® MER-3024 TM Medical Book System MANUAL User's Guide T HE MERCK License Agreement READ THIS LICENSE AGREEMENT BEFORE USING THE MEDICAL BOOK SYSTEM. YOUR USE OF THE MEDICAL BOOK SYSTEM DEEMS THAT YOU ACCEPT THE TERMS OF THIS LICENSE. IF YOU DO NOT AGREE WITH THESE TERMS, YOU MAY RETURN THIS PACKAGE WITH PURCHASE RECEIPT TO THE DEALER FROM WHICH YOU PURCHASED THE MEDICAL BOOK SYSTEM AND YOUR PURCHASE PRICE WILL BE REFUNDED. The MEDICAL BOOK SYSTEM means the software product, hardware, and documentation found in this package and FRANKLIN means Franklin Electronic Publishers, Inc. LIMITED USE LICENSE All rights in the MEDICAL BOOK SYSTEM remain the property of FRANKLIN. Through your purchase, FRANKLIN grants you a personal and nonexclusive license to use the MEDICAL BOOK SYSTEM. You may not make any copies of the MEDICAL BOOK SYSTEM or of the preprogrammed data stored therein, whether in electronic or print format. Such copying would be in violation of applicable copyright laws. Further, you may not modify, adapt, disassemble, decompile, translate, create derivative works of, or in any way reverse engineer the MEDICAL BOOK SYSTEM. You may not export or re-export, directly or indirectly, the MEDICAL BOOK SYSTEM without compliance with appropriate governmental regulations. The MEDICAL BOOK SYSTEM contains Franklin's confidential and proprietary information which you agree to take adequate steps to protect from unauthorized disclosure or use. This license is effective until terminated. This license terminates immediately without notice from FRANKLIN if you fail to comply with any provision of this license. 1 Contents Foreword ...................................... 3 Key Guide ..................................... 4 Installing Book Cards .................. 5 Selecting a Book .......................... 5 Changing the Settings ................. 6 Viewing a Demonstration ............ 6 Using the Outline ......................... 7 Using the Index ............................ 8 Searching for Words .................... 9 Highlighting Search Words ....... 11 Expanding Your Searches ......... 11 Reading Special Markers ........... 12 Using Notes ................................ 13 Looking Up Words in Other Books ........................... 14 Resetting the Medical Book System ........................................ 15 Book Card Care .......................... 15 Specifications and Patents ....... 16 Limited Warranty (U.S. only) ..... 17 FCC Notice ................................. 18 Index ........................................... 19 ® About Book Card Compatibility IMPORTANT This book card can be used only with the Medical Book SystemTM platform and will not function in any other Franklin BOOKMAN® platform. The Medical Book System platform can use Franklin BOOKMAN book cards as well as Medical Book System book cards. However, Franklin BOOKMAN platforms cannot use Medical Book System book cards. ® For More Information To learn more about the Medical Book System or other products from Franklin Electronic Publishers, call 800-6655450 or visit the Franklin Web site at www.franklin.com. ® Understanding the Keys The functions of the keys may vary according to which book card is installed and selected in the platform. To learn how to use a particular book card, read its User's Guide. 2 Foreword With this edition, The Merck Manual celebrates its 100th birthday. When the editors of the 1st Edition produced their 192-page compendium, they could not have realized the extent to which medical knowledge would explode over the next century. The Merck Manual now fills 2,655 pages and covers countless diseases that were not known 100 years ago. Although the knowledge of medicine has grown, the goal of The Merck Manual has not changed -- To provide useful clinical information to practicing physicians, medical students, interns, residents, nurses, pharmacists, and other health care professionals in a concise, complete, and accurate manner. The Merck Manual continues to cover all the subjects expected in a textbook of internal medicine as well as detailed information on pediatrics, psychiatry, obstetrics, gynecology, dermatology, pharmacology, ophthalmology, otolaryngology, and a number of special subjects. The Merck Manual quickly provides information that helps practitioners achieve optimal care. The more specialized the practice of medicine becomes, the more important such information becomes. Specialists as well as generalists must at some time quickly access information about other specialties. The 17th edition of The Merck Manual is the culmination of an arduous but rewarding 7-year enterprise. Every topic has been updated, and many have been completely rewritten. Topics new to this edition include hand disorders, prion diseases, death and dying, probabilities in clinical medicine, multiple chemical sensitivity, chronic fatigue syndrome, rehabilitation, smoking cessation, and drug therapy in the elderly, among others. Because of the extensive subject matter covered and a successful tradition developed through trials of successes and failures, The Merck Manual has some unique characteristics. Subject headings within each section, internal headings within a subject discussion, and boldfaced terms in the text form an outline intended to help with use of the text. We hope this edition of The Merck Manual will serve as an aid to you, our readers, compatible with your needs and worthy of frequent use. Suggestions for improvements will be warmly welcomed and carefully considered. Mark H. Beers, M.D., and Robert Berkow, M.D., Editors 3 Key Guide Color Keys (red) Expands a word search. (green) Displays the Outline location of the current text. (yellow) Displays the word search screen. (blue) Lets you add, find, or remove a note. Function Keys Erases typed letters, or backs up to the previous screen. Shifts keys to type capitals or punctuation. Exits the currently selected book. Clears an entry or search and goes to the default state. Enters a word, selects a menu item, or starts the highlight in text. Displays help messages. Displays the main menus. Turns the platform on or off. At entry screens, types a space. At menus and text, pages down. At menus, displays the title of a highlighted item. With CAP , types an asterisk (V) to stand for letters in a word. Direction Keys UP DN MORE SPEC Pages up or down. Moves the cursor, text, or highlight. Key Combinations* SEARCH LIST 6+ 6+ BACK BACK CARD CAP CARD CLEAR 6+ ENTER ENTER 6 +Q-P HELP MENU ON/OFF SPACE 6 + DN or or UP CAP + Goes to the top level of a menu from a lower level. Transfers a highlighted word between installed book cards. At a highlighted menu item, displays the related text. At text, highlights special markers (e.g., footnotes, cross-references, tables, etc.). Types numbers. At text, displays the next or previous paragraph, table row, or search match. Goes to the top or bottom of a menu or list. At text, goes to the next or previous Outline title. ?T * Hold the first key while pressing the second. 