Table of Contents
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Part 1 Introduction
Chapter 1 The Changing Landscape of Collaborative Practice
Current Forces Shaping the Primary Care Landscape
The New Look of Primary Care
Opportunities to Shape the Landscape
Conclusion
References
Chapter 2 Transitional Care
Health Literacy
Cognitive Impairment
Medication Safety
Cultural Competence and Language
Transitional Care
References
Chapter 3 Translating Research into Clinical Practice
Research Designs and Data Analysis Methods
Weighing the Evidence: Evaluating Key Study Parameters
Crossing the Divide: Translating Research Results into Clinical Practice
Strategies to Form Research Collaborations
Understanding the Research Process
Summary
References
Chapter 4 The Patient, the Provider, and Primary Care
Integrative Health Care and Alternative Therapies
Conclusion
References
Chapter 5 Population-Based Care for Primary Care Providers
Current Challenges
Solutions to Current Challenges
Chronic Care Model
The Patient-Centered Medical Home
Population Management
Preparing for the Primary Care Practice of the Future
Summary
References
Chapter 6 Health Literacy, Health Care Disparities, and Culturally Responsive Primary Care
Health Literacy
Health Literacy and Health Care Outcomes
Health Literacy Components
Health Literacy Assessment
Health Literacy Interventions
Health Care Disparities
Culturally Responsive Care
Obligations in Culturally Responsive Primary Care
Conclusion
References
Chapter 7 Genetic Considerations in Primary Care
Risk Assessment
Family History
Genetic Information Nondiscrimination Act
Conclusion
Resources
References
Chapter 8 Risk Management
Nurse Practitioner Malpractice Claims
Disclosure of Errors and Adverse Medical Events
The “Second Victim”
The National Practitioner Data Bank
Defending Against a Board of Nursing Complaint
Telemedicine
Medical Malpractice Risk Management Strategies
Electronic Medical Records
Social Media
Surreptitious Recording by Patients
Scope of Practice
Legal Documents
Third-Party Cases
Against Medical Advice
High-Liability Clinical Areas
Curbside Consultations
Staff as Patients
Patient Requests for Waiver, Write-Off, or Reimbursement of Fees for Services
Chaperones
Policies
References
Part 2 Primary Care: Adolescence Through Adulthood
Chapter 9 Adolescent Issues
Physical Development
Cognitive Development
Emotional Development
Social Development
The Adolescent Health Visit
Adolescent Mental Health
Adolescents and Violence
Adolescents and Sexual Activity
Physical Examination
Health Maintenance and Health Promotion
References
Chapter 10 LGBTQ Patient Care
Definitions
Goals of Care
Access to Care
Barriers to Care
Challenges in Primary Care
Specific Health Screenings
Issues with Health Screening
Sexual Reassignment Intervention
Life Span Considerations
Patient Education and Health Promotion
References
Chapter 11 Pregnancy and Prenatal Care
Goals of Prenatal Care
Use of Prenatal Care
Delivery of Prenatal Care
Content of Prenatal Visit
Common Problems in Pregnancy
Obstetric Complications
Other Medical Conditions in Pregnancy
References
Chapter 12 Lactation Guidance
Prenatal Preparation for Breastfeeding
The First Few Days
Discharge Instructions
Neonatal Jaundice
Managing Challenges to Breastfeeding Success
Other Considerations
Summary
References
Chapter 13 Aging and Common Geriatric Syndromes
Common Geriatric Syndromes
References
Chapter 14 Palliative and End-of-Life Care
Palliative Care
Symptom Management in Palliative Care
References
Part 3 Health Maintenance
Chapter 15 Obesity and Weight Management
Epidemiology
Definition
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Indications for Referral or Hospitalization
Education and Health Promotion
References
Chapter 16 Lifestyle Management
Lifestyle Management
Smoking Cessation
Intimate Partner Violence
References
Chapter 17 Routine Health Screening and Immunizations
Routine Health Screenings
Immunizations
Additional Resources
References
Chapter 18 Principles of Occupational and Environmental Health in Primary Care
Primary Care Role in Occupational and Environmental Health
Occupational Respiratory Diseases
Regulatory Agency and Other Requirements in Occupational and Environmental Health
References
Chapter 19 College Health
Roles of College Health Care Providers
Topics in College Health
Screenings and Immunizations
Cultural Issues
Resources
References
Chapter 20 Health Care of the International Traveler
Pre-Travel Preparation and Patient Education
Immunizations
Medications and Prescriptions
Air Travel Risks
Travel Safety
Summary
References
Chapter 21 Presurgical Clearance
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
Surgical or Perioperative Home
References
Chapter 22 Preparticipation Sports Physical
History
Physical Examination
Diagnostics
Medical Clearance
Patient and Family Education
References
Part 4 Office Emergencies
Chapter 23 Disaster and Emergency Preparedness and Response in Primary Care
The Evolution of Emergency and Disaster Preparedness Efforts in Health Care
Disaster Preparedness in the Primary Care Setting
Preparing the Primary Care Office for Small-Scale Emergencies and Disasters
The Critical Role of Primary Care Practices in Large-Scale Disasters
Primary Patient Care Continues During a Disaster
Primary Care and Surge Capacity
Case Study 1: H1N1—Primary Care during a Pandemic Influenza Event
