Primary Care Med. - Office Eval. and Mgmt of the Adult Patient

2663 Pages·2000·11.781 MB·English

by  A. Goroll, et al.,

Primary Care Medicine: Office Evaluation and Management of the Adult 4th
edition (August 2000): By Allan H Goroll MD, FACP, Albert G Mulley, Jr. MD, MPP By
Lippincott Williams & Wilkins Publishers
By OkDoKeY
Primary Care Medicine
Table of Contents
Contributors Preface Acknowledgments
PART 1 PRINCIPLES OF PRIMARY CARE
Chapter 1. The Practice of Primary Care
Part 1: The Tasks of Primary Care UPDATED
John D. Stoeckle
Appendix: Approaches to Encouraging Compliance

Part 2: Approaches to Common Ethical and Legal Issues in Primary Care Practice
Linda L. Emanuel
Chapter 2. Selection and Interpretation of Diagnostic Tests
Chapter 3. Health Maintenance and the Role of Screening UPDATED
Chapter 4. Estimating and Communicating Risk and Prognosis
Chapter 5. Choosing among Treatment Options UPDATED
Chapter 6. Immunization
Edward T. Ryan
PART 2 SYSTEMIC PROBLEMS
Chapter 7. Screening for HIV-1 Infection
Stephen L. Boswell
Chapter 8. Evaluation of Chronic Fatigue
Chapter 9. Evaluation of Weight Loss
Chapter 10. Evaluation of Overweight and Obesity UPDATED
Chapter 11. Evaluation of Fever
Harvey B. Simon
Chapter 12. Evaluation of Lymphadenopathy
Harvey B. Simon
Chapter 13. Approach to the Patient with HIV-1 infection UPDATED
Stephen L. Boswell
PART 3 CARDIOVASCULAR PROBLEMS
Chapter 14. Screening for Hypertension
Katharine K. Treadway
Chapter 15. Screening for Hyperlipidemia UPDATED
Gale S. Haydock and Mason W. Freeman
Chapter 16. Bacterial Endocarditis Prophylaxis
Chapter 17. Rheumatic Fever Prophylaxis
Chapter 18. Exercise for Prevention of Cardiovascular Disease
Harvey B. Simon
Chapter 19. Evaluation of Hypertension
Katharine K. Treadway
Chapter 20. Evaluation of Chest Pain UPDATED
Chapter 21. Evaluation of the Asymptomatic Systolic Murmur
Chapter 22. Evaluation of Leg Edema
Chapter 23. Evaluation of Arterial Insufficiency of the Lower Extremities
David C. Brewster
Chapter 24. Evaluation of Syncope
Chapter 25. Evaluation of Palpitations
Appendix: Evaluation of Atrial Fibrillation in the Outpatient Setting
Chapter 26. Management of Hypertension UPDATED
Katharine K. Treadway
Appendix: Coronary Heart Disease Risk Factor Prediction Chart
Chapter 27. Approach to the Patient with Hypercholesterolemia UPDATED
Mason W. Freeman
Chapter 28. Outpatient Management of Atrial Fibrillation
Chapter 29. Management of Ventricular Irritability in the Ambulatory Setting UPDATED
Chapter 30. Management of Chronic Stable Angina
Chapter 31. Cardiovascular Rehabilitation and Secondary Prevention of Coronary Heart
Disease UPDATED
Chapter 32. Management of Chronic Congestive Heart Failure UPDATED
Appendix: Potassium Supplementation in Congestive Heart Failure
Chapter 33. Management of Valvular Heart Disease
Richard R. Liberthson
Appendix: Management of Hypertrophic Cardiomyopathy
Chapter 34. Management of Peripheral Arterial Disease
David C. Brewster
Chapter 35. Management of Peripheral Venous Disease UPDATED
David C. Brewster
Chapter 36. Stress Testing
PART 4 RESPIRATORY PROBLEMS
Chapter 37. Screening for Lung Cancer UPDATED
Chapter 38. Tuberculosis Screening and Prophylaxis
Benjamin Davis and Harvey B. Simon
Chapter 39. Evaluation and Prevention of Occupational and Environmental Respiratory
Disease
L. Christine Oliver and John D. Stoeckle
Chapter 40. Evaluation of Chronic Dyspnea
Chapter 41. Evaluation of Chronic Cough
Chapter 42. Evaluation of Hemoptysis
Chapter 43. Evaluation of Pleural Effusions
Chapter 44. Evaluation of the Solitary Pulmonary Nodule
Chapter 45. Evaluation of Clubbing
Chapter 46. Approach to the Patient with Sleep Apnea
Chapter 47. Management of Chronic Obstructive Pulmonary Disease
Chapter 48. Management of Asthma UPDATED
Chapter 49. Management of Tuberculosis
Benjamin Davis and Harvey B. Simon
Chapter 50. Management of the Common Cold
William A. Kormos
Chapter 51. Management of Sarcoidosis
Appendix: Evaluation of Interstitial Lung Disease
