Primary care medicine:
Gespeichert in:
| Format: | Elektronisch E-Book |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Lippincott Williams & Wilkins
2005
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| Ausgabe: | 5. ed. |
| Schlagworte: | |
| Online-Zugang: | http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&NEWS=n&PAGE=booktext&D=books&SC=00140049 Inhaltsverzeichnis |
| Beschreibung: | 1 Online-Ressource |
| Format: | Systemvoraussetzungen: Internet-Anschluss |
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Datensatz im Suchindex
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| adam_text | Contributors xiii
Preface xix
Acknowledgments xxi
Foreword to the First Edition xxiii
1. Principles of 1. The Practice of Primary Care 1
Primary Care Part 1: The Tasks of Primary Care /JOHN D. STOECKLE 1
1 Part 2: Approaches to Common Ethical and Legal Issues in Primary Care
Practice/LINDA L EMANUEL 7
Appendix: Approaches to Encouraging Adherence 10
2. Selection and Interpretation of Diagnostic Tests 12
3. Health Maintenance and the Role of Screening 18
4. Estimating and Communicating Risk and Prognosis 22
5. Choosing Among Treatment Options 25
6. Immunization/EDWARD T.RYAN 27
2. Systemic Problems 7. Screening for HIV 1 Infection /STEPHEN L. BOSWELL 43
43 8. Evaluation of Chronic Fatigue 47
9. Evaluation of Weight Loss 54
10. Evaluation of Overweight and Obesity 59
11. Evaluation of Fever 65
12. Evaluation of Lymphadenopathy 73
13. Approach to the Patient with HIV Infection /STEPHEN L. BOSWELL 78
3. Cardiovascular Problems 14. Screening for Hypertension / KATHARINE K. TREADWAY 93
93 15. Screening for Hyperlipidemia/GALE S. HAYDOCK and MASON W. FREEMAN 96
16. Bacterial Endocarditis Prophylaxis 102
17. Rheumatic Fever Prophylaxis 105
18. Exercise for Prevention of Cardiovascular Disease 108
19. Evaluation of Hypertension/KATHARINE K. TREADWAY 117
20. Evaluation of Chest Pain 125
21. Evaluation of the Asymptomatic Systolic Murmur 140
22. Evaluation of Leg Edema 146
23. Evaluation of Arterial Insufficiency of the Lower Extremities /DAVID C. BREWSTER 151
24. Evaluation of Syncope 155
25. Evaluation of Palpitations 164
Appendix: Evaluation of Atrial Fibrillation in the Outpatient Setting 171
26. Management of Hypertension /KATHARINE K. TREADWAY 175
Appendix: Coronary Heart Disease Risk Factor Prediction Chart 190
27. Approach to the Patient with Hypercholesterolemia/MASON W. FREEMAN 190
28. Outpatient Management of Atrial Fibrillation 207
29. Management of Ventricular Irritability in the Ambulatory Setting 216
30. Management of Chronic Stable Angina 225
viii Contents
31. Cardiovascular Rehabilitation and Secondary Prevention of Coronary
Heart Disease 240
32. Approach to the Patient with Congestive Heart Failure 250
Appendix: Potassium Supplementation in Congestive Heart Failure 266
33. Management of Valvular Heart Disease / RICHARD R. LIBERTHSON 267
Appendix: Management of Hypertrophic Cardiomyopathy 277
34. Management of Peripheral Arterial Disease / DAVID C. BREWSTER 279
35. Management of Peripheral Venous Disease / DAVID C. BREWSTER 285
36. Stress Testing and Other Noninvasive Studies for Detection of
Coronary Disease 294
4. Respiratory Problems 37. Screening for Lung Cancer 303
303 38. Tuberculosis Screening and Prophylaxis/BENJAMIN DAVIS 306
39. Evaluation and Prevention of Occupational and Environmental Respiratory Disease /
L CHRISTINE OLIVER and JOHN D. STOECKLE 309
40. Evaluation of Chronic Dyspnea 314
41. Evaluation of Subacute and Chronic Cough 320
42. Evaluation of Hemoptysis 325
43. Evaluation of Pleural Effusions 329 !
44. Evaluation of the Solitary Pulmonary Nodule 334
45. Evaluation of Clubbing 338
46. Approach to the Patient with Sleep Apnea 340
47. Management of Chronic Obstructive Pulmonary Disease 345
48. Management of Asthma 357
49. Management of Tuberculosis / BENJAMIN DAVIS 371
50. Management of the Common Cold/WILUAM A. KORMOS 376
51. Management of Sarcoidosis 380
Appendix: Evaluation of Interstitial Lung Disease 384
