Contributors | p. xiii |
Preface | p. xix |
Acknowledgments | p. xxi |
Principles of Primary Care | p. 1 |
The Practice of Primary Care | |
The Tasks of Primary Care | p. 1 |
Approaches to Encouraging Compliance | p. 5 |
Approaches to Common Ethical and Legal Issues in Primary Care Practice | p. 6 |
Selection and Interpretation of Diagnostic Tests | p. 9 |
Health Maintenance and the Role of Screening | p. 14 |
Estimating and Communicating Risk and Prognosis | p. 17 |
Choosing among Treatment Options | p. 19 |
Immunization | p. 21 |
Systemic Problems | p. 37 |
Screening for HIV-1 Infection | p. 37 |
Evaluation of Chronic Fatigue | p. 41 |
Evaluation of Weight Loss | p. 47 |
Evaluation of Overweight and Obesity | p. 51 |
Evaluation of Fever | p. 57 |
Evaluation of Lymphadenopathy | p. 63 |
Approach to the Patient with HIV-1 Infection | p. 67 |
Cardiovascular Problems | p. 80 |
Screening for Hypertension | p. 80 |
Screening for Hyperlipidemia | p. 83 |
Bacterial Endocarditis Prophylaxis | p. 87 |
Rheumatic Fever Prophylaxis | p. 90 |
Exercise for Prevention of Cardiovascular Disease | p. 92 |
Evaluation of Hypertension | p. 101 |
Evaluation of Chest Pain | p. 108 |
Evaluation of the Asymptomatic Systolic Murmur | p. 120 |
Evaluation of Leg Edema | p. 125 |
Evaluation of Arterial Insufficiency of the Lower Extremities | p. 129 |
Evaluation of Syncope | p. 133 |
Evaluation of Palpitations | p. 141 |
Evaluation of Atrial Fibrillation in the Outpatient Setting | p. 146 |
Management of Hypertension | p. 149 |
Coronary Heart Disease Risk Factor Prediction Chart | p. 164 |
Approach to the Patient with Hypercholesterolemia | p. 164 |
Outpatient Management of Atrial Fibrillation | p. 179 |
Management of Ventricular Irritability in the Ambulatory Setting | p. 186 |
Management of Chronic Stable Angina | p. 194 |
Cardiovascular Rehabilitation and Secondary Prevention of Coronary Heart Disease | p. 208 |
Management of Chronic Congestive Heart Failure | p. 215 |
Potassium Supplementation in Congestive Heart Failure | p. 225 |
Management of Valvular Heart Disease | p. 227 |
Management of Hypertrophic Cardiomyopathy | p. 236 |
Management of Peripheral Arterial Disease | p. 236 |
Management of Peripheral Venous Disease | p. 242 |
Stress Testing | p. 249 |
Respiratory Problems | p. 257 |
Screening for Lung Cancer | p. 257 |
Tuberculosis Screening and Prophylaxis | p. 259 |
Evaluation and Prevention of Occupational and Environmental Respiratory Disease | p. 262 |
Evaluation of Chronic Dyspnea | p. 267 |
Evaluation of Chronic Cough | p. 271 |
Evaluation of Hemoptysis | p. 276 |
Evaluation of Pleural Effusions | p. 279 |
Evaluation of the Solitary Pulmonary Nodule | p. 284 |
Evaluation of Clubbing | p. 288 |
Approach to the Patient with Sleep Apnea | p. 290 |
Management of Chronic Obstructive Pulmonary Disease | p. 293 |
Management of Asthma | p. 304 |
Management of Tuberculosis | p. 316 |
Management of the Common Cold | p. 322 |
Management of Sarcoidosis | p. 326 |
Evaluation of Interstitial Lung Disease | p. 330 |
Approach to the Patient with Acute Bronchitis or Pneumonia in the Ambulatory Setting | p. 333 |
Approach to the Patient with Lung Cancer | p. 342 |
Smoking Cessation | p. 348 |
Gastrointestinal Problems | p. 357 |
Screening for Gastric Cancer | p. 357 |
Screening for Colorectal Cancer | p. 359 |
Examination of the Anorectum and Sigmoid Colon with Digital Rectal Examination, Anoscopy, and Sigmoidoscopy | p. 363 |
Prevention of Viral Hepatitis | p. 368 |
Evaluation of Abdominal Pain | p. 375 |
