Oxford Textbook of Primary Medical Care 2-Volume Set

by Jones, Roger; Britten, Nicky; Culpepper, Larry; Gass, David A.; Grol, Richard; Mant, David; Silagy, Chris; McWhinney, Ian R.

• ISBN13: 9780192632197
• ISBN10: 0192632191
• Format: Hardcover
• Copyright: 2003-12-18
• Publisher: Oxford University Press

Summary

The Oxford Textbook of Primary Medical Care is the first comprehensive, international textbook covering all aspects of the most common form of medical care: primary care. Arranged in two sections, it covers the entire range of organizational, academic, and clinical activities associated with general practice, family medicine and primary care. The first section deals with the principles of primary care. There are descriptions of health care systems throughout the world, extensive discussion of the doctor-patient interaction, the public health role of the primary care team, guidance on practice management, and broad coverage of research and education in primary care. This section is unique in its depth of coverage, international authorship, and quality of writing: there is nothing else like it available. The second, clinical section covers all the medical problems commonly seen in general practice worldwide, and is written by practising GPs with specialists. More than 200 chapters in this section provide a comprehensive overview of the clinical content of general practice with authoritative, detailed guidance on diagnosis, investigation, and management. The editors represent a breadth of clinical and senior academic experience from Europe and North America and have selected a wide geographical spectrum of expert contributors.

Author Biography

Professor Roger Jones is Founding President and current Chairman of the Primary Care Society for Gastroenterology, and Chairman of the European Society for Primary Care Gastroenterology. He is editor of Family Practice (OUP), an international journal of primary care. He has been involved for many years in research in a range of areas of primary care, as well as contributing to the development of undergraduate and postgraduate medical education and training. Professor Nicky Britten is a sociologist whose main research interest is patient-doctor communication about prescribed medicines. She ran the Master's programme in general practice at Guy's, King's, and St Thomas' for 13 years. Her work on OTPMC was partly funded by a senior research fellowship for the British Academy. Professor Richard Grol is Founding President and Chairman of EQual (European Association of Quality in Family Practice. He is Associate Editor of Quality and Safety in Health Care. He has done research on quality in health care for 20 years. Professor Larry Culpepper is Past-President of the North American Primary Care Group, member of the US National Academy of Sciences Institute of Medicine, & Chairman of the Board of the Rhode Island Public Health Foundation Professor David Gass is a faculty member of the Department of Family Medicine, Dalhousie University, Halifax, NS, Canada. He has served as Director of the Long term Care Program, Camp Hill Hospital, Clinical Chief of Family Medicine at the Camphill Medical Center and Professor and Chair of the Department of Family Medicine, Dalhousie University. He is the Chair of the National Ethics Committee of the College of Family Physicians of Canada. He is currently seconded to the Nova Scotia Department of Health as the Director of the Primary Health Care Section. Professor David Mant, in addition to being head of one of the leading University departments of primary health care in the UK, responsible for both research and teaching, still works as a general practitioner in Oxford. He is a member of a number of august research bodies and committees.

