Additional Information
Book Details
Abstract
Edited by Robert E. Rakel, MD and David P. Rakel, MD, Textbook of Family Medicine remains your #1 choice for complete guidance on the principles of family medicine, primary care in the community, and all aspects of clinical practice. Ideal for both residents and practicing physicians, it includes evidence-based, practical information to optimize your patient care and prepare you for the ABFM exam. The full-color format features a clean, quick-reference layout that makes it easy for you to put information to work immediately in your practice. You can also access the complete contents online at www.expertconsult.com, plus 30 videos of common office procedures, additional chapters on timely topics, and figures, tables, and photographs that supplement the text.
- Prepare for success on the ABFM exam with complete coverage of all aspects of family medicine.
- Access information quickly with an efficient, full-color layout that makes it easy to apply the latest knowledge in your practice.
- Take advantage of today’s most useful online resources with a convenient list of outstanding clinical websites.
- Quickly spot "Best Evidence Recommendations" with special boxes located throughout the text.
- Glean helpful tips on diagnosis and therapy from "Key Points" boxes found on every page.
- Access the complete contents and illustrations online at www.expertconsult.com - fully searchable – plus additional figures, tables, and photographs online, as well as online-only chapters that cover topics such as prescribing nutritional supplements and botanicals.
- View 30 videos online covering common office procedures such as vasectomy, the proper use of today’s diabetic equipment, and endometrial biopsy.
- Gain a new understanding of the patient-centered medical home and how to achieve this status in outpatient clinics.
- Make the most effective care decisions with help from "Evidence vs. Harm" icons that guide you through key treatments of common medical conditions.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Textbook of Family Medicine | iii | ||
Copyright\r | iv | ||
Contributors | v | ||
Dedication\r | xiii | ||
Preface | xv | ||
Contents | xvii | ||
Part One - Principles of Family Medicine | 1 | ||
Chapter 1 - The Family Physician | 3 | ||
Key Points | 3 | ||
The Joy of Family Practice | 4 | ||
Development of the Specialty | 4 | ||
Definitions | 5 | ||
Personalized Care | 6 | ||
Characteristics and Functions of the Family Physician | 7 | ||
The Family Physician in Practice | 14 | ||
Patient-Centered Medical Home | 15 | ||
Looking toward the Future | 15 | ||
References | 16 | ||
Web Resources | 16 | ||
References | 16.e1 | ||
Chapter 2 - The Patient-Centered Medical Home | 17 | ||
Key Points | 17 | ||
History | 17 | ||
Healing, Curing, and the Goals of the Medical Home | 17 | ||
Health Teams | 20 | ||
The Health Home Checklist | 22 | ||
Conclusion | 22 | ||
References | 23 | ||
Web Resources | 23 | ||
References | 23.e1 | ||
Chapter 3 - Psychosocial Influences on Health | 24 | ||
Key Points | 24 | ||
Conceptual Models | 25 | ||
Integration of Psychosocial Issues in Clinical Practice | 29 | ||
Evidence-Based Practice | 30 | ||
The Patient-Centered Medical Home and Psychosocial Issues | 31 | ||
Conclusion | 31 | ||
References | 32 | ||
Web Resources | 32 | ||
References | 32.e1 | ||
Chapter 4 - Care of the Elderly Patient | 33 | ||
