Primary Care Medicine: Office Evaluation and Management of the Adult Patient, 6th Edition

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. 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

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.

Journal of Family Practice

Praise for the previous edition: Goroll does it again. The third edition of Primary Care Medicine gets two thumbs up: one for readability and the second for practicality....This is the gold standard for primary care texts.

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. -- [Résumé de l'éditeur] Provides information on medical diagnosis, therapy, lab tests, and health maintenance essential to decision making in primary care medicine. In this title, 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.