Index H

HACEK infection, in endocarditis 880, 884t

Hachinski Ischemic Score 370t

Haemophilus influenzae infection 759, 762t

Hair

age-related changes in 656t, 1234-1235

excessive 1235

Halcinonide 1247t

Hallpike maneuver 188, 193f

Hallucinations

in dementia 374

in mental status examination 347-348

Halobetasol propionate 1247t

Haloperidol 332-333

aging effect on 61t

in agitation 356

sexual function and 1163t, 1164t

Hamilton Depression Rating Scale 314, 316t-318t, 345t, 350

Hammer toe 36, 553-554

Hampton's hump 775

Hand (see also Finger[s])

acroparesthesias of 535

cold 535

deformities of 536-540, 537f, 538f, 539f

disorders of 535-544

erosive osteoarthritis of 538

ischemia of 920-922, 921t

muscle cramps in 535-536

overuse syndromes of 536, 540-541

Raynaud's phenomenon of 922-923

surgery on 263

tendon disorders of 543-544, 544f

Hashimoto's disease 643, 644, 651, 653

Hayflick's limit (phenomenon) 5

H₂ blockers

delirium with 352t

in esophagitis 1112

in gastrointestinal reflux disease 1040

in peptic ulcer disease 1046

sleep disorders with 451t

Head

in physical examination 28t, 34

trauma to

     parkinsonism with 444t

     subarachnoid hemorrhage and 416-417

     subdural hematoma with 421-423

     tinnitus with 1330t

tumors of, dysphagia with 1032, 1033

Headache

in ischemic stroke 403

subarachnoid hemorrhage and 417

subdural hematoma and 422

Health care funding 164-171 (see also Medicaid; Medicare)

Health care services

demographics of 21

Health maintenance organizations (HMOs) 164

Health risk appraisal 157f, 158-161

Hearing

evaluation of 33

loss of 1317-1328, 1317t

     acoustic neuroma and 1341

     assistive listening devices for 1326-1327

     classification of 1317-1318

     diagnosis of 1321f

     drug-associated 1367t-1371t

     hearing aids for 1322-1326, 1324f, 1324f, 1325f

     otosclerosis and 1339-1340

     psychosis and 309, 331

     rehabilitation after 1328

     resources on 1414-1415

     screening for 47t

     tinnitus and 1329, 1330t, 1332

Hearing aids 1322-1326, 1324f, 1324f, 1325f

Heart

age-related changes in 813, 814t-815t, 863, 896, 902

amyloid accumulation in 914

arrhythmias of (see Arrhythmias)

contractility of 816t, 817, 818-819, 821

coronary artery disease of (see Coronary arteries, disease of)

disease of (see also specific diseases)

     antidepressant use and 321

     depression and 311t

     driving and 235

     mortality rates for 12, 13t

     rehabilitation for 278-279, 280t

in hyperkalemia 571

in hypokalemia 568

idiopathic fibrosis of 896

imaging of 829-832

infarction of (see Myocardial infarction)

infection of (endocarditis) 878-885, 881t, 883t-884t

left ventricle of

     filling rate of 816, 817f

     hypertrophy of 824-825

murmurs 34

     in physical examination 34

in physical examination 34

in polymyositis 526

right ventricle of

     hypokinesis of 777

     surgery on 942-950, 945t

sounds 34

transplantation of 910

valves of

     disease of 863-877 (see also specific valvular diseases)

      in infective endocarditis 878

Heart block 895t, 898-899

idiopathic fibrosis and 896

pacemaker for 897

Heartburn 1039

Heart failure 40, 900-911

in acute aortic regurgitation 868

adverse drug interactions with 67t

anemia in 674-675

anesthesia effects of 260t

antihypertensives in 843t

in diabetes mellitus 626

driving and 235

etiology of 900-901, 901t

with hypernatremia treatment 568

in hyperthyroidism 649

postoperative 251

rehabilitation for 278-279, 280t

renal adenocarcinoma and 988

sexual activity in 1159

surgical outcome and 245

tertiary prevention in 51

Heart murmurs (see also Heart sounds)

in aortic regurgitation 868, 869-870

in aortic valve stenosis 865-866

in hypertrophic cardiomyopathy 912-913

in infective endocarditis 880

in mitral regurgitation 873, 875

in mitral stenosis 872

in physical examination 34

in tricuspid regurgitation 876-877

Heart rate

age-related changes in 816t, 819, 896

during exercise 821

for exercise 302, 302t

Heart sound(s) 34, 824 (see also Heart murmurs)

