Primary Care Medicine: Office Evaluation and Management of the Adult PatientAllan H. Goroll, Albert G. Mulley Now in its Sixth Edition, this comprehensive text provides pertinent information on medical diagnosis, therapy, lab tests, and health maintenance essential to decision making in primary care medicine. Every chapter has been revised to include more images, tables, and bulleted lists. Practical recommendations that incorporate the best available evidence, expert consensus guidelines, and clinical judgement are listed in bulleted items at the end of every chapter. The dermatology section has been extensively revised for this edition by a new section editor. A companion Website offers the fully searchable text and an image bank. |
Contents
PRINCIPLES OF PRIMARY CARE | 1 |
SELECTION AND INTERPRETATION OF DIAGNOSTIC TESTS | 10 |
HEALTH MAINTENANCE AND THE ROLE OF SCREENING | 16 |
ESTIMATING AND COMMUNICATING RISK AND PROGNOSIS | 20 |
CHOOSING AMONG TREATMENT OPTIONS | 23 |
IMMUNIZATION | 27 |
SYSTEMIC PROBLEMS | 50 |
EVALUATION OF CHRONIC FATIGUE | 54 |
APPROACH TO THE WOMAN WITH AN UNPLANNED PREGNANCY | 890 |
MANAGEMENT OF BREAST CANCER | 895 |
MANAGEMENT OF THE WOMAN WITH GENITAL TRACT CANCER | 903 |
GENITOURINARY PROBLEMS | 908 |
SCREENING FOR CHLAMYDIAL INFECTION | 910 |
SCREENING FOR PROSTATE CANCER | 913 |
SCREENING FOR ASYMPTOMATIC BACTERIURIA AND URINARY TRACT INFECTION | 918 |
SCREENING FOR CANCERS OF THE LOWER URINARY TRACT | 920 |
EVALUATION OF WEIGHT LOSS | 61 |
EVALUATION OF OVERWEIGHT AND OBESITY | 66 |
EVALUATION OF FEVER | 73 |
EVALUATION OF LYMPHADENOPATHY | 82 |
APPROACH TO THE PATIENT WITH HUMAN IMMUNODEFICIENCY VIRUS HIV INFECTION | 87 |
CARDIOVASCULAR PROBLEMS | 102 |
SCREENING FOR HYPERLIPIDEMIA | 106 |
INFECTIVE ENDOCARDITIS PROPHYLAXIS | 112 |
RHEUMATIC FEVER PROPHYLAXIS | 115 |
EXERCISE FOR PREVENTION OF CARDIOVASCULAR DISEASE | 118 |
EVALUATION OF HYPERTENSION | 127 |
EVALUATION OF CHEST PAIN | 136 |
EVALUATION OF THE ASYMPTOMATIC SYSTOLIC MURMUR | 152 |
EVALUATION OF LEG EDEMA | 158 |
EVALUATION OF ARTERIAL INSUFFICIENCY OF THE LOWER EXTREMITIES | 164 |
EVALUATION OF SYNCOPE | 169 |
EVALUATION OF PALPITATIONS | 178 |
MANAGEMENT OF HYPERTENSION | 190 |
APPROACH TO THE PATIENT WITH A LIPID DISORDER | 208 |
OUTPATIENT MANAGEMENT OF ATRIAL FIBRILLATION | 227 |
MANAGEMENT OF VENTRICULAR IRRITABILITY IN THE AMBULATORY SETTING | 237 |
MANAGEMENT OF CHRONIC STABLE ANGINA | 246 |
CARDIOVASCULAR REHABILITATION AND SECONDARY PREVENTION OF CORONARY HEART DISEASE | 262 |
APPROACH TO THE PATIENT WITH CHRONIC CONGESTIVE HEART FAILURE | 274 |
MANAGEMENT OF VALVULAR HEART DISEASE | 294 |
MANAGEMENT OF PERIPHERAL ARTERIAL DISEASE | 308 |
MANAGEMENT OF PERIPHERAL VENOUS DISEASE | 314 |
