UCLA Housestaff Handbook

MEDICINE WARD BASICS
- Pagers
- Dictating
- Admit Orders
- Admit Notes
- Prerounds
- Daily Questions
- End of Day Checklist
- How to call a consult
- Transferring Patients
- Discharging Patients
- Procedure Notes
- Code Team
- Code Team
- Declaring A Patient Deceased
- How To Float (Nuts and Bolts)
- How To Float (General Tips)

CARDIOLOGY
- EKG Tutorial
- EKG Tutorial
- Bradycardia
- Tachycardia
- Narrow complex tachycardia, regular
- Narrow complex tachycardia, irregular
- Wide complex tachycardia, regular
- Wide complex tachycardia, irregular
- Hypertension
- Hypertensive Emergency
- Hypertensive Urgency
- Hypotension
- Types of Shock
- Vasopressors and Vasodilators (Table )
- Vasopressors and Vasodilators (Table )
- Chest Pain
- TIMI Score
- GRACE (Global Registry of Acute Coronary Events)
- Fundamentals of Stress Testing
- Chest Pain Algorithm (Diagram)
- Treatment Algorithm for Acute Myocardial Infarction with or without Left Ventricular Dysfunction (Diagram)
- Acute Myocardial Infarction
- Goal Lipid Levels by CAD Risk (Table)
- EKG Diagnosis in Ischemia, Infarction and Injury
- Rough Angiographic Correlation of EKG diagnosis of MI (Table)
- Congestive Heart Failure
- ACE Protocol
- Pulmonary Artery (Swan-Ganz) Catheter Tracing
- Early Pacemaker Complications
- Chronic Valvular Disease
- Chronic Aortic Stenosis
- Chronic Aortic Regurgitation
- Chronic Mitral Stenosis
- Chronic Mitral Regurgitation
- Syncope
- Preoperative Clearance For Noncardiac Surgery
- Revised Goldman Cardiac Risk Index (RCRI) Stratification
- Dosing of Common Cardiovascular Drugs (Table)
- Cardiac Transplant Basics
- Goal Immunosuppression Levels (Table)

ENDOCRINOLOGY
- Diabetes Mellitus
- Types of Insulin (Table)
- Insulin Sliding Scale (Table)
- Perioperative insulin management
- Diabetic Ketoacidosis (DKA)
- Hyperosmolar Nonketotic Coma (HONC)
- Non-Insulin Diabetic Medications (Table)
- Adrenal Insufficiency
- Adrenal Function Testing
- Cosyntropin Stimulation Test
- Metyrapone Test
- Adrenal Replacement Therapy
- Adrenal Incidentaloma
- Pheochromocytoma
- Thyrotoxicosis
- Thyroid Storm
- Myxedema Coma
- Non-Thyroidal Illness Syndrome
- Thyroid Function Tests

GASTROENTEROLOGY
- Acute GI Bleed
- Nasogastric Lavage
- Abdominal Pain
- Acute Pancreatitis
- Ranson's Criteria for Acute Pancreatitis (Table)
- Small Bowel Obstruction
- Acute Nausea
- Constipation
- Acute Diarrhea
- Helicobacter Pylori
- Regimens for Treatment of H Pylori Infection (Table)
- Abdominal Radiography

HEPATOLOGY
- Ascites
- Etiology of Ascites Based On SAAG (Table)
- Paracentesis
- Spontaneous Bacterial Peritonitis (SBP)
- Hepatic Encephalopathy
- Abnormal Liver Function Tests
- Hepatitis Serologies (Table)