in aortic stenosis 865

fourth 817, 824

in heart failure 902

second, splitting of 824

third 824

Heat exhaustion 660

Heatstroke 660-663, 661t

Heat therapy 274-276

Heavy metal poisoning 438t

Heberden's nodes 36, 535

in osteoarthritis 490, 538

Heel, pain in 547t, 549t, 554-555

Helicobacter pylori infection

in gastric cancer 1137

in gastritis 1041

in peptic ulcer disease 1042-1043, 1047

vitamin B₁₂ deficiency and 591

Heliotrope rash 525

Heller's procedure 1036

Hemangioma, hepatic 1148-1149

Hematocrit

age-related changes in 656t, 673

in deep vein thrombosis 923-924

in fracture evaluation 217

Hematologic disorders 674-714 (see also specific disorders)

in vitamin B₁₂ deficiency 591-592

Hematologic system (see Blood)

Hematoma

intracerebral 418-421, 422t

subdural 421-423

     dementia with 371

     muscular symptoms in 516t

Hematuria 1193

in bladder cancer 992

renal adenocarcinoma and 988-989

Hemianopia

in stroke patient 283

Hemiballismus 430t

Hemicolectomy, in angiodysplasia 1058

Hemidystonia 412t

Hemiparesis 412t

Hemiparkinsonism 412t

Hemochromatosis 1072-1073

vitamin C effects in 594

Hemodialysis

in acute renal failure 962

anemia with 678

in chronic renal failure 963

Hemoglobin

age-related changes in 673

glycosylated (Hb A_1c) 51, 629, 630

Hemolytic anemia 679-682, 680t

Hemorrhage (see also Bleeding)

bone marrow response to 672-673

esophageal 1109

fibrinolytic agent--related 701, 701t

gastrointestinal tract 1105-1112 (see also Gastrointestinal tract, bleeding from)

heparin-related 698

intracerebral 418-422, 419f, 420t, 421t

intracranial 416-421, 419f, 421t-422t

subarachnoid 416-418

thrombolytic-related 929

warfarin-related 699, 929

Hemorrhagic stroke 416-421, 419f, 421t-422t

Hemorrhoids 1074-1076

Heparin (see also Anticoagulants)

aging effect on 60t

in deep vein thrombosis 928

in disseminated intravascular coagulation 693

in ischemic stroke 410, 415

low-molecular-weight 695t, 698

     in hip fracture 216

after myocardial infarction 859

prophylactic

     in deep vein thrombosis 926

     in pulmonary embolism 778

in pulmonary embolism 777

sexual function and 1164t

unfractionated 695t, 697-698

in unstable angina 857

Hepatic (see Liver)

Hepatitis 1071-1072

hepatocellular carcinoma and 1149

vaccine against 1360t-1362t

Hepatocellular carcinoma 1149-1150

Hepatocytes 1004

Hernia

diaphragmatic 1119-1121

hiatus 1119-1120

inguinal 1121

paraesophageal 1120-1121

peritoneal and small bowel (enterocele) 1195

Richter's 1116

scrotal 1191

Heroin, sexual function and 1163t, 1164t

Herpes zoster infection 1258-1261, 1357, 1377t

oral 1018

tinnitus and 1330t

Hiatus hernia, sliding 1119-1120

Hill posterior gastropexy

in gastroesophageal reflux disease 1040

in hiatus hernia 1120

Hip

bursitis of 498

fracture of 224-228

     acetabular 225

     benzodiazepine use and 340

     femoral neck 224-225, 224f, 227-228, 228f

     intertrochanteric 225, 226f, 228, 229f

     low-molecular-weight heparin in 216

     nonsurgical treatment of 283-284

     rehabilitation for 283-284

     subcapital 224, 224f, 227-228, 227f

     venous thromboembolism prophylaxis for 695-696, 927

     warfarin in 215-216

range of motion of 270t

replacement of 227-228, 228f

     anesthesia for 262

     deep vein thrombosis after 927

     occupational therapy after 290

     pain after 264

     rehabilitation after 283

     therapy after 290

     venous thromboembolism prophylaxis for 694-695

Hirudin 700

Histamine 60t

Histamine-2 blockers (see H₂ blockers)

History (see Patient history)

HIV infection 1379-1382, 1381t

dementia with 370

gastrointestinal tract infection in 1088

HMO (Health Maintenance Organization) 164

Hodgkin's disease 743-747, 745t, 746t, 747t

Hollenhorst plaque 1306

Homans' sign 215

Home assessment 52, 201t-203t

Home health care 87-90, 88t

pharmacist in 86

physician role in 87-88

reimbursement for 88-89, 166

resources on 1415

Homocysteine 593

atherosclerosis and 852, 917

Homosexuality 1157

social issues and 144

Hopkins Competency Assessment Test 345t, 350

Hoover's sign 787

Hordeola 1311

Hormone (see specific hormone)

