Additional Information
Book Details
Abstract
This text has been admired for as long as Family Medicine has been a recognized specialty. Edited by the legendary Robert E. Rakel, MD, this superb 7th edition continues to break new ground.
- Includes materials to help hone your clinical skills and prepare for the ABFP boards and SPEX exams.
- Highlights especially important points of diagnosis and therapy in the "case" section of book.
- Provides "Best Evidence Recommendations" boxes to promote greater reliability of information.
- Offers a free CD-rom containing video clips of diabetes testing, stress test and all the illustrations from the book!
- Contains new chapters on complementary and alternative medicine.
- Takes a fresh new approach to evidence based medicine in clinical practice.
- Uses a visually appealing, functional 4-color design and a full-color insert.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Textbook of Family Medicine | iii | ||
| Copyright Page | iv | ||
| Table of Contents | xix | ||
| Dedication | v | ||
| Contributors | vii | ||
| Preface | xvii | ||
| Chapter 1. The Family Physician | 3 | ||
| THE JOY OF FAMILY PRACTICE | 3 | ||
| DEVELOPMENT OF THE SPECIALTY | 4 | ||
| PERSONALIZED CARE | 5 | ||
| CHARACTERISTICS AND FUNCTIONS OF THEFAMILY PHYSICIAN | 6 | ||
| THE FAMILY PHYSICIAN IN PRACTICE | 11 | ||
| LOOKING TOWARD THE FUTURE | 13 | ||
| REFERENCES | 13 | ||
| Chapter 2. Developing Optimal Healing Environments in Family Medicine | 15 | ||
| DEVELOPING AWARENESS AND INTENTION | 15 | ||
| EXPERIENCING PERSONAL WHOLENESS | 16 | ||
| HEALING RELATIONSHIPS | 17 | ||
| COLLABORATIVE MEDICINE | 17 | ||
| HEALING SPACES AND PLACES | 18 | ||
| RETURNING TO OUR ROOTS | 22 | ||
| REFERENCES | 22 | ||
| Chapter 3. The Family’s Influence on Health | 25 | ||
| FAMILY AS A RESOURCE FOR HEALTHPROMOTION | 26 | ||
| FAMILY CARE GIVING AND CHRONIC DISEASE | 27 | ||
| FAMILY STRESS AND HEALTH | 27 | ||
| IMPACT OF DIVORCE ON THE FAMILY | 28 | ||
| ROLE OF THE FAMILY PHYSICIAN | 31 | ||
| CONCLUSIONS | 32 | ||
| REFERENCES | 32 | ||
| BEST EVIDENCE SOURCES | 33 | ||
| Chapter 4. Psychosocial Influences on Health | 35 | ||
| CONCEPTUAL MODELS | 35 | ||
| INTEGRATION OF PSYCHOSOCIAL ISSUES INCLINICAL PRACTICE | 38 | ||
| MANAGED CARE AND PSYCHOSOCIAL ISSUES | 40 | ||
| EVIDENCE-BASED PRACTICE | 40 | ||
| CONCLUSIONS | 40 | ||
| REFERENCES | 41 | ||
| Chapter 5. Practicing Biopsychosocial Medicine | 42 | ||
| SHIFTING PARADIGMS | 42 | ||
| UBIQUITY OF STRESS | 43 | ||
| POSITIVE POWER OF PHYSICIANS | 43 | ||
| LISTENING TO AND HELPING PATIENTS EDITTHEIR STORIES | 43 | ||
| EXPANDING NOT SHRINKING | 44 | ||
| BATHEING THE PATIENT | 44 | ||
| DEALING WITH DIFFICULT PATIENTS | 45 | ||
| PHYSICIAN, TREAT THYSELF | 45 | ||
| REFERENCES | 46 | ||
| Chapter 6. Domestic Violence | 47 | ||
| DEFINITION | 47 | ||
| PREVALENCE AND INCIDENCE | 47 | ||
| ETIOLOGY | 47 | ||
| RISK FACTORS | 48 | ||
| ASSESSMENT AND SCREENING | 48 | ||
| INTERVENTION AND ADVOCACY | 49 | ||
| MANDATED REPORTING | 49 | ||
| DEFINITION | 50 | ||
| ETIOLOGY | 51 | ||
| DEMOGRAPHICS AND ABUSE MODIFIERS | 51 | ||
| ADVOCACY AND TREATMENT | 53 | ||
| DEFINITION | 55 | ||
| EPIDEMIOLOGY | 55 | ||
| EVALUATION AND RISK ASSESSMENT | 56 | ||
| CONSEQUENCES AND INTERVENTION | 57 | ||
| CHARACTERISTICS OF SEXUAL ASSAULTAND RAPE | 58 | ||
| MALE VICTIMS OF RAPE | 58 | ||
| VICTIM’S PSYCHOLOGICAL REACTION TORAPE OR SEXUAL ASSAULT | 59 | ||
