Pfenninger and Fowler's Procedures for Primary Care: Expert Consult [NOOK Book]


Pfenninger and Fowler’s Procedures for Primary Care, 3rd Edition is a comprehensive, "how-to" resource offering step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care clinicians. . Designed for everyday practice, the outline format allows speedy reference while the detailed text and clear illustrations guide you through each procedure. The new edition of this best-selling book features full-color illustrations and easy ...

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Pfenninger and Fowler's Procedures for Primary Care: Expert Consult

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(Save 42%)$179.00 List Price


Pfenninger and Fowler’s Procedures for Primary Care, 3rd Edition is a comprehensive, "how-to" resource offering step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care clinicians. . Designed for everyday practice, the outline format allows speedy reference while the detailed text and clear illustrations guide you through each procedure. The new edition of this best-selling book features full-color illustrations and easy access to the complete contents and illustrations, patient forms, and more online at

  • Understand how to proceed, step by step, thanks to detailed text and illustrations.
  • Locate critical information at a glance with numerous boxes and tables.
  • Use the book for years with minimal wear and tear thanks to its sturdy cover.
  • Patient education handouts to educate, save time, and reduce liability
  • Coding guidelines included
  • This best selling text now includes full color photos and new sections on Aesthetic and Hospitalist Procedures in addition to an update of all the previous procedures discussed in prior editions!

Access the complete contents and illustrations online, download patient education handouts and consent forms, view lists of device manufacturers, and more at

  • Offer your patients a variety of cosmetic procedures using lasers and pulsed-light devices (including individual chapters on procedures for hair removal, photorejuvenation, , skin tightening and skin resurfacing, and tattoo removal), botulinum toxin, as well as new coverage of cosmeceutical skin care, tissue fillers, and photodynamic therapy.
  • Master new procedures such as maggot treatment for chronic ulcers, endovenous vein closure, stress echo, insertion of the contraceptive capsule (Implanon) and tubal implant (Essure), musculoskeletal ultrasound, no-needle/no-scalpel vasectomy, procedures to treat acute headaches, and more.

Don’t worry! All the more basic office procedures are still included…with improved and updated discussions!

Pfenninger and Fowler provide the latest and most comprehensive information on medical procedures that allow primary care physicians to more effectively treat their patients.

The book contains black-and-white illustrations.

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Editorial Reviews

From The Critics
Reviewer: Isaac Kleinman, MD (Baylor College of Medicine)
Description: This text is a compendium of diagnostic and therapeutic procedures useful to practicing general physicians, residents, and medical students. Most of the procedures described are office procedures, but several day surgery or outpatient surgical and diagnostic procedures are presented as well.
Purpose: The purpose is to provide instruction in surgical and diagnostic procedures within the scope of the practicing general physician with the intent of upgrading and propagating those skills in family medicine, thereby serving as a contribution to the "resuscitation of full-service family practice within a medical education system gone far, far astray."
Audience: The book should have a broad audience of medical students, family practice residents, family physicians, and practitioners of general medicine. It would be of interest as well to pediatricians and dermatology students.
Features: The volume is organized by medical-anatomic systems (skin, reproductive organs, cardiorespiratory, obstetrical, gastrointestinal, etc.) with each section subdivided into multiple chapters, each of which is devoted to a single procedure. The range of topics is very broad and includes simple skin biopsy, frenotomy, arterial cannulation, Swan-Ganz insertion, removal of foreign bodies from body orifices, stress testing, vasectomy, and techniques of cautery, cryosurgery, and sclerotherapy. Where appropriate, alternate techniques are presented. Indications, contraindications, needed equipment, patient positioning (where indicated), caveats, and pitfalls are outlined alongwith the technique. Pathophysiology is often briefly discussed. Patient education materials, both preprocedure and postprocedure, are provided for most techniques. Sources for equipment are often given. A handy feature is the provision of the applicable CPT billing codes at the end of each chapter.
Assessment: This is a superb text, and there is little to criticize. It might have benefited from a few more illustrations here and there. Any reviewer might have a pet procedure that was not included, but this text is by far the most complete of its kind. This is an excellent publication and is highly recommended.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781455700929
  • Publisher: Elsevier Health Sciences
  • Publication date: 9/23/2010
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 3
  • Pages: 1776
  • Sales rank: 886,423
  • File size: 50 MB
  • Note: This product may take a few minutes to download.