52. Approach to the Patient with Acute Bronchitis or Pneumonia in the Ambulatory
Setting /WILLIAM A. KORMOS 388
53. Approach to the Patient with Lung Cancer/JEFFREY W. CLARK 398
54. Smoking Cessation/NANCY A. RIGOTTI 405
5. Gastrointestinal 55. Screening for Gastric Cancer 413
Problems 56. Screening for Colorectal Cancer/MICHAEL J. BARRY 416
413 Appendix: Examination of the Anorectum and Sigmoid Colon with Digital Rectal
Examination, Anoscopy, and Sigmoidoscopy /LAWRENCE S. FRIEDMAN 420
57. Prevention of Viral Hepatitis /JULES L. DIENSTAG 425
58. Evaluation of Abdominal Pain/JAMES M. RICHTER 433
59. Evaluation of Nausea and Vomiting 444
60. Evaluation of Dysphagia and Suspected Esophageal Chest Pain 449
61. Approach to the Patient with Heartburn and Reflux (Gastroesophageal Reflux
Disease)/FRANCIS X. CAMPION and JAMES M. RICHTER 455
62. Evaluation of Jaundice /JAMES M. RICHTER 461
Appendix: Evaluation of the Patient with an Incidental Asymptomatic Elevation in Serum
Aminotransferase (Transaminase) Levels 465
63. Evaluation of Gastrointestinal Bleeding/ JAMES M. RICHTER 466
64. Evaluation and Management of Diarrhea/JAMES M. RICHTER 471
65. Approach to the Patient with Constipation/ JAMES M. RICHTER 484
66. Approach to the Patient with Anorectal Complaints 489
Appendix: Management of Hemorrhoids 495
67. Approach to the Patient with an External Hernia 496
68. Management of Peptic Ulcer Disease 499
69. Management of Asymptomatic and Symptomatic Gallstones 511
70. Management of Hepatitis/JULES L DIENSTAG 517
71. Management of Cirrhosis and Chronic Liver Failure 529
72. Management of Pancreatitis /JAMES M. RICHTER 538
73. Management of Inflammatory Bowel Disease /JAMES M. RICHTER 542
Contents ix
74. Approach to the Patient with Functional Gastrointestinal Disease 552
75. Management of Diverticular Disease 562
76. Management of Gastrointestinal Cancers /JEFFREY W. CLARK 565
6. Hematologic and 77. Screening for Anemia 579
Oncologic Problems 78. Screening for Sickle Cell Disease and Sickle Cell Trait 581
579 79. Evaluation for Anemia 583
80. Evaluation of Erythrocytosis (Polycythemia) 592
81. Evaluation of Bleeding Problems and Abnormal Bleeding Studies 597
82. Management of Common Anemias 606
83. Outpatient Oral Anticoagulant Therapy/ELAINE M. HYLEK and ROBERT A. HUGHES 612
84. Approach to the Patient with Lymphoma/JEFFREY w. CLARK 618
85. Approach to the Patient with Metastatic Tumor of Unknown Origin /
JEFFREY W. CLARK 627
86. Approach to Staging and Monitoring /JEFFREY W. CLARK 632
87. Comprehensive Care of the Cancer Patient /JEFFREY W.CLARK 637
88. Principles of Cancer Chemotherapy /JEFFREY W.CLARK 643
89. Principles of Radiation Therapy /THOMAS DELANEY 650
90. Management of Chronic Cancer Pain and Palliative Care 655
Part 1: Management of Chronic Cancer Pain/LINDA A. KING and
J. ANDREW BILLINGS 655
Part 2: Palliative Care/ERIC L. KRAKAUER 663
91. Managing the Gastrointestinal Complications of Cancer and Cancer Treatment /
JEFFREY W. CLARK 668
92. Complications of Cancer: Oncologic Emergencies and Paraneoplastic
Syndromes /JEFFREY W. CLARK 673
7. Endocrinologic Problems 93. Screening for Diabetes Mellitus 679
679 94. Screening for Thyroid Cancer 683
95. Evaluation of Thyroid Nodules /DAVID M. SLOVIK 685
96. Approach to the Patient with Hypercalcemia/DAVID M. SLOVIK 691
97. Evaluation of Hypoglycemia/DAVID M. SLOVIK 697
98. Evaluation of Hirsutism/DAVIDM. SLOVIK 702
Appendix: Approach to an Incidentally Encountered Adrenal Mass 706
; 99. Evaluation of Gynecomastia/DAVID M. SLOVIK 707
I 100. Evaluation of Galactorrhea and Hyperprolactinemia / DAVID M. SLOVIK 711
» 101. Evaluation of Suspected Diabetes Insipidus/DAVID M. SLOVIK 714
102. Approach to the Patient with Diabetes Mellitus/DAVIDM. SLOVIK 717
I 103. Approach to the Patient with Hyperthyroidism / DAVID M. SLOVIK 735
j 104. Approach to the Patient with Hypothyroidism/DAVID M. SLOVIK 745
» 105. Glucocorticoid Therapy /DAVID M. SLOVIK 751
8. Gynecologic Problems 106. Screening for Breast Cancer 759