| ACUTE CARE OF THE VICTIM OFSEXUAL ASSAULT | 59 | ||
| FOLLOW-UP AFTER SEXUAL ASSAULT | 62 | ||
| CONCLUSIONS | 62 | ||
| REFERENCES | 62 | ||
| Chapter 7. Care of the Elderly | 67 | ||
| GERIATRIC INTEGRATED FUNCTIONAL TESTING | 67 | ||
| DEMENTIA | 77 | ||
| FALLS | 80 | ||
| LATE-LIFE DEPRESSION | 83 | ||
| URINARY INCONTINENCE | 87 | ||
| RATIONAL DRUG PRESCRIBING | 93 | ||
| ELDER MISTREATMENT | 97 | ||
| REFERENCES | 100 | ||
| BEST EVIDENCE SOURCES | 105 | ||
| Chapter 8. Care of the Dying Patient | 107 | ||
| THE PHYSICIAN’S ATTITUDE | 107 | ||
| COMMUNICATION | 108 | ||
| DENIAL | 110 | ||
| WATCH WITH ME | 110 | ||
| PATIENT CONTROL | 111 | ||
| THE IMPORTANCE OF HOPE | 111 | ||
| PROLONGING LIVING ORPROLONGING DYING? | 112 | ||
| MANAGEMENT OF SYMPTOMS | 112 | ||
| NUTRITION | 118 | ||
| WHERE TO DIE | 119 | ||
| SOCIAL SUPPORT AND RESOURCES INTHE COMMUNITY | 122 | ||
| LEGAL AND MORAL ISSUES | 123 | ||
| REFERENCES | 124 | ||
| Chapter 9. Ethics in Family Practice | 127 | ||
| MEDICINE AS A RELATIONSHIP ANDAS A PROFESSION | 127 | ||
| SPECIAL PROBLEMS IN PRIMARYCARE SETTINGS | 128 | ||
| SPECIAL PROBLEMS IN TERTIARYCARE SETTINGS | 130 | ||
| THE PHYSICIAN AS HUMAN BEING | 131 | ||
| EUTHANASIA AND ASSISTED SUICIDE | 132 | ||
| THE SPECIAL CASE OF TERRI SCHIAVO | 133 | ||
| CONCLUSIONS | 134 | ||
| REFERENCES | 134 | ||
| Chapter 10. The Periodic Health Examination | 139 | ||
| BIRTH TO 10 YEARS | 139 | ||
| ADULT | 148 | ||
| REFERENCES | 155 | ||
| Chapter 11. Preventive Health Care | 159 | ||
| KEY CONCEPTS IN EVIDENCE-BASEDPREVENTION | 159 | ||
| STATISTICAL CONCEPTS IN PREVENTION | 162 | ||
| PREVENTIVE SERVICES BY DISEASE CATEGORY | 163 | ||
| PREVENTIVE SERVICES FOR SPECIALPOPULATIONS: CHILDREN AND ADOLESCENTS,PREGNANT WOMEN, AND OLDER ADULTS | 176 | ||
| COUNSELING | 177 | ||
| SYSTEMS CHANGE | 179 | ||
| CONCLUSIONS | 180 | ||
| ACKNOWLEDGEMENTS | 181 | ||
| REFERENCES | 181 | ||
| BEST EVIDENCE SOURCES | 183 | ||
| Chapter 12. Evidence-Based Medicine | 185 | ||
| HOW TO PRACTICEEVIDENCE-BASED MEDICINE | 185 | ||
| HABITS OF HIGHLY EFFECTIVE FAMILYPHYSICIANS: FORAGING AND HUNTING | 185 | ||
| EVIDENCE-BASED MEDICINE:A HISTORICAL PERSPECTIVE | 189 | ||
| THE EVIDENCE FOREVIDENCE-BASED MEDICINE | 191 | ||
| CAVEATS ABOUT EVIDENCE-BASED MEDICINE | 192 | ||
| EVIDENCE-BASED MEDICINE INFAMILY MEDICINE | 193 | ||
| EVIDENCE-BASED MEDICINE RESOURCES ONTHE INTERNET | 194 | ||
| CONCLUSIONS | 194 | ||
| REFERENCES | 195 | ||
| Chapter 13. Interpreting the Medical Literature: Applying Evidence-Based Medicine in Practice | 203 | ||
| BUILDING CLINICAL EVIDENCE FROMPUBLISHED RESEARCH | 203 | ||
| INTERPRETING STUDY RESULTS: STATISTICALAND CLINICAL SIGNIFICANCE | 205 | ||
| OTHER KEYS TO INTERPRETINGCLINICAL EVIDENCE | 205 | ||
| USING EVIDENCE AT THE POINT OF CARE | 206 | ||
| REFERENCES | 208 | ||
| Chapter 14. Electronic Health Records andHealth Information Technology | 209 | ||
| INFORMATION AT YOUR FINGERTIPS | 209 | ||
| USING THE INTERNET EFFECTIVELY | 209 | ||
| ELECTRONIC HEALTH RECORDS | 209 | ||
| MANAGING THE PRACTICE | 211 | ||
| CONCLUSIONS | 212 | ||
| SUGGESTED READINGS | 213 | ||
| Chapter 15. Clinical Problem Solving | 215 | ||
| MAKING CLINICAL DECISIONS | 215 | ||
| FOCUSING THE QUESTION | 215 | ||
| FINDING THE EVIDENCE | 216 | ||
| INCORPORATING PATIENT PREFERENCES | 217 | ||
| REFERENCES | 221 | ||
| Chapter 16. Complementary and Alternative Medicine: ANew Dimension of Integrative Care | 223 | ||
