Principles of Ambulatory Medicine

by Barker, L. Randol; Burton, John R.; Zieve, Philip D.; Fiebach, Nicholas H.; Kern, David E.; Thomas, Patricia A.; Ziegelstein, Roy C.

• ISBN13: 9780781734868
• ISBN10: 078173486X
• Edition: 6th
• Format: Hardcover
• Copyright: 2002-08-02
• Publisher: LWW

Summary

Now in its Sixth Edition, this volume remains the definitive reference for all clinicians caring for adult ambulatory patients. This edition has four new associate editors from the Johns Hopkins University School of Medicine and provides expanded coverage of evidence-based medicine, preventive care, infectious diseases, urologic disorders, and women's health. New chapters cover complementary and alternative medicine; genetic screening; nutrition; exercise; eating disorders; urinary tract infections; sexually transmitted diseases; Lyme disease; care of international travelers and immigrant patients; incontinence; intrascrotal problems; approach to the female patient; and infertility.

Table of Contents

Acknowledgments	ix
Preface	xvi
Section 1: Issues of General Concern in Ambulatory Medicine	1	(178)
Ambulatory Care: Domain and Core Proficiencies	3	(9)
L. Randol Barker
Practicing Evidence-Based Medicine in the Ambulatory Care Setting	12	(11)
Scott M. Wright
Darius A. Rastegar
The Practitioner-Patient Relationship and Communication During Clinical Encounters	23	(12)
L. Randol Barker
Patient Education and the Promotion of Healthy Behaviors	35	(22)
Karan A. Cole
David E. Kern
Complementary and Alternative Medicine	57	(12)
Bimal H. Ashar
Sexuality and Sexual Disorders	69	(23)
Peter J. Fagan
Arthur L. Burnett
Linda Rogers
Chester W. Schmidt, Jr.
Sleep Disorders	92	(17)
David N. Neubauer
Philip G. Smith
Christopher J. Earley
Occupational and Environmental Disease	109	(11)
Laura S. Welch
Selected Special Services: Disability Insurance, Vocational Rehabilitation, and Home Health Services	120	(6)
L. Randol Barker
Care of the Patient With Cancer	126	(7)
Larry Waterbury
Michael J. Purtell
Adolescent Patients: Special Considerations	133	(21)
Lawrence N. Scherzer
Geriatric Medicine: Special Considerations	154	(14)
Peter H. Cheng
Thomas E. Finucane
Care at the End of Life	168	(11)
Thomas E. Finucane
Garry Waterbury
Michael J. Purtell
Section 2: Preventive Care	179	(58)
Integrating Prevention into Ambulatory Practice: An Overview	181	(15)
David E. Kern
Gregory P. Prokopowicz
Principles of Nutrition in Ambulatory Care	196	(10)
Eugene C. Corbett, Jr.
Exercise for the Healthy Patient	206	(11)
Rose E. Andersen
Kerry J. Stewart
Genetic Testing and Counseling	217	(8)
Jennifer E. Sollenberger
Constance A. Griffin
Immunization to Prevent Infectious Disease	225	(12)
William H. Barker
Section 3: Psychiatric and Behavioral Problems	237	(148)
Evaluation of Psychosocial Problems	239	(7)
Varsha K. Vaidya
Chester W. Schmidt, Jr.
Pshychotherapy in Ambulatory Practice	246	(6)
Robert P. Roca
L. Randol Barker
Somatization	252	(11)
Robert P. Roca
Anxiety and Anxiety Disorders	263	(17)
Una D. McCann
Robert P. Roca
Personality and Personality Disorders	280	(5)
Robert P. Roca
Affective Disorders	285	(18)
Francis Mark Mondimore
J. Raymond DePaulo, Jr.
Schizophrenia and Related Psychotic Disorders	303	(9)
Andrew F. Angelino
Chester W. Schmidt, Jr.
Cognitive Impairment and Mental Illness in the Elderly	312	(9)
Peter V. Rabins
Tobacco Use and Dependence	321	(13)
George E. Bigelow
Cynthia S. Rand
Alcoholism and Associated Problems	334	(27)
Michael I. Fingerhood
Illicit and Therapeutic Use of Drugs With Abuse Liability	361	(24)
Michael I. Fingerhood
Section 4: Allergy and Infectious Diseases	385	(184)
Allergy and Related Conditions	387	(19)
Alvin M. Sanico
Martin D. Valentine