759 107. Screening for Cervical Cancer 764
; 108. Screening for Ovarian Cancer 768
109. Screening for Endometrial Cancer 770
110. Vaginal Cancer and Other Effects of Diethylstilbestrol Exposure 772
111. Approach to the Woman with Abnormal Vaginal Bleeding /
I SHANA L. BIRNBAUM 774
? 112. Evaluation of Secondary Amenorrhea/SHANA L. BIRNBAUM 780
113. Evaluation of Breast Masses and Nipple Discharges 786
I 114. Evaluation of Vulvar Pruritus /SHANA L. BIRNBAUM 789
j 115. Medical Evaluation of Female Sexual Dysfunction /SHANA L. BIRNBAUM 792
I 116. Approach to the Patient with Menstrual or Pelvic Pain /SHANA L. BIRNBAUM 796
I 117. Approach to the Patient with a Vaginal Discharge / SHANA L BIRNBAUM 801
118. Approach to the Menopausal Woman/SHANA L. BIRNBAUM 807
119. Approach to Fertility Control 814
120. Approach to the Infertile Couple / SHANA L. BIRNBAUM 823
x Contents
121. Approach to the Woman with an Unplanned Pregnancy /SHANA L. BIRNBAUM 830
122. Management of Breast Cancer 835
123. Management of the Woman with Genital Tract Cancer 840
9. Genitourinary Problems 124. Screening for Syphilis 847
847 125. Screening for Chlamydial Infection/BENJAMIN DAVIS 849
126. Screening for Prostate Cancer/MICHAEL J.BARRY 852
127. Screening for Asymptomatic Bacteriuria and Urinary Tract Infection 856
128. Screening for Cancers of the Lower Urinary Tract 859
129. Evaluation of the Patient with Hematuria/LESLIE S. T. FANG 861
130. Evaluation of the Patient with Proteinuria / HASAN BAZARI 865
131. Evaluation of Scrotal Pain, Masses, and Swelling 871
132. Medical Evaluation and Management of Erectile Dysfunction 874
133. Approach to Dysuria and Urinary Tract Infections in Women/LESLIE S. T. FANG 883
134. Approach to Incontinence and Other Forms of Lower Urinary Tract Dysfunction /
JOHN D. GOODSON 889
135. Approach to the Patient with Nephrolithiasis/LESLIE S. T. FANG 897
136. Approach to the Male Patient with Urethritis /JOHN D. GOODSON 902
137. Approach to the Patient with Gonorrhea / BENJAMIN DAVIS 906
138. Approach to Benign Prostatic Hyperplasia/MICHAEL J. BARRY 909
139. Management of Acute and Chronic Prostatitis /JOHN D. GOODSON 914
Appendix: Urine and Prostatic Fluid Collections in Men 918 j
140. Management of Urinary Tract Infection in Men 919 j
141. Management of Syphilis and Other Sexually Transmitted Diseases / i
BENJAMIN DAVIS 922
142. Management of the Patient with Chronic Kidney Disease / HASAN BAZARI 925
143. Management of Genitourinary Cancers in Men 931
10. Musculoskeletal 144. Screening for Osteoporosis in Postmenopausal Women 939
Problems Appendix: Screening for Osteoporosis in Men 942
939 145. Evaluation of Acute Monoarticular Arthritis 942
146. Evaluation of Polyarticular Complaints 946
147. Evaluation of Back Pain 955
148. Evaluation of Neck Pain 970
149. Approach to the Patient with Muscle Cramps 974 ;
150. Approach to the Patient with Shoulder Pain /JESSE B. JUPITER and DAVID RING 977 j
151. Evaluation of Hip Pain 984 j
152. Evaluation of Knee Pain 988 j
153. Approach to Minor Orthopedic Problems of the Elbow, Wrist, and Hand/
JESSE B. JUPITER and DAVID RING 994 j
154. Approach to Common Problems of the Foot and Ankle /CHRISTOPHER P. CHIODO,
JESSE P. JUPITER, and DAVID RING 999
155. Approach to the Patient with Asymptomatic Hyperuricemia 1005
156. Management of Rheumatoid Arthritis 1007
157. Management of Osteoarthritis 1022
158. Management of Gout 1030
159. Approach to the Patient with Fibromyalgia 1036
160. Approach to the Patient with Lyme Disease 1043
161. Approach to the Patient with Polymyalgia Rheumatica or Giant Cell
(Temporal) Arthritis 1051
162. Management of Paget s Disease/DAVID M. SLOVIK 1058
163. Approach to the Patient with Raynaud s Phenomenon 1062
164. Prevention and Management of Osteoporosis 1066
11. Neurologic Problems 165. Approach to the Patient with Headache/AMY A. PRUITT 1077
1077 166. Evaluation of Dizziness /AMY A. PRUITT 1087
167. Focal Neurologic Complaints: Evaluation of Nerve Root and Peripheral Nerve i
Syndromes/AMY A. PRUITT 1094 !