STRESS TESTING AND OTHER NONINVASIVE STUDIES FOR DETECTION OF CORONARY DISEASE | 324 |
RESPIRATORY PROBLEMS | 332 |
TUBERCULOSIS SCREENING AND PROPHYLAXIS | 336 |
EVALUATION AND PREVENTION OF OCCUPATIONAL AND ENVIRONMENTAL RESPIRATORY DISEASE | 339 |
EVALUATION OF CHRONIC DYSPNEA | 345 |
EVALUATION OF SUBACUTE AND CHRONIC COUGH | 351 |
EVALUATION OF HEMOPTYSIS | 356 |
EVALUATION OF PLEURAL EFFUSIONS | 360 |
EVALUATION OF THE SOLITARY PULMONARY NODULE | 366 |
EVALUATION OF CLUBBING | 370 |
APPROACH TO THE PATIENT WITH SLEEP APNEA | 372 |
MANAGEMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE | 377 |
MANAGEMENT OF ASTHMA | 390 |
MANAGEMENT OF TUBERCULOSIS | 403 |
MANAGEMENT OF THE COMMON COLD | 408 |
MANAGEMENT OF SARCOIDOSIS | 413 |
APPROACH TO THE PATIENT WITH ACUTE BRONCHITIS OR PNEUMONIA IN THE AMBULATORY SETTING | 421 |
APPROACH TO THE PATIENT WITH LUNG CANCER | 432 |
SMOKING CESSATION | 439 |
GASTROINTESTINAL PROBLEMS | 447 |
SCREENING FOR COLORECTAL CANCER | 450 |
PREVENTION OF VIRAL HEPATITIS | 459 |
EVALUATION OF ABDOMINAL PAIN | 467 |
EVALUATION OF NAUSEA AND VOMITING | 479 |
EVALUATION OF DYSPHAGIA AND SUSPECTED ESOPHAGEAL CHEST PAIN | 484 |
APPROACH TO THE PATIENT WITH HEARTBURN AND REFLUX GASTROESOPHAGEAL REFLUX DISEASE | 490 |
EVALUATION OF JAUNDICE | 496 |
EVALUATION OF GASTROINTESTINAL BLEEDING | 501 |
EVALUATION AND MANAGEMENT OF DIARRHEA | 506 |
APPROACH TO THE PATIENT WITH CONSTIPATION | 520 |
APPROACH TO THE PATIENT WITH ANORECTAL COMPLAINTS | 525 |
APPROACH TO THE PATIENT WITH AN EXTERNAL HERNIA | 533 |
MANAGEMENT OF PEPTIC ULCER DISEASE | 537 |
MANAGEMENT OF ASYMPTOMATIC AND SYMPTOMATIC GALLSTONES | 549 |
MANAGEMENT OF HEPATITIS | 555 |
MANAGEMENT OF CIRRHOSIS AND CHRONIC LIVER FAILURE | 568 |
MANAGEMENT OF PANCREATITIS | 578 |
MANAGEMENT OF INFLAMMATORY BOWEL DISEASE | 582 |
APPROACH TO THE PATIENT WITH FUNCTIONAL GASTROINTESTINAL DISEASE | 593 |
MANAGEMENT OF DIVERTICULAR DISEASE | 604 |
MANAGEMENT OF GASTROINTESTINAL CANCERS | 607 |
HEMATOLOGIC AND ONCOLOGIC PROBLEMS | 623 |
SCREENING FOR SICKLE CELL DISEASE AND SICKLE CELL TRAIT | 625 |
EVALUATION OF ANEMIA | 627 |
EVALUATION OF ERYTHROCYTOSIS POLYCYTHEMIA | 637 |
EVALUATION OF BLEEDING PROBLEMS AND ABNORMAL BLEEDING STUDIES | 641 |
MANAGEMENT OF COMMON ANEMIAS | 651 |
OUTPATIENT ORAL ANTICOAGULANT THERAPY | 657 |
APPROACH TO THE PATIENT WITH LYMPHOMA | 665 |
APPROACH TO THE PATIENT WITH METASTATIC TUMOR OF UNKNOWN ORIGIN | 675 |
APPROACH TO STAGING AND MONITORING | 681 |
COMPREHENSIVE CARE OF THE CANCER PATIENT | 685 |
PRINCIPLES OF CANCER DRUG THERAPY | 690 |
PRINCIPLES OF RADIATION THERAPY | 699 |
MANAGEMENT OF CHRONIC CANCER PAIN AND PALLIATIVE CARE | 704 |
MANAGING THE GASTROINTESTINAL COMPLICATIONS OF CANCER AND CANCER TREATMENT | 718 |