| WHAT IS COMPLEMENTARY ANDALTERNATIVE MEDICINE | 223 | ||
| COMPLEMENTARY AND ALTERNATIVEMEDICINE USE IN THE 1990s | 225 | ||
| COMPLEMENTARY AND ALTERNATIVEMEDICINE USE IN THE TWENTY-FIRST CENTURY | 225 | ||
| IMPORTANT NATIONAL REPORTSON COMPLEMENTARY ANDALTERNATIVE MEDICINE | 227 | ||
| EVIDENCE-BASED MEDICINE AND RESEARCHCHALLENGES IN COMPLEMENTARY ANDALTERNATIVE MEDICINE | 228 | ||
| COMPLEMENTARY AND ALTERNATIVEMEDICINE AND INTEGRATIVEMEDICINE IN PRACTICE | 229 | ||
| ENERGY MEDICINE: THE FRONTIER SCIENCEOF COMPLEMENTARY ANDALTERNATIVE MEDICINE | 235 | ||
| CONCLUSIONS | 235 | ||
| Chapter 17. Herbs and Other Dietary Supplements | 243 | ||
| TRENDS IN SUPPLEMENT USE:THE CLINICIAN’S ROLE | 243 | ||
| SUPPLEMENT SAFETY | 244 | ||
| TYPES OF SUPPLEMENTS | 246 | ||
| REFERENCES | 265 | ||
| SUGGESTED READINGS | 266 | ||
| Chapter 18. Establishing Rapport | 269 | ||
| RESPECT | 269 | ||
| PATIENT SATISFACTION | 270 | ||
| PATIENT DISSATISFACTION | 270 | ||
| COMMUNICATION | 270 | ||
| INTERVIEWING EFFECTIVELY | 280 | ||
| CARE WITH CARING | 282 | ||
| REFERENCES | 282 | ||
| Chapter 19. Patient Education | 285 | ||
| RATIONALE | 285 | ||
| OPPORTUNITIES | 286 | ||
| PRINCIPLES OF PATIENT EDUCATION | 286 | ||
| A MODEL OF HEALTH BEHAVIOR CHANGE | 287 | ||
| EDUCATIONAL PROCESS | 288 | ||
| LITERACY | 288 | ||
| PLANNING FOR PATIENT EDUCATION INYOUR PRACTICE | 289 | ||
| REFERENCES | 291 | ||
| Chapter 20. Interviewing Techniques | 293 | ||
| THE LISTENING ENVIRONMENT | 293 | ||
| MAXIMIZING THE TIME | 294 | ||
| THE PROCESS OF THE INTERVIEW | 294 | ||
| THE PARTICIPATING PATIENT | 295 | ||
| WHEN THINGS ARE NOT RIGHT | 295 | ||
| BARRIERS TO EFFECTIVE COMMUNICATION | 295 | ||
| RELIGION AND SPIRITUAL ISSUES | 296 | ||
| CULTURAL COMPETENCY | 297 | ||
| THE CHANGE PROCESS | 297 | ||
| INTERVIEWING SPECIFIC GROUPS | 298 | ||
| CONCLUSIONS | 300 | ||
| REFERENCES | 301 | ||
| Chapter 21. Pharmacotherapeutic Management of Acuteand Chronic Pain | 305 | ||
| DEVELOPING THE TREATMENT PLAN | 305 | ||
| ACUTE PAIN NEURAL PATHWAYS | 306 | ||
| APPROACH TO THE PAIN PATIENT | 307 | ||
| OPIOID ANALGESICS | 308 | ||
| ANTI-INFLAMMATORY DRUGS | 310 | ||
| ANTIDEPRESSANTS | 312 | ||
| ANXIOLYTICS, SEDATIVES, AND HYPNOTICS | 314 | ||
| ANTICONVULSANTS | 314 | ||
| TOPICAL ANESTHETICS | 315 | ||
| CONCLUSION | 315 | ||
| REFERENCES | 316 | ||
| Chapter 22. Infectious Diseases | 317 | ||
| FEVER OF UNKNOWN ORIGIN | 317 | ||
| BRONCHITIS | 318 | ||
| PNEUMONIA | 319 | ||
| TUBERCULOSIS | 321 | ||
| BACTERIAL ENDOCARDITIS | 325 | ||
| PERICARDITIS | 326 | ||
| INTRA-ABDOMINAL INFECTIONS | 326 | ||
| SECONDARY BACTERIAL PERITONITIS ANDINTRA-ABDOMINAL ABSCESSES | 327 | ||
| CHOLECYSTITIS | 328 | ||
| APPENDICITIS | 328 | ||
| DIVERTICULITIS | 329 | ||
| INFECTIOUS DIARRHEA | 329 | ||
| GENITOURINARY INFECTIONS | 331 | ||
| SEXUALLY TRANSMITTED DISEASES | 333 | ||
| CENTRAL NERVOUS SYSTEM INFECTIONS | 338 | ||
| CELLULITIS | 340 | ||
| FURUNCLES AND CARBUNCLES | 340 | ||
| TREATMENT | 342 | ||
| DIABETIC ULCERS | 342 | ||
| BONE AND JOINT INFECTIONS | 342 | ||
| TICK-BORNE INFECTIONS | 343 | ||
| SYSTEMIC VIRAL INFECTIONS | 345 | ||
| INFECTIOUS VIRAL HEPATITIS | 348 | ||
| SUGGESTED READINGS | 351 | ||
| BEST EVIDENCE SOURCE | 352 | ||
| Chapter 23. Care of the Adult HIV-1–Infected Patient | 353 | ||
| HIV CARE AND FAMILY PRACTICE RESIDENTS | 353 | ||
| HISTORY AND EPIDEMIOLOGY | 353 | ||
| PATHOPHYSIOLOGY | 356 | ||
| NATURAL HISTORY OF THE DISEASE | 356 | ||
