Index B

Babinski's reflex (sign) 422

Bacille Calmette-Guérin, in bladder cancer 993

Bacitracin1367t

Back

pain in, in abdominal aortic aneurysm 935

in physical examination 34

Baclofen

in pain management 394t

sexual function and 1164t

in trigeminal neuralgia 1350

Bacteremia

clinical presentation of 39

during gastrointestinal endoscopy 1006-1007

in infective endocarditis 879, 882

Bacteria, intestinal overgrowth of 1002, 1087, 1096, 1098t, 1101

tests for 1104

Bacterial infections (see Infection and specific diseases)

Bacteriuria 983-984 (see also Urinary tract, infection of)

asymptomatic 980, 981, 984

catheter-related 985-987, 987t

Balance (see also Falls; Gait)

age-related changes in 195

assessment of 206

in dizziness 188

testing of 195

training for 50t, 304

     in gait disorders 211

Balanitis 1189-1190, 1189t

Balloon valvuloplasty 867, 949-950

Barbiturates

adverse effects of 65t

drug interactions with 68t

in insomnia 457, 458t

sexual function and 1164t

Barium enema

for cancer screening 48t, 718t

in constipation 1083

Barium study

in gastrointestinal tract bleeding 1108

in intestinal tract obstruction 1115

Baroreceptor reflex 817-818, 844-845

Barrett's esophagus 1039, 1040

adenocarcinoma and 1135

endoscopy in 1007

Basal cell carcinoma

of ears 1343

of eyelids 1309f

of skin 1279-1280

Basal ganglia 429

Basilar artery 404f-405f

atherosclerosis of 406, 408t

Bateman's purpura 1237

bcr/abl gene 703, 705f

Bed rest

adverse effects of 102

muscle wasting with 512

in rheumatoid arthritis 501

Bedsores 1261-1276, 1262t, 1263f, 1265t, 1267f, 1268t, 1272t (see also Pressure sores)

Behavior

aging and 308-309

in delirium 356

disorders of

     in dementia 359, 361t, 371-377, 373t

Behavioral therapy

in depression 319-320

in insomnia 454, 455t

in irritable bowel syndrome 1070

in urinary incontinence 975

Belladonna alkaloids, adverse effects of 64t

Belsey repair

in gastroesophageal reflux disease 1040

in hiatus hernia 1120

Benazepril 842t

Bence Jones protein 734, 735

Benign paroxysmal positional vertigo 184t, 187f

Benign prostatic hyperplasia 1179-1183, 1181t

adverse drug interactions with 67t

urinary incontinence and 972, 979

Benign senescent forgetfulness 380

Bentiromide test 1103

Benzodiazepines (see also specific drugs)

adverse effects of 325, 340

aging effect on 61-62

in agitation 356

alcohol interaction with 335

in alcohol withdrawal 338

delirium with 352t

in dementia-related behavior disorders 375

dependence on 340

driving and 236

for dying patient 121-122

for gastrointestinal endoscopy 1007

in generalized anxiety disorder 325

in insomnia 455-456, 457t, 458t

sexual function and 1163t

sleep disorders with 451t

urinary incontinence with 967t

Benztropine, drug interactions with 69t

Benzylpenicillin 1367t

Bereavement 145

resources about 1413

Beriberi 590

Bernstein acid perfusion test 1040

Beta agonists

in COPD 786, 787

Beta blockers 888t

in angina 856, 857

cardiac response to, age-related changes in 816t, 820-821

dosage of 887

drug interactions with 68t, 69t

exercise and 305

in glaucoma 1299, 1300t

in heart failure 908-909

in hypertension 843t

after myocardial infarction 861, 862t, 859

sleep disorders with 451t

Betamethasone 1247t

Betaxolol

in glaucoma 1300t

in hypertension 843t

Bethanechol 979

Bezoars

gastric 1050-1051

small-intestine 1116

Bezold-Jarisch reflex 179

Biguanides 631, 635t

Bile acid, age-related changes in 1005

Bile acid--binding resins 616-617, 618t-620t

Bile duct(s)

