Pfenninger and Fowler's Procedures for Primary Care / Edition 2

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Dr. Pfenninger, one of the lead author's on this book, is the recent recepient of the 2005 Teaching Excellence Award from the Society of Teachers of Family Medicine and the 2005 Thomas W. Johnson Award for Career Contributions to Family Medicine Education. His book, Primary Care Procedures 2E, is comprehensive, "how-to" resource offers step-by-step strategies for nearly every outpatient procedure that can be performed in an office, hospital or emergency care facility. Designed for everyday practice, the outline format allows speedy reference while the detailed text and clear illustrations guide readers through each procedure. The new edition of this best-selling book features more than 80 new procedures on hot topics relevant to primary care practice.
  • The easy-to-use outline format allows speedy reference, while the detailed text thoroughly explains each procedure.
  • Boxes and tables throughout highlight important information in at-a-glance summaries.
  • Includes patient teaching guides for each procedure covered.
  • More than 80 new chapters and procedures, including hot topics such as: conscious sedation, burn treatment, tissue adhesives, candida treatment for warts, and aesthetic procedures including hair removal, Botox injection, micro dermabrasive, collagen injection, skin peels, and more.
  • Hundreds of new illustrations, and over 200 improved 2-color illustrations clearly highlight visual aspects of conditions and clarify key ideas.
  • More detailed discussions of patient education and medical coding shed more light on these aspects of practice.
  • New sturdy flexbind cover stands up to daily use.

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: 9780323005067
  • Publisher: Elsevier Health Sciences
  • Publication date: 8/27/2003
  • Edition description: Second Edition
  • Edition number: 2
  • Pages: 2112
  • Product dimensions: 8.54 (w) x 11.16 (h) x 2.44 (d)

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

1. Bier Block
2. Conscious Sedation
3. Epidurals
4. Local Anesthesia
5. Local and Topical Anesthetics Complications
6. Nitrous Oxide Sedation
7. Pediatric Sedation
8. Peripheral Nerve Blocks and Field Blocks
9. Site Specific and Facial Anesthesia
10. Technique of Trigger Point Injection
11. Topical Anesthesia

Part Two Dermatology

12. Acne Therapy
13. Approach to Various Skin Lesions
14. Burn Treatment
15. Cryosurgery
16. Dermoscopy
17. Fishhook Removal
18. Flaps and Plasties
19. Foreign Body Removal from Skin and Soft Tissue
20. Fungal Cultures
21. Incision and Drainage of an Abscess
22. Incisions: Planning the Direction of the Cut
23. Laceration and Incision Repair
24. Laceration and Incision Repair: Needle Selection
25. Laceration and Incision Repair: Suture Selection
26. Laceration and Incision Repair: Suture Tying
27. Laser Therapy
28. Mucocoele Removal
29. Nail Bed Repair
30. Nail Plate and Nail Bed Biopsy
31. Radiofrequency Surgery
32. Ring Removal from an Edematous Finger
33. Skin Biopsy
34. Skin Grafting
35. Skin Stapling
36. Subungual Hematoma Evacuation
37. Tick Removal
38. Tissue Glues
39. Hypertrophic Scars and Keloids
40. Ingrown Toenails
41. Trichiasis
42. Topical Hemostatic Agents
43. Unna Paste Boot
44. Wart (verruca) Treatment
45. Wood’s Light Examination
46. Wound Dressing

Part Three Aesthetics

47. Body Piercing
48. Botox (Botulinum A Exotoxin
49. Collagen Injections
50. Dermasanding (Manual Dermabrasion)
51. Hair Removal
52. Microdermabrasion
53. Skin Peels (Chemical, Laser)
54. Tattoo Removal

Part Four Eyes, Ears, Nose and Throat

Section One: Eyes

55. Chalazion and Hordeolum
56. Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies
57. Slit Lamp Exam
58. Tonometry
59. Visual Function Evaluation

Section Two: Ears, Nose and Throat

60. Audiometry
61. Auricular Hematoma Evacuation
62. Bifid Earlobe Repair
63. Cerumen Impaction Removal
64. Ear Piercing
65. Myringotomy and Tympanocentesis
66. Reduction of Dislocated Temporomandibular Joint (with TMJ Syndrome Exercises)
67. Tympanometry
68. Removal of Foreign Bodies from the Ear and Nose
69. Flexible Fiberoptic Rhinolaryngoscopy
70. Management of Epistaxis
71. Nasal Turbinate Reduction
72. Emergency Cricothyroidotomy and Tracheostomy
73. Indirect Mirror Laryngoscopy
74. Peritonsillar Abscess Drainage
75. Reimplantation of an Avulsed Tooth
76. Tongue-Tie Snipping (Frenotomy) for Ankyloglossia