168. Evaluation of Tremor/AMY A. PRUITT 1101 j
Contents xi
169. Evaluation of Dementia/AMY A. PRUITT 1104
170. Approach to the Patient with a Seizure/AMY A. PRUITT 1112
171. Management of Transient Ischemic Attack and Asymptomatic Carotid Bruit /
AMY A. PRUITT 1120
172. Management of Multiple Sclerosis /AMY A. PRUITT 1126
173. Management of Alzheimer s Disease and Related Dementias/M. CORNELIA
CREMENS 1131
Appendix: Use of Psychotropic Drugs in the Elderly/MICHAEL A. JENIKE 1140
174. Approach to the Patient with Parkinson s Disease /AMY A. PRUITT 1142
175. Approach to the Patient with Bell s Palsy (Idiopathic Facial Mononeuropathy)/
AMY A. PRUITT 1148
176. Management of Tic Douloureux (Trigeminal Neuralgia) / AMY A. PRUITT 1151
12. Dermatologic Problems 177. Screening for Skin Cancers/ARTHURJ. SOBER 1155
1155 178. Evaluation of Pruritus/ADAM M. ROTUNDA and WILLIAM V. R. SHELLOW 1161
179. Evaluation of Purpura 1166
180. Evaluation of Disturbances in Pigmentation/ADAM M. ROTUNDA and WILLIAM V. R.
SHELLOW 1169
181. Evaluation of Urticaria and Angioedema 1173
182. Approach to the Patient with Hair Loss /ADAM M. ROTUNDA and
WILLIAM V. R. SHELLOW 1177
183. Disturbances of Skin Hydration: Dry Skin and Excessive Sweating/
WILLIAM V. R. SHELLOW 1182
Part 1: Management of Dry Skin 1182
Part 2: Approach to Excessive Sweating 1184
184. Approach to the Patient with Dermatitis /WILLIAM V.R. SHELLOW 1186
Part 1: Atopic or Contact Dermatitis 1186
Part 2: Management of Seborrheic Dermatitis 1189
185. Management of Acne/DELPHINEJ. LEE and WILLIAM V.R. SHELLOW 1191
186. Management of Rosacea and Other Acneiform Dermatoses / DELPHINE J. LEE and
WILLIAM V. R. SHELLOW 1195
187. Management of Psoriasis/DELPHINE J. LEE and WILLIAM V. R. SHELLOW 1197
188. Management of Intertrigo and Intertriginous Dermatoses/WILLIAM V. R. SHELLOW 1203
189. Management ofCorns and Calluses/WILLIAM V.R. SHELLOW 1205
190. Approach to Bacterial Skin Infections/NOAH CRAFT and WILLIAM V.R. SHELLOW 1206
Part 1: Cellulitis 1206
Part 2: Management of Pyoderma 1209
I 191. Management of Superficial Fungal Infections / NOAH CRAFT and
I WILLIAM V.R. SHELLOW 1211
j 192. Management of Cutaneous and Genital Herpes Simplex 1216
I 193. Management of Herpes Zoster 1222
¦ 194. Management ofWarts/NOAH CRAFT and WILLIAM V.R. SHELLOW 1225
j 195. Management of Scabies and Pediculosis /NOAH CRAFT and WILLIAM V. R. SHELLOW 1229
{ 196. Management of Skin Trauma: Bites and Burns/ELLIE J.C.GOLDSTEIN 1232
Part 1: Animal and Human Bites 1232
Part 2: Management of Minor Burns 1234
197. Management of Skin Ulceration/WILLIAM V. R. SHELLOW 1236
Appendix to Section 12: Minor Surgical Office Procedures for Skin Problems/
ERIC KORTZ and CHARLES J. McCABE 1240
13. Ophthalmologic 198. Screening for Open Angle Glaucoma/CLAUDIAU. RICHTER 1245
Problems 199. Evaluation of the Red Eye /CLAUDIA U. RICHTER 1247
1245 200. Evaluation of Impaired Vision /CLAUDIA U. RICHTER 1253
; 201. Evaluation of Eye Pain/CLAUDIA U. RICHTER 1256
202. Evaluation of Dry Eyes /CLAUDIA U. RICHTER 1259
203. Evaluation of Common Visual Disturbances: Flashing Lights, Floaters, and Other
Transient Phenomena / CLAUDI A A. RICHTER 1261
204. Evaluation of Exophthalmos/CLAUDIAU. RICHTER 1263
205. Evaluation of Excessive Tearing/CLAUDIA U. RICHTER 1265
xii Contents
206. Management of the Patient with Age Related Macular Degeneration /
CLAUDIA U. RICHTER 1266
207. Management of Glaucoma / CLAUDIA U. RICHTER 1268
208. Management of Cataracts / CLAUDIA U. RICHTER 1271
209. Management of Diabetic Retinopathy / CLAUDIA U. RICHTER 1274
210. Correction of Vision/CLAUDIAU. RICHTER 1277
14. Ear, Nose, and Throat 211. Screening for Oral Cancer/ JOHN P. KELLY 1281
Problems 212. Evaluation of Hearing Loss/NEILBHATTACHARYYA 1283
1281 Appendix: Audiometry 1287
213. Approach to Epistaxis/NEIL BHATTACHARYYA 1288
214. Evaluation of Facial Pain and Swelling/JOHN P. KELLY 1291
215. Evaluation of Smell and Taste Disturbances/NEIL BHATTACHARYYA 1294
216. Approach to the Patient with Hoarseness/NEIL BHATTACHARYYA 1298
217. Evaluation of Tinnitus/NEIL BHATTACHARYYA 1302
218. Approach to the Patient with Otitis/NEIL BHATTACHARYYA 1303
219. Approach to the Patient with Sinusitis /WILLIAM A. KORMOS 1306
220. Approach to the Patient with Pharyngitis/WILLIAM A. KORMOS 1310
221. Approach to the Patient with Hiccups 1315