calculi of 1012

endoscopic retrograde cholangiopancreatography of 1011-1013

iatrogenic stricture of 1128

retained stones of 1127

tumors of 1012, 1151-1152

Bilevel continuous positive airway pressure (BiPAP) 789

Biliary cirrhosis 1072

Biliary colic 1125

Biliary tract, disorders of 39, 1070-1073, 1125-1128

Bimatoprost 1300t

Binet staging 731, 731t

Biofeedback

in fecal incontinence 1094-1095

in urinary incontinence 975, 977

Biopsy

bone marrow

     in myelodysplastic syndromes 741

     in myelofibrosis 712

breast 1219

cervical 1206

colonic

     in Crohn's disease 1063

     in ulcerative colitis 1059-1060

endometrial 1194, 1212

gastric

     in gastritis 1041

     in Ménétrier's disease 1048

     in peptic ulcer disease 1045

lung, in pulmonary interstitial disease 798

lymph node

     in breast cancer 1222

     in Hodgkin's disease 744

muscle 519

nerve 519

prostate 1184

renal 990

small-bowel 1102-1103

temporal artery 508

vulvar 1207

Bipolar disorder 312-314

Bismuth subsalicylate

in diarrhea 1091t

in Helicobacter pylori infection 1047

Bisoprolol

in heart failure 909

in hypertension 843t

Bisphosphonates

in hypercalcemia 579-580

in osteoporosis 479-480

in Paget's disease of bone 483, 485t

Bivalirudin 700

Bladder

cancer of 991-994, 991t

catheter decompression of 979

hydrodistention of 1188

incontinence of (see Urinary incontinence)

infection of (see Urinary tract, infection of)

protrusion of (cystocele) 1195, 1196f, 1200

retraining of 975

stress testing of 974

Bladder neck

dysfunction of, in prostatitis 1187

suspension of 978

Bladder outlet

incompetence of 968, 969t, 977-979

obstruction of 968-969, 969t, 979

     in benign prostatic hyperplasia 1180

Bleeding (see also Hemorrhage)

anemia with 675

after aortic aneurysm repair 1111-1112

in brain 416-422, 419f, 420t, 421t

colonic 1111

diarrhea with 1088

esophageal 1109

gastric 1110

hemorrhoidal 1075

hepatic 1111

nasal 1345-1346

pancreatic 1111

in peptic ulcer disease 1044

rectal 1118

small intestine 1110-1111

vaginal 1193-1194, 1193t

     estrogen replacement therapy and 1212

Bleomycin 747t, 752t

Blepharitis 1310

seborrheic 1250, 1251

Blepharoptosis 1310

Blepharospasm 1310

Blind loop syndrome 1122-1123

Blindness (see Vision, loss of)

Blockers (see Alpha blockers)

Blockers (see Beta blockers)

Blood

age-related changes in 672-673

in glaucoma 1297

hyperviscosity of

     in chronic leukemia 730

     in multiple myeloma 735

     in Waldenström's macroglobulinemia 735, 738, 739

stasis of 689

Blood gases

in COPD 781

in pulmonary embolism 776

in respiratory failure 789

Blood pressure (see also Hypertension; Hypotension)

age-related increase in 817

auscultatory gap and 823

in diabetes mellitus 957, 963

in dizziness 188

exercise effects on 822

food effects on 601

in hypertension 833, 836

in hypotension 847

measurement of 31-32, 47t, 823, 836

monitoring of 836

in syncope 178

Blood urea nitrogen

in dehydration 562

in hyponatremia 565t

Board-and-care facilities 105t, 110-111

Boerhaave's syndrome 1113

Bone

age-related changes in 467-470, 469t, 474

density of 214, 467, 472

     effects of hormones on 656t

     loss of (see Osteopenia; Osteoporosis)