| COUNSELING AND TESTING | 356 | ||
| OCCUPATIONAL ISSUES AND HEALTHCARE WORKERS | 358 | ||
| OFFICE MANAGEMENT OF THEHIV-INFECTED PATIENT | 358 | ||
| IMPORTANT ISSUES IN USE OFANTIRETROVIRAL MEDICATIONS | 363 | ||
| PREVENTION OF OPPORTUNISTIC INFECTIONSAND THE USE OF IMMUNIZATIONS | 364 | ||
| OPPORTUNISTIC INFECTIONSAND MALIGNANCIES | 368 | ||
| WOMEN AND HIV | 371 | ||
| COMPLEMENTARY ANDALTERNATIVE MEDICINE | 372 | ||
| PSYCHOSOCIAL AND LEGAL ISSUES | 372 | ||
| REFERENCES | 373 | ||
| BEST EVIDENCE SOURCES | 373 | ||
| SUGGESTED READINGS | 373 | ||
| Chapter 24. Pulmonary Medicine | 375 | ||
| OBSTRUCTIVE LUNG DISEASE | 381 | ||
| CHRONIC INFECTIOUS DISEASES | 393 | ||
| FUNGAL INFECTIONS OF THE LUNG | 397 | ||
| VASCULAR DISEASE | 398 | ||
| PULMONARY COMPLICATIONS OF SICKLECELL DISEASE | 400 | ||
| MALIGNANT DISEASE | 401 | ||
| OCCUPATIONAL LUNG DISEASE | 402 | ||
| GRANULOMATOUS DISEASES | 404 | ||
| INTERSTITIAL LUNG DISEASES | 405 | ||
| LUNG MANIFESTATIONS OF AUTOIMMUNECONNECTIVE TISSUE DISORDERS AND OTHERSYSTEMIC DISEASES | 406 | ||
| DISEASES OF THE PLEURA ANDEXTRAPULMONARY SPACE | 406 | ||
| DISORDERS OF BREATHING | 407 | ||
| REFERENCES | 407 | ||
| Chapter 25. Otorhinolaryngology | 413 | ||
| EMERGENCIES | 413 | ||
| FOREIGN BODIES OF THEAERODIGESTIVE TRACT | 414 | ||
| HEAD AND NECK TRAUMA ANDRESPIRATORY EMBARRASSMENT | 416 | ||
| THE EAR | 417 | ||
| FACIAL NERVE PARALYSIS | 436 | ||
| THE NOSE AND PARANASAL SINUSES | 437 | ||
| ORAL CAVITY AND PHARYNX | 446 | ||
| THE LARYNX | 452 | ||
| REFERENCES | 461 | ||
| Chapter 26. Allergy | 463 | ||
| ALLERGIC RHINITIS | 463 | ||
| NASAL POLYPS | 466 | ||
| SINUSITIS | 466 | ||
| EOSINOPHILIC NONALLERGIC RHINITIS | 466 | ||
| VASOMOTOR RHINITIS | 466 | ||
| ALLERGY IN THE EYE | 467 | ||
| ASTHMA | 467 | ||
| PARADOXICAL VOCAL CORD MOTION | 472 | ||
| ANAPHYLAXIS | 472 | ||
| REFERENCES | 475 | ||
| BEST EVIDENCE SOURCES | 476 | ||
| Chapter 27. Parasitology | 477 | ||
| GIARDIASIS | 477 | ||
| ASCARIASIS | 479 | ||
| AMEBIASIS | 480 | ||
| ENTEROBIASIS | 481 | ||
| ANISAKIASIS | 481 | ||
| BABESIOSIS | 482 | ||
| TOXOPLASMOSIS | 483 | ||
| SWIMMER’S ITCH | 485 | ||
| ECTOPARASITES | 486 | ||
| REFERENCES | 488 | ||
| BEST EVIDENCE SOURCES | 490 | ||
| Chapter 28. Travel Medicine | 491 | ||
| PRETRAVEL EVALUATION ANDPATIENT EDUCATION | 491 | ||
| POST-TRAVEL EVALUATION | 494 | ||
| REFERENCES | 496 | ||
| BEST EVIDENCE SOURCES | 496 | ||
| Chapter 29. Obstetrics | 497 | ||
| WOMAN AND CHILD HEALTH | 497 | ||
| PRECONCEPTION COUNSELING | 498 | ||
| NUTRITION | 499 | ||
| MEDICAL RISK ASSESSMENT | 500 | ||
| ROUTINE PRENATAL CARE | 500 | ||
| PRENATAL GENETIC DIAGNOSTIC TESTING | 503 | ||
| DRUGS AND EXPOSURES IN PREGNANCY | 504 | ||
| VAGINAL BIRTH AFTER CESAREAN SECTION | 504 | ||
| INFECTIONS IN PREGNANCY | 505 | ||
| MEDICAL DISORDERS IN PREGNANCY | 508 | ||
| COMPLICATIONS OF EARLY PREGNANCY | 510 | ||
| COMPLICATIONS OF LATE PREGNANCY | 512 | ||
| HYPERTENSION ASSOCIATED WITHPREGNANCY | 513 | ||
| MULTIPLE GESTATION | 516 | ||
| ANTEPARTUM FETAL SURVEILLANCE | 516 | ||
| NORMAL LABOR AND DELIVERY | 517 | ||
| ABNORMALITIES OF LABOR AND DELIVERY | 520 | ||
| INTRAPARTUM PROCEDURES | 525 | ||
| OPERATIVE VAGINAL DELIVERIES | 527 | ||
| THE PUERPERIUM | 529 | ||
| POSTPARTUM HEMMORHAGE | 530 | ||
| REFERENCES | 531 | ||
| Chapter 30. Care of the Newborn | 535 | ||
| PRECONCEPTION AND INTRAPARTUM HEALTH | 535 | ||
| TRANSITION FROM FETUS TO NEWBORN | 536 | ||