Case Study 2: Hurricane Katrina—Primary Care during the Postdisaster Period
Summary
Resources
References
Chapter 24 Acute Bronchospasm
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Initial Stabilization and Management
Disposition and Referral
Prevention and Patient Education
References
Chapter 25 Anaphylaxis
Definition and Epidemiology
Pathophysiology
Physical Examination and Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 26 Bites and Stings
Insect Bites and Stings
Spider Bites
Reptile Bites and Scorpion Stings
References
Chapter 27 Bradycardia and Tachycardia
Bradycardia
Tachycardia
References
Chapter 28 Cardiac Arrest
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Initial Stabilization and Management
Complications
Disposition and Referral
Prevention
Patient and Family Education
References
Chapter 29 Chemical Exposure
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics and Differential Diagnosis
Initial stabilization and Management
Disposition and Referral
Prevention and Patient Education
Resources
References
Chapter 30 Electrical Injuries
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Initial Stabilization and Management
Disposition and Referral
Prevention and Patient and Family Education
References
Chapter 31 Environmental and Food Allergies
Environmental Allergies
Food Allergies
References
Chapter 32 Head Trauma
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Initial Stabilization and Management
Disposition and Referral
Patient and Family Education
References
Chapter 33 Hypotension
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 34 Poisoning
Definition
Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Initial Stabilization and Management
Terrorism
Prevention and Patient Education
References
Chapter 35 Sexual Assault
Definition and Epidemiology
Clinical Presentation
Physical Examination
Diagnostics
Indications for Referral or Hospitalization
Life Span Considerations
Specific Populations
Patient Education and Health Promotion
References
Chapter 36 Syncope
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Initial Stabilization and Management
Disposition and Referral
Prevention and Patient Education
References
Chapter 37 Thermal Injuries
Heat-Related Illness
Cold Injury
References
Part 5 Evaluation and Management of Skin Disorders
Chapter 38 Examination of the Skin and Approach to Diagnosis of Skin Disorders
Definition and Epidemiology
Overview of Skin Function, Anatomy, and Structures
Changes in the Skin Associated with Aging
Assessment
References
Chapter 39 Surgical Office Procedures
Cryosurgery
Electrocautery
Curettage
Biopsy
Summary
References
Chapter 40 Principles of Dermatologic Therapy
Definition and Epidemiology
Skin Structure
Medications
Patient and Family Education
References
Chapter 41 Screening for Skin Cancer
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 42 Acne Vulgaris
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics and Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 43 Alopecia
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 44 Animal and Human Bites
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Management
Complications
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 45 Bullous Pemphigoid
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 46 Burns (Minor)
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 47 Cellulitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Treatment
New Antibiotics
Indications for Referral or Hospitalization
Special Circumstances
Education and Health Promotion
References
Chapter 48 Contact Dermatitis
Definition and Epidemiology
Clinical Presentation and Physical Examination
Diagnostics and Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 49 Corns and Calluses
Definition
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics and Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 50 Cutaneous Herpes
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education
Health Promotion
References
Chapter 51 Dermatitis Medicamentosa (Drug Eruption)
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Clinical Information Resources
Patient and Family Education and Health Promotion
References
Chapter 52 Dry Skin
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics and Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 53 Eczematous Dermatitis (Atopic Dermatitis)
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics and Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Lifespan Considerations
Education and Health Promotion
References
Chapter 54 Fungal Infections (Superficial)
Dermatophyte Infections
Tinea Versicolor
Candidiasis
References
Chapter 55 Herpes Zoster (Shingles)
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Life Span Considerations
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 56 Hidradenitis Suppurativa (Acne Inversa)
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient Education
References
Chapter 57 Hyperhidrosis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics and Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 58 Intertrigo
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education and Health Promotion
References
Chapter 59 Nail Disorders
Herpetic Whitlow
Paronychial Infections
Onychomycosis
References
Chapter 60 Pigmentation Changes (Vitiligo)
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral
Patient and Family Education
References
Chapter 61 Pruritus