COMPLICATIONS OF CANCER ONCOLOGIC EMERGENCIES AND PARANEOPLASTIC SYNDROMES | 723 |
ENDOCRINOLOGIC PROBLEMS | 728 |
SCREENING FOR THYROID CANCER | 732 |
EVALUATION OF THYROID NODULES | 735 |
APPROACH TO THE PATIENT WITH HYPERCALCEMIA | 741 |
EVALUATION OF HYPOGLYCEMIA | 747 |
EVALUATION OF HIRSUTISM | 752 |
EVALUATION OF GYNECOMASTIA | 758 |
EVALUATION OF GALACTORRHEA AND HYPERPROLACTINEMIA | 761 |
POLYURIA AND POLYDIPSIA EVALUATION OF SUSPECTED DIABETES INSIPIDUS | 765 |
APPROACH TO THE PATIENT WITH DIABETES MELLITUS | 768 |
APPROACH TO THE PATIENT WITH HYPERTHYROIDISM | 788 |
APPROACH TO THE PATIENT WITH HYPOTHYROIDISM | 798 |
GLUCOCORTICOID THERAPY | 806 |
GYNECOLOGIC PROBLEMS | 812 |
SCREENING FOR CERVICAL CANCER | 818 |
SCREENING FOR OVARIAN CANCER | 823 |
SCREENING FOR ENDOMETRIAL CANCER | 825 |
SCREENING FOR AND PREVENTION OF INTIMATE PARTNER VIOLENCE | 828 |
APPROACH TO THE WOMAN WITH ABNORMAL VAGINAL BLEEDING | 830 |
EVALUATION OF SECONDARY AMENORRHEA | 836 |
EVALUATION OF BREAST MASSES AND NIPPLE DISCHARGES | 843 |
EVALUATION OF VULVAR PRURITUS | 847 |
MEDICAL EVALUATION OF FEMALE SEXUAL DYSFUNCTION | 850 |
APPROACH TO THE PATIENT WITH MENSTRUAL OR PELVIC PAIN | 854 |
APPROACH TO THE PATIENT WITH A VAGINAL DISCHARGE | 860 |
APPROACH TO THE MENOPAUSAL WOMAN | 866 |
APPROACH TO FERTILITY CONTROL | 874 |
APPROACH TO THE INFERTILE COUPLE | 883 |
EVALUATION OF THE PATIENT WITH HEMATURIA | 923 |
EVALUATION OF THE PATIENT WITH PROTEINURIA | 927 |
EVALUATION OF SCROTAL PAIN MASSES AND SWELLING | 933 |
MEDICAL EVALUATION AND MANAGEMENT OF ERECTILE DYSFUNCTION | 936 |
APPROACH TO DYSURIA AND URINARY TRACT INFECTIONS IN WOMEN | 947 |
APPROACH TO INCONTINENCE AND OTHER FORMS OF LOWER URINARY TRACT DYSFUNCTION | 953 |
APPROACH TO THE PATIENT WITH NEPHROLITHIASIS | 962 |
APPROACH TO THE MALE PATIENT WITH URETHRITIS | 967 |
APPROACH TO THE PATIENT WITH GONORRHEA | 971 |
APPROACH TO BENIGN PROSTATIC HYPERPLASIA | 974 |
MANAGEMENT OF ACUTE AND CHRONIC PROSTATITIS | 980 |
MANAGEMENT OF URINARY TRACT INFECTION IN MEN | 985 |
MANAGEMENT OF SYPHILIS AND OTHER SEXUALLY TRANSMITTED DISEASES | 988 |
MANAGEMENT OF THE PATIENT WITH CHRONIC KIDNEY DISEASE | 991 |
MANAGEMENT OF GENITOURINARY CANCERS IN MEN | 998 |
MUSCULOSKELETAL PROBLEMS | 1005 |
EVALUATION OF ACUTE MONOARTICULAR ARTHRITIS | 1008 |
EVALUATION OF POLYARTICULAR COMPLAINTS | 1012 |
APPROACH TO THE PATIENT WITH BACK PAIN | 1023 |
EVALUATION OF NECK PAIN | 1038 |
APPROACH TO THE PATIENT WITH MUSCLE CRAMPS | 1043 |
APPROACH TO THE PATIENT WITH SHOULDER PAIN | 1046 |
EVALUATION OF HIP PAIN | 1053 |
EVALUATION OF KNEE PAIN | 1057 |
APPROACH TO MINOR ORTHOPEDIC PROBLEMS OF THE ELBOW WRIST AND HAND | 1064 |
APPROACH TO COMMON PROBLEMS OF THE FOOT AND ANKLE | 1069 |