Chapter 52. Approach to the Patient with Acute Bronchitis or Pneumonia in the Ambulatory
Setting UPDATED
William A. Kormos
Chapter 53. Approach to the Patient with Lung Cancer
Chapter 54. Smoking Cessation UPDATED
Nancy A. Rigotti
PART 5 GASTROINTESTINAL PROBLEMS
Chapter 55. Screening for Gastric Cancer
Chapter 56. Screening for Colorectal Cancer UPDATED
Michael J. Barry
Appendix: Examination of the Anorectum and Sigmoid Colon with Digital Rectal
Examination, Anoscopy, and Sigmoidoscopy
Lawrence S. Friedman
Chapter 57. Prevention of Viral Hepatitis
Jules L. Dienstag
Chapter 58. Evaluation of Abdominal Pain UPDATED
James M. Richter
Chapter 59. Evaluation of Nausea and Vomiting
Chapter 60. Evaluation of Dysphagia and Suspected Esophageal Chest Pain
Chapter 61. Approach to the Patient with Heartburn and Reflux (Gastroesophageal Reflux
Disease) UPDATED
James M. Richter
Chapter 62. Evaluation of Jaundice
James M. Richter
Appendix: Evaluation of the Patient with an incidental Asymptomatic
Elevation in Serum Transaminase (Aminotransferase) Levels
Chapter 63. Evaluation of Gastrointestinal Bleeding
James M. Richter
Chapter 64. Evaluation and Management of Diarrhea
James M. Richter
Chapter 65. Approach to the Patient with Constipation
James M. Richter
Chapter 66. Approach to the Patient with Anorectal Complaints
Appendix: Management of Hemorrhoids
Chapter 67. Approach to the Patient with an External Hernia
Chapter 68. Management of Peptic Ulcer Disease
Chapter 69. Management of Asymptomatic and Symptomatic Gallstones
Chapter 70. Management of Hepatitis
Jules L. Dienstag
Chapter 71. Management of Cirrhosis and Chronic Liver Failure
Chapter 72. Management of Pancreatitis
James M. Richter
Chapter 73. Management of Inflammatory Bowel Disease
James M. Richter
Chapter 74. Approach to the Patient with Functional Gastrointestinal Disease
Chapter 75. Management of Diverticular Disease
Chapter 76. Management of Gastrointestinal Cancers UPDATED
PART 6 HEMATOLOGIC AND ONCOLOGIC PROBLEMS
A. Hematology
Chapter 77. Screening for Anemia
Chapter 78. Screening for Sickle Cell Disease and Sickle Cell Trait
Chapter 79. Evaluation of Anemia
Chapter 80. Evaluation of Erythrocytosis (Polycythemia)
Chapter 81. Evaluation of Bleeding Problems and Abnormal Bleeding Studies
Chapter 82. Management of Common Anemias
Chapter 83. Outpatient Oral Anticoagulant Therapy
Elaine M. Hylek and Robert A. Hughes
Chapter 84. Approach to the Patient with Lymphoma
B. Oncology
Chapter 85. Approach to the Patient with Metastatic Tumor of Unknown Origin
Chapter 86. Approach to Staging and Monitoring
Chapter 87. Comprehensive Care of the Cancer Patient
Chapter 88. Principles of Cancer Drug Therapy
Chapter 89. Principles of Radiation Therapy
Thomas Delaney
Chapter 90. Management of Chronic Cancer Pain and Palliative Care
Part 1: Management of Chronic Cancer Pain
Linda A. King and J. Andrew Billings
Part 2: Palliative Care
Eric L. Krakauer
Chapter 91. Managing the Gastrointestinal Complications of Cancer and Cancer Treatment
Chapter 92. Complications of Cancer: Oncologic Emergencies and Paraneoplastic
Syndromes
PART 7 ENDOCRINOLOGIC PROBLEMS
Chapter 93. Screening for Diabetes Mellitus
Chapter 94. Screening for Thyroid Cancer
Chapter 95. Evaluation of Thyroid Nodules
Chapter 96. Approach to the Patient with Hypercalcemia
Samuel R. Nussbaum
Chapter 97. Evaluation of Hypoglycemia
Chapter 98. Evaluation of Hirsutism
Samuel R. Nussbaum
Chapter 99. Evaluation of Gynecomastia
Chapter 100. Evaluating Galactorrhea and Hyperprolactinemia
Chapter 101. Evaluation of Suspected Diabetes Insipidus
Chapter 102. Approach to the Patient with Diabetes Mellitus UPDATED
Chapter 103. Approach to the Patient with Hyperthyroidism
Chapter 104. Approach to the Patient with Hypothyroidism
Chapter 105. Glucocorticoid Therapy
PART 8 GYNECOLOGIC PROBLEMS
Chapter 106. Screening for Breast Cancer UPDATED
Chapter 107. Screening for Cervical Cancer
Chapter 108. Screening for Ovarian Cancer UPDATED
Chapter 109. Screening for Endometrial Cancer
