• 42 clinical cases with cutting edge
discussions and practical management
tips for critically ill patients
• Clinical pearls highlight key points
• Review questions reinforce learning
• Primer teaches you how to
approach clinical problems
TOY • SUAREZ • LIU
, www.cambodiamed.blogspot.com
Eugene C. Toy, MD Manuel Suarez, MD, FACCP
Vice Chair of Academic Affairs Director of Intensive Care Unit and
Program Director of Obstetrics and Gynecology Pulmonary Departments
Residency Assistant Clinical Professor of Internal Medicine
The Methodist Hospital-Houston Pulmonary and Critical Care
Clinical Professor of Obstetrics and Gynecology Larkin Community Hospital
University of Texas South Miami, Florida
Medical School at Houston
Assistant Clinical Professor of Internal
John S. Dunn Senior
Medicine, Pulmonary and Critical Care
Academic Chief of Obstetrics and Gynecology
Affiliate Dean of Clinical Medicine
St. Joseph Medical Center
Administrative Director of Medical Education
Houston, Texas
and Institutional Educational Officer
Terrence H. Liu, MD, MPH Westchester General Hospital
Professor of Clinical Surgery Miami, Florida
University of California San Francisco School Assistant Clinical Professor of Medicine
of Medicine Lake Erie College of Osteopathic Medicine
San Francisco, California Bradenton, Florida
Program Director at Westchester General Hospital
University of California, San Francisco East Bay Miami, Florida
Surgery Residency
San Francisco, California
Attending Surgeon, Alameda County Medical
Center
Oakland, California
Medical
New York Chicago San Francisco Athens London Madrid Mexico City
Milan New Delhi Singapore Sydney Toronto
,Copyright© 2014 by McGraw-Hill Education. All rights reserved. Except as permitted under the United
States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form
or by any means, or stored in a database or retrieval system, without the prior written permission of the
publisher, with the exception that the program listings may be entered, stored, and executed in a computer
system, but they may not be reproduced for publication.
ISBN: 978-0-07-177002-6
MHID: 0-07-177002-X
The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-176857-3,
MHID: 0-07-176857-2.
eBook conversion by codeMantra
Version 1.0
All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every
occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the
trademark owner, with no intention of infringement of the trademark. Where such designations appear in
this book, they have been printed with initial caps.
McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales
promotions or for use in corporate training programs. To contact a representative, please visit the Contact
Us page at www.mhprofessional.com.
Case Files® is a registered trademark of McGraw-Hill Education.
Notice
Medicine is an ever-changing science. As new research and clinical experience broaden our
knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work
have checked with sources believed to be reliable in their efforts to provide information that is complete
and generally in accord with the standard accepted at the time of publication. However, in view of the
possibility of human error or changes in medical sciences, neither the editors nor the publisher nor any
other party who has been involved in the preparation or publication of this work warrants that the
information contained herein is in every respect accurate or complete, and they disclaim all responsibility
for any errors or omissions or for the results obtained from use of the information contained in this work.
Readers are encouraged to confirm the information contained herein with other sources. For example and
in particular, readers are advised to check the product information sheet included in the package of each
drug they plan to administer to be certain that the information contained in this work is accurate and that
changes have not been made in the recommended dose or in the contraindications for administration. This
recommendation is of particular importance in connection with new or infrequently used drugs.
TERMS OF USE
This is a copyrighted work and McGraw-Hill Education and its licensors reserve all rights in and to the
work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and
the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer,
reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or
sublicense the work or any part of it without McGraw-Hill Education's prior consent. You may use the
work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your
right to use the work may be terminated if you fail to comply with these tetms.
THE WORK IS PROVIDED "AS IS." McGRAW-HILL EDUCATION AND ITS LICENSORS
MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR
COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING
ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR
OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUD
ING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR
A PARTICULAR PURPOSE. McGraw-Hill Education and its licensors do not warrant or guarantee that
the functions contained in the work will meet your requirements or that its operation will be urtinterrupted
or error free. Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for
any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom.
McGraw-Hill Education has no responsibility for the content of any information accessed through the
work. Under no circumstances shall McGraw-Hill Education and/or its licensors be liable for any indirect,
incidental, special, punitive, consequential or similar damages that result from the use of or inability to
use the work, even if any of them has been advised of the possibility of such damages. This limitation of
liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort
or otherwise.
, D E D I CATIO N
To the Honorable Representative Lois W. Kolkhorst of Brenham, Texas, whose
courage, vision, and dedication to Texas is like a fiery torch, giving light and
warmth in the cold and darkness;
To the Texas Neonatal ICU and the Perinatal Advisory Councils of which
Representative Kolkhorst championed and breathed life;
To the brilliant, unselfish, and talented members of these two Councils, whose
noble goals are to improve health care for the pregnant women and newborns of
Texas;
To David Williams and Matt Ferrara, two tireless state staff members, who are the
heart and soul of the Councils;
To the pregnant women and newborns of the Great State of Texas, to whom I have
devoted my energies, passion, talents, and professional career.
-ECT
To all the staff, medical students, residents, and colleagues that I have had the
pleasure to teach and be involved with.
To the people of St Vincent and the Grenadines, my friend the Governor General
Sir Dr. Frederick N. Ballantyne, my mentor Dr. Edward S. Johnson and my tutor
Dr. James T. Barrett, and especially to Dr. Eugene C. Toy,
who made this wonderful project possible.
To the memory of my parents Manuel and Teresa Suarez who gave me all and to
the two moons of my life, my daughters Alexia Teresa Suarez and
Melanie Nicole Suarez.
