Principles of Ambulatory Medicine

by Barker, L. Randol; Burton, John R.; Zieve, Philip D.

• ISBN13: 9780683004380
• ISBN10: 0683004387
• Format: Hardcover
• Copyright: 1995-01-01
• Publisher: Williams & Wilkins

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	p. ix
Preface	p. xvi
Issues of General Concern in Ambulatory Medicine	p. 1
Ambulatory Care: Domain and Core Proficiencies	p. 3
Practicing Evidence-Based Medicine in the Ambulatory Care Setting	p. 12
The Practitioner-Patient Relationship and Communication During Clinical Encounters	p. 23
Patient Education and the Promotion of Healthy Behaviors	p. 35
Complementary and Alternative Medicine	p. 57
Sexuality and Sexual Disorders	p. 69
Sleep Disorders	p. 92
Occupational and Environmental Disease	p. 109
Selected Special Services: Disability Insurance, Vocational Rehabilitation, and Home Health Services	p. 120
Care of the Patient With Cancer	p. 126
Adolescent Patients: Special Considerations	p. 133
Geriatric Medicine: Special Considerations	p. 154
Care at the End of Life	p. 168
Preventive Care	p. 179
Integrating Prevention into Ambulatory Practice: An Overview	p. 181
Principles of Nutrition in Ambulatory Care	p. 196
Exercise for the Healthy Patient	p. 206
Genetic Testing and Counseling	p. 217
Immunization to Prevent Infectious Disease	p. 225
Psychiatric and Behavioral Problems	p. 237
Evaluation of Psychosocial Problems	p. 239
Psychotherapy in Ambulatory Practice	p. 246
Somatization	p. 252
Anxiety and Anxiety Disorders	p. 263
Personality and Personality Disorders	p. 280
Affective Disorders	p. 285
Schizophrenia and Related Psychotic Disorders	p. 303
Cognitive Impairment and Mental Illness in the Elderly	p. 312
Tobacco Use and Dependence	p. 321
Alcoholism and Associated Problems	p. 334
Illicit and Therapeutic Use of Drugs With Abuse Liability	p. 361
Allergy and Infectious Diseases	p. 385
Allergy and Related Conditions	p. 387
Approach to the Patient with Fever	p. 406
Bacterial Infections of the Skin	p. 413
Respiratory Tract Infections	p. 421
Tuberculosis in the Ambulatory Patient	p. 445
Acute Gastroenteritis and Associated Conditions	p. 455
Genitourinary Infections	p. 468
Sexually Transmitted Diseases	p. 477
Lyme Disease and Other Tick-Borne Illnesses	p. 498
Human Immunodeficiency Virus Infection	p. 508
Ambulatory Care for Selected Infections Including Osteomyelitis, Lung Abscess, and Endocarditis	p. 533
International Medicine: Care of the Traveler and of the Immigrant Patient	p. 544
Gastrointestinal Problems	p. 569
Disorders of the Esophagus: Dysphagia, Noncardiac Chest Pain, and Gastroesophageal Reflux	p. 571
Peptic Ulcer Disease	p. 584
Irritable Bowel Syndrome	p. 595
Selected Gastrointestinal Problems I: Bleeding, Diarrhea, Abdominal Pain	p. 605
Selected Gastrointestinal Problems II: Constipation, Diverticular Disease, Ostomy Care	p. 633
Diseases of the Liver	p. 646
Renal and Urologic Problems	p. 661
Proteinuria	p. 663
Hematuria	p. 669
Hypokalemia	p. 674
Urinary Stones	p. 683
Chronic Renal Insufficiency	p. 695
Bladder Outlet Obstruction	p. 725
Urinary Incontinence	p. 737
Hematologic Problems	p. 745
Anemia	p. 747
Disorders of Hemostasis	p. 762
Thromboembolic Disease	p. 770
Selected Disorders of Lymph Nodes and Lymphocytes	p. 780
Pulmonary Problems	p. 787
Common Pulmonary Problems: Cough, Hemoptysis, Dyspnea, Chest Pain, and Abnormal Chest X-Ray	p. 789