Approach to the Patient with Fever	406	(7)
Paul G. Auwaerter
Bacterial Infections of the Skin	413	(8)
Patrick A. Murphy
Respiratory Tract Infections	421	(24)
Nicholas H. Fiebach
Darius A. Rastegar
Tuberculosis in the Ambulatory Patient	445	(1)
Patrick A. Murphy
Acute Gastroenteritis and Associated Conditions	445	(23)
Richard G. Bennett
Genitourinary Infections	468	(9)
Patrick A. Murphy
Sexually Transmitted Diseases	477	(21)
Karen A. Wendel
Jonathan M. Zenilman
Lyme Disease and Other Tick-Borne Illnesses	498	(10)
John A. Flynn
Paul G. Auwaerter
Human Immunodeficiency Virus Infection	508	(25)
Darius A. Rastegar
Michael I. Fingerhood
Ambulatory Care for Selected Infections Including Osteomyelitis, Lung Abscess, and Endocarditis	533	(11)
John G. Bartlett
International Medicine: Care of the Traveler and of the Immigrant Patient	544	(25)
Stephen D. Sears
Nathaniel W. James IV
Section 5: Gastrointestinal Problems	569	(92)
Disorders of the Esophagus: Dysphagia, Noncardiac Chest Pain, and Gastroesophageal Reflux	571	(13)
Philip O. Katz
Peptic Ulcer Disease	584	(11)
Philip O. Katz
Irritable Bowel Syndrome	595	(10)
Brian E. Lacy
Selected Gastrointestinal Problems I: Bleeding, Diarrhea, Abdominal Pain	605	(28)
Lawrence J. Cheskin
Brian E. Lacy
Selected Gastrointestinal Problems II: Constipation, Diverticular Disease, Ostomy Care	633	(13)
Lawrence J. Cheskin
Diseases of the Liver	646	(15)
Esteban Mezey
Section 6: Renal and Urologic Problems	661	(84)
Proteinuria	663	(6)
Edward S. Kraus
Hematuria	669	(5)
David A. Spector
Hypokalemia	674	(9)
John E. Anderson
Urinary Stones	683	(12)
David A. Spector
Chronic Renal Insufficiency	695	(30)
Gary R. Briefel
Bladder Outlet Obstruction	725	(12)
Ray E. Stutzman
Urinary Incontinence	737	(8)
Thomas E. Finucane
E. James Wright
Section 7: Hematologic Problems	745	(42)
Anemia	747	(15)
Larry Waterbury
Disorders of Hemostasis	762	(8)
Garry Waterbury
Philip D. Zieve
Thromboembolic Disease	770	(10)
Larry Waterbury
Philip D. Zieve
Selected Disorders of Lymph Nodes and Lymphocytes	780	(7)
Larry Waterbury
Philip D. Zieve
Section 8: Pulmonary Problems	787	(70)
Common Pulmonary Problems: Cough, Hemoptysis, Dyspnea, Chest Pain, and Abnormal Chest X-Ray	789	(19)
Irina Petrache
Steve N. Georas
Obstructive Airways Diseases: Asthma and Chronic Obstructive Pulmonary Disease	808	(33)
Robert A. Wise
Mark C. Liu
Lung Cancer	841	(16)
Linda F. Barr
Section 9: Cardiovascular Problems	857	(162)
Coronary Artery Disease	859	(20)
Mark D. Kelemen
Nisha Chandra Strobos
Postmyocardial Infarction Care and Cardiac Rehabilitation	879	(21)
Kerry J. Stewart
Roy C. Ziegelstein
Arrhythmias and Other Abnormalities of Cardiac Conduction	900	(33)
Sheldon H. Gottlieb
Hugh Calkins
Common Cardiac Disorders Revealed by Auscultation of the Heart	933	(23)
Edward P. Shapiro
Heart Failure	956	(24)
Sheldon H. Gottlieb
Roy C. Ziegelstein
Hypertension	980	(39)
L. Randol Barker
Section 10: Musculoskeletal Problems	1019	(162)
Approach to Musculoskeletal Injuries	1021	(6)
Ronald P. Byank
Ali Moshirfar
Simon C. Mears
James F. Wenz
Shoulder And Elbow Pain	1027	(22)
David E. Kern
Neck Pain	1049	(7)
Frederick A. Lenz
Low Back Pain	1056	(17)
David G. Borenstein
Knee and Leg Pain	1073	(21)
Ronald P. Byank
Ali Moshirfar
Simon C. Mears
James F. Wenz
Common Problems of the Feet	1094	(11)
Bruce S. Lebowitz
David E. Kern
Nonarticular Rheumatic Disorders	1105	(11)
David B. Hellmann
Osteoarthritis	1116	(16)
Alexander S. Townes
Crystal-Induced Arthritis	1132	(17)
Alexander S. Townes
Rheumatoid Arthritis	1149	(22)
Alan K. Matsumoto
Sacroiliitis, Ankylosing Spondylitis, and Reactive Arthritis	1171	(10)
Frank C. Arnett, Jr.
Section 11: Metabolic and Endocrinologic Problems	1181	(174)
Diabetes Mellitus	1183	(47)