| INITIAL NEWBORN EVALUATION | 539 | ||
| POSTNATAL ASSESSMENT OFGESTATIONAL AGE | 541 | ||
| AUDIOLOGY SCREENING | 542 | ||
| SIGNS AND SYMPTOMS OF CONCERN | 542 | ||
| COMMON PROBLEMS ENCOUNTERED INTHE TERM NEWBORN | 547 | ||
| PARENTAL EDUCATION AND ANTICIPATORYGUIDANCE BEFORE DISCHARGE | 549 | ||
| EARLY CARE OF THE WELL NEWBORNFOLLOWING HOSPITAL DISCHARGE | 551 | ||
| CARE OF THE NEONATAL INTENSIVE CAREUNIT GRADUATE | 551 | ||
| POSTPARTUM MAJOR DEPRESSION | 551 | ||
| REFERENCES | 553 | ||
| BEST EVIDENCE SOURCES | 554 | ||
| Chapter 31. Growth and Development | 555 | ||
| MEASURING PHYSICAL PARAMETERSOF GROWTH | 555 | ||
| NUTRITION | 568 | ||
| BEHAVIOR AND NEURODEVELOPMENT | 570 | ||
| GUIDELINES FOR CLINICAL ASSESSMENT | 572 | ||
| IMMUNIZATIONS | 577 | ||
| ACKNOWLEDGMENT | 583 | ||
| REFERENCES | 583 | ||
| Chapter 32. Childhood and Adolescence | 585 | ||
| ROUTINE HEALTH CARE OF CHILDREN | 585 | ||
| SENSORY SCREENING | 588 | ||
| DENTAL SCREENING | 589 | ||
| SCREENING HEALTHY CHILDREN FOR DISEASE | 589 | ||
| DISCIPLINE | 592 | ||
| GOOD TOUCH/BAD TOUCH | 592 | ||
| IMMUNIZATIONS | 593 | ||
| CHILDHOOD MORBIDITY | 593 | ||
| ADOLESCENT HEALTH CARE | 597 | ||
| REFERENCES | 607 | ||
| BEST EVIDENCE SOURCES | 609 | ||
| Chapter 33. Behavioral Problems in Childrenand Adolescents | 611 | ||
| SLEEP PROBLEMS | 611 | ||
| AUTISM | 614 | ||
| ANXIETY AND PHOBIAS | 614 | ||
| ENCOPRESIS | 615 | ||
| ENURESIS | 615 | ||
| ATTENTION-DEFICIT/HYPERACTIVITY DISORDER | 617 | ||
| OPPOSITIONAL DEFIANT DISORDER | 620 | ||
| CONDUCT DISORDER | 621 | ||
| DEPRESSION | 622 | ||
| ALCOHOL AND SUBSTANCE ABUSE | 623 | ||
| EATING PROBLEMS | 624 | ||
| REFERENCES | 625 | ||
| SUGGESTED READING | 626 | ||
| Chapter 34. Office Surgery | 627 | ||
| COMPETENCY | 627 | ||
| STANDARD (UNIVERSAL) PRECAUTIONS | 628 | ||
| FACILITIES AND EQUIPMENT | 628 | ||
| ANESTHESIA, ANALGESIA AND SEDATION | 629 | ||
| WOUND HEALING | 632 | ||
| PRINCIPLES OF WOUND CLOSURE | 634 | ||
| OFFICE SURGICAL PROCEDURES | 636 | ||
| REFERENCES | 649 | ||
| BEST EVIDENCE SOURCES | 651 | ||
| Chapter 35. Perioperative Care | 653 | ||
| GENERAL PRINCIPLES | 653 | ||
| IDENTIFYING PERIOPERATIVE RISK | 653 | ||
| SPECIFIC CLINICAL CONDITIONS | 654 | ||
| ANESTHESIA | 659 | ||
| PERIOPERATIVE ADJUSTMENT OFCOMMON MEDICATIONS | 659 | ||
| PROPHYLAXIS | 660 | ||
| NUTRITION | 663 | ||
| PAIN MANAGEMENT | 663 | ||
| POSTOPERATIVE COMPLICATIONS | 664 | ||
| CONCLUSION | 667 | ||
| REFERENCES | 667 | ||
| BEST EVIDENCE SOURCES | 668 | ||
| Chapter 36. Gynecology | 669 | ||
| APPROACH TO THE PATIENT | 669 | ||
| THE GYNECOLOGIC EXAMINATION | 669 | ||
| GYNECOLOGIC PROBLEMS | 671 | ||
| PELVIC PAIN | 678 | ||
| PELVIC MASS | 681 | ||
| VULVAR LESIONS | 682 | ||
| INFERTILITY | 682 | ||
| MENOPAUSE | 684 | ||
| URINARY INCONTINENCE AND PELVICRELAXATION | 685 | ||
| REFERENCES | 686 | ||
| SUGGESTED READINGS | 687 | ||
| Chapter 37. Contraception | 689 | ||
| THE HEALTH PROVIDER’S ROLE | 689 | ||
| HORMONAL CONTRACEPTIVES | 689 | ||
| NONHORMONAL CONTRACEPTIVES | 695 | ||
| STERILIZATION | 700 | ||
| EMERGENCY CONTRACEPTION | 701 | ||
| ABSTINENCE | 702 | ||
| CONCLUSION | 702 | ||
| REFERENCES | 702 | ||
| BEST EVIDENCE SOURCES | 704 | ||
| Chapter 38. Interpretation of the Electrocardiogram | 705 | ||
| STEPS IN ANALYZING THEELECTROCARDIOGRAM | 705 | ||
| BASIC CONCEPTS | 705 | ||
| SEQUENCE OF DEPOLARIZATIONAND REPOLARIZATION | 705 | ||
| ECG LEAD SYSTEM FOR THE FRONTAL PLANE | 707 | ||