APPROACH TO THE PATIENT WITH ASYMPTOMATIC HYPERURICEMIA | 1075 |
MANAGEMENT OF RHEUMATOID ARTHRITIS | 1078 |
MANAGEMENT OF OSTEOARTHRITIS | 1093 |
MANAGEMENT OF GOUT | 1102 |
APPROACH TO THE PATIENT WITH FIBROMYALGIA | 1108 |
APPROACH TO THE PATIENT WITH LYME DISEASE | 1114 |
APPROACH TO THE PATIENT WITH POLYMYALGIA RHEUMATICA OR GIANTCELL TEMPORAL ARTERITIS | 1123 |
MANAGEMENT OF PAGETS DISEASE | 1129 |
APPROACH TO THE PATIENT WITH RAYNAUDS PHENOMENON | 1134 |
PREVENTION AND MANAGEMENT OF OSTEOPOROSIS | 1138 |
NEUROLOGIC PROBLEMS | 1150 |
EVALUATION OF DIZZINESS | 1160 |
FOCAL NEUROLOGIC COMPLAINTS EVALUATION OF NERVE ROOT AND PERIPHERAL NERVE SYNDROMES | 1168 |
EVALUATION OF TREMOR | 1176 |
EVALUATION OF DEMENTIA | 1179 |
APPROACH TO THE PATIENT WITH A SEIZURE | 1187 |
MANAGEMENT OF TRANSIENT ISCHEMIC ATTACK AND ASYMPTOMATIC CAROTID BRUIT | 1196 |
MANAGEMENT OF MULTIPLE SCLEROSIS | 1202 |
MANAGEMENT OF ALZHEIMERS DISEASE AND RELATED DEMENTIAS | 1207 |
APPROACH TO THE PATIENT WITH PARKINSONS DISEASE | 1221 |
APPROACH TO THE PATIENT WITH BELLS PALSY IDIOPATHIC FACIAL MONONEUROPATHY | 1228 |
MANAGEMENT OF TIC DOULOUREUX TRIGEMINAL NEURALGIA | 1231 |
DERMATOLOGIC PROBLEMS | 1233 |
EVALUATION OF PRURITUS | 1240 |
EVALUATION OF PURPURA | 1245 |
EVALUATION OF DISTURBANCES IN PIGMENTATION | 1249 |
EVALUATION OF URTICARIA AND ANGIOEDEMA | 1254 |
APPROACH TO THE PATIENT WITH HAIR LOSS | 1260 |
DISTURBANCES OF SKIN HYDRATION DRY SKIN AND EXCESSIVE SWEATING | 1265 |
APPROACH TO THE PATIENT WITH DERMATITIS | 1269 |
MANAGEMENT OF ACNE | 1276 |
MANAGEMENT OF ROSACEA AND OTHER ACNEIFORM DERMATOSES | 1280 |
MANAGEMENT OF PSORIASIS | 1283 |
MANAGEMENT OF INTERTRIGO AND INTERTRIGINOUS DERMATOSES | 1289 |
MANAGEMENT OF CORNS AND CALLUSES | 1292 |
APPROACH TO BACTERIAL SKIN INFECTIONS | 1294 |
MANAGEMENT OF SUPERFICIAL FUNGAL INFECTIONS | 1300 |
MANAGEMENT OF CUTANEOUS AND GENITAL HERPES SIMPLEX | 1306 |
MANAGEMENT OF HERPES ZOSTER | 1312 |
MANAGEMENT OF WARTS | 1315 |
MANAGEMENT OF SCABIES AND PEDICULOSIS | 1320 |
MANAGEMENT OF SKIN TRAUMA BITES AND BURNS | 1323 |
MANAGEMENT OF SKIN ULCERATION | 1328 |
OPHTHALMOLOGIC PROBLEMS | 1336 |
EVALUATION OF THE RED EYE | 1338 |
EVALUATION OF IMPAIRED VISION | 1345 |
EVALUATION OF EYE PAIN | 1348 |
EVALUATION OF DRY EYES | 1352 |
EVALUATION OF COMMON VISUAL DISTURBANCES FLASHING LIGHTS FLOATERS AND OTHER TRANSIENT PHENOMENA | 1354 |
EVALUATION OF EXOPHTHALMOS | 1356 |
EVALUATION OF WATERY EYES | 1359 |
MANAGEMENT OF THE PATIENT WITH AGERELATED MACULAR DEGENERATION | 1361 |
MANAGEMENT OF GLAUCOMA | 1363 |
MANAGEMENT OF CATARACTS | 1367 |
MANAGEMENT OF DIABETIC RETINOPATHY | 1370 |
CORRECTION OF VISION | 1373 |
EAR NOSE AND THROAT PROBLEMS | 1375 |
EVALUATION OF HEARING LOSS | 1377 |
