Oxford Textbook of Primary Medical Care

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

• ISBN13: 9780198565802
• ISBN10: 0198565801
• Additional ISBN(s): 9780192632197
• Edition: 1st
• Format: Paperback
• Copyright: 2005-06-02
• Publisher: Oxford University Press
• More Book Details
• Purchase Benefits

Summary

The Oxford Textbook of Primary Medical Care is arranged in two volumes for ease of reference, offering you two very different reference resources. Volume 1 - Principles and Concepts Volume 1 is a unique and exhaustive guide to the theory and principles underpinning primary care, including: * doctor-patient interaction * practice management * the public health role of the primary care team * health care systems throughout the world * ensuring and enhancing quality of care This volume emphasises the wide range of disciplines involved in primary care, covering medical sociology, health psychology, epidemiology, and the principles of organisational management, and providing concise, detailed sections on research, education, and ethics and law. Volume 2 - Clinical Management In Volume 2, more than 200 chapters form a comprehensive clinical textbook on medical problems commonly seen in general practice worldwide. Here you will find detailed evidence-based guidance on diagnosis, investigation, and management. Because each section has been written by GPs and hospital specialists working in partnership, you can be confident that these accounts are not only authoritative, but also uniquely focused on the information most relevant to primary care. Each chapter takes a broad perspective, assuring its relevance for physicians and health care systems at different levels of development, emphasising core clinical principles of diagnosis and management and considering the broader public health and health economics implications of each problem. From the Foreword, by Professor Ian R McWhinney: 'Primary care physicians have to know where they are on the scale of the complementarities between organismic and mechanistic, uncertainty and precision, involvement and detachment, concrete and abstract, and the particular and the general publication of the Oxford Textbook of Primary Medical Carewill, I hope, be a milestone in the development of primary care medicine.'

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

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