| NORMAL VALUES IN THE FRONTAL PLANE | 708 | ||
| THE HORIZONTAL OR TRANSVERSEPLANE LEADS | 709 | ||
| LEFT VENTRICULAR HYPERTROPHY | 712 | ||
| RIGHT VENTRICULAR HYPERTROPHY | 714 | ||
| LEFT BUNDLE BRANCH BLOCK | 715 | ||
| RIGHT BUNDLE BRANCH BLOCK | 716 | ||
| HEMIBLOCKS (FASCICULAR BLOCKS) | 716 | ||
| RIGHT ATRIAL ENLARGEMENT ORP-PULMONALE | 719 | ||
| LEFT ATRIAL ENLARGEMENTOR P-MITRALE | 720 | ||
| CHANGES CAUSED BY CHRONIC OBSTRUCTIVEPULMONARY DISEASE (COPD) | 721 | ||
| CHANGES CAUSED BYMYOCARDIAL INFARCTION | 722 | ||
| CAUSES OF ST DISPLACEMENT | 724 | ||
| DEXTROCARDIA AND REVERSED LEADS | 729 | ||
| SCALAR VALUES OF THEELECTROCARDIOGRAM | 731 | ||
| ELECTROLYTE AND DRUG EFFECTS | 732 | ||
| PRE-EXCITATION SYNDROMES (SHORT PR) | 732 | ||
| DISTURBANCES OF RHYTHM | 734 | ||
| SUGGESTED READINGS | 734 | ||
| Chapter 39. Cardiovascular Disease | 735 | ||
| ATHEROSCLEROSIS | 735 | ||
| DYSLIPIDEMIA | 736 | ||
| THE METABOLIC SYNDROME | 745 | ||
| DIABETES MELLITUS | 749 | ||
| C-REACTIVE PROTEIN | 750 | ||
| HOMOCYSTEINE | 751 | ||
| CIGARETTE SMOKING | 751 | ||
| CORONARY ARTERY DISEASE | 752 | ||
| CONGESTIVE HEART FAILURE | 759 | ||
| VALVULAR HEART DISEASE | 763 | ||
| PERIPHERAL VASCULAR DISEASE | 769 | ||
| CARDIAC ELECTROPHYSIOLOGY ANDARRHYTHMIAS | 781 | ||
| ACKNOWLEDGEMENTS | 797 | ||
| REFERENCES | 797 | ||
| Chapter 40. Emergency Medicine | 807 | ||
| TRAUMA | 807 | ||
| LIFE- AND LIMB-THREATENING INJURIES | 812 | ||
| TRAUMA IN SPECIAL PATIENT POPULATIONS | 814 | ||
| SPECIFIC TRAUMATIC INJURIES | 815 | ||
| FOREIGN BODIES | 816 | ||
| SHOCK | 818 | ||
| EMERGENCY WOUND MANAGEMENT | 822 | ||
| TOXICOLOGY | 823 | ||
| BURNS | 826 | ||
| BITES | 828 | ||
| SUGGESTED READING | 832 | ||
| Chapter 41. Sports Medicine | 835 | ||
| INTRODUCTION | 835 | ||
| PREPARTICIPATION PHYSICAL EVALUATION | 835 | ||
| SCOPE OF CHAPTER | 835 | ||
| CARDIAC DISORDERS IN ATHLETES | 837 | ||
| CONCUSSION IN SPORTS | 838 | ||
| CERVICAL SPINE INJURIES | 839 | ||
| ENVIRONMENTAL INFLUENCES | 840 | ||
| INFECTIOUS DISEASE | 844 | ||
| SPORTS DERMATOLOGY | 845 | ||
| PULMONARY PROBLEMS | 846 | ||
| HEMATOLOGIC PROBLEMS | 846 | ||
| GASTROINTESTINAL PROBLEMS | 847 | ||
| GENITOURINARY PROBLEMS | 848 | ||
| LOW BACK PAIN | 848 | ||
| MUSCLE AND TENDON INJURIES | 849 | ||
| SHIN PAINKEY POINTS | 850 | ||
| STRESS FRACTURES | 851 | ||
| THE PEDIATRIC ATHLETE | 852 | ||
| SPECIAL CONCERNS FOR THE FEMALE ATHLETE | 853 | ||
| REFERENCES | 853 | ||
| Chapter 42. Orthopedics | 857 | ||
| FRACTURES | 857 | ||
| SHOULDER | 859 | ||
| ELBOW | 870 | ||
| WRIST AND HAND | 874 | ||
| KNEE | 878 | ||
| ANKLE AND FOOT | 892 | ||
| REFERENCES | 897 | ||
| BEST EVIDENCE SOURCES | 899 | ||
| CERVICAL SPINE | 900 | ||
| THORACOLUMBAR SPINE | 904 | ||
| REFERENCES | 914 | ||
| BEST EVIDENCE SOURCES | 914 | ||
| Chapter 43. Rheumatology and Musculoskeletal Problems | 915 | ||
| EVALUATION OF JOINT AND OTHERMUSCULOSKELETAL SYMPTOMS | 915 | ||
| PATHOGENESIS OF RHEUMATIC AND OTHERMUSCULOSKELETAL DISEASES | 917 | ||
| LABORATORY STUDIES | 918 | ||
| RHEUMATIC DISEASES | 921 | ||
| RHEUMATIC DISEASE IN CHILDREN | 950 | ||
| REFERENCES | 951 | ||
| Chapter 44. Dermatology | 955 | ||
| DIAGNOSTIC GUIDELINES | 955 | ||
| GENERAL MANAGEMENT | 955 | ||
| COMMON DERMATOLOGIC PROBLEMS | 956 | ||
| SUGGESTED READINGS | 988 | ||
| BEST EVIDENCE SOURCES | 988 | ||
| Chapter 45. Diabetes Mellitus | 989 | ||
| DEFINITION AND PATHOGENESIS | 989 | ||
