Manual of Clinical Problems in Adult Ambulatory Care

by Dornbrand, Laurie; Hoole, Axalla J.; Fletcher, Robert H.

• ISBN13: 9780316190381
• ISBN10: 0316190381
• Edition: 3rd
• Format: Paperback
• Copyright: 1997-06-01
• Publisher: Lippincott Williams & Wilkins

Summary

Now in its Third Edition, this manual is an accessible, reliable source of guidance on clinical problems that are frequently encountered in the adult ambulatory care setting. More than 90 expert contributors from every branch of clinical medicine provide practical, knowledgeable answers to the questions arising in day-to-day patient care. Coverage encompasses all organ systems, with additional sections on constitutional symptoms, psychiatric and behavioral problems, infectious diseases, women's and men's health issues, and health maintenance. Chapters are either symptom-oriented or disease-oriented, depending on the way a condition presents in practice. Each chapter focuses on the questions clinicians encounter when caring for patients, such as how often the condition occurs, its natural history, and the effectiveness of preventive and therapeutic interventions. The authors offer succinct, practical advice and also explain the rationale for their recommendations. Annotated references at the end of each chapter direct the reader to additional information.

Table of Contents

Contributing Authors	xiii	(8)
Preface	xxi	(1)
Acknowledgments	xxii
I. CONSTITUTIONAL SYMPTOMS	1	(24)
1. Dizziness	1	(4)
James P. Browder
2. Fatigue	5	(4)
Jack Ende
3. Obesity	9	(10)
Robert B. Baron
4. Weight Loss	19	(6)
William D. Heizer
II. EYE PROBLEMS	25	(26)
5. Conjunctivitis	25	(5)
Hunter R. Stokes, Sr.
6. Eyelid Disorders	30	(1)
Hunter R. Stokes, Sr.
7. Ocular Foreign Bodies	31	(4)
Hunter R. Stokes, Sr.
8. Corneal Abrasion	35	(2)
Hunter R. Stokes, Sr.
9. Cataracts	37	(4)
Hunter R. Stokes, Sr.
10. Glaucoma	41	(4)
Jan A. Kylstra
11. Visual Impairment	45	(6)
Hunter R. Stokes, Sr.
III. EAR PROBLEMS	51	(14)
12. Deafness and Tinnitus	51	(5)
James P. Browder
13. Otitis Externa	56	(3)
Marion Danis
14. Otitis Media	59	(3)
Desmond K. Runyan
15. Earwax	62	(3)
Terry L. Fry
IV. UPPER RESPIRATORY PROBLEMS	65	(28)
16. Colds and Influenza	65	(7)
Timothy W. Lane
17. Sinusitis	72	(4)
John W. Williams, Jr.
David L. Simel
18. Sore Throat	76	(6)
Robert M. Centor
19. Hoarseness	82	(3)
James P. Browder
Duncan S. Postma
20. Rhinitis	85	(8)
Harsha V. Gopal
Robert H. Fletcher
V. LOWER RESPIRATORY PROBLEMS	93	(24)
21. Asthma	93	(11)
James F. Donohue
22. Chronic Obstructive Pulmonary Disease	104	(9)
James F. Donohue
23. Acute Lower Respiratory Tract Infection	113	(4)
C. Glenn Pickard, Jr.
VI. CARDIOVASCULAR PROBLEMS	117	(60)
24. Hypertension: Who Needs Treatment?	117	(3)
C. Stewart Rogers
25. Evaluation and Treatment of Hypertension	120	(13)
C. Stewart Rogers
26. Angina Pectoris	133	(9)
Mark A. Hlatky
Daniel B. Mark
Glen D. Stettin
27. Heart Failure	142	(9)
Kirkwood F. Adams, Jr.
28. Rehabilitation After Myocardial Infarction	151	(3)
Thomas E. Kottke
Ray W. Squires
29. Paroxysmal Supraventricular Tachycardia	154	(4)
Ross J. Simpson, Jr.
30. Premature Ventricular Contractions	158	(5)
Ross J. Simpson, Jr.
31. Atrial Fibrillation	163	(4)
Ross J. Simpson, Jr.
32. Heart Murmurs	167	(5)