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 62 Psoriasis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 63 Purpura
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 64 Scabies
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 65 Seborrheic Dermatitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics and Differential Diagnosis
Management
Complications
Life Span Considerations
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 66 Stasis Dermatitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Education and Health Promotion
References
Chapter 67 Urticaria
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 68 Warts
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics and Differential Diagnosis
Management
Complications
Indications for Referral
Patient and Family Education
References
Chapter 69 Wound Management
Definition and Epidemiology
Classification of Wounds
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Part 6 Evaluation and Management of Eye Disorders
Chapter 70 Evaluation of the Eyes
Screening Recommendations
History
Physical Examination
Signs and Symptoms of Ocular Disease
References
Chapter 71 Cataracts
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 72 Blepharitis, Hordeolum, and Chalazion
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 73 Conjunctivitis
Definition
Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Management
Differential Diagnosis
Indications for Referral
Education and Health Promotion
References
Chapter 74 Corneal Surface Defects and Ocular Surface Foreign Bodies
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral
Prevention
References
Chapter 75 Dry Eye Syndrome
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 76 Nasolacrimal Duct Obstruction and Dacryocystitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 77 Preseptal and Orbital Cellulitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Education and Health Promotion
References
Chapter 78 Pinguecula and Pterygium
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Indications for Referral
Patient Education and Health Promotion
References
Chapter 79 Traumatic Ocular Disorders
Definition
Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management and Indications for Referral
Complications
Life Span Considerations
Education and Health Promotion
References
Part 7 Evaluation and Management of Ear Disorders
Chapter 80 Auricular Disorders
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 81 Cerumen Impaction
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Education and Health Promotion
References
Chapter 82 Cholesteatoma
Definition
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics and Differential Diagnosis
Management
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 83 Impaired Hearing
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management and Interdisciplinary Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 84 Inner Ear Disturbances
Vestibular Neuritis
Meniere Disease
Tinnitus
References
Chapter 85 Otitis Externa
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Education and Health Promotion
References
Chapter 86 Otitis Media
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 87 Tympanic Membrane Perforation
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics and Differential Diagnosis
Management
Complications and Indications for Referral or Hospitalization
Patient and Family Education
References
Part 8 Evaluation and Management of Nose Disorders
Chapter 88 Chronic Nasal Congestion and Discharge
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education and Health Promotion
References
Chapter 89 Epistaxis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education and Health Promotion
References
Chapter 90 Nasal Trauma
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education
References
Chapter 91 Rhinitis
Allergic Rhinitis
Idiopathic, or Vasomotor, Rhinitis
Other Causes of Rhinitis
References
Chapter 92 Sinusitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 93 Smell and Taste Disturbances
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education and Health Promotion
References
Chapter 94 Tumors and Polyps of the Nose
Nasal Tumors and Polyps
Granulomatosis with Polyangiitis (Wegener Granulomatosis)
References
Part 9 Evaluation and Management of Oropharyynx Disorders
Chapter 95 Dental Abscess
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 96 Diseases of the Salivary Gland
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 97 Epiglottitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 98 Oral Infections
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 99 Parotitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 100 Peritonsillar Abscess
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 101 Pharyngitis and Tonsillitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Part 10 Evaluation and Management of Pulmonary Disorders
Chapter 102 Acute Bronchitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 103 Asthma
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Medications
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient Education
References
Chapter 104 Chest Pain (Noncardiac)
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Age Considerations
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 105 Chronic Cough
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 106 Chronic Obstructive Pulmonary Disease
