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Primary Care Mentor: Your Clerkship & Shelf Exam Companion

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Primary Care Mentor: Your Clerkship & Shelf Exam Companion

by Marianne M. Green, Jennifer A. Bierman, James J. Foody, Russell G. Robertson, Gary J. Martin

Publisher: F. A. Davis Company

Copyright Year: 2009

Publishing Date: 2009/06/26

eText ISBN-10: 0-8036-2318-6

eText ISBN-13: 978-0-8036-2318-7

Print ISBN-10: 0-8036-2125-6

Print ISBN-13: 978-0-8036-2125-1

Course: Primary Care, General Medicine

Pages: 370

eTextbook $22.00

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Table of Contents | Description

Instructor Resources | Student Resources

ABOUT THIS TITLE - TABLE OF CONTENTS

Contributors, ix

Part One: Overview of Primary Care, 1

Chapter 1. Office Management and the Principles of Diagnosis and Management of Ambulatory Patients, 1

I. Introduction to Ambulatory Medicine, 1

II. Differences in Inpatient Versus Ambulatory Care, 1

III. Principles of Diagnosis and Treatment, 2

IV. Role of Students, 5

V. Learn What It Means to Be Someone’s “Doctor”, 6

Chapter Self-Test Questions, 7

Chapter 2. Communicating with Patients, 8

II. Structured Framework Is Key to Effective Interview, 8

Chapter Self-Test Questions, 15

Chapter 3. Clinical Epidemiology and Principles of Quantatative Decision Making, 17

I. Consider These Two Problems, 17

II. Overview, 18

III. Topics of Clinical Epidemiology and Medical Decision Making., 18

IV. Decision Making in Uncertainty: Decision Analysis, 40

V. Costs and Cost-Effectiveness, 41

Chapter 4. Prevention and Screening, 47

I. Epidemiology, 47

II. Diseases for Which to Screen in Most Adults, 50

III. Cancer, 53

IV. Immunizations, Chemoprevention, and Counseling, 56

Chapter Self-Test Questions, 58

Chapter 5. Preoperative Evaluation, 59

I. Overview, 59

II. Preoperative Testing, 60

III. Preoperative Cardiac Assessment and Perioperative Management, 60

IV. Preoperative Pulmonary Evaluation, Risk Assessment, and Risk Reduction Strategies for Patients Undergoing Noncardiothoracic, 66

