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

Primary Care Medicine: Office Evaluation and Management of the Adult Patient; 6th Edition......Page 0
Primary Care Medicine: Office Evaluation and Management of the Adult Patient; 6th Edition......Page 2
Table of Contents......Page 5
Editors......Page 12
Authors......Page 13
Dedication......Page 20
Preface......Page 21
Acknowledgments......Page 23
Foreword to the First Edition......Page 24
The Practice of Primary Care......Page 26
Selection and Interpretation of Diagnostic Tests......Page 46
Health Maintenance and the Role of Screening......Page 60
Estimating and Communicating Risk and Prognosis......Page 71
Choosing Among Treatment Options......Page 79
Immunization......Page 89
Screening for HIV-1 Infection......Page 123
Evaluation of Chronic Fatigue......Page 133
Evaluation of Weight Loss......Page 150
Evaluation of Overweight and Obesity......Page 164
Evaluation of Fever......Page 182
Evaluation of Lymphadenopathy......Page 203
Approach to the Patient with Human Immunodeficiency Virus (HIV) Infection......Page 215
Screening for Hypertension......Page 250
Screening for Hyperlipidemia......Page 259
Infective Endocarditis Prophylaxis......Page 272
Rheumatic Fever Prophylaxis......Page 280
Exercise for Prevention of Cardiovascular Disease......Page 287
Evaluation of Hypertension......Page 310
Evaluation of Chest Pain......Page 331
Evaluation of the Asymptomatic Systolic Murmur......Page 355
Evaluation of Leg Edema......Page 369
Evaluation of Arterial Insufficiency of the Lower Extremities......Page 384
Evaluation of Syncope......Page 396
Evaluation of Palpitations......Page 410
Management of Hypertension......Page 437
Approach to the Patient with a Lipid Disorder......Page 466
Outpatient Management of Atrial Fibrillation......Page 488
Management of Ventricular Irritability in the Ambulatory Setting......Page 510
Management of Chronic Stable Angina......Page 526
Cardiovascular Rehabilitation and Secondary Prevention of Coronary Heart Disease......Page 556
Approach to the Patient with Chronic Congestive Heart Failure......Page 570
Management of Valvular Heart Disease......Page 603
Management of Peripheral Arterial Disease......Page 622
Management of Peripheral Venous Disease......Page 636
Stress Testing and Other Noninvasive Studies for Detection of Coronary Disease......Page 654
Screening for Lung Cancer......Page 666
Tuberculosis Screening and Prophylaxis......Page 675
Evaluation and Prevention of Occupational and Environmental Respiratory Disease......Page 683
Evaluation of Chronic Dyspnea......Page 697
Evaluation of Subacute and Chronic Cough......Page 711
Evaluation of Hemoptysis......Page 725
Evaluation of Pleural Effusions......Page 734
Evaluation of the Solitary Pulmonary Nodule......Page 748
Evaluation of Clubbing......Page 757
Approach to the Patient with Sleep Apnea......Page 762
Management of Chronic Obstructive Pulmonary Disease......Page 770
Management of Asthma......Page 780
Management of Tuberculosis......Page 792
Management of the Common Cold......Page 804
Management of Sarcoidosis......Page 814
Approach to the Patient with Acute Bronchitis or Pneumonia in the Ambulatory Setting......Page 834
Approach to the Patient with Lung Cancer......Page 859
Smoking Cessation......Page 872
Screening for Gastric Cancer......Page 890
Screening for Colorectal Cancer......Page 896
Prevention of Viral Hepatitis......Page 920
Evaluation of Abdominal Pain......Page 938
Evaluation of Nausea and Vomiting......Page 953
Evaluation of Dysphagia and Suspected Esophageal Chest Pain......Page 966
Approach to the Patient with Heartburn and Reflux (Gastroesophageal Reflux Disease)......Page 979
Evaluation of Jaundice......Page 992
Evaluation of Gastrointestinal Bleeding......Page 1004
Evaluation and Management of Diarrhea......Page 1015
Approach to the Patient with Constipation......Page 1039
Approach to the Patient with Anorectal Complaints......Page 1051
Approach to the Patient with an External Hernia......Page 1068
Management of Peptic Ulcer Disease......Page 1076
Management of Asymptomatic and Symptomatic Gallstones......Page 1105
Management of Hepatitis......Page 1118
Management of Cirrhosis and Chronic Liver Failure......Page 1142
Management of Pancreatitis......Page 1158
Management of Inflammatory Bowel Disease......Page 1169
Approach to the Patient with Functional Gastrointestinal Disease......Page 1186
Management of Diverticular Disease......Page 1204
Management of Gastrointestinal Cancers......Page 1212
Screening for Anemia......Page 1248
Screening for Sickle Cell Disease and Sickle Cell Trait......Page 1253
Evaluation of Anemia......Page 1258
Evaluation of Erythrocytosis (Polycythemia)......Page 1272