Hormone replacement therapy 655-659, 656t (see also Estrogen replacement therapy)

Hospice care 90-91, 125, 723-724 (see also Dying patient)

funding for 123, 166

pharmacist in 86

resources on 1413

Hospital

day programs of 92

pharmacist in 85

Hospitalization 95-104

advance directives in 98

adverse drug reactions during 100-101

adverse effects of 96t

chaplain's role during 148

for COPD 782

deconditioning with 472

depression and 321-322

diabetes mellitus and 636

discharge planning in 96, 103-104

     legal issues of 140

ELDERS considerations during 97, 98t

falls and 102, 198

iatrogenic complications of 53

incontinence during 101

Medicare coverage for 165

mental status during 100

nursing care during 97

nursing home transfer for 104, 109

nutrition during 98-99

outcome of 95-96

physical restraints during 100

pneumonia during 758

rates of

     U.S. 16

rehabilitation during 102-103

skin care during 101-102

     utilization of

     U.S. 16

     world 22

venous thromboembolism during 693-697, 694t, 695t

Hot flashes 655, 1208-1209, 1211, 1216

Hot packs 275

Housing, supportive (see Assisted-living facilities)

Human immunodeficiency virus (HIV) infection 1378-1382, 1381t

gastrointestinal tract infection in 1088

Human papillomavirus (HPV)

in cervical cancer 1205-1206

genital infection with 1190

urethral tumors and 995

Humerus (proximal)

fracture of 222-223

Hungry-bone syndrome 575, 580

Hunner's ulcers 1188

Hutchinson-Gilford syndrome 8

Hutchinson's freckle 1278

Hyaluronic acid

in osteoarthritis 493

in photoaging 1238

Hydatid cysts 1129

Hydralazine

in heart failure 908

in hypertension 843t

Hydrocele 1191

Hydrocephalus

brain function in 382

normal-pressure 370

Hydrochlorothiazide

in hypertension 839t

Hydrocodone 387t

Hydrocolloid dressings 1271, 1273t

Hydrocortisone (see also Corticosteroids)

in pruritus ani 1074

in ulcerative colitis 1060, 1061t

in xerosis 1247t, 1248

Hydrocortisone sodium succinate, in thyroid storm 652

Hydrogels 1271, 1274t

Hydromorphone 387t, 391

Hydrophilic dressings, in pressure sore treatment 1273t

Hydrotherapy 275

-Hydroxy acid 1248

Hydroxychloroquine

in rheumatoid arthritis 502

in systemic lupus erythematosus 504

25-Hydroxycholecalciferol, age-related changes in 573

3-Hydroxy-3-methylglutaryl coenzyme A reductase inhibitors 617, 618t-619t, 621

Hydroxyurea

in myelofibrosis 713

in polycythemia vera 710

in primary thrombocythemia 707

25-Hydroxyvitamin D₃ (calcidiol)

in hypocalcemia 575

1,25-Hydroxyvitamin D₃ (calcitriol)

in hypocalcemia 575

Hydroxyzine

adverse effects of 64t

in prostatitis 1189

Hyoscyamine

adverse effects of 65t

in diverticular disease 1055t

in irritable bowel syndrome 1070

Hyperalphalipoproteinemia 609t

Hyperamylasemia 1130

Hypercalcemia 576-580, 577t

in Paget's disease of bone 482

Hypercalciuria 576

in secondary osteoporosis 474f

Hypercapnia

in COPD 781, 785

ventilatory response to 756

Hypercholesterolemia 606, 608t (see also Lipoproteins, disorders of)

criteria for 611, 612t

diet in 614t, 615, 616t

postmenopausal 1210

secondary 607

treatment guidelines for 612-613

Hyperchylomicronemia 608t

Hypercoagulable states 689-693, 689t

Hypergastrinemia 1049

Hyperglycemia (see also Diabetes mellitus)