222. Approach to the Patient with Chronic Nasal Congestion and Discharge/
NEIL BHATTACHARYYA 1317
223. Approach to the Patient with Excessive Snoring /NEIL BHATTACHARYYA 1324
224. Management of Aphthous Stomatitis 1326
225. Management of Temporomandibular Joint Dysfunction 1327
15. Psychiatric Problems 226. Approach to the Patient with Anxiety /JOHN J. WORTHINGTON III and
1329 SCOTT LRAUCH 1329
Appendix: Strategies for Stress Management/WILLIAM E. MINICHIELLO 1338
227. Approach to the Patient with Depression/JOHN J. WORTHINGTON III and
SCOTT L. RAUCH 1339
228. Approach to the Patient with Alcohol Abuse/ELEANOR Z. HANNA and
MICHAEL BIERER 1354
229. Approach to the Patient with Sexual Dysfunction/LINDA C.SHAFER 1366
230. Approach to the SomatizingPatient/ARTHUR J. BARSKY III 1371
231. Approach to the Angry Patient / ARTHUR J. BARSKY III 1376
232. Approach to the Patient with Insomnia /JEFFREY B. WEILBURG 1378
233. Management of Obesity/ CAROLYN CRIMMINS HINTLIAN 1384
234. Approach to Eating Disorders / NANCY A. RIGOTTI 1397
235. Approach to the Substance Abuse and Dependence/PATRICK L. LILLARD 1404
Appendix: Adult Attenu on Deficit/Hyperactivity Disorder (AD/HD) 1410
236. Approach to the Patient with Chronic Nonmalignant Pain 1412
Appendix: Screening for Domestic Violence 1421
16. Allied Fields 237. Herbal Supplements Commonly Used as Complementary or Alternative
1423 Therapy/ERNIE PAUL BARRETTE 1423
238. Caring for the Adolescent Patient / LAURENCE J. RONAN 1429
239. Approach to Frailty in Older Adults/CLAUS HAMANN and KENNETH L. MINAKER 1434
|
| adam_txt |
Contributors xiii
Preface xix
Acknowledgments xxi
Foreword to the First Edition xxiii
1. Principles of 1. The Practice of Primary Care 1
Primary Care Part 1: The Tasks of Primary Care /JOHN D. STOECKLE 1
1 Part 2: Approaches to Common Ethical and Legal Issues in Primary Care
Practice/LINDA L EMANUEL 7
Appendix: Approaches to Encouraging Adherence 10
2. Selection and Interpretation of Diagnostic Tests 12
3. Health Maintenance and the Role of Screening 18
4. Estimating and Communicating Risk and Prognosis 22
5. Choosing Among Treatment Options 25
6. Immunization/EDWARD T.RYAN 27
2. Systemic Problems 7. Screening for HIV 1 Infection /STEPHEN L. BOSWELL 43
43 8. Evaluation of Chronic Fatigue 47
9. Evaluation of Weight Loss 54
10. Evaluation of Overweight and Obesity 59
11. Evaluation of Fever 65
12. Evaluation of Lymphadenopathy 73
13. Approach to the Patient with HIV Infection /STEPHEN L. BOSWELL 78
3. Cardiovascular Problems 14. Screening for Hypertension / KATHARINE K. TREADWAY 93
93 15. Screening for Hyperlipidemia/GALE S. HAYDOCK and MASON W. FREEMAN 96
16. Bacterial Endocarditis Prophylaxis 102
17. Rheumatic Fever Prophylaxis 105
18. Exercise for Prevention of Cardiovascular Disease 108
19. Evaluation of Hypertension/KATHARINE K. TREADWAY 117
20. Evaluation of Chest Pain 125
21. Evaluation of the Asymptomatic Systolic Murmur 140
22. Evaluation of Leg Edema 146
23. Evaluation of Arterial Insufficiency of the Lower Extremities /DAVID C. BREWSTER 151
24. Evaluation of Syncope 155
25. Evaluation of Palpitations 164
Appendix: Evaluation of Atrial Fibrillation in the Outpatient Setting 171
26. Management of Hypertension /KATHARINE K. TREADWAY 175
Appendix: Coronary Heart Disease Risk Factor Prediction Chart 190
27. Approach to the Patient with Hypercholesterolemia/MASON W. FREEMAN 190
28. Outpatient Management of Atrial Fibrillation 207
29. Management of Ventricular Irritability in the Ambulatory Setting 216
30. Management of Chronic Stable Angina 225
viii Contents
31. Cardiovascular Rehabilitation and Secondary Prevention of Coronary
Heart Disease 240
32. Approach to the Patient with Congestive Heart Failure 250
Appendix: Potassium Supplementation in Congestive Heart Failure 266
33. Management of Valvular Heart Disease / RICHARD R. LIBERTHSON 267
Appendix: Management of Hypertrophic Cardiomyopathy 277
34. Management of Peripheral Arterial Disease / DAVID C. BREWSTER 279
35. Management of Peripheral Venous Disease / DAVID C. BREWSTER 285
36. Stress Testing and Other Noninvasive Studies for Detection of
Coronary Disease 294
4. Respiratory Problems 37. Screening for Lung Cancer 303
303 38. Tuberculosis Screening and Prophylaxis/BENJAMIN DAVIS 306
39. Evaluation and Prevention of Occupational and Environmental Respiratory Disease /