Geriatric Assessment | 33 | ||
Falls | 36 | ||
Elder Abuse | 39 | ||
Pressure Ulcers | 42 | ||
Rational Drug Prescribing for Elderly Patients | 45 | ||
Urinary Incontinence | 47 | ||
References | 52 | ||
Web Resources | 52 | ||
Videos | 52 | ||
References | 52.e1 | ||
Chapter 5 - Care of the Dying Patient | 53 | ||
The Physician’s Attitude | 54 | ||
Communication | 55 | ||
Denial | 57 | ||
“Watch with Me” | 58 | ||
Patient Control | 58 | ||
The Importance of Hope | 59 | ||
Prolonging Living or Prolonging Dying? | 59 | ||
Management of Symptoms | 59 | ||
Nutrition | 67 | ||
Where to Die | 68 | ||
Hospice Care | 68 | ||
Advance Directives | 69 | ||
Social Support and Resources in the Community | 69.e3 | ||
References | 71 | ||
Web Resources | 71 | ||
Euthanasia and Assisted Suicide | 71.e1 | ||
References | 72.e1 | ||
Suggested Readings | 72.e2 | ||
Chapter 6 - Preventive Health Care | 73 | ||
Key Concepts in Evidence-Based Prevention | 73 | ||
Statistical Concepts in Prevention | 76 | ||
Preventive Services by Disease Category | 77 | ||
Special Populations | 90 | ||
Counseling | 92 | ||
Systems Change | 94 | ||
Conclusions | 95 | ||
Acknowledgments | 99 | ||
References | 99 | ||
Web Resources | 99 | ||
References | 99.e1 | ||
Chapter 7-Lifestyle Interventions and Behavior Change | 100 | ||
Prevention from the Disease-Oriented Perspective: A Focus on Heart Disease | 100 | ||
Primary Prevention: A Focus on Lifestyle | 103 | ||
After the Evidence: Motivational Interviewing | 108 | ||
Crux of the Lifestyle Dilemma: Do Physicians Believe in Primary Prevention? | 109 | ||
Summary | 110 | ||
References | 111 | ||
Web Resources | 111 | ||
Chapter 8 - Interpreting the Medical Literature: Applying Evidence-Based Medicine in Practice | 112 | ||
Building Clinical Evidence from Published Research | 112 | ||
Understanding the Statistical Significance of Study Results | 114 | ||
Interpreting Study Results: Statistical and Clinical Significance | 115 | ||
Other Keys to Interpreting Clinical Evidence | 115 | ||
Using Evidence at the Point of Care | 116 | ||
References | 119 | ||
Web Resources | 119 | ||
References | 119.e3 | ||
Chapter 9 - Using Health Information Technology for Optimal Patient Care and Service | 120 | ||
Components of Patient Care | 120 | ||
Office Business and Management Functions | 122 | ||
Integrating and Connecting Systemsand Functions | 122 | ||
Conclusion | 123 | ||
References | 123 | ||
Web Resources | 123 | ||
Reference | 123.e1 | ||
Chapter 10 - Clinical Problem Solving | 124 | ||
Making Clinical Decisions | 124 | ||
Focusing the Question | 125 | ||
Finding the Evidence | 125 | ||
Incorporating Patient Preferences | 127 | ||
Conclusion | 129 | ||
References | 130 | ||
Web Resources | 130 | ||
References | 130.e1 | ||
Chapter 11 - Complementary and Alternative Medicine: Integration into Primary Care | 131 | ||
What Is Complementary and Alternative Medicine? | 132 | ||
Important U.S. Reports | 135 | ||
Conclusion | 144 | ||
References | 145 | ||
Web Resources | 145 | ||
References | 145.e1 | ||
Chapter 12 - Establishing Rapport | 146 | ||
Respect | 147 | ||
Patient Satisfaction | 147 | ||
Part Two - Practice of Family Medicine | 205 | ||
Chapter 16 - Infectious Diseases | 207 | ||
Bronchitis | 208 | ||
Chronic Bronchitis: Acute Exacerbation | 209 | ||
Pneumonia | 209 | ||
INFLUENZA | 210 | ||
Systemic Viral Infections | 212 | ||