Table of Contents

Volume 1: Principles and Concepts
Preface	xix
Foreword	xxi
Ian R. McWhinney
Contributors	xxv
Section 1 Primary medical care
1.1 The nature of primary medical care	3	(7)
Larry A. Green, Robert L. Phillips, Jr., and George E. Fryer
1.2 From general practice to primary care, 1700-1980	10	(4)
Irvine Loudon
1.3 The health care team	14	(5)
Peter Bower and Bonnie Sibbald
1.4 Community primary care	19	(3)
Robert L. Williams, Jeffrey M. Borkan, and Roger Jones
1.5 Primary care in the emergency department	22	(4)
Jeremy Dale
1.6 Traditional healers as health care providers: Africa as an example	26	(5)
Peter A.G.M. de Smet and Edward C. Green
1.7 Rural primary care	31	(5)
James T.B. Rourke
1.8 First contact care in developing health care systems	36	(4)
Peter Underwood, Mohammed Ali, and Alan Owen
1.9 Management and leadership	40	(3)
J. Lloyd Michener, Lawrence R. Wu, and Victoria S. Kaprielian
1.10 The role of primary care in public health	43	(8)
Jan W. van Ree
Section 2 Primary care around the world
2.1 Health care systems: understanding the stages of development	51	(4)
Jouke van der Zee, Wienke G.W. Boerma, and Madelon W. Kroneman
2.2 Primary care and general practice in Africa	55	(2)
Bruce L.W. Sparks
2.3 Primary care and general practice in East and Southeast Asia	57	(2)
Goh Lee Gan
2.4 Primary care and general practice in Australia and New Zealand	59	(3)
Rosie Moon, Ngaire Kerse, and Deborah C. Saltman
2.5 Primary care and general practice in Latin America	62	(3)
Stephen J. Spann
2.6 Primary care and general practice in Europe: West and south	65	(5)
John L. Campbell, Juan Mendive, and Arno Timmermans
2.7 Primary care and general practice in Europe: Central and East	70	(3)
Adam Windak and Peter van Hasselt
2.8 General practice in Europe: Scandinavia	73	(3)
Frede Olesen
2.9 Primary care and general practice in India	76	(4)
Anan S. Raghunath and A.S. Ramanujam
2.10 Primary care and general practice in Pakistan	80	(2)
M. Jawad Hashim
2.11 Primary care and general practice in the Middle East	82	(2)
Howard Tandeter and Pesach Shvartzman
2.12 Primary care and general practice in North America	84	(4)
Daniel J. Ostergaard, Norman B. Kahn, Jr., and Darrell Henderson
2.13 International organizations	88	(7)
Chris van Weel and Wes E. Fabb
Section 3 Reasons for consultation
3.1 Use of health services	95	(3)
Sally Wyke
3.2 Illness behaviour	98	(5)
Eloy H. van de Lisdonk
3.3 Health beliefs	103	(4)
Natalie O'Dea and Deborah C. Saltman
3.4 Medicine and the media	107	(4)
Angela Coulter
3.5 Self-care and self-medication	111	(5)
Alison Blenkinsopp and Christine Bond
3.6 Alternative sources of advice: traditional and complementary medicine	116	(6)
Kate Thomas
3.7 Patients' expectations of treatment	122	(7)
Michel Wensing
Section 4 Descriptive epidemiology
4.1 The iceberg of illness	129	(5)
Ruut A. de Melker
4.2 Physical and mental illness	134	(5)
Francois G. Schellevis
4.3 Classification and the domain of family practice	139	(14)
Inge M. Okkes and Henk Lamberts
4.4 Age and gender	153	(8)
Willem Jan van der Veen and Betty Meyboom-de Jong
4.5 Socio-economic differences in health	161	(8)
Sara Willems and Jan de Maeseneer
Section 5 The consultation
5.1 The patient-doctor relationship	169	(4)
Ann Louise Kinmonth and Moira Stewart
5.2 Consultation tasks	173	(4)
Nigel C.H. Stott
5.3 Communication skills	177	(4)
Theo Schofield
5.4 Doctors' perceptions of their patients	181	(4)
Louise M. Millward and Michael P. Kelly
