Textbook of Family Medicine

Author: Rakel> David  

Publisher: Elsevier Health Sciences‎

Publication year: 2011

E-ISBN: 9781437735673

P-ISBN(Paperback): 9781437711608

Subject: R161 General Health

Keyword: 一般理论

Language: ENG

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Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Description

Edited by Robert E. Rakel, MD and David P. Rakel, MD, Textbook of Family Medicine remains your #1 choice for complete guidance on the principles of family medicine, primary care in the community, and all aspects of clinical practice. Ideal for both residents and practicing physicians, it includes evidence-based, practical information to optimize your patient care and prepare you for the ABFM exam. The full-color format features a clean, quick-reference layout that makes it easy for you to put information to work immediately in your practice. You can also access the complete contents online at www.expertconsult.com, plus 30 videos of common office procedures, additional chapters on timely topics, and figures, tables, and photographs that supplement the text.Prepare for success on the ABFM exam with complete coverage of all aspects of family medicine. Access information quickly with an efficient, full-color layout that makes it easy to apply the latest knowledge in your practice. Take advantage of today's most useful online resources with a convenient list of outstanding clinical websites. Quickly spot "e;Best Evidence Recommendations"e; with special boxes located throughout the text. Glean helpful tips on diagnosis and therapy from "e;Key Points"e; boxes found on every page. Access the complete contents and illustrations online at www.expertconsult.com - fully searchable - plus additional figures, tables, and photographs online, as well as online-only chapters

Chapter

Part One - Principles of Family Medicine

Chapter 1 - The Family Physician

The Joy of Family Practice

Development of the Specialty

Personalized Care

Characteristics and Functions of the Family Physician

The Family Physician in Practice

Patient-Centered Medical Home

Looking toward the Future

Chapter 2 - The Patient-Centered Medical Home

History

Healing, Curing, and the Goals of the Me

Health Teams

The Health Home Checklist

Conclusion

Chapter 3 - Psychosocial Influences on Health

Conceptual Models

Integration of Psychosocial Issues in Clinical Practice

Evidence-Based Practice

The Patient-Centered Medical Home and Psychosocial Issues

Conclusion

Chapter 4 - Care of the Elderly Patient

Geriatric Assessment

Falls

Elder Abuse

Pressure Ulcers

Rational Drug Prescribing for Elderly Patients

Urinary Incontinence

Chapter 5 - Care of the Dying Patient

The Physician’s Attitude

Communication

Denial

“Watch with Me”

Patient Control

The Importance of Hope

Prolonging Living or Prolonging Dying?

Management of Symptoms

Nutrition

Where to Die

Hospice Care

Advance Directives

Chapter 6 - Preventive Health Care

Key Concepts in Evidence-Based Prevention

Statistical Concepts in Prevention

Preventive Services by Disease Category

Special Populations

Counseling

Systems Change

Conclusions

Acknowledgments

Chapter 7 - Lifestyle Interventions and Behavior Change

Prevention from the Disease-Oriented Perspective: A Focus on Heart Disease

Primary Prevention: A Focus on Lifestyle

After the Evidence: Motivational Interviewing

Crux of the Lifestyle Dilemma: Do Physicians Believe in Primary Prevention?

Summary

Chapter 8 - Interpreting the Medical Literature: Applying Evidence-Based Medicine in Practice

Building Clinical Evidence from Published Research

Understanding the Statistical Significance of Study Results

Interpreting Study Results: Statistical and Clinical Significance

Other Keys to Interpreting Clinical Evidence

Using Evidence at the Point of Care

Chapter 9 - Using Health Information Technology for Optimal Patient Care and Service

Components of Patient Care

Office Business and Management Functions

Integrating and Connecting Systems and Functions

Conclusion

Chapter 10 - Clinical Problem Solving

Making Clinical Decisions

Focusing the Question

Finding the Evidence

Incorporating Patient Preferences

Conclusion

Chapter 11 - Complementary and Alternative Medicine: Integration into Primary Care

What Is Complementary and Alternative Medicine

Complementary and Alternative Medicine Use in the 1990s

Complementary and Alternative Medicine Use in the 21st Century

Important U.S. Reports

Conclusion

References

Chapter 12 - Establishing Rapport

Respect

Patient Satisfaction

Communication

Chapter 13 - Patient Education

Rationale

Opportunities

Principles of Patient Education

A Model of Health Behavior Change

Planning for Patient Education in Your Practice

Chapter 14 - Interviewing Techniques

The Listening Environment

Maximizing the Time

The Interview Process

The Participating Patient

Difficult Patient Situations

Barriers to Effective Communication

Religion and Spiritual Issues

Cultural Competency

Interviewing Specific Groups

Conclusion

Chapter 15-Interpreting Laboratory Tests

The Concept of “Normal”