Varicella and Herpes Zoster | 213 | ||
Measles | 214 | ||
Epstein-Barr Virus and Cytomegalovirus | 214 | ||
Tuberculosis | 215 | ||
Sexually Transmitted Infections | 218 | ||
Genital Ulcers | 219 | ||
Urethritis and Cervicitis | 222 | ||
Pelvic Inflammatory Disease | 224 | ||
Human Papillomavirus | 224 | ||
Ectoparasites | 225 | ||
Genitourinary Infections | 225 | ||
Tick-Borne Infections | 228 | ||
Rocky Mountain Spotted Fever | 228 | ||
Ehrlichiosis | 228 | ||
Babesiosis | 230 | ||
Lyme Disease | 230 | ||
Tularemia | 230 | ||
Colorado Tick Fever | 231 | ||
Prevention of Tick-Borne Disease | 231 | ||
Cellulitis | 231 | ||
FURUNCLES AND CARBUNCLES | 232 | ||
Diabetic Ulcers | 234 | ||
Bite Infections | 235 | ||
Animal Bites | 235 | ||
Human Bites | 235 | ||
Treatment | 237 | ||
Bone and Joint Infections | 237 | ||
Osteomyelitis | 237 | ||
Diabetic Foot Osteomyelitis | 239 | ||
Orthopedic Hardware Infections | 239 | ||
Septic Arthritis | 240 | ||
Fever Of Unknown Origin | 240 | ||
Complicated Intra-Abdominal Infections | 242 | ||
Spontaneous Bacterial Peritonitis | 242 | ||
Central Nervous System Infections | 243 | ||
Bacterial Meningitis | 243 | ||
Viral Encephalitis | 244 | ||
Brain Abscess | 244 | ||
Infectious Diarrhea | 244 | ||
Viral Gastroenteritis | 245 | ||
Travelers’ Diarrhea | 246 | ||
Antibiotic-Associated Diarrhea | 246 | ||
References | 247 | ||
Web Resources | 247 | ||
Infectious Viral Hepatitis | 247.e1 | ||
Endocarditis | 247.e3 | ||
References | 247.e1 | ||
Chapter 17 - Care of the Adult HIV-Infected Patient | 248 | ||
Epidemiology | 248 | ||
Modes of Transmission and Relative Risk | 249 | ||
Pathophysiology | 250 | ||
Life Cycle of HIV and Relevance to Treatment | 250 | ||
Classification and Staging of HIV/AIDS | 251 | ||
Natural History and Clinical Course | 252 | ||
Diagnosis | 253 | ||
Approach to the Patient | 254 | ||
Use of Antiretroviral Agents | 255 | ||
Summary | 259 | ||
References | 260 | ||
Web Resources | 260 | ||
References | 260.e1 | ||
Chapter 18 - Pulmonary Medicine | 261 | ||
Lung Disease in Primary Care | 261 | ||
Disorders of Breathing | 298 | ||
Obstructive Lung Disease | 268 | ||
Acute Infectious Diseases | 278 | ||
Chronic Infectious Diseases | 282 | ||
Fungal Infections of the Lung | 287 | ||
Vascular Disease | 287 | ||
Pulmonary Complications of Sickle Cell Disease | 290 | ||
Malignant Disease | 291 | ||
Occupational Lung Disease | 292 | ||
Granulomatous Diseases | 294 | ||
Interstitial Lung Diseases | 296 | ||
Lung Manifestations of Autoimmune Connective Tissue Disorders and Other Systemic Diseases | 297 | ||
Diseases of the Pleura and Extrapulmonary Space | 297 | ||
References | 299 | ||
Web Resources | 299 | ||
References | 299.e1 | ||
Chapter 19 - Otorhinolaryngology | 300 | ||
Emergencies | 300 | ||
The Ear | 305 | ||
Facial Nerve Paralysis | 318 | ||
The Nose and Paranasal Sinuses | 319 | ||
Oral Cavity and Pharynx | 330 | ||
The Larynx | 333 | ||
The Neck | 338 | ||
References | 342 | ||
Web Resources | 342 | ||
References | 342.e1 | ||
Chapter 20 - Allergy | 343 | ||
Allergic Rhinitis | 344 | ||
Asthma | 347 | ||
Paradoxical Vocal Cord Motion | 353 | ||
Anaphylaxis | 354 | ||
Best Evidence Sources | 358 | ||
Web Resources | 358 | ||
References | 358.e1 | ||
Chapter 21 - Obstetrics | 359 | ||
Woman and Child Health | 360 | ||
Preconception Counseling | 361 | ||
Nutrition | 361 | ||
