Medicine: A Primary Care Approach: Saunders Text and Review Series / Edition 1

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Philadelphia, PA 1996 Trade paperback New. Brand New-Still Shrink Wrapped From Publisher! Trade paperback (US). Glued binding. 517 p. Audience: General/trade.

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Overview

This ideal, one-stop reference encapsulates all the important knowledge and skills required for primary care practice. Case-based chapters focus on the most frequently encountered outpatient problems. Coverage includes doctor-patient communication, health economics, medical ethics in the ambulatory arena, cultural concerns, cost-effective care, team approach, prevention, and much more!

The book contains both black-and-white and two-color illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Janet Kim, MD (University of Chicago Pritzker School of Medicine)
Description: This book reviews the most commonly encountered outpatient medical problems, using a problem-based approach. It also focuses on other pertinent primary care issues such as ethics and clinical reasoning.
Purpose: The authors state their intent to dispel the misconception that the vastness of primary care makes it "impossible to gain a handle on" by defining its major content, as well as the misconception that "primary care lacks the ferment and dazzling breakthroughs so evident in the specialties"; they allude to the many intellectual challenges and research opportunities available.
Audience: By including more than 100 contributors, the majority of whom serve as primary care physicians and medical educators, this book uses the knowledge base of a large pool of credible caregivers working on the front lines of medicine. The contributors appropriately target their book at medical students on ambulatory care rotations. However, this is a book that could also be used by anyone seeking a quick and broad review of primary care medicine.
Features: Each chapter begins with a case history and brief list of questions and ends with a few research questions. In addition to standard text, it is adequately illustrated and includes many well-organized tables and figures that present information in a more interesting and accessible manner.
Assessment: This book is of good quality and reaches its goal as a broad overview of problems in outpatient medicine. It is thorough yet succinct, with most chapters being a few pages in length. Its approach to evaluation and management strategies matches the clinic setting for which it is aimed. Because of the breadth of the subject matter, it therefore tends to be brief and lack in-depth material regarding clinical manifestations and therapy. It is not and should not be used as a complete medical resource. References are not listed but suggested readings are. Although the majority of the authors tend to come from the same institution, this fact does not appear to bias the material. This text is useful as a springboard for tackling the subject of primary care medicine, and I recommend it for those wanting a manageable handbook of primary care problems.
Janet Kim
This book reviews the most commonly encountered outpatient medical problems, using a problem-based approach. It also focuses on other pertinent primary care issues such as ethics and clinical reasoning. The authors state their intent to dispel the misconception that the vastness of primary care makes it impossible to gain a handle on by defining its major content, as well as the misconception that primary care lacks the ferment and dazzling breakthroughs so evident in the specialties; they allude to the many intellectual challenges and research opportunities available. By including more than 100 contributors, the majority of whom serve as primary care physicians and medical educators, this book uses the knowledge base of a large pool of credible caregivers working on the front lines of medicine. The contributors appropriately target their book at medical students on ambulatory care rotations. However, this is a book that could also be used by anyone seeking a quick and broad review of primary care medicine. Each chapter begins with a case history and brief list of questions and ends with a few research questions. In addition to standard text, it is adequately illustrated and includes many well-organized tables and figures that present information in a more interesting and accessible manner. This book is of good quality and reaches its goal as a broad overview of problems in outpatient medicine. It is thorough yet succinct, with most chapters being a few pages in length. Its approach to evaluation and management strategies matches the clinic setting for which it is aimed. Because of the breadth of the subject matter, it therefore tends to be brief and lack in-depth materialregarding clinical manifestations and therapy. It is not and should not be used as a complete medical resource. References are not listed but suggested readings are. Although the majority of the authors tend to come from the same institution, this fact does not appear to bias the material. This text is useful as a springboard for tackling the subject of primary care medicine, and I recommend it for those wanting a manageable handbook of primary care problems.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780721652009
  • Publisher: Elsevier Health Sciences
  • Publication date: 2/22/1996
  • Series: STARS Series
  • Edition description: 1st ed
  • Edition number: 1
  • Pages: 517
  • Product dimensions: 8.56 (w) x 10.92 (h) x 0.63 (d)

Meet the Author

Assistant Professor, Division of General Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM

Associate Professor, Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM

Associate Professor, Department of Family and Community Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM

Associate Professor and Residency Program Director, Department of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM

Professor of Medicine, Vice-Chair and Director of Clinical Affairs, Co-chief, Division of General Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM

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Table of Contents

Section I. The Role of Primary Care: The Role of Primary Care. Differences Between Inpatient and Outpatient Medicine. Section II. Medical Testing and Clinical Reasoning: The Use and Misuse of Medical Tests. Clinical Reasoning. Cost-Effective Approach to Primary Care Practice. Section III. Physician-Patient Communication: Diagnostic and Therapeutic Aspects of the Medical Interview. The Patient in the Context of the Family, The Community, And Society. Cultural Considerations. Facilitating Patient Adherence. Effective Use of the Telephone in Outpatient Practice. Section IV. Prevention in Primary Care: Screening for Disease. Prevention of Infectious Disease. Prevention of Coronary Artery Disease. Prevention of Pulmonary Disease. Prevention of Cancer. Prevention of Injuries. Prevention of Osteoporosis. Prevention of Adverse Drug Reactions. Section V. Common Constitutional Symptoms: Chronic Tiredness. Generalized Achiness. Fever. Involuntary Weight Loss. Section VI. Common Eye, Ear, Nose and Throat Problems: The Red Eye. Disorders of Vision. Ear Pain. Hearing Loss and Tinnitus. Rhinorrhea and Nasal Stuffiness. Epistaxis. Sore Throat. Section VII. Common Pulmonary Problems: Chronic Cough. Hemoptysis. Dyspnea. Asthma and Chronic Obstructive Pulmonary Disease. Bronchitisand Pneumonia. Section VIII. Common Cardiovascular Problems: Chest Pain. Coronary Artery Disease. Palpitations and Arrhythmias. Hypertension. Murmurs and Valvular Heart Disease. Congestive Heart Failure. Arterial Insufficiency of the Legs. Leg Edema. Section IX. Common Gastrointestinal Problems: Abdominal Pain. Nausea and Vomiting. Dysphagia and Odynophagia. Diarrhea. Constipation. Upper Gastrointestinal Bleeding. Lower Gastrointestinal Bleeding. Peptic Ulcer Disease. Gastroesophageal Reflux. Diverticular Disease. Inflammatory Bowel Disease. Irritable Bowel Syndrome. Acute Pancreatitis. Jaundice and Liver Function Abnormalities. Hepatitis. Gallstones. Hemorrhoids and Other Common Anorectal Disorders. Section X. Common Genitourinary Problems: Dysuria and Urinary Tract Infections. Hematuria. Proteinuria. Chronic Renal Failure. Kidney Stones. Prostate Disorders. Section XI. Common Sexually Transmitted Diseases: Sexually Transmitted Diseases. Approach to the HIV-Positive Patient in the Outpatient Setting. Section XII. Common Issues in Women's Health: Breast Disorders. Vaginitis. Vaginal Bleeding. Contraception. Prenatal Care. Amenorrhea and Other Menstrual Irregularities. The Abnormal Pap Test. Menopause and Postmenopausal Symptoms. Section XIII. Common Endocrine Problems: Diabetes Mellitus. Thyroid Disorders. Hyperlipidemia. Hypercalcemia. Sexual Dysfunction. Glucocorticoid Therapy. Section XIV. Common Hematologic-Oncologic Problems: Anemia. Bleeding Disorders. Lymphadenopathy and Splenomegaly. Approach to the Cancer Patient in the Primary Care Setting. Section XV. Common Musculoskeletal Problems: Arthritis. Neck Pain. Shoulder Pain. Wrist and Arm Pain. Low Back Pain. Knee Pain. Leg Pain. Section XVI. Common Neurologic Problems: Headache. Dizziness and Vertigo. Syncope. Seizure Disorders. Unilateral Weakness of Numbness. Dementia. Section XVII. Common Psychiatric Problems: Anxiety. Depression. The Somatizing Patient. Chronic Pain. The "Difficult" Patient. Section VIII. Common Behavioural Issues in Primary Care: Tobacco Use. Alcohol and Substance Abuse. Obesity. Insomnia. Section XIX. Common Dermatologic Problems: Acne. Psoriasis. Contact Dermatitis. Urticaria. Drug Rashes. Viral Infections. Bacterial Infections of the Skin. Fungal Infections of the Skin. Melanoma. Nonmelanoma Skin Cancer. Section XX. Special Problems in the Young and Old: Developmental-Behavioural Issues in Pediatrics. Common Pediatric Infections. Special Problems in Adolescents. Special Problems in the Elderly. Section XXI. Special Issues in Primary Care: Patients with Chronic Disability. Team Approach to Chronic Care. Occupational and Environmental Disorders. Legal Issues in Outpatient Medicine. Ethical Issues in Outpatient Medicine.

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