Ellison syndrome (gastrinoma)
595
1178
Diastolic blood pressure, in hypertension
419
urgencies/emergencies
442
Diastolic dysfunction/heart failure
386
386–387
390
See also Congestive heart (cardiac) failurein restrictive cardiomyopathy
404
Diastolic murmurs
315
See also Heart murmursDiatrizoate meglumine (Hypaque) enema, in acute colonic pseudo-obstruction (Ogilvie's syndrome)
608
Diazepam
1044
1045
See also Benzodiazepinesadverse ocular effects of
178
for alcohol withdrawal
1086
for anxiety
1044
1045
breast feeding and
786
for nausea and vomiting
540
for status epilepticus
986
Diazoxide
for hypertensive urgencies/emergencies
443
445
for insulinoma
1237
Dibenzodiazepines
1059
1060
See also Antipsychotic drugsDibenzothiazepine
1059
1060
See also Antipsychotic drugsDibenzoxazepines
1059
1059
1060
See also Antipsychotic drugsDIC See Disseminated intravascular coagulation
Dichuchwa (endemic syphilis)
1454
Diclofenac
75
for ophthalmic disorders
174
Dicloxacillin
1564
Dicyclomine, for irritable bowel syndrome
617
Didanosine (ddI)
1337
1339
1342
1343
1343
See also Antiretroviral therapyneuropathy and
1325
1339
resistance to
1344
DIDMOAD (Wolfram syndrome)
1108
1197
Diet See also Nutrition
acne and
116
breast cancer risk and
706
1647
in cancer prevention
1647
1648
in cardiac failure management
395
cholesterol-lowering
1247–1248
1278–1279
in cirrhosis
670
colorectal cancer and
638
1647
consistency alterations and
1277–1278
constipation and
541–542
542–543
coronary heart disease and
339–340
in Crohn's disease
624
in diabetes mellitus
1205–1206
1216–1217
complications rates and
1205
for nonobese type 2 diabetic
1218
for obese type 2 diabetic
1217
pregnancy and
777
prevention and
1203
P.1784
in diarrhea control
546
in gastroesophageal reflux management
568
gluten-free, for celiac disease/dermatitis herpetiformis
113
601
603
in gout
812
health maintenance recommendations/guidelines for
3
1259–1263
1261–1262
in hemochromatosis
677
in hypertension/hypertension prevention
421
426
in hypertriglyceridemia
1252
for insulinoma
1237
in irritable bowel syndrome
617
lipid-lowering
1247–1249
1278–1279
Mediterranean, for lipid modification
1247–1248
nutrient-restricting
1278–1279
nutrient-supplementing
1279
obesity management/prevention and
14
1099
1268–1269
in osteoporosis prevention/management
1158
in pancreatitis
696
698
during pregnancy
764
766–767
diabetes mellitus and
777
in renal failure
911–912
therapeutic
1277–1280
in ulcerative colitis
628
urinary stone formation and
943–944
Diet recalls, twenty-four-hour
1263
Diet record, 3- to 5-day
1263
Diet therapy
1277–1280
See also Diet; NutritionDietary Guidelines for Americans
1259
1261–1262
Dietary history
1263
Dietary reference intakes (DRIs)
1253
1254–1255
1256
1257
Dietary Supplement and Health Education Act (DSHEA)
1710
1719
Dietary supplements
1719–1722
1720
hepatic failure and
658
regulation/quality assurance and
1710
1719
Diethylcarbamazine
for filariasis diagnosis/treatment
1523
for loiasis
1527
Diethylpropion, for obesity
1269
Diethylstilbestrol
for breast cancer
721
in male
727
in utero exposure to, effects of
734
Dieulafoy's lesion
552
Diffuse cutaneous leishmaniasis
1481
1484
Diffuse esophageal spasm
581
dysphagia in
564
581
Diffuse idiopathic skeletal hyperostosis (DISH)
853
Diffuse parenchymal lung disease
275–280
275
See also specific disorder and Interstitial lung diseaseDiffusing capacity for carbon monoxide (DLCO)