Robert I. Gregerman
Thyroid Disorders	1230	(34)
Robert I. Gregerman
Selected Endocrine Problems: Disorders of Pituitary; Adrenal, and Parathyroid Glands; Pharmacologic Use of Steroids; Hypocalcemia and Hypercalcemia; Disorders of Water Metabolism; Hypoglycemia; and Hormone Use of Unproven Value	1264	(27)
Robert I. Gregerman
Disorders of Lipoprotein Metabolism	1291	(27)
Annabelle Rodriguez
David E. Kern
Marc R. Blackman
Obesity	1318	(16)
Ross E. Andersen
Marc R. Blackman
Metabolic Bone Disease: Osteomalacia, Male Osteoporosis, and Paget Disease of the Bone	1334	(8)
Michael A. Ankrom
Marc R. Blackman
Problems in Male Reproductive Endocrinology	1342	(13)
Adrian S. Dobs
Marc R. Blackman
Section 12: Neurologic Problems	1355	(120)
Evaluation of the Patient with Neurologic Symptoms	1357	(12)
Constance J. Johnson
Headaches and Facial Pain	1369	(17)
Constance J. Johnson
Seizure Disorders	1386	(23)
Peter W. Kaplan
Dizziness, Vertigo, Motion Sickness, Syncope and Near Syncope, and Disequilibrium	1409	(22)
Stephen D. Sisson
Mark F. Walker
Common Disorders of Movement: Tremor and Parkinson Disease	1431	(13)
Paul S. Fishman
Cerebrovascular Disease	1444	(11)
Constance J. Johnson
Peripheral Neuropathy	1455	(20)
Gary J. Romano
Ralph W. Kuncl
Section 13: Selected General Surgical Problems	1475	(80)
Preoperative Planning for Ambulatory Patients	1477	(25)
Richard J. Gross
Peripheral Arterial Disease and Arterial Aneurysms	1502	(12)
Rita A. Falcone
Lower Extremity Ulcers and Varicose Veins	1514	(11)
James M. Wong
Robert J. Spence
Calvin E. Jones, Jr.
Diseases of the Biliary Tract	1525	(9)
Esteban Mezey
Jeffrey S, Bender
Abdominal Hernias	1534	(8)
Mark D. Duncan
Jeffrey S. Bender
Benign Conditions of the Anus and Rectum	1542	(13)
Jeffrey S. Bender
Mark D. Duncan
Section 14: Gynecology and Women's Health	1555	(96)
Approach to Women's Health	1557	(5)
Patricia A. Thomas
Contraception and Preconception Counseling	1562	(13)
Jeffrey M. Smith
George R. Huggins
Menstrual Disorders and Other Disorders of Female Reproductive Endocrinology	1575	(16)
Maria Elena Soler
Catherine S. Todd
Adrian S. Dobs
Nonmalignant Vulvovaginal and Cervical Disorders and Chronic Pelvic Pain	1591	(19)
Anne E. Burke
Jeffrey M. Smith
Osteoporosis	1610	(9)
Michele F. Bellantoni
Early Detection of Gynecologic Malignancy	1619	(7)
Catherine S. Todd
George R. Huggins
Diseases of the Breast	1626	(14)
Michael J. Purtell
Rodrigo Erlich
Menopause and Beyond	1640	(11)
Redonda G. Miller
Section 15: Selected Problems of the Eyes	1651	(32)
Common Problems Associated With Impaired Vision: Cataracts and Age-Related Macular Degeneration	1653	(8)
Andrew P. Schachat
Glaucoma	1661	(7)
David S. Friedman
Diseases of the Eyelid, Conjunctiva, and Anterior Segment of the Eye	1668	(15)
Robert S. Weinberg
Section 16: Selected Problems of the Ears, Nose, Throat, and Oral Cavity	1683	(42)
Hearing Loss and Associated Problems	168	(1530)
John K. Niparko
Howard W. Francis
Selected Disorders of the Nose and Throat: Epistaxis, Snoring, Anosmia, Hoarseness, and Hiccups	1698	(14)
Mark F. Williams
Common Problems of the Teeth and Oral Cavity	1712	(13)
Douglas K. Macleod
Section 17: Common Disorders of the Skin	1725	(44)
Diagnoses and Treatment of Skin Disorders	1727	(8)
S. Elizabeth Whitmore
Atypical Moles and Common Cancers of the Skin	1735	(5)
S. Elizabeth Whitmore
Disorders of the Pilosebaceous Unit: Acne and Related Disorders and Hair Loss	1740	(6)
S. Elizabeth Whitmore
Dermatitis and Psoriasis	1746	(8)
S. Elizabeth Whitmore
Primary Superficial Fungal and Viral Infections and Infestations	1754	(9)
S. Elizabeth Whitmore
Autoimmune Blistering Diseases, Photosensitive Eruptions, and Drug Eruptions	1763	(6)
S. Elizabeth Whitmore
Subject Index	1769