V. Preoperative Evaluation of Patients on Antithrombotic or Anticoagulant Therapy, 70

VI. Preoperative Evaluation and Management of Endocrine Disorders, 71

Chapter Self-Test Questions, 75

Part Two: Diagnosis and Management of Common Outpatient Symptoms, 77

Chapter 6. Headache, 77

I. Background, 77

II. Approach to the Patient, 81

III. Treatment, 82

Chapter Self-Test Questions, 89

Chapter 7. Common Sleep Disorders, 91

I. Introduction, 91

II. Insomnia, 91

III. Obstructive Sleep Apnea (OSA), 97

IV. Restless Leg Syndrome (RLS)/Periodic Leg Movements of Sleep (PLMD), 100

Chapter Self-Test Questions, 105

Chapter 8. Dizziness, 107

I. Background, 107

II. Epidemiology, 107

III. Approach to the Patient, 107

IV. Classification of Type of Dizziness, 108

V. Vertigo, 108

VI. Presyncope, 112

VII. Disequilibrium, 113

VIII. Vague Lightheadedness, 114

IX. Treatment, 114

Chapter 9. Chest Pain, 118

I. Pathophysiology, 118

II. Epidemiology, 118

III. Signs and Symptoms, 119

IV. History and Physical, 119

V. Laboratory Tests, 121

VI. Management, 122

Chapter Self-Test Questions, 124

Chapter 10. Sinusitis, Bronchitis, and Pharyngitis, 126

I. Sinusitis, 126

II. Acute Bronchitis, 129

III. Pharyngitis, 132

Chapter Self-Test Questions, 140

Chapter 11. Abdominal Pain, 142

I. Introduction, 142

II. Approach to the Patient, 144

III. Management (Tables 11.5, 11.6, and 11.7), 156

IV. Referral or Consultations, 164

Chapter 12. Diarrhea, 167

I. Definitions and Overview, 167

II. Evaluation, 172

III. Management, 175

Chapter Self-Test Questions, 178

Chapter 13. Musculoskeletal Pain, 180

I. Introduction, 180

II. Shoulder Pain, 181

III. Carpal Tunnel Syndrome, 187

IV. Osteoarthritis (OA), 189

V. Low Back Pain, 191

VI. Patellofemoral Syndrome, 194

Chapter Self-Test Questions, 197

Chapter 14. Dermatology in Primary Care, 199

I. Overview, 199

II. Acne Vulgaris, 201

III. Eczema, 206

IV. Psoriasis, 210

V. Superficial Fungal Infections, 213

VI. Skin Cancer, 216

Chapter Self-Test Questions, 220

Chapter 15. Fatigue, 221

I. Definition, 221

II. Classification, 221

III. Epidemiology, 222

IV. Etiology, 223

V. Pathophysiology, 225

VI. Clinical Assessment, 226

VII. Management, 228

VIII. Prognosis, 230

Chapter Self-Test Questions, 231

Chapter 16. Erectile Dysfunction, 233

I. Epidemiology, 233

II. ED Risks, 233

III. Erectile Physiology, 233

IV. Pathophysiology of Erectile Dysfunction, 234

V. Approach to the ED Patient, 240

VI. Indications for Specialty Referral, 242

VII. Management, 242

Chapter Self-Test Questions, 249

Chapter 17. Anxiety and Depression, 250

I. Background and Epidemiology, 250

II. Diagnostic Approach, 250

III. Treatment, 253

IV. Follow-Up and Referral, 256

Chapter Self-Test Questions, 259

Chapter 18. Somatization, 260

I. Pathophysiology, 260

II. Signs and Symptoms, 261

III. History and Physical Examination, 262

IV. Differential Diagnosis, 263

V. Laboratory Evaluations, 265

VI. Management, 265

Part Three: Diagnosis and Management of Common Chronic Illnesses, 269

Chapter 19. Congestive Heart Failure, 269

I. Overview, 269

II. Approach to CHF Patient, 270

III. Management, 271

Chapter Self-Test Questions, 276

Chapter 20. Hypertension, 278

I. Overview, 278

II. Benefits of Treatment, 278

III. Definition, 279

IV. Etiology, 279

V. BP Measurement, 281

VI. Evaluation, 281

VII. Patients to Treat, 282

VIII. Nonpharmacologic Treatment (Table 20.4), 283

IX. General Principles of Drug Treatment, 285

X. Medications, 286

XI. Refractory HTN, 289

Chapter Self-Test Questions, 292

Chapter 21. Asthma, 294

I. Definition, 294

II. Burden of Asthma: Epidemiology and Economics, 294

III. Pathogenesis, 295

IV. Pathophysiology, 296

V. Natural History, 296

VI. Diagnosis, 297

VII. Differential Diagnosis, 298

VIII. Management, 299

IX. Referral to Pulmonary Specialist, 305

Chapter Self-Test Questions, 307

Chapter 22. Chronic Obstructive Pulmonary Disease, 309

I. Definition, 309

II. Epidemiology, 309

III. Risk Factors, 310

IV. Pathophysiology, 311

V. Natural History, 311

VI. Diagnosis, 311

VII. Differential Diagnosis, 313

VIII. Staging of COPD, 314

IX. Management, 314

X. End-of-Life Planning, 319

XI. Prognosis, 320

XII. Referral to Pulmonary Specialist, 321

Chapter Self-Test Questions, 323

Chapter 23. Diabetes, 324

I. Introduction, 324

II. Epidemiology, 324

III. Classification and Diagnosis, 324

IV. Complications, 326

V. Management, 329