222–223
in interstitial (diffuse parenchymal) lung disease
222–223
275
in pneumocystis pneumonia
223
1323
1541
in primary pulmonary hypertension
411
ratio of to alveolar volume (DLCO/VA)
223
Diflorasone
87
Diflucan See Fluconazole
Diflunisal
75
Digestion
disorders of See Malabsorption
normal/phases of
600–601
Digibind See Digoxin-specific Fab antibody
DigiFab See Digoxin-specific Fab antibody
Digital clubbing
145
221–222
in bronchiectasis
244
in interstitial (diffuse parenchymal) lung disease
275
in lung cancer
267
Digital cyanosis, in acrocyanosis
466
Digital mammography
708
1655
Digital rectal examination See Rectal examination
Digitalis/digitalis glycosides See also Digoxin
adverse ocular effects of
178
antidepressant drug interactions and
1074
for cardiac failure
393
394
overdose/toxicity of
1611
1623–1624
hypokalemia and
873
Digitoxin, overdose/toxicity of
1624
Digoxin
393
See also Digitalis/digitalis glycosidesfor arrhythmias
371
atrial fibrillation
375
in hyperthyroidism
1141
paroxysmal supraventricular tachycardia
373
benzodiazepine interactions and
1046
for cardiac failure
393
infarct-associated
363
monitoring concentrations of
1733
overdose/toxicity of
393
1615
1624
Digoxin-specific Fab antibody, for digitalis toxicity
393
1611
1624
Dihydrofolate reductase, sulfonamides affecting
1575
Dihydroindolones
1059
1059
1060
See also Antipsychotic drugsDihydrotachysterol, for hypoparathyroidism/tetany
1148
1149
Dihydrotestosterone
1170
benign prostatic hyperplasia and
955
in hirsutism/virilization
1170
prostate cancer and
966
1,25-Dihydroxycholecalciferol See Calcitriol
Diiodohydroxyquin See Iodoquinol
Dilacor See Diltiazem
Dilated cardiomyopathy See Cardiomyopathy
Dilation and curettage See D&C
Dilaudid See Hydromorphone
Diloxanide, for amebiasis
1470
1471
1472
Diltiazem See also Calcium channel blocking drugs
for arrhythmias
370
atrial fibrillation
376
for hypertension
435
436
overdose/toxicity of
1621
Dilutional acidosis
889
Dimercaprol (BAL)
for arsenic poisoning
1620
for lead poisoning
1627
for mercury poisoning
1627
Dimercaptosuccinic acid (DMSA) See Succimer
1,1-Dimethylbiguanide hydrochloride See Metformin
Dimethyltryptamine
1087
Diovan See Valsartan
DIP See Desquamative interstitial pneumonia
Diphenhydramine
789
See also Antihistaminesoverdose/toxicity of
1620
Diphenoxylate with atropine
551
See also Antidiarrheal agentsoverdose/toxicity of
1620
Diphtheria
1413–1414
immunization against
1304
1305–1306
1307–1309
1414
myocarditis in
398–399
1413
neuropathy in
1026
1413
pharyngitis in
205
1413
Diphtheria antitoxin
1414
Diphtheria-tetanus toxoid See Tetanus-diphtheria toxoid
Diphtheria and tetanus toxoids and pertussis vaccine (DTP/DTaP vaccine)
1304
1305–1306
1409
1410
1414
1420
Diphyllobothrium latum (fish tapeworm)
1508
1509
vitamin B12 deficiency and
487
1509
Dipiperazines
1059
1060
See also Antipsychotic drugsDipivefrin, for glaucoma/intraocular hypertension
161
173
Diplopia
151
152
in Graves' disease
1137
in ocular motor palsies
170
stroke causing
993
vertigo and
190
Diprolene See Betamethasone
Dipstick urinalysis
896
934–935
See also specific disorderin dysuria evaluation
34
in hematuria evaluation
897
935
in proteinuria evaluation
897
934
Dipylidium caninum (dog tapeworm)
1508
1508–1509
1509
Dipyridamole See also Antiplatelet therapy for transient ischemic attacks, 990