Park W. Willis IV
33. Endocarditis Prophylaxis	172	(5)
Park W. Willis IV
VII. PERIPHERAL VASCULAR PROBLEMS	177	(16)
34. Chronic Venous Disorders	177	(4)
Robert S. Grossman
35. Arterial Disease of the Extremities	181	(6)
John S. Kizer
36. Venous Thromboembolism	187	(6)
Richard H. White
VIII. GASTROINTESTINAL PROBLEMS	193	(56)
37. Mouth Lesions	193	(3)
E. Jefferson Burkes, Jr.
38. Dysphagia	196	(5)
Eugene M. Bozymski
Nicholas J. Shaheen
39. Esophagitis	201	(5)
Kim L. Isaacs
Sidney E. Levinson
40. Functional Dyspepsia	206	(4)
Douglas A. Drossman
41. Peptic Ulcer Disease	210	(7)
Eugene M. Bozymski
Nicholas J. Shaheen
42. Irritable Bowel Syndrome	217	(3)
Douglas A. Drossman
43. Diverticular Disease of the Colon	220	(3)
Douglas A. Drossman
44. Acute Diarrhea	223	(5)
C. Glenn Pickard, Jr.
45. Chronic Diarrhea	228	(4)
R. Balfour Sartor
46. Constipation	232	(4)
R. Balfour Sartor
47. Anorectal Disorders	236	(3)
Christopher C. Baker
48. Hematochezia	239	(2)
Arthur T. Evans
49. Gallstones	241	(8)
Michael D. Apstein
IX. URINARY PROBLEMS	249	(40)
50. Urinary Tract Infections in Women	249	(4)
Axalla J. Hoole
51. Urinary Tract Infections in Men	253	(4)
Axalla J. Hoole
52. Proteinuria	257	(3)
Katherine A. Huffman
53. Hematuria	260	(5)
John E. Anderson
54. Urinary Incontinence in the Elderly	265	(5)
Jan Busby-Whitehead
Theodore M. Johnson II
Mark E. Williams
55. Urinary Catheters	270	(4)
Todd A. Linsenmeyer
56. Renal Stones	274	(8)
Romulo E. Colindres
C. Richard Morris
57. Chronic Renal Failure	282	(7)
William D. Mattern
X. MUSCULOSKELETAL PROBLEMS	289	(64)
58. Evaluation of Joint Pain	289	(2)
Jill Silverman
59. Osteoarthritis	291	(4)
L. Celeste Robb-Nicholson
Matthew H. Liang
60. Inflammatory Arthritis	295	(7)
Jill Silverman
61. Gout, Pseudogout, and Asymptomatic Hyperuricemia	302	(6)
Kenneth E. Sack
62. Osteoporosis	308	(5)
Douglas C. Bauer
Steven R. Cummings
63. Neck and Shoulder Pain	313	(6)
Peter Curtis
64. Low Back Pain	319	(5)
Timothy S. Carey
Nortin M. Hadler
65. Knee Pain	324	(6)
Axalla J. Hoole
Laurence E. Dahners
66. Foot Pain	330	(3)
Jill Silverman
67. Tendinitis and Bursitis	333	(3)
Kenneth E. Sack
68. Generalized Musculoskeletal Pain	336	(4)
Jill Silverman
69. Nocturnal Leg Cramps	340	(2)
Laurie Dornbrand
70. Nonsteroidal Anti-Inflammatory Drugs	342	(11)
Jeffrey L. Carson
XI. ENDOCRINE AND METABOLIC PROBLEMS	353	(54)
71. Diagnosis of Diabetes Mellitus	353	(3)
James B. Meigs
Daniel E. Singer
72. Management of Type I Diabetes	356	(8)
Jorge J. Gonzalez
73. Management of Type II Diabetes	364	(7)
Monica E. Doerr
John B. Buse
74. Management of Complications of Diabetes	364	(7)
Monica E. Doerr
John B. Buse
75. Hypoglycemia	375	(2)
Rebecca A. Silliman
76. Evaluation of Thyroid Function	377	(4)
Robert D. Utiger
77. Hyperthyroidism	381	(6)
Robert D. Utiger
78. Hypothyroidism	387	(4)
Robert D. Utiger
79. Thyroid Nodules	391	(3)
Robert D. Utiger
80. Goiter	394	(3)
Robert D. Utiger
81. Hypercalcemia	397	(4)
Robert H. Fletcher
Robert Marcus
82. Corticosteroid Therapy and Withdrawal	401	(6)
David R. Clemmons
XII. BLOOD PROBLEMS	407	(22)
83. Anemia	407	(7)
Peter C. Ungaro
84. Polycythemia	414	(3)
James A. Bryan II
85. Abnormal Bleeding	417	(4)
Katherine A. High
86. Management of Anticoagulation Therapy	421	(8)