Evaluating a Test’s Performance Characteristics

Separating Diseased from Disease-Free Persons

References

Part Two - Practice of Family Medicine

Chapter 16 - Infectious Diseases

Chronic Bronchitis: Acute Exacerbation

Varicella and Herpes Zoster

Measles

Epstein-Barr Virus and Cytomegalovirus

Genital Ulcers

Urethritis and Cervicitis

Pelvic Inflammatory Disease

Human Papillomavirus

Ectoparasites

Urinary Tract Infection in Pregnancy

Catheter-Associated Urinary Tract Infection

Recurrent Urinary Tract Infection

Urinary Tract Infections in Children

Prostatitis

Rocky Mountain Spotted Fever

Ehrlichiosis

Babesiosis

Lyme Disease

Tularemia

Colorado Tick Fever

Prevention of Tick-Borne Disease

Animal Bites

Human Bites

Treatment

Osteomyelitis

Diabetic Foot Osteomyelitis

Orthopedic Hardware Infections

Septic Arthritis

Bacterial Meningitis

Viral Encephalitis

Brain Abscess

Viral Gastroenteritis

Travelers’ Diarrhea

Antibiotic-Associated Diarrhea

Chapter 17 - Care of the Adult HIV-Infected Patient

Epidemiology

Modes of Transmission and Relative Risk

Pathophysiology

Life Cycle of HIV and Relevance to Treatment

Classification and Staging of HIV/AIDS

Natural History and Clinical Course

Diagnosis

Approach to the Patient

Use of Antiretroviral Agents

Summary

Chapter 18 - Pulmonary Medicine

Lung Disease in Primary Care

Obstructive Lung Disease

Fungal Infections of the Lung

Pulmonary Complications of Sickle Cell Disease

Occupational Lung Disease

Interstitial Lung Diseases

Lung Manifestations of Autoimmune Connective Tissue Disorders and Other Systemic Diseases