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Palliative Care and Hospice
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 107 Dyspnea
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Differential Diagnosis
Diagnostics
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 108 Hemoptysis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 109 Lung Cancer
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 110 Pleural Effusions and Pleurisy
Pleural Effusions
Pleurisy
References
Chapter 111 Pneumonia
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 112 Pneumothorax
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 113 Pulmonary Embolism
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 114 Pulmonary Hypertension
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 115 Sarcoidosis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Part 11 Evaluation and Management of Cardiovascular Disorders
Chapter 116 Cardiac Diagnostic Testing
Pathophysiology of Coronary Artery Disease
Overview of Cardiac Diagnostic Testing
Diagnostic Testing for Cardiovascular Disease in Women
Summary
References
Chapter 117 Abdominal Aortic Aneurysm
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Preoperative Cardiac Risk Stratification
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient Education
Health Promotion
References
Chapter 118 Cardiac Arrhythmias
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Initial Diagnostics
Other Diagnostics
Differential Diagnosis of Tachyarrhythmias
Differential Diagnosis of Bradyarrhythmias
Management
Management of Bradyarrhythmias
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education
References
Chapter 119 Carotid Artery Disease
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Indications for Referral or Hospitalization
Patient Education
References
Chapter 120 Chest Pain and Coronary Artery Disease
Definition and Epidemiology
Lipid Guidelines
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations: Women and Heart Disease
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 121 Heart Failure
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Classification of Heart Failure
Diagnostics
Management
Indications for Referral or Hospitalization
Life Span Considerations
Emerging Evidence
Patient and Family Education
Health Promotion
References
Chapter 122 Hypertension
Definition and Epidemiology
Incidence and Prevalence
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Indications for Referral or Hospitalization
General Treatment for Primary Hypertension in Adults
Life Span Considerations
Complications
Education and Health Promotion
References
Chapter 123 Infective Endocarditis
Definition and Epidemiology
Cardiac Implantable Electronic Device Endocarditis
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient Education and Health Promotion
References
Chapter 124 Myocarditis
Definition and Epidemiology
Pathophysiology
Clinical Manifestations
Physical Examination
Diagnostics
Differential Diagnosis
Management
Prognosis and Life Span Considerations
Patient and Family Education
References
Chapter 125 Peripheral Arterial and Venous Insufficiency
Peripheral Arterial Insufficiency
Chronic Arterial Insufficiency
Acute Arterial Insufficiency
Peripheral Venous Insufficiency
Deep Venous Thrombosis of the Lower Extremity
Chronic Venous Stasis
Varicose Veins
Venous Stasis Ulceration
References
Chapter 126 Valvular Heart Disease and Cardiac Murmurs
Aortic Stenosis
Aortic Regurgitation
Mitral Regurgitation
Mitral Valve Prolapse
Mitral Stenosis
References
Part 12 Evaluation and Management of Gastrointestinal Disorders
Chapter 127 Abdominal Pain and Infections
Appendicitis
Small Bowel Obstruction
Perforated Peptic Ulcer
Peritonitis
Ruptured Aortic Aneurysm
References
Chapter 128 Anorectal Complaints
Hemorrhoids
Anal Fissure
Pruritus Ani
Anorectal Abscess or Fistula
References
Chapter 129 Cholelithiasis and Cholecystitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 130 Cirrhosis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Resources
References
Chapter 131 Constipation
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 132 Diarrhea, Noninfectious
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient Education and Health Promotion
References
Chapter 133 Diverticular Disease
Diverticulosis
Diverticulitis
Diverticular Bleeding
References
Chapter 134 Dysphagia
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 135 Gastroesophageal Reflux Disease
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 136 Gastrointestinal Hemorrhage
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 137 Hepatitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 138 Inflammatory Bowel Disease
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education
Health Promotion
Resources
References
Chapter 139 Irritable Bowel Syndrome
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 140 Jaundice
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 141 Nausea and Vomiting
Definition and Epidemiology
Pathophysiology
The Vomiting Reflex
Clinical Presentation
History
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 142 Pancreatitis
Acute Pancreatitis
Chronic Pancreatitis
Pancreatic Pseudocyst
References
Chapter 143 Tumors of the Gastrointestinal Tract
Tumors of the Esophagus
Tumors of the Stomach
Tumors of the Small Intestine