Dipyridamole-thallium scintigraphy See Myocardial perfusion scintigraphy
Direct ophthalmoscopy See Ophthalmoscopy
Directed bleeding history, preoperative
35
36
43–44
Directly observed therapy (DOT), for tuberculosis
260
261
262
Dirofilaria immitis (dirofilariasis)
1522
Dirythromycin
1570
Disaccharidase deficiency See also Lactase deficiency
diarrhea and
549
Discoid lupus erythematosus
104–105
Disease-modifying antirheumatic drugs (DMARDs)
831–832
Disease presentation, in elderly
49
Disease prevention See Health maintenance/disease prevention
Disequilibrium (imbalance)
falls/immobility in elderly and
60
61
in vestibular schwannoma (acoustic neuroma)
193
DISH See Diffuse idiopathic skeletal hyperostosis
Disipal See Orphenadrine
Disk disease
cervical
1030–1031
arthritic/degenerative
816
1031
chest pain in
344
herniation/protrusion
815–816
1030–1031
1032–1033
vertigo and
192
lumbar/sacral, herniation
817
818
818
819
thoracic, chest pain in
344
581
Disopyramide
369
overdose/toxicity of
369
1634
Disorganized (hebephrenic) schizophrenia
1056–1057
Dissection See Aortic dissection; Carotid artery, dissection of
Disseminated intravascular coagulation (DIC)
530–531
in cancer, encephalopathy caused by
1005
P.1785
in malaria (severe P falciparum infection)
1487
1497
in meningococcal meningitis
1421
Dissociated sensory loss
988
in spinal cord infarction
999
Dissociative disorder
1044
Dissociative identity disorder (multiple personality disorder)
1044
Distal muscular dystrophy
1036
Distal renal tubular acidosis
889
889
890
See also Renal tubular acidosisgenetic defects associated with
874
urinary stone formation and
889
944
Distributive shock
477–478
478
479–480
Disulfiram
for alcohol use/abuse
1085
antidepressant drug interactions and
1074
benzodiazepine interactions and
1046
Disulfiram-like reactions, Coprinus mushroom poisoning causing
1629
1630
1630
Diulo See Metolazone
Diuresis, forced, for poisoning/drug overdose
1613
Diuretics See also specific agent
abuse of in bulimia nervosa
1271
1272
for acute tubular necrosis
904
adverse ocular effects of
178
for cardiac failure
390–391
infarct-associated
362–363
in renal failure
390
391
910
for cirrhotic ascites
670
for hypercalciuria
945
for hyperkalemia
877
for hypernatremia
872
for hypertension
428
429–430
in blacks
440
in combination products
424
425
430
439
during pregnancy
416
779
regimen for use of
437–439
440
urgencies/emergencies
445
hyperuricemia and
812
for hyponatremia
870
hyponatremia caused by idiosyncratic reaction to
869
lipid abnormalities associated with use of
1244
lithium interactions and
1077
1077
for nephrotic syndrome
921
nutrients affected by
1260
potassium supplementation and
1279
for pulmonary edema
398
Divalproex See Valproic acid/valproate
Diverticula
colonic
631–633
esophageal
573
Zenker's
573
Diverticular bleeding
554
555
556
633
Diverticulitis
632–633
Diverticulosis
631–632
gastrointestinal bleeding in
554
555
556
633
infection and (diverticulitis)
632–633
Diving (underwater) See Scuba/deep sea diving
Dizziness See also Disequilibrium (imbalance); Vertigo; Vestibular disorders
falls/immobility in elderly and
60
61
in heart disease
313
DLCO (diffusing capacity for carbon monoxide)
222–223
in interstitial (diffuse parenchymal) lung disease
222–223
275
in pneumocystis pneumonia
223
1323
1541
in primary pulmonary hypertension
411
ratio of to alveolar volume (DLCO/VA)