Evaluation of Bleeding Problems and Abnormal Bleeding Studies......Page 1283
Management of Common Anemias......Page 1305
Outpatient Oral Anticoagulant Therapy......Page 1318
Approach to the Patient with Lymphoma......Page 1337
Approach to the Patient with Metastatic Tumor of Unknown Origin......Page 1359
Approach to Staging and Monitoring......Page 1373
Comprehensive Care of the Cancer Patient......Page 1382
Principles of Cancer Drug Therapy......Page 1395
Principles of Radiation Therapy......Page 1413
Management of Chronic Cancer Pain and Palliative Care......Page 1425
Managing the Gastrointestinal Complications of Cancer and Cancer Treatment......Page 1455
Complications of Cancer: Oncologic Emergencies and Paraneoplastic Syndromes......Page 1467
Screening for Diabetes Mellitus......Page 1477
Screening for Thyroid Cancer......Page 1487
Evaluation of Thyroid Nodules......Page 1493
Approach to the Patient with Hypercalcemia......Page 1507
Evaluation of Hypoglycemia......Page 1520
Evaluation of Hirsutism......Page 1531
Evaluation of Gynecomastia......Page 1545
Evaluation of Galactorrhea and Hyperprolactinemia......Page 1552
Polyuria and Polydipsia: Evaluation of Suspected Diabetes Insipidus......Page 1561
Approach to the Patient with Diabetes Mellitus......Page 1568
Approach to the Patient with Hyperthyroidism......Page 1580
Approach to the Patient with Hypothyroidism......Page 1594
Glucocorticoid Therapy......Page 1606
Screening for Breast Cancer......Page 1621
Screening for Cervical Cancer......Page 1630
Screening for Ovarian Cancer......Page 1638
Screening for Endometrial Cancer......Page 1645
Screening for and Prevention of Intimate Partner Violence......Page 1651
Approach to the Woman with Abnormal Vaginal Bleeding......Page 1656
Evaluation of Secondary Amenorrhea......Page 1670
Evaluation of Breast Masses and Nipple Discharges......Page 1683
Evaluation of Vulvar Pruritus......Page 1691
Medical Evaluation of Female Sexual Dysfunction......Page 1698
Approach to the Patient with Menstrual or Pelvic Pain......Page 1708
Approach to the Patient with a Vaginal Discharge......Page 1723
Approach to the Menopausal Woman......Page 1735
Approach to Fertility Control......Page 1743
Approach to the Infertile Couple......Page 1758
Approach to the Woman with an Unplanned Pregnancy......Page 1774
Management of Breast Cancer......Page 1785
Management of the Woman with Genital Tract Cancer......Page 1794
Screening for Syphilis......Page 1807
Screening for Chlamydial Infection......Page 1812
Screening for Prostate Cancer......Page 1820
Screening for Asymptomatic Bacteriuria and Urinary Tract Infection......Page 1828
Screening for Cancers of the Lower Urinary Tract......Page 1834
Evaluation of the Patient with Hematuria......Page 1840
Evaluation of the Patient with Proteinuria......Page 1850
Evaluation of Scrotal Pain, Masses, and Swelling......Page 1865
Medical Evaluation and Management of Erectile Dysfunction......Page 1872
Approach to Dysuria and Urinary Tract Infections in Women......Page 1887
Approach to Incontinence and Other Forms of Lower Urinary Tract Dysfunction......Page 1901
Approach to the Patient with Nephrolithiasis......Page 1921
Approach to the Male Patient with Urethritis......Page 1933
Approach to the Patient with Gonorrhea......Page 1941
Approach to Benign Prostatic Hyperplasia......Page 1949
Management of Acute and Chronic Prostatitis......Page 1960
Management of Urinary Tract Infection in Men......Page 1972
Management of Syphilis and Other Sexually Transmitted Diseases......Page 1980
Management of the Patient with Chronic Kidney Disease......Page 1987
Management of Genitourinary Cancers in Men......Page 2002
Screening for Osteoporosis in Postmenopausal Women......Page 2014
Evaluation of Acute Monoarticular Arthritis......Page 2023
Evaluation of Polyarticular Complaints......Page 2032
Approach to the Patient with Back Pain......Page 2052
Evaluation of Neck Pain......Page 2066
Approach to the Patient with Muscle Cramps......Page 2076
Approach to the Patient with Shoulder Pain......Page 2084
Evaluation of Hip Pain......Page 2099
Evaluation of Knee Pain......Page 2107
Approach to Minor Orthopedic Problems of the Elbow, Wrist, and Hand......Page 2120
Approach to Common Problems of the Foot and Ankle......Page 2130
Approach to the Patient with Asymptomatic Hyperuricemia......Page 2144
Management of Rheumatoid Arthritis......Page 2151
Management of Osteoarthritis......Page 2182
Management of Gout......Page 2202
Approach to the Patient with Fibromyalgia......Page 2215
Approach to the Patient with Lyme Disease......Page 2228
Approach to the Patient with Polymyalgia Rheumatica or Giant-Cell (Temporal) Arteritis......Page 2248
