Primary Care Medicine: Office Evaluation and Management of the Adult Patient

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Allan H. Goroll, Albert G. Mulley
Lippincott Williams & Wilkins, Jan 1, 2009 - Medical - 1613 pages

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.

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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
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