| CLASSIFICATION AND DIAGNOSIS | 989 | ||
| EPIDEMIOLOGY | 990 | ||
| PATHOPHYSIOLOGY AND PRESENTATIONS | 991 | ||
| MANAGEMENT | 994 | ||
| DIABETIC KETOACIDOSIS | 1003 | ||
| NONKETOTIC HYPEROSMOLALITY SYNDROME | 1005 | ||
| DIABETES AND PREGNANCY | 1005 | ||
| MEDICAL ILLNESS AND SURGERY INDIABETIC PATIENTS | 1008 | ||
| DIABETIC COMPLICATIONS | 1009 | ||
| METABOLIC SYNDROME | 1015 | ||
| OFFICE MANAGEMENT TO IMPROVE DIABETICOUTCOMES: ACTIVATING THE PATIENT | 1015 | ||
| REFERENCES | 1018 | ||
| Chapter 46. Endocrinology | 1021 | ||
| THYROID DISORDERS | 1021 | ||
| DISTURBANCES IN CALCIUMAND PHOSPHATE | 1031 | ||
| ADRENAL GLANDS | 1035 | ||
| PITUITARY DISORDERS | 1042 | ||
| OVARIAN AND TESTICULAR DISORDERS | 1056 | ||
| BEST EVIDENCE SOURCES | 1069 | ||
| REFERENCES | 1069 | ||
| Chapter 47. Obesity | 1075 | ||
| INTRODUCTION | 1075 | ||
| ASSESSMENT | 1075 | ||
| DEMOGRAPHICS | 1075 | ||
| DETERMINANTS OF OBESITY | 1078 | ||
| MEDICAL COMPLICATIONS | 1080 | ||
| MANAGEMENT AND INTERVENTIONS | 1081 | ||
| SUMMARY | 1087 | ||
| REFERENCES | 1087 | ||
| SUGGESTED READING | 1088 | ||
| BEST EVIDENCE SOURCES | 1088 | ||
| Chapter 48. Nutrition and Family Medicine | 1089 | ||
| OVERVIEW | 1089 | ||
| NUTRITIONAL ASSESSMENT | 1089 | ||
| NUTRITION IN THE LIFE CYCLE | 1099 | ||
| DIET IN THE PREVENTION AND MANAGEMENTOF MAJOR DISEASES | 1102 | ||
| NUTRITION DECISIONS INTHE HOSPITALIZED PATIENT | 1106 | ||
| FUTURE IN NUTRITION | 1111 | ||
| TERMINOLOGY | 1111 | ||
| REFERENCES | 1112 | ||
| BEST EVIDENCE SOURCES | 1113 | ||
| Chapter 49. Gastroenterology | 1115 | ||
| EPIDEMIOLOGY AND SOCIAL IMPACT OFGASTROINTESTINAL DISEASE | 1115 | ||
| COMMON PEDIATRIC GASTROINTESTINALDISORDERS | 1118 | ||
| COMMON ADULT GASTROINTESTINALDISORDERS | 1124 | ||
| GALLBLADDER | 1140 | ||
| LIVER | 1144 | ||
| PANCREAS | 1148 | ||
| LOWER GASTROINTESTINAL TRACT | 1152 | ||
| REFERENCES | 1169 | ||
| BEST EVIDENCE SOURCES | 1171 | ||
| Chapter 50. Oncology for the Primary Care Physician | 1173 | ||
| INTRODUCTION | 1173 | ||
| GENETICS AND CANCER | 1173 | ||
| PREVENTIVE STRATEGIES | 1175 | ||
| ROLE OF PRIMARY CARE IN CANCER CARE | 1177 | ||
| DIAGNOSING CANCER | 1180 | ||
| TREATMENT OF PRECANCEROUS ANDMALIGNANT DISEASE | 1181 | ||
| MANAGEMENT OF COMMON CANCERS | 1183 | ||
| POST-TREATMENT MANAGEMENT | 1187 | ||
| ADVANCE DIRECTIVES | 1188 | ||
| CONCLUSIONS | 1188 | ||
| REFERENCES | 1189 | ||
| BEST EVIDENCE SOURCES | 1189 | ||
| SUGGESTED READINGS | 1190 | ||
| Chapter 51. Hematology | 1191 | ||
| INTRODUCTION | 1191 | ||
| DISORDERS OF RED CELLS | 1191 | ||
| WHITE BLOOD CELLS | 1200 | ||
| PLATELETS | 1204 | ||
| LYMPHOID SYSTEM | 1207 | ||
| LEUKEMIA | 1209 | ||
| REFERENCES | 1215 | ||
| SUGGESTED READING | 1215 | ||
| BEST EVIDENCE SOURCES | 1215 | ||
| Chapter 52. Urinary Tract Disorders | 1217 | ||
| INTRODUCTION | 1217 | ||
| FUNCTIONAL DISORDERS | 1231 | ||
| NEOPLASTIC DISORDERS | 1242 | ||
| REFERENCES | 1248 | ||
| BEST EVIDENCE SOURCES | 1252 | ||
| Chapter 53. Ophthalmology | 1253 | ||
| RED EYE | 1253 | ||
| OCULAR TRAUMA AND OTHER EMERGENCIES | 1260 | ||
| PEDIATRIC OPHTHALMOLOGY | 1263 | ||
| ADULT OPHTHALMOLOGY | 1272 | ||
| REFERENCES | 1281 | ||
| BEST EVIDENCE SOURCES | 1281 | ||
| Chapter 54. Neurology | 1283 | ||
| NEUROLOGIC EXAMINATION | 1283 | ||
| NEUROLOGIC CONDITIONS | 1288 | ||
| REFERENCES | 1333 | ||
| BEST EVIDENCE SOURCES | 1334 | ||
| Chapter 55. Medical Human Sexuality inFamily Medicine Practice | 1335 | ||