223
DLE See Discoid lupus erythematosus
DMARDs See Disease-modifying antirheumatic drugs
DML
90
DMPA See Medroxyprogesterone
DMSA See Succimer
DNA
double-stranded, antibodies to See Anti-double-stranded (anti-ds)-DNA
hepatitis B virus
653
654
659
native, antibodies to
836
DNA amplification tests, in tuberculosis
258
DNA analysis/DNA diagnosis (molecular genetics) See also Genetic testing
in cancer
1641
for colorectal cancer screening
642
DNA fingerprinting, in tuberculosis
257
258
DNA microarray studies, cancer development studied with
1641
DNA probes, for muscular dystrophy
1036
DNAR orders (“do not attempt resuscitation”)
70
71
Dobrava virus
1378
Dobutamine
for cardiac failure
394–395
infarct-associated
363
for shock
479
Dobutamine stress echocardiography
316–317
in cardiac failure
390
Docetaxel
723
1662–1665
1674
neuropathy caused by
1683–1684
with trastuzumab
1667
Doctor–patient relationship
chronic pain disorders and
1050
complementary/alternative medicine and
1709
compliance and
2
end-of-life care and
68
68
grieving after death and
85
irritable bowel disease management
616–617
psychiatric problems associated with hospitalization and medical/surgical disorders and
1096–1097
smoking cessation and
7
8
somatoform disorders and
1048–1049
weight reduction and
1268
Docusate sodium
543
543
Dofetilide
370
Dog bites
1296
See also Animal bitesrabies and
1297
1369
1370
Dog feces
cutaneous larva migrans transmitted by
1519
hydatid disease transmitted by
1513
1515
toxocariasis (visceral larva migrans) transmitted by
1534
Dog fleas See Fleas
Dog heartworm infection (dirofilariasis)
1522
Dog hookworm
cutaneous larva migrans caused by
1519
eosinophilic enteritis caused by
1526
Dog tapeworm (Dipylidium caninum)
1508
1508–1509
1509
Dog ticks See Ticks
Dolasetron
540
540
1682
See also AntiemeticsDoll's-head eye response, in coma or stupor
1018
Dolobid See Diflunisal
Dolophine See Methadone
Domestic violence
1081
1082
elder abuse and
17
51
54
54
1094
prevention of
16–17
Donation of organs
85
See also TransplantationDonepezil, for dementia
57
1093
Donovan bodies, in granuloma inguinale
1433
Dopamine
in Huntington's disease
1011
for hypotension/shock
363
479
in parkinsonism
1007
prolactin secretion affected by
1113
Dopamine agonists
for acromegaly/gigantism
1111
for cocaine withdrawal
1089
for hyperprolactinemia
1114–1115
for neuroleptic malignant syndrome
1063
for parkinsonism
1009
Dopamine antagonists See also Antipsychotic drugs
for Huntington's disease
1011
for nausea and vomiting
540
540
for Tourette's syndrome
1014
Dopamine receptors, antipsychotic agents affecting
1060
1061
Doppler ultrasound
316
See also Echocardiography; Ultrasonographyin valvular heart disease
328
Doral See Quazepam
Dorsalis pedis pulse, in lower extremity occlusive disease
453
Dorzolamide, for glaucoma/intraocular hypertension
161
173
Dorzolamide/timolol, for glaucoma/intraocular hypertension
161
174
Dose-dense/dose-intense chemotherapy
1661
1662
See also ChemotherapyDOT See Directly observed therapy
Double effect
69
Double-stranded DNA antibodies
799
836
in hyperthyroidism
1138
in lupus erythematosus
105
799
835
836
Double vision See Diplopia
Down's syndrome (trisomy 21)
1704–1705
prenatal screening for
765
1705
Doxazosin
for benign prostatic hyperplasia
958
959
for hypertension
437
438
Doxepin
1072
See also Antidepressantsbreast feeding and
785