Medical Risk Assessment | 363 | ||
Routine Prenatal Care | 363 | ||
Prenatal Genetic Diagnostic Testing | 367 | ||
Drug and Chemical Exposures in Pregnancy | 368 | ||
Infections in Pregnancy | 369 | ||
Medical Disorders in Pregnancy | 371 | ||
Complications of Early Pregnancy | 375 | ||
Complications of Late Pregnancy | 377 | ||
Multiple Gestation | 382 | ||
Antepartum Fetal Surveillance | 382 | ||
Normal Labor and Delivery | 384 | ||
Abnormalities of Labor and Delivery | 387 | ||
Electronic Fetal Monitoring | 389 | ||
Vaginal Birth after Cesarean | 393 | ||
Intrapartum Procedures | 395 | ||
The Puerperium | 399 | ||
Postpartum Hemorrhage | 400 | ||
References | 401 | ||
Web Resources | 401 | ||
References | 401.e1 | ||
Chapter 22 - Care of the Newborn | 402 | ||
Preconception and Intrapartum Health | 402 | ||
Initial Newborn Evaluation | 406 | ||
Postnatal Assessment of Gestational Age | 410 | ||
Audiology Screening | 410 | ||
Signs and Symptoms of Concern | 410 | ||
Common Problems Encountered in the Term Newborn | 415 | ||
Parental Education and Anticipatory Guidance before Discharge | 418 | ||
References | 419.e1 | ||
Early Care of the Well Newborn after HospitalDischarge | 419.e1 | ||
Care of the Neonatal Intensive Care UnitGraduate | 419.e1 | ||
Web Resources | 420 | ||
References | 420.e1 | ||
Chapter 23 - Growth and Development | 421 | ||
Care of Children in Family Medicine | 421 | ||
Blood Pressure Monitoring | 422 | ||
Measuring Physical Parameters of Growth | 423 | ||
Screening Healthy Children | 425 | ||
Discipline | 427 | ||
Nutrition | 428 | ||
Behavior and Neurodevelopment | 431 | ||
Guidelines for Clinical Assessment | 431 | ||
Immunizations | 437 | ||
Acknowledgment | 441 | ||
Key Resource | 441 | ||
References | 441 | ||
Web Resources | 441 | ||
References | 441.e1 | ||
Chapter 24 - Behavioral Problems in Children and Adolescents | 442 | ||
Sleep Problems | 443 | ||
Autism | 445 | ||
Encopresis and Enuresis | 446 | ||
Attention-Deficit/Hyperactivity Disorder | 446 | ||
Oppositional Defiant Disorder | 450 | ||
Conduct Disorder | 450 | ||
Eating Disorders | 452 | ||
References | 453 | ||
Web Resources | 454 | ||
References | 454.e1 | ||
Chapter 25 - Gynecology | 455 | ||
Patient-Centered Approach to the Well-Woman Examination | 455 | ||
Abnormal Vaginal Bleeding | 456 | ||
Pelvic Mass | 459 | ||
Vaginal Discharge | 460 | ||
Vulvar Lesions | 463 | ||
Acute Pelvic Pain | 464 | ||
Menopause | 466 | ||
References | 467 | ||
Web Resources | 467 | ||
References | 467.e1 | ||
Chapter 26 - Contraception | 468 | ||
Use of Contraception | 468 | ||
Sterilization | 476 | ||
Emergency Contraception | 477 | ||
Conclusion | 477 | ||
References | 477 | ||
Web Resources | 477 | ||
References | 477.e1 | ||
Chapter 27 - Cardiovascular Disease | 478 | ||
Atherosclerosis | 479 | ||
Dyslipidemia | 479 | ||
Hypertension | 486 | ||
Metabolic Syndrome | 492 | ||
Diabetes Mellitus | 495 | ||
C-Reactive Protein | 497 | ||
Homocysteine | 498 | ||
Cigarette Smoking | 498 | ||
Coronary Artery Disease | 499 | ||
Congestive Heart Failure | 508 | ||
Valvular Heart Disease | 513 | ||
Peripheral Arterial Disease | 518 | ||
Cardiac Electrophysiology and Arrhythmias | 531 | ||
References | 549 | ||
Web Resources | 549 | ||
References | 549.e1 | ||
Chapter 28 - Common Office Procedures | 550 | ||
Basic Skills | 551 | ||
Principles of Healing | 556 | ||
