Index V

Vaccines 1359-1366, 1361t (see also Immunization)

influenza 761, 769-770, 1361t, 1364-1365

pneumococcal 761, 1361t, 1365-1366

zoster 1361t, 1367

Vacuum tumescent devices 1170-1171

Vagal maneuver, in paroxysmal supraventricular tachycardia 889

Vagina

age-related changes in 1158

atrophy of 1209 (see also Vaginitis, atrophic)

bleeding from 1193-1194, 1193t

     estrogen replacement therapy and 1212

cancer of 1207-1208

candidiasis of 1201, 1211

discharge from 1210-1211

estrogen application to 1214

examination of, in urinary incontinence 974

fistulas of 1202-1203

hernia-like protrusions into 1194-1200, 1196f, 1197f, 1198f, 1199f

inflammation of (see Vaginitis)

lubricants for 1159

lubrication of 1177-1178

prolapse of 1195, 1197f, 1200

spasm of 1179

Vaginismus 1179

Vaginitis

atrophic 1158, 1179, 1209, 1210-1211

candidal 1210

urinary incontinence with 966

Valacyclovir 1376t-1377t

in herpes zoster infection 1018, 1260

Valganciclovir 1376t-1377t

Valproate

in pain management 394t

Valproic acid

in mania 320

in myoclonus 450

Valsalva's maneuver 889

Valsartan 842t

Valvular heart disease 863-877 (see also specific valvular disease)

infectious 878-885, 881t, 883t-884t

valve replacement in 947-949

Valvuloplasty 867, 949-950

Vancomycin 1375t

in antibiotic-associated diarrhea and colitis 1067, 1068

in endocarditis prophylaxis 881t

in infective endocarditis 883t-884t

Varicella zoster infection 1258-1261

oral 1018

vaccine against 1361t, 1367

Varices, esophageal 1008, 1109

Varicose veins 931-932

of anorectal junction 1074-1075

superficial thrombophlebitis of 931

Vascular dementia 361t, 367, 370t

Vascular ectasias

colonic 1057-1058

gastrointestinal 1051-1052

Vascular malformation, subarachnoid hemorrhage and 416

Vasculature (see also Artery (arteries); Heart; Veins)

age-related changes in 815

Vasculitic syndromes 506-510

glomerulonephritis in 958

in hypercoagulable states 688

Vasodilators

diuretic interaction with 69t

in heart failure 906, 908

in hypertension 843t

Vasopressin

in angiodysplasia 1058

in gastrointestinal tract bleeding 1109

Veins

insufficiency of 930, 1252-1254

peripheral (see Peripheral vascular disease)

stasis of 689

thrombophlebitis of 931

thrombosis in 923-930

ulcers of 1252-1254

varicose 931-932

     filter for 929

     interruption of 778

Venlafaxine

in generalized anxiety disorder 324

Venography 925

Venous insufficiency 930, 1252-1254

Venous stasis 689

Venous thromboembolism (see Pulmonary embolism; Thromboembolism)

Venous ulcers 1252-1254

Ventilation 789-793

     mechanical

in COPD 786

Ventilation-perfusion scan 773-775

Ventilatory failure 787-788, 789-790

Ventricles

cardiac

     age-related changes in 814t, 815-817

     compliance of 815-816

     diastolic filling rate of 816, 817f

     hypertrophy of, electrocardiography in 824-825

     radionuclide testing of 825t, 830-831

     rupture of 861

cerebral, age-related changes in 381

Ventricular ectopic beats 886t, 892-893

Ventricular tachycardia 886t, 893-895

Ventriculography, radionuclide 825t, 830-831

Verapamil 888t

aging effect on 60t

drug interactions with 68t-69t

in hypertension 842t

in paroxysmal supraventricular tachycardia 889

in stable angina 856

Vertebrae (see also Spine)

fracture of 229-230

Vertebral artery 404f-405f

atherosclerosis of 404-406, 407t

Vertebrobasilar insufficiency

dizziness with 185t

Vertigo 181, 184t, 187f

opioid-induced 392

Vesicovaginal fistula 1202

Vestibular schwannoma 1341-1342

Vestibular system 182-183, 186f

in dizziness 188

rehabilitation of 194

testing of 189, 194

Veterans Health Administration 169

Vinblastine 1226t-1227t

Vincristine

in Hodgkin's disease 747t

in non-Hodgkin's lymphoma 752t

sexual function and 1164t

urinary incontinence with 967t

Vinorelbine 1227t

Vipoma 1146t

Viral infection (see also specific infections)

depression and 311t

in diarrhea 1086-1087

leukemia and 725

Virchow's node, in gastric cancer 1137

Virchow's triad 688

Vision

acuity of 1289-1290

age-related changes in 1289-1293

color 1291-1292

double 1311-1312

for driving 234-235

fields of 1292

in hemianopia 283

loss of

     age-related macular degeneration and 1304

     cataract and 1293-1294

     diabetes mellitus and 1301

     in giant cell arteritis 507-508

     glaucoma and 1297

     hallucinations in 348

     in internal carotid artery atherosclerosis 403

     ischemic optic neuropathy and 1307

     occipital lobe stroke and 1308

     resources on 1418-1419

     retinal artery occlusion and 1306

     retinal vein occlusion and 1306

     screening for 47t

     transient (amaurosis fugax) 1307

in stroke patient 283

Vital signs 31-32

Vitamin(s)

deficiency and toxicity of 589-594

exercise and 305

in frailty prevention 48t

multi- 588

Vitamin A (retinol)

deficiency of 589

in lipoprotein disorders 623

toxicity of 589

Vitamin B₁ (thiamine)

age-related change in 1384t

deficiency of 590

drug interactions with 589t

Vitamin B₂ (riboflavin)

deficiency of 590-591

Vitamin B₆ (pyridoxine) 591

age-related change in 1384t

drug interactions with 589t

Vitamin B₁₂ 592

age-related change in 1384t

deficiency of 591-592, 593t

     anemia and 592, 685-686

     prevention of 50t

drug interactions with 589t

in malabsorption 1101

replacement of 686

Vitamin C (ascorbic acid) 593-594

age-related change in 1384t

drug interactions with 589t

in lipoprotein disorders 623

Vitamin D

in calcium metabolism 573

deficiency of 589-590, 1002

     age-related 657, 1232-1233

     muscular disorders in 530-531

     in osteomalacia 483-486

     osteoporosis and 467

drug interactions with 589t

in hypocalcemia 575

in osteomalacia 485

in osteoporosis 478

in Paget's disease of bone 483

supplementation with 657

toxicity of 578

Vitamin E (tocopherol) 590

age-related change in 1384t

in Alzheimer's disease 367

in lipoprotein disorders 623

Vitreous humor 1286

Voiding diary 972-973, 973t

Volume depletion 562-563 (see also Dehydration)

Volvulus

cecal 1124-1125

colonic 1124-1125

gastric 1049-1050

sigmoid 1124

Vomiting

in dying patient 118

esophageal injury with 1113

in intestinal tract obstruction 1114

Von Hippel-Lindau disease 988

Von Willebrand's disease 706

Voriconazole 1375t

Vulva

biopsy of 1207

cancer of 1206-1207

hyperplasia of 1201

inflammation of 1201

non-neoplastic epithelial disorders of 1201

premalignant lesions of 1207