Evaluation of Nausea and Vomiting | p. 384 |
Evaluation of Dysphagia and Suspected Esophageal Chest Pain | p. 389 |
Approach to the Patient with Heartburn and Reflux (Gastroesophageal Reflux Disease) | p. 394 |
Evaluation of Jaundice | p. 399 |
Evaluation of the Patient with an Incidental Asymptomatic Elevation in Serum Transaminase (Aminotransferase) Levels | p. 403 |
Evaluation of Gastrointestinal Bleeding | p. 404 |
Evaluation and Management of Diarrhea | p. 408 |
Approach to the Patient with Constipation | p. 420 |
Approach to the Patient with Anorectal Complaints | p. 425 |
Management of Hemorrhoids | p. 430 |
Approach to the Patient with an External Hernia | p. 431 |
Management of Peptic Ulcer Disease | p. 434 |
Management of Asymptomatic and Symptomatic Gallstones | p. 447 |
Management of Hepatitis | p. 453 |
Management of Cirrhosis and Chronic Liver Failure | p. 463 |
Management of Pancreatitis | p. 470 |
Management of Inflammatory Bowel Disease | p. 474 |
Approach to the Patient with Functional Gastrointestinal Disease | p. 484 |
Management of Diverticular Disease | p. 493 |
Management of Gastrointestinal Cancers | p. 496 |
Hematologic and Oncologic Problems | p. 506 |
Hematology | p. 506 |
Screening for Anemia | p. 506 |
Screening for Sickle Cell Disease and Sickle Cell Trait | p. 507 |
Evaluation of Anemia | p. 509 |
Evaluation of Erythrocytosis (Polycythemia) | p. 518 |
Evaluation of Bleeding Problems and Abnormal Bleeding Studies | p. 522 |
Management of Common Anemias | p. 531 |
Outpatient Oral Anticoagulant Therapy | p. 536 |
Approach to the Patient with Lymphoma | p. 541 |
Oncology | p. 550 |
Approach to the Patient with Metastatic Tumor of Unknown Origin | p. 550 |
Approach to Staging and Monitoring | p. 555 |
Comprehensive Care of the Cancer Patient | p. 559 |
Principles of Cancer Drug Therapy | p. 564 |
Principles of Radiation Therapy | p. 571 |
Management of Chronic Cancer Pain and Palliative Care | p. 576 |
Management of Chronic Cancer Pain | p. 576 |
Pallitative Care | p. 583 |
Managing the Gastrointestinal Complications of Cancer and Cancer Treatment | p. 588 |
Complications of Cancer: Oncologic Emergencies and Paraneoplastic Syndromes | p. 593 |
Endocrinologic Problems | p. 598 |
Screening for Diabetes Mellitus | p. 598 |
Screening for Thyroid Cancer | p. 601 |
Evaluation of Thyroid Nodules | p. 604 |
Approach to the Patient with Hypercalcemia | p. 609 |
Evaluation of Hypoglycemia | p. 614 |
Evaluation of Hirsutism | p. 619 |
Evaluation of Gynecomastia | p. 623 |
Evaluating Galactorrhea and Hyperprolactinemia | p. 625 |
Evaluation of Suspected Diabetes Insipidus | p. 628 |
Approach to the Patient with Diabetes Mellitus | p. 630 |
Approach to the Patient with Hyperthyroidism | p. 646 |
Approach to the Patient with Hypothyroidism | p. 654 |
Glucocorticoid Therapy | p. 660 |
Gynecologic Problems | p. 667 |
Screening for Breast Cancer | p. 667 |
Screening for Cervical Cancer | p. 671 |
Screening for Ovarian Cancer | p. 674 |
Screening for Endometrial Cancer | p. 676 |
Vaginal Cancer and Other Effects of Diethylstilbestrol Exposure | p. 678 |
Approach to the Woman with Abnormal Vaginal Bleeding | p. 680 |
Evaluation of Secondary Amenorrhea | p. 685 |
Evaluation of Breast Masses and Nipple Discharges | p. 691 |
Evaluation of Vulvar Pruritus | p. 693 |
Medical Evaluation of Female Sexual Dysfunction | p. 695 |
Approach to the Patient with Menstrual or Pelvic Pain | p. 698 |
Approach to the Patient with a Vaginal Discharge | p. 702 |
Approach to the Menopausal Woman | p. 707 |
Approach to Fertility Control | p. 713 |