| INTRODUCTION | 1335 | ||
| BASIC CONCEPTS OF SEXUAL MEDICINE | 1335 | ||
| GENERAL MANAGEMENT OFSEXUAL CONCERNS | 1338 | ||
| SEXUAL DISORDERS: GENERAL | 1339 | ||
| MALE SEXUAL DISORDERS | 1340 | ||
| FEMALE SEXUAL DISORDERS | 1344 | ||
| SEXUALITY ISSUES AT SPECIFIC TIMES OF LIFE | 1346 | ||
| SEXUALITY AND PERSONAL IDENTITY | 1350 | ||
| SPECTRUM OF GENDER IDENTITYAND EXPRESSION | 1352 | ||
| CONCLUSION | 1353 | ||
| REFERENCES | 1353 | ||
| SUGGESTED READING | 1355 | ||
| BEST EVIDENCE SOURCES | 1355 | ||
| Chapter 56. Clinical Genetics | 1357 | ||
| DISEASE ILLUSTRATIONS | 1359 | ||
| GENETIC TESTING | 1365 | ||
| ETHICAL, LEGAL, AND SOCIAL ISSUES | 1367 | ||
| GENETICS RESOURCES | 1368 | ||
| REFERENCES | 1368 | ||
| SUGGESTED READINGS | 1368 | ||
| Chapter 57. Anxiety Disorders | 1371 | ||
| DEFINITION | 1371 | ||
| DIAGNOSTIC APPROACHES | 1371 | ||
| DIFFERENTIAL DIAGNOSIS | 1376 | ||
| MANAGEMENT | 1378 | ||
| REFERENCES | 1383 | ||
| BEST EVIDENCE SOURCES | 1385 | ||
| Chapter 58. Depression | 1387 | ||
| INTRODUCTION | 1387 | ||
| MANAGEMENT OF DEPRESSION | 1392 | ||
| PRACTICE GUIDELINES | 1396 | ||
| REFERENCES | 1396 | ||
| SUGGESTED READING | 1398 | ||
| BEST EVIDENCE SOURCES | 1398 | ||
| Chapter 59. Crisis Intervention, Trauma, and Disasters | 1399 | ||
| DEVELOPMENT OF A CRISIS, TRAUMA, ANDDISASTER THEORY | 1399 | ||
| EVALUATING THE CRISIS OR DISASTER | 1400 | ||
| CRISIS INTERVENTION TREATMENT INTHE OFFICE SETTING | 1405 | ||
| REFERENCES | 1409 | ||
| BEST EVIDENCE SOURCES | 1410 | ||
| Chapter 60. Personality Disorders | 1411 | ||
| INTRODUCTION | 1411 | ||
| PSYCHIATRIC LEVEL OF FUNCTIONING | 1416 | ||
| STRATEGIC INTERVENTIONS | 1420 | ||
| CONCLUSIONS | 1425 | ||
| REFERENCES | 1425 | ||
| BEST EVIDENCE SOURCES | 1425 | ||
| Chapter 61. The Somatic Patient | 1427 | ||
| RATIONALE AND DEFINITIONS | 1427 | ||
| DESCRIPTION AND NATURAL HISTORY | 1428 | ||
| DIAGNOSTIC WORK | 1429 | ||
| PRINCIPLES OF MANAGEMENT | 1430 | ||
| REFERENCES | 1432 | ||
| Chapter 62. Dementia | 1435 | ||
| CLINICAL FEATURES | 1435 | ||
| DIAGNOSTIC PROCESS | 1435 | ||
| COMMON CAUSES OF DEMENTIA | 1436 | ||
| LESS COMMON CAUSES OF DEMENTIA | 1440 | ||
| BEHAVIORAL AND PSYCHIATRIC SYMPTOMSACCOMPANYING DEMENTIA | 1441 | ||
| SETTINGS OF CARE AND THE DEMENTIAPATIENT | 1442 | ||
| REFERENCES | 1442 | ||
| BEST EVIDENCE SOURCES | 1443 | ||
| Chapter 63. Alcohol Abuse | 1445 | ||
| INTRODUCTION | 1445 | ||
| SCREENING AND ASSESSMENT | 1446 | ||
| MANAGEMENT | 1448 | ||
| TREATMENT OF ALCOHOLISM | 1451 | ||
| PREVENTION | 1453 | ||
| REFERENCES | 1454 | ||
| BEST EVIDENCE SOURCES | 1456 | ||
| Chapter 64. Nicotine Addiction | 1457 | ||
| HEALTH RISKS ASSOCIATED WITH SMOKING | 1458 | ||
| SOCIAL AND LEGAL ACTION | 1465 | ||
| REFERENCES | 1470 | ||
| BEST EVIDENCE SOURCES | 1472 | ||
| Chapter 65. Substance Use Disorders | 1473 | ||
| INTRODUCTION | 1473 | ||
| SCOPE OF THE PROBLEM: PREVALENCE ANDMAGNITUDE | 1473 | ||
| TERMINOLOGY | 1473 | ||
| BACKGROUND AND EPIDEMIOLOGY | 1474 | ||
| EVALUATION | 1476 | ||
| TREATMENT | 1480 | ||
| REFERENCES | 1483 | ||
| BEST EVIDENCE SOURCES | 1484 | ||
| SUGGESTED READINGS | 1484 | ||
| Chapter 66. Interpreting Laboratory Tests | 1485 | ||
| THE CONCEPT OF NORMAL | 1485 | ||
| EVALUATING A TEST’S PERFORMANCECHARACTERISTICS | 1485 | ||
| SEPARATING DISEASED FROMDISEASE-FREE PERSONS | 1486 | ||
| COMMON LABORATORY TESTS | 1489 | ||
| REFERENCES | 1512 | ||
| Appendices | 1515 | ||
| Index | 1519 |