topical
89
Doxercalciferol, for hyperparathyroidism
1154
Doxil See Doxorubicin, liposomal
Doxorubicin
1675
for breast cancer
723
breast feeding and
786
liposomal
1666
1675
for Kaposi sarcoma
1328
secondary malignancies and
1644–1645
toxicity of
1675
1685
with trastuzumab
1667
Doxycycline
1571
for acne
116–117
for anthrax prophylaxis/treatment
1412–1413
1412
cost of
1562
for Lyme disease
1461
1461
for malaria chemoprophylaxis/treatment
1489
1490
1495
1496
1497
with atovaquone
1490
1496
1497
for pleurodesis
302
for pneumonia
252
for rosacea
118
for syphilis
1446
1448
therapy adjustments in renal or hepatic failure and
1558
for urinary tract infection
939
P.1786
for wolbachia eradication
in filariasis
1523
in onchocerciasis
1528
DPOA-HC See Durable Power of Attorney for Health Care
DPP (Diabetes Prevention Program)
1203
DPT-1 (Diabetes Prevention Trial-1)
1202
Dracunculus medinensis (dracunculiasis/dracunculosis/dracontiasis)
1520–1521
DRE (digital rectal examination) See Rectal examination
Dream sleep
1078
Dressler's syndrome (postmyocardial infarction/postcardiotomy pericarditis)
364
408
Drinking See Alcohol use/dependency/abuse
DRIs (dietary reference intakes)
1253
1254–1255
1256
1257
Driving (automobile), by patients with syncope/ventricular tachycardia/aborted sudden death
385
Dronabinol (Δ9-tetrahydrocannabinol), for nausea and vomiting
540
in AIDS wasting
1322
chemotherapy-induced
1682
Drooling, in esophageal foreign body
214
“Drop arm” signs
824
Drop attacks
epileptic (atonic seizures)
982
See also Seizurestransient ischemia and
989
Droperidol, torsade de pointes caused by
540
Drospirenone, in combination oral contraceptives
751
Drotrecogin alfa (recombinant protein C), for bacteremia/sepsis/shock
480
1424
Drowning
1601–1603
Drug abuse/drug addiction See Poisoning/drug overdose; Substance use disorders
Drug allergy
792–794
See also specific agentdermatitis caused by
146–149
147–149
desensitization therapy for
794
1315–1316
testing for
793–794
1315–1316
in topical dermatologic therapy
91
Drug dependence
1082
See also specific drug andSubstance use disorders
in opioid therapy
73
1087
Drug eruptions
146–149
147–149
fixed
148
Drug-induced disorders/side effects
abnormal movements
1013
1063–1064
acute tubular necrosis
903
agranulocytosis
498–499
499
allergic reactions See Drug allergy
alopecia
145
148
asthma
227
298
cholelithiasis/gallstones
684
cognitive disorders
1091
constipation
542
cough
219
298
delirium
59
1091
depression
58
1067
dermatitis (dermatitis medicamentosa)
146–149
147–149
dyspepsia
536
in elderly
49
64–66
cognitive functioning and
56–57
59
depression and
58
falls and
61
iatrogenic drug reactions
64–66
renal function and
930
urinary incontinence and
62
eosinophilic pulmonary syndromes
280
erectile dysfunction/impotence
950
951
1101
1102
erythema multiforme
122
123
exfoliative dermatitis/erythroderma
106
147
fatty liver disease (hepatic steatosis)
666
fetotoxicity
764
glucose-6-phosphate dehydrogenase deficiency
492
gout
812
gynecomastia
1100
1101
1101
hallucinosis
1092
Hashimoto's thyroiditis
1144
hepatic failure
658
hepatitis
666
hirsutism
1171
hyperglycemia
1201
hyperkalemia
876
hyperpigmentation
143
148
1100
nail
145
149
1100
hypogonadism
1106
hyponatremia
869
infertility
952
954
interstitial lung disease
275
298
interstitial nephritis
905
lichenoid/lichen planus-like
131
148
liver disease
665–666