Chapter 110. Vaginal Cancer and Other Effects of Diethylstilbestrol Exposure
Chapter 111. Approach to the Woman with Abnormal Vaginal Bleeding
Chapter 112. Evaluation of Secondary Amenorrhea
Chapter 113. Evaluation of Breast Masses and Nipple Discharges
Chapter 114. Evaluation of Vulvar Pruritus
Chapter 115. Medical Evaluation of Female Sexual Dysfunction
Chapter 116. Approach to the Patient with Menstrual or Pelvic Pain UPDATED
Chapter 117. Approach to the Patient with a Vaginal Discharge
Chapter 118. Approach to the Menopausal Woman UPDATED
Chapter 119. Approach to Fertility Control UPDATED
Nancy J. Gagliano and Susan Oliverio
Chapter 120. Approach to the Infertile Couple
Chapter 121. Approach to the Woman with an Unplanned Pregnancy
Chapter 122. Management of Breast Cancer UPDATED
Chapter 123. Management of the Woman with Genital Tract Cancer
PART 9 GENITOURINARY PROBLEMS
Chapter 124. Screening for Syphilis
Benjamin Davis and Harvey B. Simon
Chapter 125. Screening for Chlamydial Infection UPDATED
Benjamin Davis
Chapter 126. Screening for Prostate Cancer UPDATED
Michael J. Barry and John D. Goodson
Chapter 127. Screening for Asymptomatic Bacteriuria and Urinary Tract Infection
Chapter 128. Screening for Cancers of the Lower Urinary Tract
Chapter 129. Evaluation of the Patient with Hematuria
Leslie S.-T. Fang
Chapter 130. Evaluation of the Patient with Proteinuria
Leslie S.-T. Fang
Chapter 131. Evaluation of Scrotal Pain, Masses, and Swelling
Chapter 132. Medical Evaluation and Management of Erectile Dysfunction UPDATED
Chapter 133. Approach to Dysuria and Urinary Tract Infections in Women
Leslie S.-T. Fang
Chapter 134. Approach to Incontinence and Other Forms of Lower Urinary Tract
Dysfunction
John D. Goodson
Chapter 135. Approach to the Patient With Nephrolithiasis
Leslie S.-T. Fang
Chapter 136. Approach to the Male Patient with Urethritis
John D. Goodson
Chapter 137. Approach to the Patient with Gonorrhea
Benjamin Davis and Harvey B. Simon
Chapter 138. Approach to Benign Prostatic Hyperplasia
Michael J. Barry and John D. Goodson
Chapter 139. Management of Acute and Chronic Prostatitis
John D. Goodson
Chapter 140. Management of Urinary Tract Infection in Men
Chapter 141. Management of Syphilis and Other Sexually Transmitted Diseases
Benjamin Davis and Harvey B. Simon
Chapter 142. Management of the Patient with Chronic Renal Failure UPDATED
Leslie S.-T. Fang
Chapter 143. Management of Genitourinary Cancers in Men
PART 10 MUSCULOSKELETAL PROBLEMS
Chapter 144. Screening for Osteoporosis UPDATED
Chapter 145. Evaluation of Acute Monoarticular Arthritis
Chapter 146. Evaluation of Polyarticular Complaints
Chapter 147. Evaluation of Back Pain UPDATED
Chapter 148. Evaluation of Neck Pain UPDATED
Chapter 149. Approach to the Patient with Muscle Cramps
Chapter 150. Approach to the Patient with Shoulder Pain
Jesse B. Jupiter and David Ring
Chapter 151. Evaluation of Hip Pain
Robert J. Boyd
Chapter 152. Evaluation of Knee Pain
Chapter 153. Approach to Minor Orthopedic Problems of the Elbow, Wrist, and
Hand UPDATED
Jesse B. Jupiter and David Ring
Chapter 154. Approach to Minor Orthopedic Problems of the Foot and Ankle
Jesse B. Jupiter and David Ring
Chapter 155. Approach to the Patient with Asymptomatic Hyperuricemia
Chapter 156. Management of Rheumatoid Arthritis UPDATED
Chapter 157. Management of Osteoarthritis UPDATED
Chapter 158. Management of Gout
Chapter 159. Approach to the Patient with Fibromyalgia
Chapter 160. Approach to the Patient with Lyme Disease UPDATED
Chapter 161. Approach to the Patient with Polymyalgia Rheumatica or Temporal Arteritis
Chapter 162. Management of Paget's Disease
Samuel R. Nussbaum
Chapter 163. Approach to the Patient with Raynaud's Phenomenon
Chapter 164. Prevention and Management of Osteoporosis UPDATED
PART 11 NEUROLOGIC PROBLEMS
Chapter 165. Approach to the Patient with Headache
Amy A. Pruitt
Chapter 166. Evaluation of Dizziness
Amy A. Pruitt
Chapter 167. Focal Neurologic Complaints: Evaluation of Nerve Root and Peripheral Nerve
Syndromes