5.5 Shared decision-making in clinical practice	185	(5)
Glyn Elwyn, Adrian Edwards, and Melody Rhydderch
5.6 Time and the consultation	190	(4)
Judith Belle Brown
5.7 Computers in the consultation	194	(7)
Michael Richard Kidd
Section 6 Diagnosis and decision-making
6.1 Undifferentiated illness and uncertainty in diagnosis and management	201	(2)
Geert-Jan Dinant
6.2 Clinical diagnosis: hypothetico-deductive reasoning and other theoretical frameworks	203	(2)
Geert-Jan Dinant and Yvonne D. van Leeuwen
6.3 Clinical judgement	205	(5)
Jane Macnaughton
6.4 The therapeutic illusion: self-limiting illness	210	(4)
Pali Hungin
6.5 Diagnostic tests and use of technology	214	(6)
David A. Fitzmaurice
6.6 Computerized decision support	220	(7)
Jon Emery
Section 7 Management of individuals
7.1 Principles of patient management	227	(3)
Wolfgang Himmel, Anja Rogausch, and Michael M. Kochen
7.2 Patient education, advice, and counselling	230	(6)
Leon Piterman
7.3 Communication about risks and benefits of treatment and care options	236	(6)
Adrian Edwards and Glyn Elwyn
7.4 Principles of drug prescribing	242	(4)
Les Toop
7.5 Concordance and compliance	246	(3)
Nicky Britten
7.6 Continuity of care	249	(3)
Per Hjortdahl
7.7 Complementary therapies	252	(7)
Andrew Vickers and Catherine E. Zollman
7.8 Terminal and palliative care	259	(8)
Irene J. Higginson, Polly Edmonds, Paola Viterbori, Massimo Costantini, and Sarah Cox
Section 8 Integrated management
8.1 Coordination and continuity of care	267	(6)
Wil J.H.M. van den Bosch and George K. Freeman
8.2 The primary-secondary care interface	273	(5)
Martin Roland
8.3 Generalists in hospitals	278	(3)
Frede Olesen
8.4 Clinical specialization	281	(2)
Yvonne D. van Leeuwen, Jo Baggen, and Roger Jones
8.5 Interprofessional communication	283	(4)
Ron Winkens and Paul Wallace
8.6 Getting beyond disease-specific management	287	(4)
John H. Wasson and Leif I. Solberg
8.7 Collaboration between professional and lay care	291	(8)
Myrra Vernooij-Dassen and Maaike Dautzenberg
Section 9 Family medicine
9.1 Working with families in primary care	299	(4)
Thomas L. Campbell and Pekka Larivaara
9.2 Families, health, and cultural diversity	303	(6)
Eliana C. Korin and Patricia Lebensohn
9.3 Family interviewing and assessment	309	(7)
Macaran A. Baird and Alon P.A. Margalit
9.4 Assessment and management of genetic risk	316	(5)
Peter Rose and Jon Emery
9.5 Working with families with chronic medical disorders	321	(5)
Jack H. Medalie, Thomas M. Mettee, Kathleen Cole-Kelly, Jeffrey M. Borkan, and Mary P. Hogan
9.6 Family violence	326	(9)
Sandra K. Burge, Colleen Fogarty, and Charles Mouton
Section 10 Managing the practice population
10.1 The individual and the population	335	(3)
Philip Hannaford
10.2 Defining the population: registration and record linkage	338	(6)
John Newton
10.3 Health surveillance	344	(6)
Douglas M. Fleming and Andrew Ross
10.4 Community interventions-physical health	350	(5)
Julian Tudor Hart
10.5 Community interventions-mental health	355	(4)
Jeremy Anderson
10.6 Social care and its place in primary care	359	(3)
Sally Baldwin
10.7 Allocating and managing resources	362	(7)
Macaran A. Baird
Section 11 Prevention and health promotion
11.1 Principles of prevention	369	(4)
David Mant
11.2 Immunization and vaccination	373	(10)
Claire Parker
11.3 Screening	383	(7)
Peter Burke
11.4 Changing behaviour: smoking	390	(3)
Tim Lancaster
11.5 Changing behaviour: diet and exercise	393	(4)
Chris van Weel and Jaap J. van Binsbergen
