This handbook is meant to be a concise guide to help you through floats and call. It contains an evidence-based approach to commonly encountered inpatient clinical problems at UCLA.
It is by no means comprehensive or authoritative and is not intended to take the place of your own reading, a thorough review of the literature, and the clinical experience of a practicing physician. The management guidelines here may not be applicable to or appropriate for every patient you encounter. Exercise your clinical judgment and, when in doubt, do not hesitate to refer to your resident, the senior back-up, your chief residents, or your attending with any questions.
This handbook, like the field of medicine, is a work in progress. We look to all of you to produce the subsequent editions.
Disclaimers aside, we hope you will find the handbook helpful. Good luck and have a great year!
Authors and Editors Neveen El-Farra, M.D. Eve Glazier, M.D. Wylie Hosmer, M.D. Edmund Huang, M.D. Clare Keane, M.D. Jennifer Kious, M.D. Michael Pfeffer, M.D. Stephanie Smooke, M.D. Leo Slavin, M.D. Brian Young, M.D. Steven Le M.D. Nasim Afsar-Manesh M.D. Sunil Reddy M.D. Jennifer Bennit M.D. Andre Akhondi M.D. Wendy Simon M.D. Kevin Breger M.D. Tim Provias M.D. Kuo-Chiang Lian M.D. Rajan Saggar M.D. Kellie Ernzen Kruger M.D. Deanna Kasperski M.D. Erik Lum M.D. Deborah Wong M.D., Ph.D.
Faculty Reviewers Eric Buch, M.D. Margrit Carlson, M.D. Christina Charles, M.D. Andrew Drexler, M.D. Sara Hurvitz, M.D. Martha Lewis, M.D. Lenna Martyak, M.D. Mintri Nguyen, M.D. Joshua Goldhaber, M.D.
First, we wish to thank all the generations of UCLA residents who contributed to the previous editions of this Handbook. Many of you are now fellows and attendings; in this edition may your legacy live on! The following physicians have all been past contributors: Shaun Anand, Arash Bereliani, Lynne Bui, Sue Charette, Mark Edelstein, Rick Fairhurst, Mike Flaningam, Mark Goodarzi, Joel Isackson, Steve Lee, Anuja Mittal-Henkle, Lisa Moore, Ajai Nirula, Tommy Oei, Andy Oh, Jonathan Reitman, Eric Tong, Patsy Tsung, Ruth Wintz, Joe Wu, Brent Drouin, Hannah Hong, Richard Lapin, Rob Lin, Teryl Nuckols, Archana Sadhu, Daphne Stewart, Andrea Sullivan, Rick Hayashi, Lin Jia, Doug Tong, Sara Hurvitz, Lisa Skinner, Henry Niho, Jeannie Chan, Paul Bellamy, Noel Boyle, Margrit Carlson, Gareth Dulai, Gregg Fonarow, Steven Han, Michael Keane, David Klashman, Matthew Leibowitz, Minhtri Nguyen, David Pegues, Michael Rosove, Sammy Saab, Iain Smith, Jan Tillisch, and Andre VanHerle.
Thanks to those who were pressed into service (many for a repeat appearance) to review the updated version: Margrit Carlson, Brian Young, Edmund Huang, Christina Charles, Eric Buch, Andrew Drexler, Sara Hurvitz, Martha Lewis, Lenna Martyak, and Minhtri Nguyen.
More thank yous to Kathy Oka, Dale Best, Aileen Martinez, and Teresa Roth.
Big thank yous to the 'Big' people: Dr. Jan Tillisch, Dr. Alan Fogelman, Dr. Jodi Friedman, and the Department of Medicine for supporting this project.
And a very special thank you to Dr. Neveen El-Farra who read/reviewed/edited every word in this book—without her genius and dedication this book would be completely useless.
Eve Glazier, Michael Pfeffer and Jennifer Kious Chief Residents 2007-2008
Wendy Simon, Kevin Breger, Tim Provias, Kuo-Chiang Lian Chief Residents 2008-2009