APPROACH TO EPISTAXIS | 1383 |
EVALUATION OF FACIAL PAIN AND SWELLING | 1386 |
EVALUATION OF SMELL AND TASTE DISTURBANCES | 1389 |
APPROACH TO THE PATIENT WITH HOARSENESS | 1393 |
EVALUATION OF TINNITUS | 1398 |
APPROACH TO THE PATIENT WITH OTITIS | 1400 |
APPROACH TO THE PATIENT WITH SINUSITIS | 1402 |
APPROACH TO THE PATIENT WITH PHARYNGITIS | 1407 |
APPROACH TO THE PATIENT WITH HICCUPS | 1413 |
APPROACH TO THE PATIENT WITH CHRONIC NASAL CONGESTION AND DISCHARGE | 1415 |
APPROACH TO THE PATIENT WITH EXCESSIVE SNORING | 1422 |
APPROACH TO THE PATIENT WITH APHTHOUS STOMATITIS | 1424 |
MANAGEMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION | 1426 |
PSYCHIATRIC PROBLEMS | 1428 |
APPROACH TO THE PATIENT WITH DEPRESSION | 1439 |
APPROACH TO THE PATIENT WITH AN ALCOHOL PROBLEM | 1454 |
APPROACH TO THE PATIENT WITH SEXUAL DYSFUNCTION | 1469 |
APPROACH TO THE SOMATIZING PATIENT | 1476 |
APPROACH TO THE ANGRY PATIENT | 1481 |
APPROACH TO THE PATIENT WITH INSOMNIA | 1483 |
MANAGEMENT OF OBESITY | 1492 |
APPROACH TO EATING DISORDERS | 1507 |
APPROACH TO DRUG ABUSE AND DEPENDENCE | 1514 |
APPROACH TO THE PATIENT WITH CHRONIC NONMALIGNANT PAIN | 1525 |
ALLIED FIELDS | 1536 |
CARING FOR THE ADOLESCENT PATIENT | 1542 |
APPROACH TO FRAILTY IN OLDER ADULTS | 1550 |
Other editions - View all
Primary Care Medicine: Office Evaluation and Management of the Adult Patient Allan H. Goroll,Albert G. Mulley No preview available - 2014 |
Primary care medicine: office evaluation and management of the adult patient Allan H. Goroll No preview available - 2000 |
Common terms and phrases
acute agents angina Ann Intern anticoagulation aortic stenosis artery disease associated asthma atrial fibrillation benefit beta-blockers blood pressure bronchodilator cardiac cardiovascular cause Chapter CHD risk chest pain chronic clinical computed tomography congestive heart failure COPD coronary artery coronary disease cough D-dimer detection diabetes diagnosis diuretic dose drug dysfunction dyspnea edema effects elderly embolization Engl evaluation evidence exercise fever heart disease heart failure hemoptysis high-risk hypertension hypokalemia increased risk infection inhaled inhibitors ischemia JAMA LDL cholesterol left ventricular levels malignancy mitral monitoring mortality myocardial infarction obesity obstructive onset outcomes patients persons physician pleural predictive present pretest probability primary prognosis prophylaxis pulmonary pulmonary embolization randomized recommended reduced regurgitation renal risk factors screening sensitivity serum sputum statin stress testing surgery symptomatic symptoms syncope syndrome systolic tachycardia therapy tients tion treatment trial ultrasound underlying vaccine valve venous warfarin workup