long QT syndrome
381
lung disease
298
298
lupus erythematosus
105
147
298
793
834
834
microscopic polyangiitis
849
myocarditis
400
nail hyperpigmentation
145
149
1100
nausea and vomiting
539
neuropathy, in HIV infection/AIDS
1325
neutropenia
498–499
499
nipple discharge
704
olfactory dysfunction
198
overdoses See Poisoning/drug overdose
parkinsonism
1007
1013
1064
pemphigus
126
photosensitivity/photodermatitis
140
147
pigmentary changes
143
148–149
porphyria
1703
1704
cutanea tarda
112
pseudotumor cerebri
1005–1006
psychotic behavior
1058
pulmonary disorders
298
298
pure red cell aplasia
489
rhabdomyolysis/myopathy/myositis
841
843
sick sinus syndrome
382
syndrome of inappropriate ADH secretion
868
systemic absorption of topical medications and
91
177–178
teratogenicity
764
urticaria
121
122
148
weight gain
1099
1099
Drug monitoring (therapeutic) See also specific agent
Drug-nutrient interactions
1259
1260
Drug resistance
1551
See also specific agentin anaerobic infections
1434
in antiretroviral therapy
1336
1339
1343
1343–1345
1344
1345
in chemotherapy
1660–1661
in chlamydial infections
1442
in enterococcal infections
1403
in gonococcal infection
1432
in HIV infection/AIDS
1334
1336
1339
1343
1343–1345
1344
1345
in leprosy
1440
1576
in malaria
1489
1490–1491
1491–1492
1496
1497
in meningococcal meningitis
1422
to nonnucleoside reverse transcriptase inhibitors
1341
in nontuberculous mycobacterial pulmonary disease
264
nosocomial infections and
1292
pharyngitis treatment and
204–205
in pneumococcal infections
252
1404
1405
in staphylococcal infections
1328
1406
1407
1419
susceptibility testing and
1551
in HIV infection/AIDS
1344–1345
1344
1345
in tuberculosis
257
261
262
263
1323
Drug susceptibility testing
1551
See also Drug resistancein HIV infection/AIDS
1344–1345
1344
1345
Drug tolerance
1082
See also Substance use disordersin opioid therapy
73
74
Drusen
in age-related macular degeneration
164
optic disk
169
Dry drowning
1602
Dry eye (keratoconjunctivitis sicca)
156–157
in Sj gren's syndrome
842
Dry mouth See Xerostomia
Dry skin
atopic dermatitis and
95
emollients for
86–91
90
in HIV infection/AIDS
1328
Drying agents, for weepy dermatoses
91
DSHEA (Dietary Supplement and Health Education Act)
1710
DTaP/DTP vaccines
1304
1305–1306
1409
1414
Dual-chamber pacing
383–384
for cardiomyopathy
403
for sick sinus syndrome
382
Dual energy x-ray absorptiometry, in osteoporosis
1156
Dubin-Johnson syndrome (familial chronic idiopathic jaundice)
649
651
Duchenne muscular dystrophy
1035–1036
1036
cardiomyopathy in
413
genetic/prenatal screening for
1036
Duck embryo (DEV) rabies vaccine
1370
1371
Ductal carcinoma in situ
705
713
716
716
Paget's carcinoma and
713
Ductal lavage, in breast mass evaluation
713
Ductography, in breast cancer
713
Ductopenia, idiopathic adulthood
691
Ductoscopy
in breast cancer
713
in nipple discharge
704
713
Ductus arteriosus, patent
324–325
Duffy factor surface antigen, malaria and
1486
Duke criteria, for endocarditis
1416
Duke Treadmill Score
349
349
Dukes classification, for colorectal cancer
639
639
Duloxetine
1070
1071
1072
1223
Duncan's disease
1359
Dunnigan-Kobberling syndrome
1098
Duodenal neuroendocrine tumors
1178–1179
Duodenal string test, in strongyloidiasis
1530
Duodenal ulcers
586
587
See also Peptic ulcer diseaseDuodenum See also Small intestine
disorders of
582–600
Duplex ultrasonography See Ultrasonography