Approach to the Infertile Couple | p. 721 |
Approach to the Woman with an Unplanned Pregnancy | p. 727 |
Management of Breast Cancer | p. 730 |
Management of the Woman with Genital Tract Cancer | p. 734 |
Genitourinary Problems | p. 739 |
Screening for Syphilis | p. 739 |
Screening for Chlamydial Infection | p. 741 |
Screening for Prostate Cancer | p. 743 |
Screening for Asymptomatic Bacteriuria and Urinary Tract Infection | p. 747 |
Screening for Cancers of the Lower Urinary Tract | p. 749 |
Evaluation of the Patient with Hematuria | p. 751 |
Evaluation of the Patient with Proteinuria | p. 754 |
Evaluation of Scrotal Pain, Masses, and Swelling | p. 759 |
Medical Evaluation and Management of Erectile Dysfunction | p. 761 |
Approach to Dysuria and Urinary Tract Infections in Women | p. 770 |
Approach to Incontinence and Other Forms of Lower Urinary Tract Dysfunction | p. 776 |
Approach to the Patient with Nephrolithiasis | p. 782 |
Approach to the Male Patient with Urethritis | p. 787 |
Approach to the Patient with Gonorrhea | p. 790 |
Approach to Benign Prostatic Hyperplasia | p. 794 |
Management of Acute and Chronic Prostatitis | p. 798 |
Management of Urinary Tract Infection in Men | p. 802 |
Management of Syphilis and Other Sexually Transmitted Diseases | p. 805 |
Management of the Patient with Chronic Renal Failure | p. 808 |
Management of Genitourinary Cancers in Men | p. 813 |
Musculoskeletal Problems | p. 821 |
Screening for Osteoporosis | p. 821 |
Evaluation of Acute Monoarticular Arthritis | p. 823 |
Evaluation of Polyarticular Complaints | p. 827 |
Evaluation of Back Pain | p. 835 |
Evaluation of Neck Pain | p. 844 |
Approach to the Patient with Muscle Cramps | p. 847 |
Approach to the Patient with Shoulder Pain | p. 850 |
Evaluation of Hip Pain | p. 857 |
Evaluation of Knee Pain | p. 860 |
Approach to Minor Orthopedic Problems of the Elbow, Wrist, and Hand | p. 864 |
Approach to Minor Orthopedic Problems of the Foot and Ankle | p. 868 |
Approach to the Patient with Asymptomatic Hyperuricemia | p. 873 |
Management of Rheumatoid Arthritis | p. 876 |
Management of Osteoarthritis | p. 888 |
Management of Gout | p. 894 |
Approach to the Patient with Fibromyalgia | p. 899 |
Approach to the Patient with Lyme Disease | p. 903 |
Approach to the Patient with Polymyalgia Rheumatica or Temporal Arteritis | p. 911 |
Management of Paget's Disease | p. 915 |
Approach to the Patient with Raynaud's Phenomenon | p. 919 |
Prevention and Management of Osteoporosis | p. 922 |
Neurologic Problems | p. 931 |
Approach to the Patient with Headache | p. 931 |
Evaluation of Dizziness | p. 941 |
Focal Neurologic Complaints: Evaluation of Nerve Root and Peripheral Nerve Syndromes | p. 947 |
Evaluation of Tremor | p. 954 |
Evaluation of Dementia | p. 956 |
Approach to the Patient with a Seizure | p. 962 |
Management of Transient Ischemic Attack and Asymptomatic Carotid Bruit | p. 970 |
Management of Multiple Sclerosis | p. 975 |
Management of Alzheimer's Disease and Related Dementias | p. 978 |
Use of Psychotropic Drugs in the Elderly | p. 984 |
Approach to the Patient with Parkinson's Disease | p. 986 |
Management of Bell's Palsy (Idiopathic Facial Mononeuropathy) | p. 991 |
Management of Tic Douloureux (Trigeminal Neuralgia) | p. 993 |
Dermatologic Problems | p. 995 |
Screening for Skin Cancers | p. 995 |
Evaluation of Pruritus | p. 1001 |
Evaluation of Purpura | p. 1005 |
Evaluation of Disturbances in Pigmentation | p. 1008 |
Evaluation of Urticaria and Angioedema | p. 1011 |