Tumors of the Colon
References
Chapter 144 Peptic Ulcer Disease
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Part 13 Evaluation and Management of Genitourinary Disorders
Chapter 145 Incontinence
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Consideration for Referral
Patient Education
References
Chapter 146 Prostate Cancer
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics and Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 147 Prostatic Hyperplasia (Benign)
Benign Prostatic Hyperplasia
Prostatitis
References
Chapter 148 Proteinuria and Hematuria
Proteinuria
Hematuria
References
Chapter 149 Renal Failure
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education
References
Chapter 150 Sexual Dysfunction (Male)
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral
Life Span Considerations
Patient and Partner Education
Health Promotion
References
Chapter 151 Testicular Disorders
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 152 Urinary Calculi
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 153 Urinary Tract Infections and Sexually Transmitted Infections
Urinary Tract Infections
Sexually Transmitted Infections
Diseases Characterized by Cervicitis and Urethritis
Diseases Characterized by Genital Ulcers
References
Chapter 154 Uropathies (Obstructive) and Tumors of the Genitourinary Tract (Kidneys, Ureters, and Bladder)
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis of Urinary Tract Obstruction and Renal Tumors
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient Education
Health Promotion
References
Part 14 Evaluation and Management of Gynecologic Concerns
Chapter 155 Amenorrhea
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 156 Bartholin Gland Cysts and Abscesses
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 157 Breast Disorders
Breast Pain (Mastalgia, Mastodynia)
Mastitis
Nipple Discharge and Galactorrhea
Paget Disease of the Nipple
Breast Masses
Gynecomastia
References
Chapter 158 Chronic Pelvic Pain
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 159 Dysmenorrhea
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 160 Dyspareunia
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Examination
Diagnostics
Differential Diagnosis
Management and Health Promotion
Life Span Considerations
Complications
Indications for Referral
Patient and Family Education
References
Chapter 161 Ectopic Pregnancy
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 162 Fertility Control
Definition and Epidemiology
Hormonal Contraception
Barrier Methods
Surgical Sterilization
Hysteroscopic Sterilization
Natural Family Planning
Reasons for Contraceptive Nonuse
References
Chapter 163 Genital Tract Cancers
Endometrial Cancer
Ovarian Cancer
Vulvar Cancer
Vaginal Cancer
Cervical Cancer
References
Chapter 164 Infertility
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 165 Menopause
Definition and Epidemiology
Physiology
Research and Clinical Trials
Clinical Presentation
Chronic Disease
Physical Examination
Management
Nonpharmacological Therapies
Pharmacologic Therapy
Food and Drug Administration–Approved Nonhormonal Pharmacologic Options
Non–Food and Drug Administration–Approved Nonhormonal Pharmacologic Options
Implications for Practice
References
Chapter 166 Pap Test Abnormalities
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics: Cervical Cancer Screening
Management
Life Span Considerations
Indications for Referral
Patient and Family Education
Health Promotion
References
Chapter 167 Pelvic Inflammatory Disease
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 168 Sexual Dysfunction (Female)
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral
Life Span Considerations
Education and Health Promotion
References
Chapter 169 Unplanned Pregnancy
Definition and Epidemiology
Clinical Presentation
Management and Counseling
Life Span Considerations
Complications
Indications for Referral
Patient Education
References
Chapter 170 Vulvar and Vaginal Disorders
Vulvar Disorders
Vaginitis and Vaginosis
References
Part 15 Evaluation and Management of Musculoskeletal and Arthritic Disorders
Chapter 171 Ankle and Foot Pain
Ankle Sprains
Achilles Tendinopathy
Achilles Tendon Rupture
Osteochondritis Dissecans
Plantar Fasciitis
Morton Neuroma
References
Chapter 172 Bone Tumors
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Common Clinical Scenarios
Medical History and Physical Examination
Diagnostics
Imaging Studies
Differential Diagnosis
Management
Prognosis and Survival
Life Span Considerations
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 173 Bursitis
Shoulder Bursitis
Elbow (Olecranon) Bursitis
Hip Bursitis
Knee Bursitis
Heel (Calcaneal) Bursitis
References
Chapter 174 Elbow Pain
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Consideration for Referral
Patient Education
References
Chapter 175 Fibromyalgia and Myofascial Pain Syndrome
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 176 Gout
Definition
Epidemiology
Pathophysiology
Clinical Presentation
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Resources
References
Chapter 177 Hand and Wrist Pain
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics and Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Education and Health Promotion
References
Chapter 178 Hip Pain
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education and Health Promotion
References