L CHRISTINE OLIVER and JOHN D. STOECKLE 309
40. Evaluation of Chronic Dyspnea 314
41. Evaluation of Subacute and Chronic Cough 320
42. Evaluation of Hemoptysis 325
43. Evaluation of Pleural Effusions 329 !
44. Evaluation of the Solitary Pulmonary Nodule 334
45. Evaluation of Clubbing 338
46. Approach to the Patient with Sleep Apnea 340
47. Management of Chronic Obstructive Pulmonary Disease 345
48. Management of Asthma 357
49. Management of Tuberculosis / BENJAMIN DAVIS 371
50. Management of the Common Cold/WILUAM A. KORMOS 376
51. Management of Sarcoidosis 380
Appendix: Evaluation of Interstitial Lung Disease 384
52. Approach to the Patient with Acute Bronchitis or Pneumonia in the Ambulatory
Setting /WILLIAM A. KORMOS 388
53. Approach to the Patient with Lung Cancer/JEFFREY W. CLARK 398
54. Smoking Cessation/NANCY A. RIGOTTI 405
5. Gastrointestinal 55. Screening for Gastric Cancer 413
Problems 56. Screening for Colorectal Cancer/MICHAEL J. BARRY 416
413 Appendix: Examination of the Anorectum and Sigmoid Colon with Digital Rectal
Examination, Anoscopy, and Sigmoidoscopy /LAWRENCE S. FRIEDMAN 420
57. Prevention of Viral Hepatitis /JULES L. DIENSTAG 425
58. Evaluation of Abdominal Pain/JAMES M. RICHTER 433
59. Evaluation of Nausea and Vomiting 444
60. Evaluation of Dysphagia and Suspected Esophageal Chest Pain 449
61. Approach to the Patient with Heartburn and Reflux (Gastroesophageal Reflux
Disease)/FRANCIS X. CAMPION and JAMES M. RICHTER 455
62. Evaluation of Jaundice /JAMES M. RICHTER 461
Appendix: Evaluation of the Patient with an Incidental Asymptomatic Elevation in Serum
Aminotransferase (Transaminase) Levels 465
63. Evaluation of Gastrointestinal Bleeding/ JAMES M. RICHTER 466
64. Evaluation and Management of Diarrhea/JAMES M. RICHTER 471
65. Approach to the Patient with Constipation/ JAMES M. RICHTER 484
66. Approach to the Patient with Anorectal Complaints 489
Appendix: Management of Hemorrhoids 495
67. Approach to the Patient with an External Hernia 496
68. Management of Peptic Ulcer Disease 499
69. Management of Asymptomatic and Symptomatic Gallstones 511
70. Management of Hepatitis/JULES L DIENSTAG 517
71. Management of Cirrhosis and Chronic Liver Failure 529
72. Management of Pancreatitis /JAMES M. RICHTER 538
73. Management of Inflammatory Bowel Disease /JAMES M. RICHTER 542
Contents ix
74. Approach to the Patient with Functional Gastrointestinal Disease 552
75. Management of Diverticular Disease 562
76. Management of Gastrointestinal Cancers /JEFFREY W. CLARK 565
6. Hematologic and 77. Screening for Anemia 579
Oncologic Problems 78. Screening for Sickle Cell Disease and Sickle Cell Trait 581
579 79. Evaluation for Anemia 583
80. Evaluation of Erythrocytosis (Polycythemia) 592
81. Evaluation of Bleeding Problems and Abnormal Bleeding Studies 597
82. Management of Common Anemias 606
83. Outpatient Oral Anticoagulant Therapy/ELAINE M. HYLEK and ROBERT A. HUGHES 612
84. Approach to the Patient with Lymphoma/JEFFREY w. CLARK 618
85. Approach to the Patient with Metastatic Tumor of Unknown Origin /
JEFFREY W. CLARK 627
86. Approach to Staging and Monitoring /JEFFREY W. CLARK 632
87. Comprehensive Care of the Cancer Patient /JEFFREY W.CLARK 637
88. Principles of Cancer Chemotherapy /JEFFREY W.CLARK 643
89. Principles of Radiation Therapy /THOMAS DELANEY 650
90. Management of Chronic Cancer Pain and Palliative Care 655
Part 1: Management of Chronic Cancer Pain/LINDA A. KING and
J. ANDREW BILLINGS 655
Part 2: Palliative Care/ERIC L. KRAKAUER 663
91. Managing the Gastrointestinal Complications of Cancer and Cancer Treatment /
JEFFREY W. CLARK 668
92. Complications of Cancer: Oncologic Emergencies and Paraneoplastic
Syndromes /JEFFREY W. CLARK 673
7. Endocrinologic Problems 93. Screening for Diabetes Mellitus 679
679 94. Screening for Thyroid Cancer 683
95. Evaluation of Thyroid Nodules /DAVID M. SLOVIK 685
96. Approach to the Patient with Hypercalcemia/DAVID M. SLOVIK 691
97. Evaluation of Hypoglycemia/DAVID M. SLOVIK 697
98. Evaluation of Hirsutism/DAVIDM. SLOVIK 702
Appendix: Approach to an Incidentally Encountered Adrenal Mass 706
; 99. Evaluation of Gynecomastia/DAVID M. SLOVIK 707
I 100. Evaluation of Galactorrhea and Hyperprolactinemia / DAVID M. SLOVIK 711
» 101. Evaluation of Suspected Diabetes Insipidus/DAVID M. SLOVIK 714