Richard H. White
XIII. NERVOUS SYSTEM PROBLEMS	429	(52)
87. Headache	429	(17)
Alan G. Finkel
88. Evaluation of Seizures	446	(5)
John A. Messenheimer
89. Treatment of Seizures	451	(8)
John A. Messenheimer
90. Transient Ischemic Attacks and Carotid Bruits
John S. Kizer
91. Parkinsonism	465	(5)
Axalla J. Hoole
Colin D. Hall
92. Bell's Palsy	470	(2)
Robert S. Dittus
93. Dementia in the Elderly	472	(9)
C. Bree Johnston
Alan K. Halperin
XIV. PSYCHIATRIC AND BEHAVIORAL PROBLEMS	481	(38)
94. Anxiety	481	(5)
John J. Haggerty, Jr.
95. Depression	486	(8)
John J. Haggerty, Jr.
96. Insomnia	494	(6)
Jeffery J. Fahs
97. The Problematic Physician-Patient Encounter	500	(4)
Douglas A. Drossman
98. Grief and Loss	504	(4)
Melissa L. Buchan
Susan W. Tolle
99. Chronic Idiopathic Pain	508	(5)
Douglas A. Drossman
100. Alcoholism	513	(6)
JudyAnn Bigby
XV. INFECTIOUS DISEASES	519	(58)
101. Sexually Transmitted Diseases	519	(18)
Eliseo J. Perez-Stable
102. Management of HIV-Infected Patients	537	(11)
Mitchell H. Katz
103. Tuberculosis	548	(8)
Eliseo J. Perez-Stable
104. Infectious Mononucleosis	556	(4)
Jack D. McCue
105. Viral Hepatitis	560	(7)
Terrie Mendelson
106. Herpes Zoster	567	(4)
Terrie Mendelson
107. Intestinal Parasites	571	(6)
Richard A. Davidson
Michelle Woodard
XVI. WOMEN'S HEALTH ISSUES	577	(54)
108. Vaginitis	577	(6)
Jack D. McCue
Laurie Dornbrand
109. Abnormal Uterine Bleeding	583	(3)
Deborah J. Dotters
110. Dysmenorrhea	586	(3)
Nancy Milliken
111. Premenstrual Syndrome	589	(3)
Deborah Grady
Laurie Dornbrand
112. Pelvic Inflammatory Disease	592	(4)
William M. McCormack
113. Breast Lumps, Breast Pain, and Nipple Abnormalities	596	(4)
William H. Goodson III
114. Menopause	600	(7)
Thomas C. Keyserling
115. Female Sexual Dysfunction	607	(4)
Cheryl F. McCartney
116. Contraception	611	(10)
Axalla J. Hoole
Ellen C. Wells
117. Medications in Pregnancy and Lactation	621	(10)
Richard V. Lee
XVII. MEN'S HEALTH ISSUES	631	(15)
118. Benign Prostatic Hyperplasia	631	(7)
Michael J. Barry
Claus G. Roehrborn
119. Male Sexual Dysfunction	638	(8)
Todd A. Linsenmeyer
Laurie Dornbrand
XVIII. HEALTH MAINTENANCE	646	(57)
120. Preventive Care	646	(7)
Russell Harris
Suzanne W. Fletcher
121. Cancer Prevention	653	(5)
Russell Harris
Suzanne W. Fletcher
122. Cardiac Risk Factor Modification	658	(3)
Mark A. Hlatky
Stephen B. Hulley
123. Management of Lipid Disorders	661	(7)
Robert B. Baron
124. Immunizations	668	(9)
Eliseo J. Perez-Stable
125. Athletic Physicals	677	(5)
Desmond K. Runyan
126. Medical Advice for Travelers	682	(7)
Robert B. Baron
127. Exercise	689	(6)
Linn Goldberg
Diane L. Elliot
128. Cigarette Smoking Cessation	695	(8)
Nancy A. Rigotti
XIX. OTHER CONDITIONS	703	(36)
129. Syncope	703	(6)
Wishwa Kapoor
130. Lymphadenopathy	709	(5)
Robert H. Fletcher
131. Minor Soft Tissue Injuries and Infections	714	(7)
Sally J. Trued
132. Urticaria	721	(2)
Rebecca A. Silliman
133. "Bee" Stings	723	(3)
Rebecca A. Silliman
134. Hiccups	726	(2)
Raymond F. Bianchi
135. Care of the Dying Patient	728	(11)
Judith Ahronheim
Joanne Lynn
XX. APPENDIX--DIETS	739	(14)
136. Low-Salt Diets	739	(3)
C. Stewart Rogers
137. High-Fiber Diets	742	(3)
R. Balfour Sartor
138. Cholesterol-Lowering Diets	745	(8)
Robert B. Baron
SUBJECT INDEX	753