Chapter 179 Infectious Arthritis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 180 Knee Pain
Cruciate Ligament Injuries
Meniscus Injuries
Patellofemoral Pain Syndrome
Inflammatory and Degenerative Disorders
References
Chapter 181 Low Back Pain
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complementary and Alternative Management
Psychological Health
Spinal Interventional Procedures
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient Education and Health Promotion
References
Chapter 182 Metabolic Bone Disease
Osteoporosis
Paget Disease of Bone
References
Chapter 183 Neck Pain
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Physical Therapy Management of Cervical Spine Pain
Medications
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 184 Osteoarthritis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Future Directions
Patient and Family Education
Health Promotion
References
Chapter 185 Osteomyelitis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Patient and Family Education
References
Chapter 186 Shoulder Pain
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 187 Sprains, Strains, and Fractures
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Part 16 Evaluation and Management of Neurologic Disorders
Chapter 188 Neuropsychological Evaluation
Overview of Clinical Neuropsychology
Professional Functions and Roles
Assessment Tools and Approaches
Neuropsychology Within Primary Care Settings
When to Refer
Overview of the Assessment Process
Scoring and Interpretation of Neuropsychological Test Data
Additional Considerations in Neuropsychological Assessment
Case Study
Summary
References
Chapter 189 Amyotrophic Lateral Sclerosis
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 190 Bell Palsy
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization,,
Life Span Considerations
Education and Health Promotion
References
Chapter 191 Cerebrovascular Events
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Education and Health Promotion
References
Chapter 192 Delirium
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 193 Dementia
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 194 Dizziness and Vertigo
Dizziness
Benign Paroxysmal Positional Vertigo
References
Chapter 195 Guillain-Barré Syndrome
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 196 Headache
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 197 Infections of the Central Nervous System
Definition and Epidemiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 198 Movement Disorders and Essential Tremor
Essential Tremor
References
Chapter 199 Multiple Sclerosis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Patient and Family Education
Resources
References
Chapter 200 Parkinson Disease
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Indications for Referral or Hospitalization
Complications and Comorbid Problems
Patient and Family Education
References
Chapter 201 Seizure Disorder
Definition and Epidemiology
Pathophysiology
Classification of Seizures, Epilepsy, and Epileptic Syndromes
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Initial Stabilization and Management of Acute Seizures
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 202 Trigeminal Neuralgia
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics and Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Education and Health Promotion
References
Chapter 203 Intracranial Tumors
Definition and Epidemiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Part 17 Evaluation and Management of Endocrine and Metabolic Disorders
Chapter 204 Acromegaly
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management and Co-Management with Specialists
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 205 Adrenal Gland Disorders
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 206 Diabetes Mellitus
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 207 Hirsutism
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 208 Hypercalcemia and Hypocalcemia
Hypercalcemia
Hypocalcemia
References
Chapter 209 Hyperkalemia and Hypokalemia
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 210 Hypernatremia and Hyponatremia
Hypernatremia
Hyponatremia
References
Chapter 211 Lipid Disorders
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral
Patient Education
References
Chapter 212 Metabolic Syndrome
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 213 Parathyroid Gland Disorders
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient Education and Health Promotion
References
Chapter 214 Thyroid Disorders
Goiter (Simple, Nontoxic)
Thyroid Nodules and Thyroid Cancer
Hyperthyroidism
Hypothyroidism
Nonthyroidal Illness
Drugs and the Thyroid Gland
Thyroid Disease in Pregnancy
References
Part 18 Evaluation and Management of Rheumatic Disorders
Chapter 215 Ankylosing Spondylitis and Related Disorders
Ankylosing Spondylitis
Reactive Arthritis (Formerly Known as Reiter Syndrome)
Psoriatic Arthritis
Arthritis of Inflammatory Bowel Disease
References
Chapter 216 Polymyalgia Rheumatica and Giant Cell Arteritis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral
Patient Education
Pathophysiology
Clinical Presentation
Physical Examination and Classification Criteria of Giant Cell Arteritis
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Considerations for Referral or Hospitalization
References
Chapter 217 Raynaud Phenomenon