Principles of Skin Closure | 558 | ||
Excisions | 562 | ||
Cryotherapy | 563 | ||
Incision and Drainage of Cutaneous Abscess | 564 | ||
Lipomas | 565 | ||
Surgery of the Nail and Digits | 565 | ||
Anorectal Disease | 566 | ||
Gynecologic Office Procedures | 569 | ||
Neonatal Circumcision | 574 | ||
Musculoskeletal Office Procedures | 575 | ||
References | 576 | ||
Web Resources | 576 | ||
References | 576.e1 | ||
Chapter 29 - Sports Medicine | 577 | ||
Preparticipation Physical Evaluation | 578 | ||
Cardiac Disorders in Athletes | 580 | ||
Concussion in Sports | 582 | ||
Cervical Spine Injuries | 584 | ||
Environmental Influences | 586 | ||
Sports Trauma to the Teeth, Face, and Eyes | 588 | ||
Infectious Disease | 590 | ||
Sports Dermatology | 591 | ||
Pulmonary Problems | 592 | ||
Hematologic Problems | 593 | ||
Gastrointestinal Problems | 594 | ||
Genitourinary Problems | 594 | ||
Low Back Pain | 594 | ||
Spondylolysis | 594 | ||
Muscle and Tendon Injuries | 594 | ||
Shin Pain | 596 | ||
Stress Fractures | 597 | ||
The Pediatric Athlete | 597 | ||
Special Concerns for the Female Athlete | 598 | ||
References | 600 | ||
Web Resources | 600 | ||
References | 600.e1 | ||
Chapter 30 - Common Issues in Orthopedics | 601 | ||
Fractures | 601 | ||
Shoulder | 603 | ||
Elbow | 610 | ||
Wrist and Hand | 612 | ||
Knee | 616 | ||
Ankle and Foot | 624 | ||
References | 629 | ||
Web Resources | 629 | ||
References | 630.e1 | ||
Chapter 31 - Back: Cervical and Thoracolumbar Spine | 631 | ||
Cervical Spine | 631 | ||
Thoracolumbar Spine | 636 | ||
References | 647 | ||
Web Resources | 647 | ||
References | 647.e1 | ||
Chapter 32 - Rheumatology and Musculoskeletal Problems | 648 | ||
Evaluation of Joint and Other Musculoskeletal Symptoms | 648 | ||
Pathogenesis of Rheumatic and Other Musculoskeletal Diseases | 650 | ||
Laboratory Studies | 652 | ||
Rheumatic Diseases | 655 | ||
Rheumatic Disease in Children | 687 | ||
Rheumatology Information on the Internet | 688 | ||
References | 688 | ||
Web Resources | 688 | ||
References | 689.e1 | ||
Chapter 33 - Dermatology | 690 | ||
Principles of Diagnosis | 690 | ||
General Management | 692 | ||
Skin Problems Beginning in Childhood | 693 | ||
Inflammatory Dermatologic Diseases | 698 | ||
Infectious Skin Diseases | 705 | ||
Infestations | 716 | ||
Hypersensitivity Reactions and Other Eruptions | 718 | ||
Skin Signs of Systemic Disease | 720 | ||
Benign Growths | 723 | ||
Premalignant and Malignant Skin Lesions | 724 | ||
References | 730 | ||
Web Resources | 730 | ||
References | 730.e1 | ||
Chapter 34 - Diabetes Mellitus | 731 | ||
Definition and Pathogenesis | 731 | ||
Classification and Diagnosis | 732 | ||
Epidemiology | 732 | ||
Pathophysiology | 733 | ||
Presentation | 735 | ||
Management | 736 | ||
Diabetic Ketoacidosis | 744 | ||
Nonketotic Hyperosmolality Syndrome | 747 | ||
Diabetes and Pregnancy | 747 | ||
Hospital Care of Diabetic Patients | 748 | ||
Diabetic Complications | 749 | ||
The Metabolic Syndrome | 753 | ||
Office Management to Improve Diabetic Outcomes: Activating the Patient | 754 | ||
References | 755 | ||
Web Resources | 755 | ||
References | 755.e1 | ||
Chapter 35 - Endocrinology | 756 | ||
Pituitary Disorders | 756 | ||
Thyroid Disorders | 767 | ||
Adrenal Glands | 777 | ||
Ovarian and Testicular Disorders | 784 | ||
Disturbances in Calcium and Phosphate | 796 | ||
References | 801 | ||