Obstructive Airways Diseases: Asthma and Chronic Obstructive Pulmonary Disease	p. 808
Lung Cancer	p. 841
Cardiovascular Problems	p. 857
Coronary Artery Disease	p. 859
Postmyocardial Infarction Care and Cardiac Rehabilitation	p. 879
Arrhythmias and Other Abnormalities of Cardiac Conduction	p. 900
Common Cardiac Disorders Revealed by Auscultation of the Heart	p. 933
Heart Failure	p. 956
Hypertension	p. 980
Musculoskeletal Problems	p. 1019
Approach to Musculoskeletal Injuries	p. 1021
Shoulder and Elbow Pain	p. 1027
Neck Pain	p. 1049
Low Back Pain	p. 1056
Knee and Leg Pain	p. 1073
Common Problems of the Feet	p. 1094
Nonarticular Rheumatic Disorders	p. 1105
Osteoarthritis	p. 1116
Crystal-Induced Arthritis	p. 1132
Rheumatoid Arthritis	p. 1149
Sacroilitis, Ankylosing Spondylitis, and Reactive Arthritis	p. 1171
Metabolic and Endocrinologic Problems	p. 1181
Diabetes Mellitus	p. 1183
Thyroid Disorders	p. 1230
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	p. 1264
Disorders of Lipoprotein Metabolism	p. 1291
Obesity	p. 1318
Metabolic Bone Disease: Osteomalacia, Male Osteoporosis, and Paget Disease of the Bone	p. 1334
Problems in Male Reproductive Endocrinology	p. 1342
Neurologic Problems	p. 1355
Evaluation of the Patient with Neurologic Symptoms	p. 1357
Headaches and Facial Pain	p. 1369
Seizure Disorders	p. 1386
Dizziness, Vertigo, Motion Sickness, Syncope and Near Syncope, and Disequilibrium	p. 1409
Common Disorders of Movement: Tremor and Parkinson Disease	p. 1431
Cerebrovascular Disease	p. 1444
Peripheral Neuropathy	p. 1455
Selected General Surgical Problems	p. 1475
Preoperative Planning for Ambulatory Patients	p. 1477
Peripheral Arterial Disease and Arterial Aneurysms	p. 1502
Lower Extremity Ulcers and Varicose Veins	p. 1514
Diseases of the Biliary Tract	p. 1525
Abdominal Hernias	p. 1534
Benign Conditions of the Anus and Rectum	p. 1542
Gynecology and Women's Health	p. 1555
Approach to Women's Health	p. 1557
Contraception and Preconception Counseling	p. 1562
Menstrual Disorders and Other Disorders of Female Reproductive Endocrinology	p. 1575
Nonmalignant Vulvovaginal and Cervical Disorders and Chronic Pelvic Pain	p. 1591
Osteoporosis	p. 1610
Early Detection of Gynecologic Malignancy	p. 1619
Diseases of the Breast	p. 1626
Menopause and Beyond	p. 1640
Selected Problems of the Eyes	p. 1651
Common Problems Associated With Impaired Vision: Cataracts and Age-Related Macular Degeneration	p. 1653
Glaucoma	p. 1661
Diseases of the Eyelid, Conjunctiva, and Anterior Segment of the Eye	p. 1668
Selected Problems of the Ears, Nose, Throat, and Oral Cavity	p. 1683
Hearing Loss and Associated Problems	p. 1685
Selected Disorders of the Nose and Throat: Epistaxis, Snoring, Anosmia, Hoarseness, and Hiccups	p. 1698
Common Problems of the Teeth and Oral Cavity	p. 1712
Common Disorders of the Skin	p. 1725
Diagnoses and Treatment of Skin Disorders	p. 1727
Atypical Moles and Common Cancers of the Skin	p. 1735
Disorders of the Pilosebaceous Unit: Acne and Related Disorders and Hair Loss	p. 1740
Dermatitis and Psoriasis	p. 1746
Primary Superficial Fungal and Viral Infections and Infestations	p. 1754
Autoimmune Blistering Diseases, Photosensitive Eruptions, and Drug Eruptions	p. 1763
Subject Index	p. 1769
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