Approach to the Patient with Hair Loss | p. 1015 |
Disturbances of Skin Hydration: Dry Skin and Excessive Sweating | p. 1019 |
Management of Dry Skin | p. 1019 |
Approach to Excessive Sweating | p. 1021 |
Approach to the Patient with Dermatitis | p. 1023 |
Atopic or Contact Dermatitis | p. 1023 |
Management of Seborrheic Dermatitis | p. 1025 |
Management of Acne | p. 1027 |
Management of Rosacea and Other Acneiform Dermatoses | p. 1030 |
Management of Psoriasis | p. 1033 |
Management of Intertrigo and Intertriginous Dermatoses | p. 1037 |
Management of Corns and Calluses | p. 1039 |
Approach to Bacterial Skin Infections | p. 1040 |
Cellulitis | p. 1040 |
Management of Pyoderma | p. 1042 |
Management of Superficial Fungal Infections | p. 1045 |
Management of Cutaneous and Genital Herpes Simplex | p. 1049 |
Management of Herpes Zoster | p. 1054 |
Management of Warts | p. 1056 |
Management of Scabies and Pediculosis | p. 1060 |
Management of Skin Trauma: Bites and Burns | p. 1063 |
Animal and Human Bites | p. 1063 |
Management of Minor Burns | p. 1065 |
Management of Skin Ulceration | p. 1067 |
Minor Surgical Office Procedures for Skin Problems | p. 1070 |
Ophthalmic Problems | p. 1075 |
Screening for Open-angle Glaucoma | p. 1075 |
Evaluation of the Red Eye | p. 1076 |
Evaluation of Impaired Vision | p. 1081 |
Evaluation of Eye Pain | p. 1085 |
Evaluation of Dry Eyes | p. 1087 |
Evaluation of Common Visual Disturbances: Flashing Lights, Floaters, and Other Transient Phenomena | p. 1089 |
Evaluation of Exophthalmos | p. 1091 |
Evaluation of Excessive Tearing | p. 1093 |
Management of the Patient with Age-Related Macular Degeneration | p. 1094 |
Management of Glaucoma | p. 1096 |
Management of Cataracts | p. 1098 |
Management of Diabetic Retinopathy | p. 1100 |
Corrrection of Vision | p. 1103 |
Contact Lenses | p. 1103 |
Refractive Surgery | p. 1104 |
Ear, Nose and Throat Problems | p. 1106 |
Screening for Oral Cancer | p. 1106 |
Evaluation of Hearing Loss | p. 1108 |
Approach to Epistaxis | p. 1112 |
Evaluation of Facial Pain and Swelling | p. 1115 |
Evaluation of Smell and Taste Disturbances | p. 1117 |
Approach to the Patient with Hoarseness | p. 1120 |
Evaluation of Tinnitus | p. 1123 |
Approach to the Patient with Otitis | p. 1125 |
Approach to the Patient with Sinusitis | p. 1127 |
Approach to the Patient with Pharyngitis | p. 1131 |
Approach to the Patient with Hiccups | p. 1135 |
Approach to the Patient with Chronic Nasal Congestion and Discharge | p. 1137 |
Approach to the Patient with Excessive Snoring | p. 1143 |
Management of Aphthous Stomatitis | p. 1144 |
Management of Temporomandibular Joint Dysfunction | p. 1145 |
Psychiatric and Behavioral Problems | p. 1147 |
Approach to the Patient with Anxiety | p. 1147 |
Strategies for Stress Management | p. 1155 |
Approach to the Patient with Depression | p. 1157 |
Approach to the Patient with Alcohol Abuse | p. 1169 |
Approach to the Patient with Sexual Dysfunction | p. 1178 |
Approach to the Somatizing Patient | p. 1183 |
Approach to the Angry Patient | p. 1187 |
Approach to the Patient with Insomnia | p. 1188 |
Management of Obesity | p. 1193 |
Approach to Eating Disorders | p. 1205 |
Approach to the Substance-abusing Patient | p. 1211 |
Approach to the Patient with Chronic Nonmalignant Pain | p. 1217 |
Screening for Domestic Violence | p. 1226 |
Allied Fields | p. 1227 |
Alternative/Complementary Therapies: Evidence-Based Guides | p. 1227 |
Caring for the Adolescent Patient | p. 1233 |
Index | p. 1237 |
Table of Contents provided by Syndetics. All Rights Reserved. |