11.6 Changing behaviour: promoting sexual health	397	(6)
Helen Ward
11.7 Anticipatory care of established illness: vascular disease	403	(5)
Carlos Brotons and Antonio Maiques
11.8 Anticipatory care of mental health problems	408	(9)
Tony Kendrick
Section 12 Practice management
12.1 Practice structures	417	(5)
Mike Pringle and Sally Irvine
12.2 Staff	422	(6)
Hilary Haman and Pieter van den Hombergh
12.3 Equipment and premises in general practice	428	(7)
Pieter van den Hombergh, H.J. Schers, F.W. Dijkers, and Roger Jones
12.4 The office laboratory	435	(6)
Sverre Sandberg, Geir Thue, and Per Hjortdahl
12.5 Organization of services	441	(4)
John L. Campbell and Sandra Gower
12.6 The medical record	445	(5)
Job F.M. Metsemakers and Danny Tayar
12.7 General practitioners' use of time and time management	450	(9)
Peter P. Groenewegen, Wienke G. W. Boerma, and Brenda Sawyer
Section 13 Quality improvement
13.1 Principles and models for quality improvement	459	(5)
Richard Baker and Richard Grol
13.2 Measuring the quality of primary medical care	464	(5)
Martin Roland and Martin Marshall
13.3 Evidence-based medicine as a tool in quality improvement	469	(8)
Trisha Greenhalgh and Anna Donald
13.4 Using and developing clinical guidelines	477	(7)
Paula Whitty, Martin Eccles, Steven H. Woolf, Jeremy Grimshaw, Brian Hurwitz, James Mason, and Paul Shekelle
13.5 Tools for quality improvement and change in practice	484	(6)
Marjukka Mäkelä, Signe Flottorp, and Jeremy Grimshaw
13.6 Total quality management and continuous quality improvement	490	(6)
Paul E. Plsek, Leif I. Solberg, and Richard Grol
13.7 The patient's role in improving quality	496	(7)
Michel Wensing and Richard Grol
Section 14 Research
14.1 History and structure	503	(4)
Yvonne K. Carter and Glyn Elwyn
14.2 Methods: qualitative	507	(4)
Benjamin F. Crabtree and William L. Miller
14.3 Methods: quantitative	511	(7)
David P. Weller, Robbie Foy, and Jane Gunn
14.4 Primary care research networks	518	(4)
Eloy H. van de Lisdonk and David P. Weller
14.5 Secondary research	522	(3)
Tim Lancaster
14.6 Outcomes	525	(5)
Mark Harris
14.7 Publishing primary care research	530	(7)
David Jewell and Roger Jones
Section 15 Education and professional development
15.1 Medical education: the contribution of primary care	537	(6)
Robert F. Woollard
15.2 Vocational and postgraduate training	543	(4)
Richard Hays
15.3 The professional development of the family physician: managing knowledge	547	(5)
David Davis and Michael Francis Evans
15.4 Personal growth and professional development	552	(4)
Colin Coles
15.5 Reaccreditation and recertification	556	(3)
Adam Windak
15.6 Multi-professional education	559	(4)
Yvonne Steinert
15.7 Addictions and mental illness in physicians	563	(8)
Peter E. Mezciems
Section 16 Ethics and law
16.1 Ethics in primary care	571	(2)
Len Doyal
162 The doctor-patient relationship-ethical perspectives	573	(5)
W. Wayne Weston
16.3 Truth-telling in family medicine	578	(4)
Eugene Bereza
16.4 Confidentiality	582	(4)
Roger Higgs
16.5 Ethics of research	586	(5)
Anne Slowther and Tony Hope
16.6 Ethics of resource allocation	591	(4)
Colin Bradley
16.7 End-of-life decisions	595	(3)
Howard Brody, Karen S. Ogle, and Gregg K. VandeKieft
16.8 Medico-legal issues	598	(7)
Brian Hurwitz
Index	I.1
Volume 2: Clinical Management
Preface	xix
Foreword	xxi
Ian R. McWhinney
Contributors	xxv
Introduction-genomic Medicine	605	(6)
Gordon W. Duff
Section 1 Cardiovascular problems