in diabetes mellitus 626

in nonketotic hyperosmolar syndrome 638

Hyperhomocysteinemia 690, 929-930

atherosclerosis and 852

Hyperinsulinemia 625

hypocalciuric, familial benign 578, 579

in multiple myeloma 734, 736-737

in secondary osteoporosis 474f

Hyperkalemia 570-571, 570t

age-related increase in 954

in renal failure 962

Hyperkinesia 430t, 431f

Hyperlipidemia, combined, familial 608t

Hyperlipoproteinemias 606-624, 608t-609t

screening for 50t

Hypermagnesemia 584

Hypernatremia 561, 566-568, 567t

Hyperostosis 488-489

Hyperparathyroidism 580

in acute renal failure 962

in chronic renal failure 964

clinical presentation of 38-39

hypercalcemia in 576, 577, 578

osteomalacia and 484

in Paget's disease of bone 481-482

Hyperphosphatemia 582

in chronic renal failure 964

Hyperprebetalipoproteinemia 608t

Hypersensitivity reaction

immunization-induced 1363

penicillin-induced 1367t

pneumonitis and 795t

Hypertension 833-844

adverse drug interactions with 67t

anesthesia effects of 260t

atherosclerosis and 834, 850

blood pressure measurement for 823

cardiovascular function and 821-822

classification of 838t

drug-induced 834

estrogen replacement therapy and 1215

heart failure in 900, 905

lacunar infarcts in 413

peripheral vascular resistance in 821-822

prevention of 51t

retinopathy with 838t

screening for 47t

sexual activity and 1160

surgery and 245

treatment of 70, 837-844, 838t, 839t, 840t, 841t, 842t, 842t, 843t, 843t

     risk stratification for 838t

white-coat 836

Hyperthermia 659-663, 661t

Hyperthyroidism 647-653, 649t

anxiety and 323t

clinical presentation of 38

muscular disorders in 529

screening for 47t

tremor in 438t

Hyperthyroxinemia, euthyroid 650

Hypertriglyceridemia 606 (see also Lipoproteins, disorders of)

diet in 615

familial 608t

mixed 609t

secondary 607

Hyperuricemia 494-496

during acute leukemia treatment 727

Hyperventilation syndrome 588

Hyperviscosity

in chronic leukemia 730

in multiple myeloma 735

in Waldenström's macroglobulinemia 735, 738, 739

Hypnotics (see Sedative-hypnotics)

Hypoalbuminemia 572

Hypoalphalipoproteinemia 609t, 615

Hypobetalipoproteinemia 609t

Hypocalcemia 573-576, 574t

in chronic renal failure 964

neuromuscular symptoms in 531

osteomalacia with 484

Hypochlorhydria 1000

vitamin B₁₂ deficiency and 591

Hypochondriasis 319t, 328

anxiety and 323t

Hypogammaglobulinemia, in multiple myeloma 733-734

Hypogeusia 1027

Hypoglycemia 640t

anxiety and 323t

in diabetes mellitus 635-636

Hypoglycemics 73, 630, 632t, 635t

adverse effects of 65t

aging effects on 60t

combinations of 636

during exercise 305

Hypogonadism 1167, 1171-1174, 1172t

Hypokalemia 568-570, 569t

during acute leukemia treatment 727

adverse drug interactions with 67t

myopathy with 531-532

paralysis of 568

Hypomagnesemia 575, 583-584

neuromuscular symptoms in 531

Hyponatremia 561, 563-566, 565t

during acute leukemia treatment 727

adverse drug interactions with 67t

antidiuretic hormone secretion and 561

nutritional supplements and 564, 566

postoperative 253

Hypoparathyroidism 575

parkinsonism with 444t

Hypoperfusion, systemic 415-416

Hypophosphatemia 581-582

hypercalcemia and 579

hypocalcemia and 574

in osteomalacia 484, 485-486

Hypotension 844-849

angiotensin-converting enzyme inhibitor--induced 907

drug-related 846t, 847

in gastrointestinal tract bleeding 1107

with intubation 790-791

nitrate-induced 856

orthostatic 176, 845-848, 846t

     adverse drug interactions with 67t

     dizziness with 191t, 195

     during exercise 305

     in gastrointestinal tract bleeding 1107

     in multiple system atrophy 442

     in physical examination 31

     in stroke patient 282

     syncope with 174, 180

postoperative 251

postprandial 848-849

     dizziness with 191t

     syncope with 175, 180

with pulmonary embolism 773

tilt table therapy for 273

Hypothermia 659-663, 664t, 665f

intraoperative 262

postoperative 252

rewarming therapy for 668

Hypothyroidism 643-647

clinical presentation of 38

lipoprotein disorders with 607

muscular disorders in 529-530

nasal congestion in 1344

screening for 47t

subclinical 644, 645

Hypoxemia

in COPD 781, 785

postoperative 250

in respiratory failure 788-790

Hypoxia

ventilatory response to 756

Hysterectomy

sexual activity after 1162

vesicovaginal fistula after 1202