HEMATOLOGY/ONCOLOGY
- Guidelines for DVT/PE Prophylaxis
- Anemia
- Reticulocyte Index (Equation)
- Microcytic Anemia (Table)
- Normocytic Anemia (Table)
- Macrocytic Anemia (Table)
- Hemolytic Anemia (Table)
- Pancytopenia
- Sickle Cell Anemia
- Bleeding Disorders
- Characteristic Bleeding Patterns (Table)
- von Willebrand's Disease
- Hemophilia A and B
- Thrombocytopenia
- Idiopathic Thrombocytopenic Purpura (ITP)
- Heparin-Induced Thrombocytopenia (HIT)
- Thrombotic Thrombocytopenic Purpura (TTP)
- Disseminated Intravascular Coagulopathy (DIC)
- Hypercoagulable States
- Anticoagulation
- Initiating Warfarin Dosing (Table)
- Transfusion Practices
- RBC Transfusion
- Platelet Transfusion
- Fresh Frozen Plasma (FFP)
- Cryoprecipitate
- Intravenous Immunoglobulin (IVIG)
- Vitamin K
- Growth Factors
- Transfusion Reactions
- Acute Hemolysis
- Anaphylaxis
- Acute Lung Injury
- Delayed Hemolysis
- Febrile, Non-Hemolytic Transfusion Reaction
- Neutropenia
- Neutropenic Fever
- Bone Marrow Transplantation
- Allogeneic BMT
- Autologous BMT
- Timeline of Frequent Complications After Bone Marrow Transplantation (Chart)
- BMT Complications and Prevention
- Graft Versus Host Disease (GVHD)
- Acute Graft Versus Host Disease Clinical Grading (Table)
- Chronic Graft Versus Host Disease Organ Involvement and Complications (Table)
- Veno-occlusive Disease (VOD)
- Acute Renal Failure
- Oncologic Emergencies
- Hypercalcemia
- Superior Vena Cava Syndrome (SVCS)
- Tumor Lysis Syndrome
- Spinal Cord Compression
- Increased Intracranial Pressure
- Pericardial Tamponade
- Antiemetics For Chemotherapy Patients (Table)
- Common Tumor Markers (Table)
- Common Chemotherapeutic Agents (Table)
- Novel Chemotherapeutic Agents (Table)

INFECTIOUS DISEASE
- Key Concepts of Anti-Microbial Therapy
- Therapeutic drug monitoring
- Fever
- Pneumonia
- Community acquired Pneumonia in Immunocompetent Hospitalized Patient
- Hospital acquired Pneumonia
- Pneumonia in HIV positive patient
- Tuberculosis
- Criteria for a Positive Tuberculin Skin Test
- Active Tuberculosis
- Meningitis
- Cerebral Spinal Fluid Studies (Table)
- CSF Findings in Various Types of Meningitis (Table)
- Bacterial Endocarditis
- Prophylaxis
- Clostridium Difficile
- Line Infections
- Urinary Tract Infections
- Acute, uncomplicated cystitis in women
- Acute, uncomplicated pyelonephritis in women
- Complicated UTI
- Asymptomatic Bacteriuria
- Pyuria
- Candiduria
- Lactose Fermenting Status of Gram Negative Organisms (Table)
- Quick Guide to empiric antibiotic management (Table)
- Antibiotic Dosing In Renal Replacement Therapy (Figure)

HIV AND AIDS
- Human Immunodeficiency Virus (HIV) Testing
- Laboratory Diagnosis of HIV
- The CDC Definition of AIDS
- Initial Work-Up of HIV+ Patient
- Vaccinations and Prophylaxes for HIV Infected Individuals
- HIV Complications By CD4+ Count
- Any CD4+ Count:
- CD4+ Counts <500
- CD4+ Counts <200
- CD4+ Count <100 (Table)
- AIDS Indicator Conditions
- Antiretroviral Therapy Initiation and Treatment Considerations
- Antiretroviral Regimens
- Nucleoside Reverse Transcriptase Inhibitors (Table)
- Non-Nucleoside Reverse Transcriptase Inhibitors (Table)
- Protease Inhibitors (Table)
- Fusion Inhibitors (Table)
- Combination Drugs (Table)
- Recommended Combinations
- Pregnancy Considerations
- Complications of Highly Active Antiretroviral Therapy
- Post Exposure Prophylaxis (PEP)
- Pulmonary Disease in HIV
- Mycobacterium Tuberculosis
- Mycobacterium Avium-Intracellulare
- Pneumocystis Jiroveci (formally PCP)
- CMV Pneumonitis
- Fungal Infections
- Malignancies