1.1 Chest pain and myocardial infarction	611	(10)
Leon Piterman
1.2 Heart failure 617
Richard Hobbs
1.3 Palpitations and silent arrhythmias	621	(4)
Kevin Barraclough
1.4 Ankle swelling and breathlessness	625	(6)
Patrick White
1.5 Peripheral arterial disease	631	(7)
Jelle Stoffers
1.6 Thrombosis and thromboembolism	638	(2)
David A. Fitzmaurice
1.7 Stroke and transient ischaemia	640	(5)
Charles Wolfe and Anthony G. Rudd
1.8 Varicose veins	645	(2)
Denise Findlay
1.9 Leg ulcers	647	(6)
Denise Findlay
1.10 High blood pressure	653	(6)
Tom Fahey and Knut Schroeder
1.11 Dyslipidaemia and cardiovascular disease	659	(4)
Richard Hobbs
1.12 Anaemia	663	(10)
Hilary Lavender
Section 2 Respiratory problems
2.1 Upper respiratory tract infections	673	(2)
Theo J.M. Verheij
2.2 Lower respiratory tract infections	675	(2)
Luis E. Quiroga and Theo J.M. Verheij
2.3 Acute non-infective respiratory disorders	677	(5)
Justin Beilby
2.4 Asthma	682	(8)
Ian Charlton and Patrick White
2.5 Chronic lower respiratory disorders	690	(7)
An de Sutter and Marc De Meyere
2.6 Chronic cough	697	(6)
Patrick White and Helena Elkington
2.7 Haemoptysis	703	(8)
Knut Schroeder and Tom Fahey
Section 3 Ear, nose, and throat problems
3.1 Epistaxis	711	(2)
Francoise P. Chagnon
3.2 Ear pain in adults	713	(3)
Chris Del Mar and Michael Yelland
3.3 The discharging ear	716	(3)
Ted L. Tewfik
3.4 Hearing loss	719	(3)
Robert Sweet and Ted L. Tewfik
3.5 Hoarseness and voice change	722	(2)
Francoise P. Chagnon
3.6 Acute sinusitis	724	(7)
Morten Lindbak and John M. Hickner
Section 4 Digestive problems
4.1 Dyspepsia	731	(3)
Roger Jones
4.2 Dysphagia	734	(4)
John M. Galloway
4.3 Acute abdominal pain	738	(4)
Niek J. de Wit
4.4 Chronic abdominal pain	742	(4)
Mattijs E. Numans
4.5 Abdominal mass	746	(2)
Hein G. Gooszen
4.6 Nausea, vomiting, and loss of appetite	748	(3)
Juan Mendive
4.7 Haematemesis and melaena	751	(4)
Pali Hungin
4.8 Rectal bleeding	755	(3)
Gerda Fijten
4.9 Jaundice	758	(3)
Christos Lionis
4.10 Diarrhoea	761	(5)
Greg Rubin
4.11 Constipation	766	(4)
Villy Meineche-Schmidt and Nick J. de Wit
4.12 Perianal disease	770	(7)
Simon Travis
Section 5 Metabolic problems
5.1 Obesity	777	(2)
Rena R. Wing and Amy A. Gorin
5.2 Diabetes-Type 1 and Type 2	779	(8)
Ann Louise Kinmonth and Sean Dinneen
5.3 Insulin resistance/syndrome X	787	(3)
Gerald M. Reaven
5.4 Hyperuricaemia	790	(2)
Martin Underwood
5.5 Thyroid disorders	792	(4)
Victor J. Pop
5.6 Endocrine problems (pituitary and sex hormones)	796	(4)
Peter Sonksen
5.7 Endocrine problems (calcium, water, and adrenal)	800	(9)
Robert D. Murray
Section 6 Genito-urinary problems
6.1 Urinary tract infections	809	(3)
Tjerk Wiersma
6.2 Haematuria and proteinuria	812	(3)
Bert Aertgeerts, Frank Buntinx, and Kanwaljit Sandhu
6.3 Acute urinary retention in adults	815	(3)
Joseph L. Chin
6.4 Testicular and scrotal problems	818	(2)
Joseph L. Chin
6.5 Genital ulcers and warts	820	(4)
David Portnoy
6.6 Gonorrhoea and chlamydial infections	824	(2)
David Portnoy
6.7 HIV/AIDS	826	(4)
Michael Richard Kidd and Ronald McCoy
6.8 Sexual dysfunction in men	830	(3)
John M. Tomlinson
6.9 Female sexual dysfunction	833	(2)
Alan Riley
6.10 Benign prostate disorders	835	(4)
Maarten Klomp
6.11 Prostate cancer	839	(6)
Neill Iscoe
Section 7 Women's health
7.1 Breast pain and lumps	845	(3)
Helen Zorbas
7.2 Nipple discharge	848	(3)
Rebecca B. Saenz
7.3 Vaginal discharge	851	(4)
Tim Stokes
7.4 Amenorrhoea	855	(5)
Danielle Mazza
7.5 The menopause	860	(4)
Janice Rymer