\ 102. Approach to the Patient with Diabetes Mellitus/DAVIDM. SLOVIK 717
I 103. Approach to the Patient with Hyperthyroidism / DAVID M. SLOVIK 735
j 104. Approach to the Patient with Hypothyroidism/DAVID M. SLOVIK 745
» 105. Glucocorticoid Therapy /DAVID M. SLOVIK 751
8. Gynecologic Problems 106. Screening for Breast Cancer 759
759 107. Screening for Cervical Cancer 764
; 108. Screening for Ovarian Cancer 768
109. Screening for Endometrial Cancer 770
110. Vaginal Cancer and Other Effects of Diethylstilbestrol Exposure 772
111. Approach to the Woman with Abnormal Vaginal Bleeding /
I SHANA L. BIRNBAUM 774
? 112. Evaluation of Secondary Amenorrhea/SHANA L. BIRNBAUM 780
\ 113. Evaluation of Breast Masses and Nipple Discharges 786
I 114. Evaluation of Vulvar Pruritus /SHANA L. BIRNBAUM 789
j 115. Medical Evaluation of Female Sexual Dysfunction /SHANA L. BIRNBAUM 792
I 116. Approach to the Patient with Menstrual or Pelvic Pain /SHANA L. BIRNBAUM 796
I 117. Approach to the Patient with a Vaginal Discharge / SHANA L BIRNBAUM 801
118. Approach to the Menopausal Woman/SHANA L. BIRNBAUM 807
119. Approach to Fertility Control 814
120. Approach to the Infertile Couple / SHANA L. BIRNBAUM 823
x Contents
121. Approach to the Woman with an Unplanned Pregnancy /SHANA L. BIRNBAUM 830
122. Management of Breast Cancer 835
123. Management of the Woman with Genital Tract Cancer 840
9. Genitourinary Problems 124. Screening for Syphilis 847
847 125. Screening for Chlamydial Infection/BENJAMIN DAVIS 849
126. Screening for Prostate Cancer/MICHAEL J.BARRY 852
127. Screening for Asymptomatic Bacteriuria and Urinary Tract Infection 856
128. Screening for Cancers of the Lower Urinary Tract 859
129. Evaluation of the Patient with Hematuria/LESLIE S. T. FANG 861
130. Evaluation of the Patient with Proteinuria / HASAN BAZARI 865
131. Evaluation of Scrotal Pain, Masses, and Swelling 871
132. Medical Evaluation and Management of Erectile Dysfunction 874
133. Approach to Dysuria and Urinary Tract Infections in Women/LESLIE S. T. FANG 883
134. Approach to Incontinence and Other Forms of Lower Urinary Tract Dysfunction /
JOHN D. GOODSON 889
135. Approach to the Patient with Nephrolithiasis/LESLIE S. T. FANG 897
136. Approach to the Male Patient with Urethritis /JOHN D. GOODSON 902
137. Approach to the Patient with Gonorrhea / BENJAMIN DAVIS 906
138. Approach to Benign Prostatic Hyperplasia/MICHAEL J. BARRY 909
139. Management of Acute and Chronic Prostatitis /JOHN D. GOODSON 914
Appendix: Urine and Prostatic Fluid Collections in Men 918 j
140. Management of Urinary Tract Infection in Men 919 j
141. Management of Syphilis and Other Sexually Transmitted Diseases / i
BENJAMIN DAVIS 922
142. Management of the Patient with Chronic Kidney Disease / HASAN BAZARI 925
143. Management of Genitourinary Cancers in Men 931
10. Musculoskeletal 144. Screening for Osteoporosis in Postmenopausal Women 939
Problems Appendix: Screening for Osteoporosis in Men 942
939 145. Evaluation of Acute Monoarticular Arthritis 942
146. Evaluation of Polyarticular Complaints 946
147. Evaluation of Back Pain 955
148. Evaluation of Neck Pain 970
149. Approach to the Patient with Muscle Cramps 974 ;
150. Approach to the Patient with Shoulder Pain /JESSE B. JUPITER and DAVID RING 977 j
151. Evaluation of Hip Pain 984 j
152. Evaluation of Knee Pain 988 j
153. Approach to Minor Orthopedic Problems of the Elbow, Wrist, and Hand/ \
JESSE B. JUPITER and DAVID RING 994 j
154. Approach to Common Problems of the Foot and Ankle /CHRISTOPHER P. CHIODO,
JESSE P. JUPITER, and DAVID RING 999
155. Approach to the Patient with Asymptomatic Hyperuricemia 1005
156. Management of Rheumatoid Arthritis 1007
157. Management of Osteoarthritis 1022
158. Management of Gout 1030
159. Approach to the Patient with Fibromyalgia 1036
160. Approach to the Patient with Lyme Disease 1043
161. Approach to the Patient with Polymyalgia Rheumatica or Giant Cell
(Temporal) Arthritis 1051
162. Management of Paget's Disease/DAVID M. SLOVIK 1058
163. Approach to the Patient with Raynaud's Phenomenon 1062
164. Prevention and Management of Osteoporosis 1066
11. Neurologic Problems 165. Approach to the Patient with Headache/AMY A. PRUITT 1077
1077 166. Evaluation of Dizziness /AMY A. PRUITT 1087
167. Focal Neurologic Complaints: Evaluation of Nerve Root and Peripheral Nerve i
Syndromes/AMY A. PRUITT 1094 !