Management of Paget’s Disease......Page 2261
Approach to the Patient with Raynaud’s Phenomenon......Page 2271
Prevention and Management of Osteoporosis......Page 2280
Approach to the Patient with Headache......Page 2286
Evaluation of Dizziness......Page 2310
Focal Neurologic Complaints: Evaluation of Nerve Root and Peripheral Nerve Syndromes......Page 2325
Evaluation of Tremor......Page 2340
Evaluation of Dementia......Page 2346
Approach to the Patient with a Seizure......Page 2365
Management of Transient Ischemic Attack and Asymptomatic Carotid Bruit......Page 2378
Management of Multiple Sclerosis......Page 2386
Management of Alzheimer’s Disease and Related Dementias......Page 2398
Approach to the Patient with Parkinson’s Disease......Page 2425
Approach to the Patient with Bell’s Palsy (Idiopathic Facial Mononeuropathy)......Page 2440
Management of Tic Douloureux (Trigeminal Neuralgia)......Page 2447
Screening for Skin Cancers......Page 2452
Evaluation of Pruritus......Page 2467
Evaluation of Purpura......Page 2481
Evaluation of Disturbances in Pigmentation......Page 2488
Evaluation of Urticaria and Angioedema......Page 2501
Approach to the Patient with Hair Loss......Page 2513
Disturbances of Skin Hydration: Dry Skin and Excessive Sweating......Page 2526
Approach to the Patient with Dermatitis......Page 2535
Management of Acne......Page 2551
Management of Rosacea and Other Acneiform Dermatoses......Page 2561
Management of Psoriasis......Page 2568
Management of Intertrigo and Intertriginous Dermatoses......Page 2578
Management of Corns and Calluses......Page 2584
Approach to Bacterial Skin Infections......Page 2589
Management of Superficial Fungal Infections......Page 2602
Management of Cutaneous and Genital Herpes Simplex......Page 2617
Management of Herpes Zoster......Page 2630
Management of Warts......Page 2638
Management of Scabies and Pediculosis......Page 2648
Management of Skin Trauma: Bites and Burns......Page 2656
Management of Skin Ulceration......Page 2667
Screening for Open-Angle Glaucoma......Page 2685
Evaluation of the Red Eye......Page 2691
Evaluation of Impaired Vision......Page 2706
Evaluation of Eye Pain......Page 2715
Evaluation of Dry Eyes......Page 2722
Evaluation of Common Visual Disturbances: Flashing Lights, Floaters, and Other Transient Phenomena......Page 2727
Evaluation of Exophthalmos......Page 2732
Evaluation of Watery Eyes......Page 2737
Management of the Patient with Age-Related Macular Degeneration......Page 2742
Management of Glaucoma......Page 2748
Management of Cataracts......Page 2756
Management of Diabetic Retinopathy......Page 2763
Correction of Vision......Page 2770
Screening for Oral Cancer......Page 2776
Evaluation of Hearing Loss......Page 2781
Approach to Epistaxis......Page 2794
Evaluation of Facial Pain and Swelling......Page 2801
Evaluation of Smell and Taste Disturbances......Page 2808
Approach to the Patient with Hoarseness......Page 2817
Evaluation of Tinnitus......Page 2827
Approach to the Patient with Otitis......Page 2831
Approach to the Patient with Sinusitis......Page 2836
Approach to the Patient with Pharyngitis......Page 2847
Approach to the Patient with Hiccups......Page 2859
Approach to the Patient with Chronic Nasal Congestion and Discharge......Page 2864
Approach to the Patient with Excessive Snoring......Page 2882
Approach to the Patient with Aphthous Stomatitis......Page 2886
Management of Temporomandibular Joint Dysfunction......Page 2891
Approach to the Patient with Anxiety......Page 2895
Approach to the Patient with Depression......Page 2920
Approach to the Patient with an Alcohol Problem......Page 2943
Approach to the Patient with Sexual Dysfunction......Page 2975
Approach to the Somatizing Patient......Page 2989
Approach to the Angry Patient......Page 2999
Approach to the Patient with Insomnia......Page 3004
Management of Obesity......Page 3024
Approach to Eating Disorders......Page 3040
Approach to Drug Abuse and Dependence......Page 3057
Approach to the Patient with Chronic Nonmalignant Pain......Page 3080
Herbal Supplements Commonly Used as Complementary or Alternative Therapy......Page 3108
Caring for the Adolescent Patient......Page 3123
Approach to Frailty in Older Adults......Page 3135
A......Page 3143
B......Page 3170
C......Page 3182
D......Page 3209
E......Page 3225
F......Page 3238
G......Page 3248
H......Page 3258
I......Page 3280
J......Page 3290
K......Page 3291
L......Page 3293
M......Page 3303
N......Page 3318
O......Page 3327
P......Page 3336
Q......Page 3364
R......Page 3365
S......Page 3374
T......Page 3396
U......Page 3409
V......Page 3414
W......Page 3422
X......Page 3425
Y......Page 3426
Z......Page 3427
Color plates......Page 3428