7.6 Urinary incontinence	864	(3)
Toine Lagro-Janssen
7.7 Menstrual disorders: menorrhagia	867	(4)
Norma O'Flynn
7.8 Menstrual disorders: dysmenorrhoea	871	(2)
Norma O'Flynn
7.9 Dyspareunia	873	(4)
Danielle Mazza
7.10 Abnormal cervical smear	877	(7)
G. Kheng Chew, Margaret E. Cruickshank, and A. Patricia Smith
7.11 Abnormal mammogram	884	(4)
Ian S. Fentiman and Michael J. Michell
7.12 Screening for cancer in women	888	(4)
Marie-Dominique Beaulieu and Isabel Rodrigues
7.13 Violence as a women's health issue	892	(7)
Barbara Lent
Section 8 Conception, pregnancy, and childbirth
8.1 Pre-conception care	899	(5)
Stefan Grzybowski and Colleen Kirkham
8.2 Sub-fertility	904	(5)
Jan Grace and Alison Taylor
8.3 Contraception	909	(4)
Susan Harris and Sharon Thomson
8.4 Normal pregnancy	913	(4)
Elizabeth Shaw and David Price
8.5 Teenage pregnancy	917	(3)
Caroline Free
8.6 Vaginal bleeding in early pregnancy	920	(3)
Sander Flikweert and Tjerk Wiersma
8.7 Complications of pregnancy	923	(6)
Andrew Shennan and Tim Overton
8.8 Caring for women in labour	929	(4)
Matthew K. Cline and Phillipa M. Kyle
8.9 Breastfeeding	933	(4)
Verity Livingstone
8.10 Feeding problems in infants and young children	937	(3)
David G. Riddell
8.11 Postpartum care	940	(4)
Dwenda Kay Gjerdingen
8.12 Unwanted pregnancy and termination of pregnancy	944	(7)
Ellen Wiebe
Section 9 Mental health problems
9.1 Depression	951	(4)
Tony Kendrick
9.2 Anxiety	955	(4)
Marilyn A. Craven and Richard P. Swinson
9.3 Suicide and attempted suicide	959	(4)
André Tylee and Zoltan Rihmer
9.4 Drug misuse and dependence	963	(4)
Clare Gerada and Jane Haywood
9.5 Alcohol misuse and primary care	967	(5)
Clare Gerada and Jo Betterton
9.6 Eating disorders	972	(3)
Doris Young
9.7 Psychiatric emergencies	975	(4)
Mary-Lynn Watson and Douglas E. Sinclair
9.8 Fatigue	979	(2)
Leone Ridsdale
9.9 Sleep disorders	981	(2)
Arie Knuistingh Neven and M.P. Springer
9.10 Psychological treatments for mental health problems	983	(5)
Lawrence Mynors-Wallis
9.11 Adult survivors of sexual abuse	988	(4)
Shelley Rechner
9.12 Post-traumatic stress disorder	992	(3)
Derek Summerfield
9.13 Post-natal depression	995	(6)
Deborah J. Sharp
Section 10 Child health
10.1 Approach to the sick infant	1001	(3)
Joe Kai
10.2 Childhood respiratory infections	1004	(5)
George Rust, Yvonne Fry, and Kathi Earles
10.3 Otitis media	1009	(4)
William R. Phillips
10.4 Fever and common childhood infections	1013	(2)
Walter W. Rosser
10.5 Failure to thrive	1015	(3)
Lakshmi Kolagotla and Deborah A. Frank
10.6 Anticipatory guidance and prevention	1018	(4)
Walter W. Rosser
10.7 Disorders of growth	1022	(3)
Lewis C. Rose
10.8 The child with a limp	1025	(2)
Robert B. Salter
10.9 Developmental delay	1027	(3)
Julie Lumeng and Steven Parker
10.10 Sleep disorders in children	1030	(3)
James F. Pagel
10.11 Behaviour problems in children	1033	(4)
Graham J. Reid
10.12 School issues	1037	(8)
Debra M. Phillips
Section 11 Neurological problems
11.1 Headache and facial pain	1045	(4)
John Murtagh
11.2 Epilepsy	1049	(4)
Leone Ridsdale and Yvonne Hart
11.3 Movement disorders	1053	(5)
Christopher Ward and Brian Hurwitz
11.4 Dizziness	1058	(6)
Irwin Nazareth
11.5 Peripheral neuropathies	1064	(2)
Martin Schwartz
11.6 Progressive neurological illnesses: multiple sclerosis and amyotrophic lateral sclerosis	1066	(5)
T. Jock Murray
11.7 Coma	1071	(5)
Katia Cikurel
11.8 Meningitis and CNS infections	1076	(7)
William Howlett
Section 12 Eye problems