-MS
discussions and practical management
tips for critically ill patients
• Clinical pearls highlight key points
• Review questions reinforce learning
• Primer teaches you how to
approach clinical problems
TOY • SUAREZ • LIU
, www.cambodiamed.blogspot.com
Eugene C. Toy, MD Manuel Suarez, MD, FACCP
Vice Chair of Academic Affairs Director of Intensive Care Unit and
Program Director of Obstetrics and Gynecology Pulmonary Departments
Residency Assistant Clinical Professor of Internal Medicine
The Methodist Hospital-Houston Pulmonary and Critical Care
Clinical Professor of Obstetrics and Gynecology Larkin Community Hospital
University of Texas South Miami, Florida
Medical School at Houston
Assistant Clinical Professor of Internal
John S. Dunn Senior
Medicine, Pulmonary and Critical Care
Academic Chief of Obstetrics and Gynecology
Affiliate Dean of Clinical Medicine
St. Joseph Medical Center
Administrative Director of Medical Education
Houston, Texas
and Institutional Educational Officer
Terrence H. Liu, MD, MPH Westchester General Hospital
Professor of Clinical Surgery Miami, Florida
University of California San Francisco School Assistant Clinical Professor of Medicine
of Medicine Lake Erie College of Osteopathic Medicine
San Francisco, California Bradenton, Florida
Program Director at Westchester General Hospital
University of California, San Francisco East Bay Miami, Florida
Surgery Residency
San Francisco, California
Attending Surgeon, Alameda County Medical
Center
Oakland, California
Medical
New York Chicago San Francisco Athens London Madrid Mexico City
Milan New Delhi Singapore Sydney Toronto
,Copyright© 2014 by McGraw-Hill Education. All rights reserved. Except as permitted under the United
States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form
or by any means, or stored in a database or retrieval system, without the prior written permission of the
publisher, with the exception that the program listings may be entered, stored, and executed in a computer
system, but they may not be reproduced for publication.
ISBN: 978-0-07-177002-6
MHID: 0-07-177002-X
The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-176857-3,
MHID: 0-07-176857-2.
eBook conversion by codeMantra
Version 1.0
All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every
occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the
trademark owner, with no intention of infringement of the trademark. Where such designations appear in
this book, they have been printed with initial caps.
McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales
promotions or for use in corporate training programs. To contact a representative, please visit the Contact
Us page at www.mhprofessional.com.
Case Files® is a registered trademark of McGraw-Hill Education.
Notice
Medicine is an ever-changing science. As new research and clinical experience broaden our
knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work
have checked with sources believed to be reliable in their efforts to provide information that is complete
and generally in accord with the standard accepted at the time of publication. However, in view of the
possibility of human error or changes in medical sciences, neither the editors nor the publisher nor any
other party who has been involved in the preparation or publication of this work warrants that the
information contained herein is in every respect accurate or complete, and they disclaim all responsibility
for any errors or omissions or for the results obtained from use of the information contained in this work.
Readers are encouraged to confirm the information contained herein with other sources. For example and
in particular, readers are advised to check the product information sheet included in the package of each
drug they plan to administer to be certain that the information contained in this work is accurate and that
changes have not been made in the recommended dose or in the contraindications for administration. This
recommendation is of particular importance in connection with new or infrequently used drugs.
TERMS OF USE
This is a copyrighted work and McGraw-Hill Education and its licensors reserve all rights in and to the
work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and
the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer,
reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or
sublicense the work or any part of it without McGraw-Hill Education's prior consent. You may use the
work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your
right to use the work may be terminated if you fail to comply with these tetms.
THE WORK IS PROVIDED "AS IS." McGRAW-HILL EDUCATION AND ITS LICENSORS
MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR
COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING
ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR
OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUD
ING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR
A PARTICULAR PURPOSE. McGraw-Hill Education and its licensors do not warrant or guarantee that
the functions contained in the work will meet your requirements or that its operation will be urtinterrupted
or error free. Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for
any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom.
McGraw-Hill Education has no responsibility for the content of any information accessed through the
work. Under no circumstances shall McGraw-Hill Education and/or its licensors be liable for any indirect,
incidental, special, punitive, consequential or similar damages that result from the use of or inability to
use the work, even if any of them has been advised of the possibility of such damages. This limitation of
liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort
or otherwise.
, D E D I CATIO N
To the Honorable Representative Lois W. Kolkhorst of Brenham, Texas, whose
courage, vision, and dedication to Texas is like a fiery torch, giving light and
warmth in the cold and darkness;
To the Texas Neonatal ICU and the Perinatal Advisory Councils of which
Representative Kolkhorst championed and breathed life;
To the brilliant, unselfish, and talented members of these two Councils, whose
noble goals are to improve health care for the pregnant women and newborns of
Texas;
To David Williams and Matt Ferrara, two tireless state staff members, who are the
heart and soul of the Councils;
To the pregnant women and newborns of the Great State of Texas, to whom I have
devoted my energies, passion, talents, and professional career.
-ECT
To all the staff, medical students, residents, and colleagues that I have had the
pleasure to teach and be involved with.
To the people of St Vincent and the Grenadines, my friend the Governor General
Sir Dr. Frederick N. Ballantyne, my mentor Dr. Edward S. Johnson and my tutor
Dr. James T. Barrett, and especially to Dr. Eugene C. Toy,
who made this wonderful project possible.
To the memory of my parents Manuel and Teresa Suarez who gave me all and to
the two moons of my life, my daughters Alexia Teresa Suarez and
Melanie Nicole Suarez.
-MS