168. Evaluation of Tremor/AMY A. PRUITT 1101 j
Contents xi
169. Evaluation of Dementia/AMY A. PRUITT 1104
170. Approach to the Patient with a Seizure/AMY A. PRUITT 1112
171. Management of Transient Ischemic Attack and Asymptomatic Carotid Bruit /
AMY A. PRUITT 1120
172. Management of Multiple Sclerosis /AMY A. PRUITT 1126
173. Management of Alzheimer's Disease and Related Dementias/M. CORNELIA
CREMENS 1131
Appendix: Use of Psychotropic Drugs in the Elderly/MICHAEL A. JENIKE 1140
174. Approach to the Patient with Parkinson's Disease /AMY A. PRUITT 1142
175. Approach to the Patient with Bell's Palsy (Idiopathic Facial Mononeuropathy)/
AMY A. PRUITT 1148
176. Management of Tic Douloureux (Trigeminal Neuralgia) / AMY A. PRUITT 1151
12. Dermatologic Problems 177. Screening for Skin Cancers/ARTHURJ. SOBER 1155
1155 178. Evaluation of Pruritus/ADAM M. ROTUNDA and WILLIAM V. R. SHELLOW 1161
179. Evaluation of Purpura 1166
180. Evaluation of Disturbances in Pigmentation/ADAM M. ROTUNDA and WILLIAM V. R.
SHELLOW 1169
181. Evaluation of Urticaria and Angioedema 1173
182. Approach to the Patient with Hair Loss /ADAM M. ROTUNDA and
WILLIAM V. R. SHELLOW 1177
183. Disturbances of Skin Hydration: Dry Skin and Excessive Sweating/
WILLIAM V. R. SHELLOW 1182
Part 1: Management of Dry Skin 1182
Part 2: Approach to Excessive Sweating 1184
184. Approach to the Patient with Dermatitis /WILLIAM V.R. SHELLOW 1186
Part 1: Atopic or Contact Dermatitis 1186
Part 2: Management of Seborrheic Dermatitis 1189
185. Management of Acne/DELPHINEJ. LEE and WILLIAM V.R. SHELLOW 1191
186. Management of Rosacea and Other Acneiform Dermatoses / DELPHINE J. LEE and
WILLIAM V. R. SHELLOW 1195
187. Management of Psoriasis/DELPHINE J. LEE and WILLIAM V. R. SHELLOW 1197
188. Management of Intertrigo and Intertriginous Dermatoses/WILLIAM V. R. SHELLOW 1203
189. Management ofCorns and Calluses/WILLIAM V.R. SHELLOW 1205
190. Approach to Bacterial Skin Infections/NOAH CRAFT and WILLIAM V.R. SHELLOW 1206
Part 1: Cellulitis 1206
\ Part 2: Management of Pyoderma 1209
I 191. Management of Superficial Fungal Infections / NOAH CRAFT and
I WILLIAM V.R. SHELLOW 1211
j 192. Management of Cutaneous and Genital Herpes Simplex 1216
I 193. Management of Herpes Zoster 1222
¦ 194. Management ofWarts/NOAH CRAFT and WILLIAM V.R. SHELLOW 1225
j 195. Management of Scabies and Pediculosis /NOAH CRAFT and WILLIAM V. R. SHELLOW 1229
{ 196. Management of Skin Trauma: Bites and Burns/ELLIE J.C.GOLDSTEIN 1232
' Part 1: Animal and Human Bites 1232
Part 2: Management of Minor Burns 1234
197. Management of Skin Ulceration/WILLIAM V. R. SHELLOW 1236
Appendix to Section 12: Minor Surgical Office Procedures for Skin Problems/
ERIC KORTZ and CHARLES J. McCABE 1240
13. Ophthalmologic 198. Screening for Open Angle Glaucoma/CLAUDIAU. RICHTER 1245
Problems 199. Evaluation of the Red Eye /CLAUDIA U. RICHTER 1247
1245 200. Evaluation of Impaired Vision /CLAUDIA U. RICHTER 1253
; 201. Evaluation of Eye Pain/CLAUDIA U. RICHTER 1256
202. Evaluation of Dry Eyes /CLAUDIA U. RICHTER 1259
203. Evaluation of Common Visual Disturbances: Flashing Lights, Floaters, and Other
Transient Phenomena / CLAUDI A A. RICHTER 1261
204. Evaluation of Exophthalmos/CLAUDIAU. RICHTER 1263
205. Evaluation of Excessive Tearing/CLAUDIA U. RICHTER 1265
xii Contents
206. Management of the Patient with Age Related Macular Degeneration /
CLAUDIA U. RICHTER 1266
207. Management of Glaucoma / CLAUDIA U. RICHTER 1268
208. Management of Cataracts / CLAUDIA U. RICHTER 1271
209. Management of Diabetic Retinopathy / CLAUDIA U. RICHTER 1274
210. Correction of Vision/CLAUDIAU. RICHTER 1277
14. Ear, Nose, and Throat 211. Screening for Oral Cancer/ JOHN P. KELLY 1281
Problems 212. Evaluation of Hearing Loss/NEILBHATTACHARYYA 1283
1281 Appendix: Audiometry 1287
213. Approach to Epistaxis/NEIL BHATTACHARYYA 1288
214. Evaluation of Facial Pain and Swelling/JOHN P. KELLY 1291
215. Evaluation of Smell and Taste Disturbances/NEIL BHATTACHARYYA 1294
216. Approach to the Patient with Hoarseness/NEIL BHATTACHARYYA 1298
217. Evaluation of Tinnitus/NEIL BHATTACHARYYA 1302
218. Approach to the Patient with Otitis/NEIL BHATTACHARYYA 1303
219. Approach to the Patient with Sinusitis /WILLIAM A. KORMOS 1306
220. Approach to the Patient with Pharyngitis/WILLIAM A. KORMOS 1310
221. Approach to the Patient with Hiccups 1315
222. Approach to the Patient with Chronic Nasal Congestion and Discharge/
NEIL BHATTACHARYYA 1317
223. Approach to the Patient with Excessive Snoring /NEIL BHATTACHARYYA 1324
224. Management of Aphthous Stomatitis 1326
225. Management of Temporomandibular Joint Dysfunction 1327
15. Psychiatric Problems 226. Approach to the Patient with Anxiety /JOHN J. WORTHINGTON III and
1329 SCOTT LRAUCH 1329
Appendix: Strategies for Stress Management/WILLIAM E. MINICHIELLO 1338
227. Approach to the Patient with Depression/JOHN J. WORTHINGTON III and
SCOTT L. RAUCH 1339
228. Approach to the Patient with Alcohol Abuse/ELEANOR Z. HANNA and
MICHAEL BIERER 1354
229. Approach to the Patient with Sexual Dysfunction/LINDA C.SHAFER 1366
230. Approach to the SomatizingPatient/ARTHUR J. BARSKY III 1371
231. Approach to the Angry Patient / ARTHUR J. BARSKY III 1376
232. Approach to the Patient with Insomnia /JEFFREY B. WEILBURG 1378
233. Management of Obesity/ CAROLYN CRIMMINS HINTLIAN 1384
234. Approach to Eating Disorders / NANCY A. RIGOTTI 1397
235. Approach to the Substance Abuse and Dependence/PATRICK L. LILLARD 1404
Appendix: Adult Attenu'on Deficit/Hyperactivity Disorder (AD/HD) 1410
236. Approach to the Patient with Chronic Nonmalignant Pain 1412
Appendix: Screening for Domestic Violence 1421
16. Allied Fields 237. Herbal Supplements Commonly Used as Complementary or Alternative
1423 Therapy/ERNIE PAUL BARRETTE 1423
238. Caring for the Adolescent Patient / LAURENCE J. RONAN 1429
239. Approach to Frailty in Older Adults/CLAUS HAMANN and KENNETH L. MINAKER 1434 |
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| title_auth | Primary care medicine |
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