Web Resources | 801 | ||
References | 801.e1 | ||
Chapter 36 - Obesity | 802 | ||
Overview | 802 | ||
Assessment | 804 | ||
Demographics | 805 | ||
Determinants of Obesity | 806 | ||
Medical Complications | 808 | ||
Management and Interventions | 810 | ||
Summary | 817 | ||
References | 817 | ||
Web Resources | 817 | ||
References | 817.e1 | ||
Chapter 37 - Nutrition and Family Medicine | 818 | ||
Overview | 818 | ||
Nutrition Assessment | 819 | ||
Nutrition in the Life Cycle | 827 | ||
Diet in Prevention and Management of Major Disease | 831 | ||
Nutrition Decisions in the Hospitalized Patient | 835 | ||
Future in Nutrition | 840 | ||
Terminology | 841 | ||
Conclusion | 841 | ||
References | 841 | ||
Web Resources | 842 | ||
References | 842.e1 | ||
Chapter 38 - Gastroenterology | 843 | ||
Epidemiology and Social Impact of Gastrointestinal Disease | 843 | ||
Common Pediatric Gastrointestinal Disorders | 844 | ||
Common Adult Gastrointestinal Disorders | 847 | ||
Gallbladder | 855 | ||
Liver | 856 | ||
Pancreas | 861 | ||
Lower Gastrointestinal Tract | 863 | ||
References | 876 | ||
Web Resources | 876 | ||
References | 876.e1 | ||
Chapter 39 - Hematology | 877 | ||
Overview | 877 | ||
Disorders of Red Blood Cells | 878 | ||
White Blood Cells | 888 | ||
Platelets | 892 | ||
Lymphoid System | 896 | ||
Leukemia | 898 | ||
References | 898 | ||
Web Resources | 898 | ||
Leukemia | 898.e1 | ||
Lymphomas | 898.e5 | ||
Additional Readings | 898.e10 | ||
Chapter 40 - Urinary Tract Disorders | 899 | ||
Evaluation of the Urinary Tract | 899 | ||
Anatomic Disorders | 909 | ||
Functional Disorders | 912 | ||
Infectious Disorders | 918 | ||
Neoplastic Disorders | 923 | ||
References | 927 | ||
Web Resources | 927 | ||
References | 827.e1 | ||
Chapter 41 - Ophthalmology | 928 | ||
Red Eye | 928 | ||
Symptoms and Signs | 928 | ||
Ocular Trauma and Other Emergencies | 936 | ||
Pediatric Ophthalmology | 939 | ||
Adult Ophthalmology | 947 | ||
References | 957 | ||
Web Resources | 957 | ||
Chapter 42 - Neurology | 959 | ||
Neurologic Examination | 959 | ||
Neurologic Conditions | 962 | ||
References | 999 | ||
Web Resources | 999 | ||
References | 999.e1 | ||
Chapter 43 - Medical Human Sexuality | 1000 | ||
Overview | 1000 | ||
Female Sexual Dysfunction | 1002 | ||
Male Sexual Dysfunction | 1005 | ||
Sexual Orientation Spectrum | 1008 | ||
Sexuality Issues at Specific Times of Life | 1009 | ||
Conclusion | 1012 | ||
References | 1012 | ||
Web Resources | 1012 | ||
References | 1012.e1 | ||
Chapter 44 - Clinical Genetics (Genomics) | 1013 | ||
Overview | 1013 | ||
Family History: Best Guide to Genetic Components of Disease | 1014 | ||
Genetic Testing | 1015 | ||
Ethical, Legal, and Social Issues | 1018 | ||
Genetics in Primary Care Practice: Disease Illustrations | 1018 | ||
References | 1021 | ||
Web Resources | 1021 | ||
References | 1021.e1 | ||
Chapter 45 - Crisis Intervention, Trauma, and Intimate Partner Violence | 1022 | ||
Development of Crisis Intervention, Trauma, and Disaster Theory | 1022 | ||
Evaluating the Crisis or Disaster | 1025 | ||
Crisis Intervention Treatment in the Office Setting | 1029 | ||
Coping Skills and Adaptive Problem Solving | 1032 | ||
Intimate Partner Violence Approach | 1032 | ||
Other Trauma Treatments | 1035 | ||
Medications for Symptoms of Psychiatric Disorders | 1035 | ||
Conclusion | 1036 | ||
References | 1036 | ||
Index | 1135 |