Diseases of the Pleura and Extrapulmonary Space

Disorders of Breathing

Chapter 19 - Otorhinolaryngology

Emergencies

Head and Neck Trauma and Respiratory Embarrassment

The Ear

Facial Nerve Paralysis

The Nose and Paranasal Sinuses

Oral Cavity and Pharynx

The Larynx

Chapter 20 - Allergy

Allergic Rhinitis

Nasal Polyps

Nonallergic Rhinitis

Allergy in the Eye

Asthma

Paradoxical Vocal Cord Motion

Anaphylaxis

Chapter 21 - Obstetrics

Woman and Child Health

Preconception Counseling

Nutrition

Medical Risk Assessment

Routine Prenatal Care

Prenatal Genetic Diagnostic Testing

Drug and Chemical Exposures in Pregnancy

Infections in Pregnancy

Medical Disorders in Pregnancy

Multiple Gestation

Antepartum Fetal Surveillance

Normal Labor and Delivery

Electronic Fetal Monitoring

Vaginal Birth after Cesarean

The Puerperium

Postpartum Hemorrhage

Chapter 22 - Care of the Newborn

Preconception and Intrapartum Health

Transition from Fetus to Newborn

Initial Newborn Evaluation

Postnatal Assessment of Gestational Age

Audiology Screening

Signs and Symptoms of Concern

Common Problems Encountered in the Term Newborm

Parental Education and Anticipatory Guidance before Discharge

Chapter 23 - Growth and Development

Care of Children in Family Medicine

Blood Pressure Monitoring

Measuring Physical Parameters of Growth

Screening Healthy Children

Discipline

Nutrition

Behavior and Neurodevelopment

Guidelines for Clinical Assessment

Immunizations

Acknowledgment

Chapter 24 - Behavioral Problems in Children and Adolescents

Sleep Problems

Autism

Encopresis and Enuresis

Attention-Deficit/Hyperactivity Disorder

Oppositional Defiant Disorder

Conduct Disorder

Eating Disorders

Chapter 25 - Gynecology

Patient-Centered Approach to the Well-Woman Examination

Abnormal Vaginal Bleeding

Pelvic Mass

Vaginal Discharge

Vulvar Lesions

Acute Pelvic Pain

Menopause

Chapter 26 - Contraception

Use of Contraception

Contraception Methods

Sterilization

Emergency Contraception

Conclusion

Chapter 27 - Cardiovascular Disease

Atherosclerosis

Dyslipidemia

Hypertension

Metabolic Syndrome

Diabetes Mellitus

C-Reactive Protein

Homocysteine

Cigarette Smoking

Congestive Heart Failure

Peripheral Arterial Disease

Cardiac Electrophysiology and Arrhythmias

Chapter 28 - Common Office Procedures

Basic Skills

Principles of Healing

Principles of Skin Closure

Excisions

Cryotherapy

Incision and Drainage of Cutaneous Absce

Lipomas

Anorectal Disease

Gynecologic Office Procedures

Neonatal Circumcision

Musculoskeletal Office Procedures

Chapter 29 - Sports Medicine

Preparticipation Physical Evaluation

Cardiac Disorders in Athletes

Concussion in Sports

Environmental Influences

Infectious Disease

Sports Dermatology

Pulmonary Problems

Hematologic Problems

Gastrointestinal Problems

Genitourinary Problems

Spondylolysis

Muscle and Tendon Injuries

Stress Fractures

The Pediatric Athlete

Special Concerns for the Female Athlete

Chapter 30 - Common Issues in Orthopedics

Fractures

Shoulder

Elbow

Wrist and Hand

Knee

Ankle and Foot

Chapter 31 - Back: Cervical and Thoracolumbar Spine

Cervical Spine

Thoracolumbar Spine

Chapter 32 - Rheumatology and Musculoskeletal Problems

Evaluation of Joint and Other Musculoskeletal Symptoms

Pathogenesis of Rheumatic and Other Musculoskeletal Diseases

Laboratory Studies

Rheumatic Diseases

Rheumatic Disease in Children

Rheumatology Information on the Internet

Chapter 33 - Dermatology

Principles of Diagnosis

General Management

Skin Problems Beginning in Childhood

Infestations

Hypersensitivity Reactions and Other Eru

Benign Growths

Premalignant and Malignant Skin Lesions

Chapter 34 - Diabetes Mellitus

Definition and Pathogenesis

Classification and Diagnosis

Presentation

Diabetic Ketoacidosis

Nonketotic Hyperosmolality Syndrome

Diabetes and Pregnancy

Hospital Care of Diabetic Patients

Diabetic Complications

The Metabolic Syndrome

Office Management to Improve Diabetic Outcomes: Activating the Patient

Chapter 35 - Endocrinology

Pituitary Disorders

Thyroid Disorders

Adrenal Glands

Ovarian and Testicular Disorders

Disturbances in Calcium and Phosphate

Chapter 36 - Obesity

Overview

Assessment

Demographics

Determinants of Obesity

Medical Complications

Management and Interventions

Summary

Chapter 37-Nutrition and Family Medicine

Overview

Nutrition Assessment

Nutrition in the Life Cycle

Nutrition Decisions in the Hospitalized Patient

Behavioral Modifications to Improve Diet and Lifestyle

Future in Nutrition

Terminology

Conclusion

Chapter 38 - Gastroenterology

Epidemiology and Social Impact of Gastro

Common Pediatric Gastrointestinal Disorders

Common Adult Gastrointestinal Disorders

Gallbladder

Liver

Pancreas

Lower Gastrointestinal Tract

Chapter 39 - Hematology

Overview

Disorders of Red Blood Cells

White Blood Cells

Platelets

Lymphoid System

Leukemia

Chapter 40 - Urinary Tract Disorders

Evaluation of the Urinary Tract

Anatomic Disorders

Functional Disorders

Infectious Disorders

Neoplastic Disorders

Chapter 41-Ophthalmology

Red Eye

Ocular Trauma and Other Emergencies

Pediatric Ophthalmology

Adult Ophthalmology

Chapter 42 - Neurology

Neurologic Examination

Neurologic Conditions

Chapter 43 - Medical Human Sexuality

Overview

Female Sexual Dysfunction

Male Sexual Dysfunction

Sexual Orientation Spectrum

Sexuality Issues at Specific Times of Life

Conclusion

Chapter 44 - Clinical Genetics (Genomics)

Overview

Family History: Best Guide to Genetic Components of Disease

Genetic Testing

Ethical, Legal, and Social Issues

Genetics in Primary Care Practice: Disease Illustrations

Chapter 45 - Crisis Intervention, Trauma, and Intimate Partner Violence

Development of Crisis Intervention, Trauma, and Disaster Theory

Evaluating the Crisis or Disaster

Coping Skills and Adaptive Problem Solving

Intimate Partner Violence Approach

Other Trauma Treatments

Medications for Symptoms of Psychiatric Disorders

Conclusion

Chapter 46 - Difficult Patients: Personality Disorders and Somatoform Complaints

Personality Style vs. Personality Disorder

Classification

Management

General Management Principles for Difficult Patients

Interventions for Specific Personality Disorders

Conclusion

Chapter 47 - Anxiety and Depression

Overview

Anxiety, Major Depression, and Medical Illnesses

Diagnosis and Screening of Mood and Anxiety Disorders

Assessment of the Depressed or Anxious Patient in Medical Settings

Management and Treatment of Major Depression and Anxiety Disorders

Chapter 48 - Delirium and Dementia

Delirium

Dementia

Chapter 49 - Alcohol Use Disorders

Overview

Screening and Assessment

Management

Treatment of Alcoholism

Special Populations

Prevention

Chapter 50 - Nicotine Addiction

Overview

Health Risks Associated with Smoking

Smoking and Mental Health

Social and Legal Action

Smoking Cessation

Current Developments

Chapter 51-Drug Abuse

Scope of the Problem

Screening

Laboratory Testing

Pharmacology

Intoxication and Withdrawal

Medical Management (beyond Withdrawal)

Behavioral Therapies for Substance Use Disorders

Primary Care of SUD Patients

Special Populations

Index

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