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient Education
References
Chapter 218 Rheumatoid Arthritis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 219 Systemic Lupus Erythematosus
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 220 Vasculitis
Definition and Epidemiology
Classification of Vasculitic Syndromes
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Part 19 Evaluation and Management of Multisystem Disorders
Chapter 221 Barotrauma and Other Diving Injuries
Decompression Sickness and Barotrauma
Ear Barotrauma
Sinus Barotrauma
Pulmonary Barotrauma
Marine Animal Bites and Stings
References
Chapter 222 Chronic Pain
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management and Interdisciplinary Management
Life Span Considerations
Patient and Family Education
Health Promotion
References
Chapter 223 Fatigue
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 224 Fever
Definition and Epidemiology
Evaluating a Febrile Patient
Life Span Considerations
Management
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 225 Immunodeficiency
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Diagnosis
Life Span Considerations
Complications
Indications for Referral
Patient Information and Health Promotion
References
Chapter 226 Lymphadenopathy
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Chapter 227 Sleep Disorders
Normal Sleep
Insomnia and Nonrestorative Sleep
Sleep-Related Breathing Disorders
Central Nervous System Hypersomnias
Sleep-Related Movement Disorders
Parasomnias
References
Chapter 228 Unintended Weight Loss
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Indications for Referral or Hospitalization
Complications
Life Span Considerations
Education and Health Promotion
References
Part 20 Evaluation and Management of Infectious Diseases
Chapter 229 Emerging and Reemerging Infectious Diseases
Definitions
Risk Factors Favoring Emergence of Pathogens
Pathogens
Summary
References
Chapter 230 HIV Infection
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 231 Influenza
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Patient and Family Education
Health Promotion and Prevention
References
Chapter 232 Infectious Diarrhea
Definition
Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Prevention
References
Chapter 233 Infectious Mononucleosis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 234 Tick-Borne Illnesses
Lyme Disease
Babesiosis
Anaplasmosis
Ehrlichiosis
Rocky Mountain Spotted Fever
References
Chapter 235 Tuberculosis
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Chapter 236 West Nile Virus
Definitions
Epidemiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Health Promotion
References
Part 21 Evaluation and Management of Hematologic Disorders
Chapter 237 Anemia
Microcytic Anemia
Thalassemia
Macrocytic Anemia: Megaloblastic Anemia
Normocytic Anemia
Anemia of Chronic Disease
Aplastic Anemia
Hemolytic Anemia
References
Chapter 238 Blood Coagulation Disorders
Bleeding Disorders (Coagulopathies)
Thrombosis Disorders (Thrombophilia)
References
Chapter 239 Leukemias
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics and Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient Education and Health Promotion
References
Chapter 240 Lymphomas
Hodgkin Lymphoma
Non-Hodgkin Lymphoma
References
Chapter 241 Myelodysplastic Syndromes
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Differential Diagnosis
Management
Indications for Referral or Hospitalization
Complications
Patient and Family Education
References
Part 22 Evaluation and Management of Oncologic Disorders
Chapter 242 Collaborative Management of the Oncology Patient
Cancer Risks
Screening for Cancer
Patient Management Issues
Role of the Primary Health Care Provider
References
Chapter 243 Basic Principles of Oncology Treatment
Radiation Therapy
Chemotherapy
Treating the Cancer Patient Today and Tomorrow
References
Chapter 244 Oncology Complications and Paraneoplastic Syndromes
Superior Vena Cava Syndrome
Malignant Spinal Cord Compression
Hypercalcemia
Tumor Lysis Syndrome and Hyperuricemia
Syndrome of Inappropriate Antidiuretic Hormone
References
Chapter 245 Oncology Pain and Symptom Management in Primary Care
Oncology Pain
Symptom Management in the Oncology Patient
References
Chapter 246 Unknown Primary Carcinoma
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Life Span Considerations
Complications
Indications for Referral or Hospitalization
Patient and Family Education
References
Part 23 Evaluation and Management of Mental Health Disorders
Chapter 247 Anxiety Disorders
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Management
Complications
Indications for Referral or Hospitalization
Life Span Considerations
Education and Health Promotion
References
Chapter 248 Mood Disorders
Grief and Bereavement
Depressive Disorders
Bipolar Disorders
References
Chapter 249 Substance Use Disorders
Definition and Epidemiology
Pathophysiology
Clinical Presentation and Physical Examination
Diagnostics
Management
Indications for Referral or Hospitalization
References
Chapter 250 Other Mental Health Disorders
Definition and Epidemiology
Pathophysiology
Clinical Presentation
Physical Examination
Diagnostics
Differential Diagnosis
Management
Complications
Indications for Referral or Hospitalization
Patient and Family Education
Health Promotion
References
Table of Contents by Disorder
Index
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