Chapter Self-Test Questions, 335

Chapter 24. Hyperlipidemia, 337

I. Pathophysiology and Epidemiology, 337

II. Signs and Symptoms, 337

III. History and Physical Examination, 338

IV. Differential Diagnosis, 338

V. Laboratory Testing, 339

VI. Management, 339

Chapter Self-Test Questions, 345

Chapter 25. Obesity, 346

I. Pathophysiology, 346

II. Epidemiology, 348

III. Prevention, 349

IV. Signs and Symptoms, 349

V. History and Physical Examination, 350

VI. Differential Diagnosis, 351

VII. Management, 352

Chapter Self-Test Questions, 357

Part Four: Diagnosis and Management of Age-Related Conditions, 359

Chapter 26. Well-Child Visit, 359

I. Fundamentals of Well-Child Examination, 359

II. Age-Specific Examination Guidelines, 362

Chapter Self-Test Questions, 374

Chapter 27. Fever in Children, 376

I. Definition, 376

II. Epidemiology, 376

III. Pathophysiology, 376

IV. Differential Diagnosis, 377

V. History and Physical Examination, 378

VI. Diagnostic Evaluation, 381

VII. Management, 387

Chapter 28. Otitis Media in Children, 391

I. Infectious Versus Noninfectious Otitis Media, 391

II. Anatomy and Function, 391

III. Pathophysiology of AOM, 392

IV. Microbiology, 392

V. Risk Factors, 392

VI. Epidemiology, 393

VII. Examining the Ear, 393

VIII. Diagnosis, 394

IX. Management, 396

Chapter Self-Test Questions, 399

Chapter 29. Geriatric Conditions, 400

I. Overview, 400

II. Assessment, 402

III. Other Important Concepts, 405

Chapter Self-Test Questions, 406

Part Five: Women's Health, 409

Chapter 30. Benign Breast Disease, 409

I. Introduction, 409

II. Fibrocystic Disease, 410

III. Breast Pain, 411

IV. Breast Cysts, 413

V. Fibroadenomas, 413

VI. Nipple Discharge, 414

Chapter Self-Test Questions, 416

Chapter 31. Preconception Care, 418

I. Preconception Evaluation, 418

II. Specific Preconception Counseling, 421

Chapter Self-Test Questions, 424

Chapter 32. Hormone Replacement Therapy, 426

I. Background, 426

II. Epidemiology and Diagnosis of Menopause, 427

III. Symptoms of Menopause, 428

IV. Benefits of HRT, 429

V. Risks of HRT, 430

VI. Side Effects of HRT, 430

VII. Contraindications to HRT, 431

VIII. Formulations of HRT, 431

IX. Alternatives to HRT, 432

X. Summary, 434

Chapter Self-Test Questions, 436

Chapter 33. Menstrual Disorders, 438

I. Normal Menstrual Cycle, 438

II. Primary Amenorrhea, 438

III. Secondary Amenorrhea, 440

IV. Dysfunctional Uterine Bleeding (DUB), 441

V. Dysmenorrhea, 446

Chapter Self-Test Questions, 449

Chapter 34. Female Genital Symptoms, 450

I. Pathophysiology, 450

II. Epidemiology, 451

III. Patient History, 452

IV. Physical Examination, 452

V. Differential Diagnosis, 453

VI. Management, 457

Chapter Self-Test Questions, 461

Chapter 35. Pap Smear and Cervical Cancer Screening, 462

I. Pathophysiology of Cervical Cancer, 462

II. Epidemiology of Cervical Cancer, 463

III. Prevention of HPV and Cervical Cancer, 463

IV. Pap Smear, 464

V. Interpretation and Management of Pap Smear Results, 466

Chapter Self-Test Questions, 470

Chapter 36. Osteoporosis, 472

I. Definitions, 472

II. Pathophysiology, 472

III. Epidemiology, 473

IV. Risk Factors, 473

V. History Key Components, 473

VI. Physical Examination Findings Suggesting Osteoporosis, 474

VII. Screening Guidelines, 475

VIII. Diagnosis, 475

IX. Evaluation for Secondary Osteoporosis, 476

X. Management, 477

XI. Monitoring, 479

Chapter Self-Test Questions, 480

Chapter 37. Intimate Partner Violence, 482

I. Overview, 482

II. Definition of IPV, 482

III. Demographics, 482

IV. Description of Relationship Pattern in IPV, 483

V. Medical Presentation of IPV, 483

VI. Barriers to IPV Identification, 484

VII. Screening for IPV, 484

VIII. Assessing Safety, 485

IX. Intervention Strategies, 485

X. Legal Concerns, 486

XI. Summary, 486

Answers to Self-Test Questions, 489

Abbreviations, 505

Key Contacts and Notes, 512

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ABOUT THIS TITLE - DESCRIPTION

This title in Davis’s Mentor Series is three books in 1—a clerkship reference shelf exam prep USLME Step 2 review. It’s packed with hundreds of review questions, full-color illustrations, sidebars, and appendices, organized in an easy-to-study outline format. Full-color illustrations highlight key points, and Mentor Tips convey key information through the eyes of experienced physicians. Guidelines follow AAFP standards.

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