Prepared by residents, fellows, and attending physicians, this handbook is a practical guide to the general internal medicine consult. The content is based on the top 25 most common general internal medicine consults as seen by the hospitalist. The focus is on management issues, with additional material on the perioperative care of the patient with a medical condition. Clinical evidence is presented along with the official guidelines advocated by major medical organizations. This Second Edition is completely revised and updated. Illustrations have been added, and key points about diagnosis and management have been bulleted for easy reference. The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.