4 Installing Book Cards CAUTION Never install or remove a book card when the platform is turned on. If you do, information entered in any installed book cards may be erased. 1. Turn the platform off. 2. Turn the platform over. 3. Align the book card tabs with the notches in a card slot. Selecting a Book If you have installed two book cards in the platform, you can select which book you want to read. 1. Turn the platform on. 2. Press CARD . 3. Use or to highlight the book you want to use. 4. Press the book card until it snaps into the slot. 4. Press ENTER to select it. ® Removing Book Cards CAUTION When you remove a book card from a platform, information entered in that book card may be erased. ® Resuming Where You Left Off You can turn off the platform at any screen. When you turn it on again, the last screen that you viewed appears. 5 Changing the Settings Using the Setup menu, you can adjust the type size, default state, shutoff time, and screen contrast of this book. The type size sets how large the characters appear on screen. The shutoff time sets how long your Medical Book System stays on if you forget to turn it off. The default state sets the screen that appears when you press CLEAR . 1. Press MENU . 2. Highlight Set Type Size, Set Default State, Set Shutoff, or Set Contrast on the Setup menu. Viewing a Demonstration Before you start using this book, you may want to see a brief demonstration. Press MENU and then use the arrow keys to highlight View Demo on the Setup menu. Press ENTER to select it. To stop the demonstration, press CLEAR . ® Help is Always at Hand You can view a help message at virtually any screen by pressing HELP . To exit help, press BACK . To read a tutorial about this book, select Tutorial from the Setup menu. ® Follow the Arrows The flashing arrows at the right of the screen show which arrow keys you can press to move through menus or view more text. 3. Press ENTER . or to change the setting. 4. Use Or press BACK to leave the setting unchanged. 5. Press ENTER to select it. 6 Using the Outline The Outline contains the sections, chapters, and subchapters of the printed book. 1. Press MENU to highlight the Outline menu. Using the Outline You can also go directly to the text by holding 6 and pressing ENTER . 4. Highlight a chapter (e.g., 66 Respiratory Failure) and then press ENTER . To learn how to make the Outline menu the default state, read "Changing the Settings." 2. Use , , UP , DN or SPACE to highlight a section of the Outline. To see the full title of any menu item, press ? T . 5. Highlight a subchapter (e.g., Hypoxemia) and then press ENTER . You can also highlight a section by typing its number. To type a number, hold 6 and press a numbered key. The slanted arrow indicates a submenu. 3. Press ENTER . 6. Use , DN or SPACE to scroll down the text. 7. To go to the next or previous subchapter, hold 6 and press UP or DN . 8. Press CLEAR when finished. 7 Using the Outline Using the Index 1. Press CLEAR ® Where in the Book Am I? When you are reading the text of this book, you can see the Outline location of the current text by pressing SPEC (green). . to highlight the Index 2. Use or menu. 3. Start typing an index entry (for example, type pancreatitis). To display the full title of a highlighted item, press ? T . This is useful when a title ends in ellipses. To go to the text associated with a highlighted item, press ENTER . To go back to the text that you were reading, press BACK . ® About Screen Illustrations Some screen illustrations in this User's Guide may vary slightly from what you see on the screen. This does not mean that your Medical Book System platform or this book card is malfunctioning. To undo a letter, use BACK . You can also use or to highlight an index entry. 4. When the entry is highlighted, press ENTER . 5. If needed, highlight a subentry (for example, acute) or reference number and then press ENTER . 8 Using the Index Searching for Words Word searches find all the occurrences, or matches, of a word or word phrase in this book. You can type up to 99 characters in a single search. You cannot search for short, common words such as the and is. 6. Use , DN or to scroll down the text. 7. To go to the next or previous subchapter, hold CAP and press UP or DN . 8. Press CLEAR when finished. SPACE 1. Press SEARCH (yellow). 2. Type your search words. For example, type squamous cell carcinoma. To delete a letter, use BACK . You do not need to type capitals or punctuation to find matches. 3. Press ENTER to search. 4. Press ENTER to see the first match. 9 Searching for Words The search words are boxed. You many need to scroll down to see them. 5. To see the Outline location of the next or previous matches, if any, hold 6 and press DN or UP . Searching for Words ® If You Misspell a Search Word If you enter a misspelled search word, a list of corrections appears. If the message "Remaining matches in Index" appears, go to Step 7 below. 6. Press ENTER to see a match. 7. Press MENU to see the matches listed on the menus. Use to highlight a correction and then press ENTER . ® Searching for Parts of Words If you want to find prefixes, suffixes, or other parts of words, type an asterisk (V) in place of the missing letters. For example, type hypochlorV and then press ENTER . To type an asterisk, hold CAP and press ? T . After a word search, only items with matches appear on the Outline and Index menus. 8. Select a menu item and then press ENTER . If needed, select a subitem. 9. Press SEARCH (yellow) or CLEAR to clear your search. Use press ENTER to highlight a match and then . 10 Highlighting Search Words You can also search for a word by highlighting it in the text of this book. 1. At the text, press highlight. ENTER Expanding Your Searches You can expand a word search up to three times to search for infl ...