NEPHROLOGY
- Guide to Intravenous Fluids (Table)
- Urinalysis Interpretation
- Urine Dipstick
- Urine Microscopy
- Proteinuria
- Nephrotic Syndrome
- Decreased Urine Output
- GFR Estimation
- MDRD Equation
- Cockroft-Gault Equation
- Acute Renal Failure (ARF)/Acute Kidney Injury (AKI)
- RIFLE Classification for Acute Renal Failure (Table)
- Dialysis
- Hemodialysis
- Continuous Renal Replacement Therapy
- Peritoneal Dialysis
- Evaluation of urinary composition in ARF
- Fractional Excretion of Sodium (Equation)
- Fractional Excretion of Urea (Equation)
- Evaluation of Urinary Composition in Acute Renal Failure (Table)
- Hepatorenal syndrome (HRS)
- Chronic Kidney Disease
- Requirements for Outpatient Hemodialysis
- Hyponatremia
- Syndrome of Inappropriate ADH Secretion (SIADH)
- Hypernatremia
- Polyuria
- Hypokalemia
- Hyperkalemia
- Hypocalcemia
- Differential Diagnosis of Hypocalcemia Based On Lab Findings (Table)
- Hypercalcemia
- Treatments for Hypercalcemia (Table)
- Other Electrolyte Replacement
- Magnesium
- Phosphate
- Identifying Acid/Base Disorders
- Acid/Base Formulas
- Acid/Base Differential Diagnoses
- Metabolic Acidosis
- Metabolic Alkalosis
- Respiratory Acidosis
- Respiratory Alkalosis
- Renal Tubule Acidoses
- Diuretic Therapy
- Rhabdomyolysis
- Contrast-Induced Nephropathy
- Vascular Access for Hemodialysis
- Complications associated with hemodialysis access
- Renal Transplant
- Differential of Renal Transplant Graft Dysfunction
- Work-up of renal allograft dysfunction
- Immunosuppressive Medications In Renal Transplant
- Renal Transplant Rejection

NEUROLOGY
- Glasgow Coma Scale (Table)
- Folstein Mini-Mental Status Exam (Table)
- Delirium Versus Dementia (Table)
- Delirium Prophylaxis
- Altered Mental Status
- Status Epilepticus
- Phenytoin
- Adjustment Formula for Low Albumin
- Adjustment Formula for Renal Failure
- Acute Stroke
- Ischemic Strokes
- Criteria for Determining Thrombolytic Use (tPA) In Ischemic Strokes (Table)
- Hemorrhagic Strokes
- Brain Death Criteria
- Headaches
- Headache Alarms and Workup (Table)
- HIV and Headaches
- Primary Headache Disorders
- Migraines
- Tension Headaches
- Cluster Headaches
- Temporal Arteritis
- Pseudotumor Cerebri
- Medications and Chemicals Known to Cause Headaches (Table)
- Peripheral Neuropathy
- Dermatome Map

NUTRITION
- Oral Diets
- Disease Specific Modifications
- Nutritional Supplements
- Enteral Nutrition
- Parenteral Nutrition
- Approved Diet Orders (Table)