P.1787
Dupuytren's contracture
822
in cirrhosis
669
Durable Power of Attorney for Health Care (DPOA-HC)
70
Duroziez's sign
335
Dust mites
atopic dermatitis (eczema) caused by
95
avoidance therapy for allergies caused by
788–789
DVT See Deep venous thrombosis
Dwarf tapeworm (Hymenolepis nana)
1508
1509
Dyazide See Triamterene, with hydrochlorothiazide
Dying patient, care of See End of life, provision of care during
Dymelor See Acetohexamide
DynaCirc See Isradipine
Dysarthria, in motor neuron disease
1022
Dysautonomia (autonomic dysfunction)
986–987
in Guillain-Barr syndrome
987
1027
Dysbaric illness
1603–1604
Dysbetalipoproteinemia
1241
Dysenteric colitis
1468
1470
1471
See also DysenteryDysentery
545
546
amebic
1468
1470
1471
colitis after (postdysenteric colitis)
1472
bacillary (shigellosis)
545
1299
1300
1303
1426–1427
in balantidiasis
1475
enteroinvasive E coli causing
1427
reactive arthritis/Reiter's syndrome and
854
trichuris
1533
Dysesthesias
988
Dysfibrinogenemia
532
hepatic coagulopathy and
529
Dysfunctional uterine bleeding
728
729
1185
See also Vaginal bleeding, abnormal premenopausalestrogen replacement therapy and
729
1187
Dysgerminoma, ovarian
745
1171
Dysgeusia
203–204
Dyshidrosis/dyshidrotic eczema (pompholyx/vesiculobullous hand eczema)
111–112
Dyskinesia
in Huntington's disease
1010–1011
levodopa-induced
1008
1009
tardive
1013
1064
Dyslipidemia See also Hyperlipidemia
in diabetes mellitus
1201
1243
1244
coenzyme Q10 for
1722
protease inhibitors causing
1340
Dysmenorrhea
731
in endometriosis
740
IUD use and
755
Dysmotility See Motility disorders
Dysnomia, intracranial mass lesions causing
1001
Dysorgasmia See Orgasm, loss of
Dyspareunia (painful intercourse)
747–748
Bartholin's duct cyst/abscess causing
733
endometriosis and
740
747
748
vaginal atrophy/dryness causing
748
Dyspepsia
536–538
See also Abdominal pain/tendernessdifferential diagnosis of
588
functional (nonulcer)
536
537–538
in gastric cancer
536
597
in peptic ulcer disease
536
587
Dysphagia
564
564
in achalasia
564
579
in Barrett's esophagus
567
in esophageal cancer
564
577
578
in esophageal stricture
564
567
in esophageal webs and rings
572
in gastroesophageal reflux disease
566
in infectious esophagitis
570
in motility disorders
564
564
580
581
in pill-induced esophagitis
571
in polymyositis/dermatomyositis
840
in scleroderma
564
838
839
in Zenker's diverticulum
573
Dysphasia, in stroke
991
Dysphonia
209
Dysphoric disorder, premenstrual
1066
1103
Dysplastic (atypical) nevus/mole
93
Dyspnea
22–24
23
218–219
in ARDS
309
in cardiac failure
23–24
312–313
388
in cardiomyopathy
403
in COPD
23
23
218
238
cough and
20–21
21
in heart disease
23–24
312–313
in interstitial (diffuse parenchymal) lung disease
275
in malignant pleural effusion
302
nocturnal
218
in heart disease
313
in pneumothorax
303
in pulmonary embolism
23
281
282
in terminally ill/dying patient
80
219
Dysrhythmias See Arrhythmias
Dyssomnias
1079–1080
See also InsomniaDysthymia
1066
1068
See also DepressionDysthyroid eye disease (Graves' ophthalmopathy)
170
1135
1137
1140
1141
Dystonia
drug-induced
1013
1064
1633
oromandibular
1012
torsion
focal
1012
idiopathic
1011–1012
Dystrophin, in muscular dystrophy
1036
Dysuria (painful voiding)
33–34
932
See also Irritative voiding symptomsDYT1 gene, in idiopathic torsion dystonia
1011
DYT6/DYT7 genes, in focal torsion dystonia
1012