12.1 Acute red eye	1083	(4)
Theo Voorn
12.2 Sticky eye	1087	(2)
Alexander K.C. Leung
12.3 Loss of vision	1089	(3)
Denise Mabey
12.4 Ptosis and unequal pupils	1092	(1)
Peggy Frith
12.5 Visual disturbances	1093	(3)
E. Robert Schwartz
12.6 Blindness	1096	(4)
Suber S. Huang and George E. Kikano
12.7 Eye trauma	1100	(7)
Roger Gray
Section 13 Musculoskeletal problems
13.1 Low back pain and sciatica	1107	(4)
Patrick C.A.J. Vroomen and Maurits W. van Tulder
13.2 Neck pain	1111	(5)
Nefyn H. Williams and Jan Lucas Hoving
13.3 Acute joint pain	1116	(4)
Jerry G. Ryan and Thomas M. Best
13.4 Chronic joint pain	1120	(5)
Wil J.H.M. van den Bosch
13.5 Shoulder pain	1125	(4)
Jan C. Winters and Danielle A.W.M. van der Windt
13.6 Hip problems	1129	(6)
Samuel B. Adkins
13.7 Foot problems	1135	(5)
Kees J. Gorter and Richard A. Figler
13.8 Tennis elbow	1140	(2)
Willem J.J. Assendelft and Sally Green
13.9 Hand and forearm problems	1142	(7)
Dennis Y. Wen
Section 14 Common emergencies and trauma
14.1 Out-of-hospital cardiac arrest	1149	(4)
Andrew K. Marsden
14.2 Fractures and limb trauma	1153	(5)
Arun Sayal
14.3 Control of haemorrhage	1158	(2)
Gary Ward
14.4 Head and neck injuries	1160	(3)
Matthew W. Cooke
14.5 Non-accidental injuries	1163	(4)
Brian Schwartz and Roberta Schwartz
14.6 Burns	1167	(8)
Gillian Smith and Keith P. Allison
14.7 Poisoning 1171
John Henry
14.8 Drowning and inhalations	1175	(3)
D. Anna Jarvis
14.9 Electrical injuries	1178	(5)
D. Anna Jarvis
Section 15 Skin and soft tissue problems
15.1 Hair-related problems	1183	(3)
B.C. Gee and Jennifer Powell
15.2 Nail disorders	1186	(3)
Patricia Sunaert and Eric van Hecke
15.3 Pruritus	1189	(3)
Walter A. Forred
15.4 Pigmented skin lesions	1192	(4)
Ashfaq A. Marghoob, Allan C. Halpern, and Carlos A. Charles
15.5 Acute skin rashes	1196	(3)
Lyn Clearihan
15.6 Chronic skin rashes	1199	(3)
Richard Anstett
15.7 Acne	1202	(4)
Lyn Clearihan
15.8 Psoriasis	1206	(3)
Steven R. Feldman
15.9 Eczema and dermatitis	1209	(4)
Richard A. Nicholas
15.10 Skin infections	1213	(3)
Gary W. McEwen
15.11 Bruising and purpura	1216	(4)
R. Stephen Griffith
15.12 Lumps in and under the skin	1220	(4)
Richard P. Usatine and Gunjan Sharma
15.13 Photosensitivity	1224	(3)
Sandra Marchese Johnson
15.14 Genital disorders	1227	(8)
Alena Salim and Jennifer Powell
Section 16 Old age
16.1 Falls in the elderly	1235	(4)
Alicia Curtin
16.2 Gait and movement disorders	1239	(3)
Alexander H. Rajput and Ali H. Rajput
16.3 Infections	1242	(5)
Suzanne F. Bradley
16.4 Non-specific presentations of illness	1247	(4)
Tzvi Dwolatzky, A. Mark Clarfield, and Howard Bergman
16.5 Dementia	1251	(3)
Howard Bergman, David B. Hogan, Christopher Patterson, Howard Chertkow, and A. Mark Clarfield
16.6 Urinary incontinence	1254	(3)
Toine Lagro-Janssen
16.7 Functional assessment of the elderly	1257	(3)
Kathleen A. Bell-Irving
16.8 Drugs in the elderly	1260	(5)
Munir Pirmohamed
16.9 Influenza	1265	(6)
Th.M.E. Govaert and G.A. van Essen
Section 17 Palliative care
17.1 The dying patient and their family	1271	(6)
Irene J. Higginson, Massimo Costantini, Polly Edmonds, and Paola Viterbori
17.2 Pain concepts and pain control in palliative care	1277	(6)
Rodger Charlton and Gary Smith
17.3 Bereavement and grief	1283	(4)
Victoria H. Raveis
17.4 Death of a child	1287	(5)
Kimberley A. Widger, Vincent E. MacDonald, and Gerri Frager
17.5 Hospice and home care	1292	(3)
Frederick I. Burge
17.6 Symptoms and palliation	1295
Polly Edmonds and Sarah Cox
Index	I.1