     measurement of 50t

fracture of (see Fractures)

in hypercalcemia 576

infection of 486-487

long 213-214

loss of (see also Osteopenia; Osteoporosis)

metabolic disease of 472-486, 474f

metastatic cancer of 1219-1220, 1228

in multiple myeloma 733, 734

nonmetabolic disease of 486-489

Paget's disease of 480-483

scan of, in fractures 216

tumors of 481

Bone marrow

age-related changes in 672-673

aspiration of, in acute leukemia 725

biopsy of

     in myelodysplastic syndromes 741

     in myelofibrosis 712

in multiple myeloma 733

transplantation of

     in myelofibrosis 713

Borborygmi 1114

Borchardt's triad 1050

Borg scale 302-303, 303t

Botulinum toxin

in achalasia 1036

in photoaging 1238

Bouchard's nodes 36, 535

in erosive osteoarthritis 490, 538

Boutonnière deformity 36, 537, 538f

Bowel (see also Colon; Intestine, small)

age-related changes in 1002-1003

anoscopy of 1009-1010

blind loop of 1122-1123

infarction of 39

inflammatory disease of 1058-1066, 1061t, 1064t

irritable 1068-1070

obstruction of 1113-1117

sigmoidoscopy of 1009-1010

Bowen's disease 1277-1278

Braden scale 1267f

Bradyarrhythmias 895-900, 895t

sinus bradycardia 895t, 897-898

Bradykinesia 435

Brain

age-related changes in 380-383, 381t, 382t

compensatory mechanisms of 382-383

delirium and (see Delirium)

dementia and (see Dementia)

embolism of 413-415

hemorrhage in 416-423, 419f, 421t

infarction of (see also Brain, ischemia of)

ischemia of 402-416, 406t, 407t, 412t (see also Stroke)

tumors of

     dementia with 371

     parkinsonism with 444t

weight of 381

Breast

cancer of 1217-1228

     estrogen and 655, 716, 1215, 1218

     resources on 1412

     risk of 1217t, 1219t

     screening for 48t, 718t, 1221t

     staging of 1223t-1224t

     treatment of 720t-721t, 1222-1228, 1226t-1227t

examination of 34, 1221t

fine-needle aspiration of 1219

perimenopausal changes in 1209

reconstruction of 1224

self-examination of 718t

Breathing

sleep-disordered 460-462

Breath test

¹⁴C-triolein 1102

¹⁴C d-xylose 1104

¹⁴C-glycocholic acid 1104

lactose-hydrogen 1090

Bretylium 888t

Bright light therapy 454

Brimonidine 1297, 1300t

Brinzolamide 1300t

Broca's aphasia 424t, 428

Bromocriptine 440

Bromodiphenhydramine, adverse effects of 63t

Brompheniramine, adverse effects of 63t

Bronchiolitis obliterans with organizing pneumonia (BOOP) 794t

Bronchitis

chronic 779-787, 785

sexual activity and 1161

Bronchoalveolar lavage (BAL) 798

Bronchodilators

aging effects on 60t

in COPD 787

sleep disorders with 451t

Bronchus (see Lungs)

Brontophobia 327

Bruits

in cardiovascular examination 824

carotid 34

Bulbocavernosus reflexes 974

Bullous pemphigoid 1256-1257

Bumetanide 60t

in hypertension839t

BUN (see Blood urea nitrogen)

Bundle branch block 895t, 899-900

Bunion 552

Bupivacaine 263, 264

Burch colposuspension 978

Burkitt's lymphoma 748-749

Burning mouth syndrome 1017

Burow's solution 1260

Bursitis 497-499

Achilles tendon 547t

calcaneus 547t

Buspirone 72, 325-326

Busulfan

sexual function and 1164t

Bypass surgery

in coronary artery disease 942-944, 945t, 949

     sexual activity and 1161-1162

extracranial-intracranial 411

in peripheral atherosclerosis 918-919, 920