Meet the Author

Director, The National Procedures Institute, Midland, MI; Clinical Professor, Department of Family Practice, Michigan State College of Human Medicine, East Lansing, MI

Professor and Vice Chair, Department of Family Practice & Community Medicine, University of Texas Houston Health Science Center Medical School, Houston, TX

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Table of Contents

Part One Anesthesia
Bier Block
Conscious Sedation
Local Anesthesia
Local and Topical Anesthetics Complications
Nitrous Oxide Sedation
Pediatric Sedation
Peripheral Nerve Blocks and Field Blocks
Site Specific and Facial Anesthesia
Technique of Trigger Point Injection
Topical Anesthesia
Part Two Dermatology
Acne Therapy
Approach to Various Skin Lesions
Burn Treatment
Fishhook Removal
Flaps and Plasties
Foreign Body Removal from Skin and Soft Tissue
Fungal Cultures
Incision and Drainage of an Abscess
Incisions: Planning the Direction of the Cut
Laceration and Incision Repair
Laceration and Incision Repair: Needle Selection
Laceration and Incision Repair: Suture Selection
Laceration and Incision Repair: Suture Tying
Laser Therapy
Mucocoele Removal
Nail Bed Repair
Nail Plate and Nail Bed Biopsy
Radiofrequency Surgery
Ring Removal from an Edematous Finger
Skin Biopsy
Skin Grafting
Skin Stapling
Subungual Hematoma Evacuation
Tick Removal
Tissue Glues
Hypertrophic Scars and Keloids
Ingrown Toenails
Topical Hemostatic Agents
Unna Paste Boot
Wart (verruca) Treatment
Wood's Light Examination
Wound Dressing
Part Three Aesthetics
Body Piercing
Botox (Botulinum A Exotoxin
Collagen Injections
Dermasanding (Manual Dermabrasion)
Hair Removal
Skin Peels (Chemical, Laser)
Tattoo Removal
Part Four Eyes, Ears, Nose and Throat
Section One: Eyes
Chalazion and Hordeolum
Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies
Slit Lamp Exam
Visual Function Evaluation
Section Two: Ears, Nose and Throat
Auricular Hematoma Evacuation
Bifid Earlobe Repair
Cerumen Impaction Removal
Ear Piercing
Myringotomy and Tympanocentesis
Reduction of Dislocated Temporomandibular Joint (with TMJ Syndrome Exercises)
Removal of Foreign Bodies from the Ear and Nose
Flexible Fiberoptic Rhinolaryngoscopy
Management of Epistaxis
Nasal Turbinate Reduction
Emergency Cricothyroidotomy and Tracheostomy
Indirect Mirror Laryngoscopy
Peritonsillar Abscess Drainage
Reimplantation of an Avulsed Tooth
Tongue-Tie Snipping (Frenotomy) for Ankyloglossia
Part Five Cardiovascular and Respiratory
Ambulatory Blood Pressure Monitoring
Ambulatory Phlebectomy
Arterial Puncture
Central Venous Catheter Insertion
Chest Tube Insertion and Removal
Endotracheal Intubation
Holter Monitoring
Noninvasive Venous and Arterial Studies of the Lower Extremities
Office Electrocardiograms
Percutaneous Arterial Line Placement
Pulmonary Function Testing
Sclerotherapy: Injection
Sclerotherapy: Radiofrequency
Stress (Exercise) Testing
Swan-Ganz Catheterization
Temporary Pacing
Venous Cutdown
Part Six Gastrointestinal
Abdominal Paracentesis
Anal Fissure/Lateral Sphincterotomy
Anorectal Anatomy and Examination
Esophagogastroduodenoscopy (EGD)
Fecal Impaction Removal
Flexible Sigmoidoscopy
Gastric Lavage
Inguinal Hernia Reduction
Nasogastric Tube and Salem Sump Insertion
Office Treatment of Hemorrhoids
Perianal Abscess Incision and Drainage Fistulas
Perianal Skin Tags (External Hemorrhoidal Skin Tags)
Pilonidal Cyst/Abscess Incision and Drainage