PULMONARY AND CRITICAL CARE
- Pulmonary Function Tests
- Normal Flow-Volume Loop (Diagram)
- Asthma
- Asthma Severity Classification (Table)
- Asthma Treatment (Table)
- GINA Levels of Asthma Control (Table)
- Chronic Obstructive Pulmonary Disease (COPD)
- GOLD Staging Criteria for COPD (Table)
- COPD Exacerbation Triaging (Table)
- Pulmonary Embolism
- Simplified Wells Criteria for Pretest Probability of PE (Table)
- V/Q Scan and Clinical Probability in Predicting PE from PIOPED (Table)
- CTA and Clinical Probability in Predicting PE from PIOPED II (Table)
- Algorithm for Diagnosis of PE (Diagram)
- Inferior Vena Cava Filters
- Pulmonary Hypertension
- Classification of Pulmonary arterial hypertension
- Pleural Effusions
- Light's Criteria for Diagnosing a Pleural Effusion as an Exudate (Table)
- Chest Tubes
- Water Seal (Diagram)
- Complications
- Differential Diagnosis of Shock (Table)
- Respiratory Failure
- Differential Diagnosis of Acute Respiratory Failure (Table)
- Alveolar-arterial oxygen gradient (Equation)
- Noninvasive Mechanical Ventilation
- Types of Noninvasive Mechanical Ventilation (Table)
- Noninvasive Mechanical Ventilation Algorithm (Diagram)
- Ventilators
- Mechanical Ventilator Variables (Table)
- Ventilator Modes
- Assist-Control (Table)
- Pressure-Support (Table)
- Synchronous Intermittent Mandatory Ventilation (Table)
- Typical Initial Settings for Mechanical Ventilation (Table)
- Adjusting the Mechanical Ventilator (Table)
- Ventilator Emergencies
- Weaning the Ventilator
- Predictive Indices of Extubation (Table)
- Sedation
- Properties of Sedatives Commonly Used in the ICU (Table)
- Paralysis
- Properties of Paralytics Commonly Used in the ICU (Table)
- Acute Respiratory Distress Syndrome
- General Care of ICU Patients
- Blood glucose control
- GI prophylaxis
- Nutrition
- DVT prophylaxis

RHEUMATOLOGY
- Arthrocentesis General Concepts
- Synovial Fluid Analysis (Table)
- Acute Monoarthritis Differential Diagnosis
- Gonococcal Bacterial Arthritis
- Nongonococcal Bacterial Arthritis
- Crystal Deposition Arthritides
- Gout
- Pseudogout
- Classification of Vasculitides
- Takayasu's Arteritis
- Giant Cell (temporal) Arteritis
- Polyarteritis Nodosa
- Isolated CNS Vasculitis
- Churg-Strauss Arteritis
- Wegener's Granulomatosis
- Microscopic Polyarteritis
- Henoch-Schönlein Purpura
- Hypersensitivity Vasculitis
- Essential Cryoglobulinemic Vasculitis
- Antinuclear Antibody Subtypes (Table)
- ACR Criteria for Diagnosis of Systemic Lupus Erythematosus (Table)
- Drugs that cause lupus
- Scleroderma Renal Crisis

TOXICOLOGY
- General Approach to Intoxication/Ingestion
- Ethanol Intoxication and Withdrawal
- Blood Alcohol Concentration and Associated Clinical Signs (Table)
- Ethanol Withdrawal Syndromes (Table)
- Opioid Overdose
- Properties of Common Opioid Drugs (Table)
- Cocaine Overdose
- Benzodiazepine Overdose
- Properties of Common Benzodiazepine Drugs (Table)
- Acetaminophen Overdose
- Rumack-Matthew Nomogram (Diagram)
- Salicylate (Aspirin) Overdose
- Tricyclic Antidepressants Overdose
- Properties of Tricyclic Antidepressants (Table)
- Carbon Monoxide Intoxication
- Digoxin Toxicity

MISCELLANEOUS
- Perioperative Management
- Pain Medication Conversions
- Steroid Conversions
- Gastric Tubes
- Premedication For Contrast Allergy
- Care Coordiation Cues
- Outpatient Dialysis
- Medications That Need Prior Auth
- Levels of Care
- Home Health Orders
- Skilled Nursing Facilities
- Interfacility Transfer Orders
- Qualifying For Home Oxygen
- Determining Level of Care
- Vaccinations (Table)