Over 55 expert contributors offer evidence-based approaches to the prevention, diagnosis, and management of the most important adult conditions seen in the primary care setting. This resource covers conditions seen in practice but not covered in general medicine texts, such as ailments related to ophthalmology, gynecology, orthopedics, otolaryngology, dermatology, geriatrics, psychiatry, neurology, audiology, and the genitourinary tract. Problem-oriented chapters make it easy to find information on any presenting complaint -from headache to low back pain. The 4th Edition includes 16 new chapters, new approaches throughout, and new contributors for over 45 chapters.

What's New

Features an expanded Women's Health section with 5 new chapters: Intimate Partner Violence Osteoporosis Benign Breast Disease The Menopause Hormone Replacement Therapy and Medical Problems of Pregnancy.
Includes 11 more new chapters throughout the book: Management of Ischemic Heart Disease Behavioral Modification and Pharmacologic Strategies for Smoking Cessation Aspirin Oxidative Stress, Alcohol and Psychological Factors in Heart Disease Cough Syndromes of Pleuritic Chest Pain Asthma Constipation Anaphylaxis Medical Care for Adolescents and Young Adults Preoperative Assessment and Care of the Surgical Patient and Prostate Cancer Screening.
Offers new approaches to syncope, chest pain, congestive heart failure, pharyngitis, diabetes, low back pain, screening and preventive medicine, vertigo and dizziness, dementia, lipid disorders, and much more!
Brings fresh perspectives to over 45 chapters with new contributors from across the country.

Contents

I. Cardiovascular Disorders
1. Syncope
2. Palpitations and Disturbances of Cardiac Rhythm
3. Evaluation of Angina Pectoris
4. Management of Ischemic Heart Disease
5. Valvular Heart Disease
6. Congestive Heart Failure
7. The Evaluation and Treatment of Dyslipidemia in Clinical Practice
8. Exercise for Primary Prevention or Rehabilitation in Heart Disease
9. Behavioral Modification and Pharmacologic Strategies for Smoking Cessation
10. Hypertension
11. Intermittent Claudication
12. Varicose Veins, Venous Ulcers and Post-Phlebitic Syndrome
13. Aspirin Oxidative Stress, Alcohol and Psychological Factors in Heart Disease


II. Diseases of the Respiratory Tract
14. Pharyngitis and Related Infections in Adults
15. Lesions of the Mouth
16. Cough
17. Allergic Rhinitis and Other Disorders of the Nose
18. Pain or Congestion of the Paranasal Sinuses
19. Hoarseness and Diseases of the Larynx
20. The Painful or Discharging Ear
21. Syndromes of Pleuritic Chest Pain
22. Community-Acquired Pneumonia
23. Asthma
24. Chronic Obstructive Pulmonary Disease
25. Hemoptysis
26. Solitary Pulmonary Nodule
27. Screening, Prophylaxis, and Treatment of Tuberculosis


III. Diseases of the Digestive Tract
28. Dyspepsia and Upper Abdominal Pain
29. Gallstones
30. Acute Diarrhea
31. Chronic Diarrhea
32. Constipation
33. Anorectal Disorders
34. Diseases of the Liver


IV. Genitourinary Problems
35. Hematuria, Proteinuria, and Acute Renal Failure
36. Sexually Transmitted Diseases
Salpingitis
Penile Discharge and Urethritis
Genital Lesions

37. Urinary Tract Infections
38. Prostatitis, Epididymitis, and Testicular Enlargement
39. Benign and Malignant Enlargement of the Prostate
40. Urolithiasis
41. Chronic Kidney Failure


V. Women's Health
42. Intimate Partner Violence
43. Osteoporosis
44. Benign Breast Disease
45. Common Gynecologic Problems
46. Abnormal Uterine Bleeding
47. The Menopause Hormone Replacement Therapy
48. Vaginitis and Cervicitis
49. Birth Control Methods and Planning for Conception
50. Disorders of Eating
51. Medical Problems of Pregnancy
52. Amenorrhea Syndromes
53. Hirsutism
54. The Infertile Couple


VI. Endocrine Problems
55. Thyroid Diseases
56. Hypercalcemia
57. Diabetes Mellitus


VII. Hematologic Problems
58. Evaluation of an Abnormal Blood Count
59. Bleeding and Thrombotic Disorders


VIII. Musculoskeletal Disorders
60. Monoarticular Arthritis and Acute Polyarthritis
61. Management of Chronic Arthritis
62. Low Back Pain
63. Pain in the Shoulder, Neck, and Arm
64. Pain in the Elbow, Hand, Knee, Hip, and Foot
65. Paget's Disease of Bone


IX. Neurologic Disorders
66. Vertigo and Dizziness
67. Seizure Disorders
68. Dementia
69. Headache
70. Parkinson's and Related Disorders, Gait, and Tremor
71. Peripheral Nerve Disorders
72. Muscular Weakness
73. Transient Ischemic Attacks


X. Clinical Primary Care Problems
74. Fatigue and Chronic Fatigue Syndrome
75. Anaphylaxis
76. Addressing HIV Infection in Office Practice
77. Medical Care for Adolescents and Young Adults
78. Clinical Problems in Geriatrics
79. Fever of Unknown Origin
80. Lymph Nodes and Subcutaneous Masses
81. Ophthalmologic Problems
82. Dermatology and Primary Care
83. Basic Assessment of Auditory Function
84. Preoperative Assessment and Care of the Surgical Patient


XI. Screening and Preventive Medicine
85. Periodic Health Assessment of Asymptomatic Adults
86. Cancer Screening
Colon Cancer Screening
Breast Cancer Screening
Cervical Cancer Screening
Prostate Cancer Screening

87. Immunization for Adults
88. Health Advice for Travelers
89. Antibiotic Prophylaxis for Transient Bacteremias


XII. Social-Psychiatric Problems
90. The Medical Interview and Related Skills
91. Management of Depression
92. Anxiety Disorders
93. The Difficult Doctor-Patient Encounter
94. Chronic Pain Syndrome
95. Somatization in Primary Care
96. Psychotic Disorders
97. Substance Abuse Disorders in Primary Care Medicine
98. Sexual Problems
99. Sleep Disorders