Peritoneal Lavage:Diagnostic
Part Seven Urinary
Bladder Catheterization
Diagnostic Cystourethroscopy
Suprapubic Catheter Insertion/Change
Suprapubic Taps or Aspirations
Bedside Urodynamic Studies for Urinary Incontinence
Part Eight Male Reproductive System
Adult Circumcision
Dorsal Slit for Phimosis
Prostate Biopsy
Prostate Massage
Prostate and Seminal Vesicles Ultrasonography
Self-Injection Therapy for the Treatment of Erectile Dysfunction
Sperm Banking
Implantable Hormone Pellets for Testosterone Deficiency
Vacuum Devices for Erectile Dysfunction
Part Nine Gynecology and Female Reproductive System
Abortion: Medical
Abortion: Surgical
Barrier Contraceptives: Cervical Cap, Vaginal Condom, and Diaphragm Fitting
Bartholin's Cyst/Abscess: Word Catheter Insertion Marsupialization
Breast Biopsy
Cervical Cerclage
Cervical Conization
Cervical Polyps
Cervical Stenosis/Cervical Dilation
The Colposcopic Examination
Contraceptive Implants (Norplant) Insertion and Removal
Cryocone of the Cervix
Culdocentesis (Colpocentesis)
Diagnostic Hysteroscopy
Dilation and Curettage
DNA Sampling: Cervix and Other
Endometrial Biopsy
IUD Insertion
IUD Removal
Loop Electrosurgical Excision Procedure (LEEP) for Treating CIN
Pap Smear and Related Techniques for Cervical CA Screening
Permanent Female Sterilization (Tubal Ligation
Postcoital Examination Test or Sims-Huhner Test
Treatment of Noncervical Condyloma Acuminata
Endometrial Ablation
Vaginal Exam of the Female for Rape
Vaginal Exam of the Young Female for Possible Sexual Abuse
Vulvar Biopsy
Wet smear and KOH Preparation
Part Ten Obstetrics
Caesarean Section
Cervical Ripening/Vaginal Prostaglandins
Contraction Stress Test, Nonstress Test, and Spontaneous Fetal Movement Counting
External Cephalic Version
Fetal Scalp Electrode Application
Forceps and Vacuum Extraction (Assisted Vaginal Delivery)
Intrathecal Analgesia
Intrauterine Pressure Catheter (IUPC) Insertion
Obstetric Ultrasound
Paracervical Block
Pudental Anesthesia
Transcervical Amnioinfusion
Vaginal Delivery
Part Eleven Pediatrics
DeLee Suctioning
Dorsal Penile Nerve Block
Intraosseous Venous Access (IOVA)
Neonatal Resuscitation
Newborn Circumcision
Pediatric Arterial Puncture and Venous Cutdown
Suprapubic Bladder Aspiration
Umbilical Artery Catheterization
Part Twelve Orthopedics
Ankle Splinting, Taping, and Casting
Cast Immobilization
Compartment Syndrome Evaluation
Diagnostic Needle Arthroscopic Lavage and Biopsy
Extensor Tendon Repair
Fracture Care
Ganglion Treatment
Joint and Soft Tissue Aspiration and Injection
Knee Braces
Nursemaid's Elbow: Subluxation of the Radial Head
Orthoses, Plantar Warts, Corns, and Calluses
Osteoporosis Screening
Shoulder Dislocations
Part Thirteen Osteopathic
Osteopathic Manipulative Medicine
Part Fourteen Alternative Medicine
Part Fifteen Miscellaneous
Allergy Testing and Immunotherapy
Antibiotic Prophylaxis for Bacterial Endocarditis
Body Fat Analysis
Bone Marrow Aspiration and Biopsy
Drawing Blood for Bone Culture
Emergency Department and Office Ultrasound
Fine-Needle Aspiration Cytology and Biopsy
Heimlich Maneuver
Lumbar Puncture
Muscle Biopsy
TENS Unit, Phonophoresis, Iontophoresis
Venous Methylene Blue Intravenous Therapy
Commonly Used Instruments
Informed Consent
Latex Allergy Guidelines
Pearls of Practice
Resources for Learning Procedures
Supplier Information
Universal Precautions
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