Part Five Cardiovascular and Respiratory

77. Ambulatory Blood Pressure Monitoring
78. Ambulatory Phlebectomy
79. Arterial Puncture
80. Carioversion
81. Central Venous Catheter Insertion
82. Chest Tube Insertion and Removal
83. Endotracheal Intubation
84. Holter Monitoring
85. Noninvasive Venous and Arterial Studies of the Lower Extremities
86. Office Electrocardiograms
87. Percutaneous Arterial Line Placement
88. Pericardiocentesis
89. Pulmonary Function Testing
90. Sclerotherapy: Injection
91. Sclerotherapy: Radiofrequency
92. Stress (Exercise) Testing
93. Swan-Ganz Catheterization
94. Temporary Pacing
95. Thoracentesis
96. Venous Cutdown

Part Six Gastrointestinal

97. Abdominal Paracentesis
98. Anal Fissure/Lateral Sphincterotomy
99. Anorectal Anatomy and Examination
100. Anoscopy
101. Colonoscopy
102. Esophagogastroduodenoscopy (EGD)
103. Fecal Impaction Removal
104. Flexible Sigmoidoscopy
105. Gastric Lavage
106. Inguinal Hernia Reduction
107. Nasogastric Tube and Salem Sump Insertion
108. Office Treatment of Hemorrhoids
109. Perianal Abscess Incision and Drainage Fistulas
110. Perianal Skin Tags (External Hemorrhoidal Skin Tags)
111. Pilonidal Cyst/Abscess Incision and Drainage
112. Peritoneal Lavage:Diagnostic

Part Seven Urinary

113. Bladder Catheterization
114. Diagnostic Cystourethroscopy
115. Suprapubic Catheter Insertion/Change
116. Suprapubic Taps or Aspirations
117. Bedside Urodynamic Studies for Urinary Incontinence
118. Urodynamics

Part Eight Male Reproductive System

119. Adult Circumcision
120. Androscopy
121. Dorsal Slit for Phimosis
122. Prostate Biopsy
123. Prostate Massage
124. Prostate and Seminal Vesicles Ultrasonography
125. Self-Injection Therapy for the Treatment of Erectile Dysfunction
126. Sperm Banking
127. Implantable Hormone Pellets for Testosterone Deficiency
128. Vacuum Devices for Erectile Dysfunction
129. Vesectomy

Part Nine Gynecology and Female Reproductive System

130. Abortion: Medical
131. Abortion: Surgical
132. Barrier Contraceptives: Cervical Cap, Vaginal Condom, and Diaphragm Fitting
133. Bartholin’s Cyst/Abscess: Word Catheter Insertion Marsupialization
134. Breast Biopsy
135. Cervical Cerclage
136. Cervical Conization
137. Cervical Polyps
138. Cervical Stenosis/Cervical Dilation
139. Cervicography
140. The Colposcopic Examination
141. Contraceptive Implants (Norplant) Insertion and Removal
142. Cryocone of the Cervix
143. Culdocentesis (Colpocentesis)
144. Diagnostic Hysteroscopy
145. Dilation and Curettage
146. DNA Sampling: Cervix and Other
147. Endometrial Biopsy
148. Hysterosalpingography
149. IUD Insertion
150. IUD Removal
151. Loop Electrosurgical Excision Procedure (LEEP) for Treating CIN
152. Pap Smear and Related Techniques for Cervical CA Screening
153. Permanent Female Sterilization (Tubal Ligation
154. Pessaries
155. Postcoital Examination Test or Sims-Huhner Test
156. Speculoscopy
157. Treatment of Noncervical Condyloma Acuminata
158. Endometrial Ablation
159. Vaginal Exam of the Female for Rape
160. Vaginal Exam of the Young Female for Possible Sexual Abuse
161. Vulvar Biopsy
162. Wet smear and KOH Preparation

Part Ten Obstetrics

163. Amniocentesis
164. Caesarean Section
165. Cervical Ripening/Vaginal Prostaglandins
166. Contraction Stress Test, Nonstress Test, and Spontaneous Fetal Movement Counting
167. Episiotomy
168. External Cephalic Version
169. Fetal Scalp Electrode Application
170. Forceps and Vacuum Extraction (Assisted Vaginal Delivery)
171. Intrathecal Analgesia
172. Intrauterine Pressure Catheter (IUPC) Insertion
173. Obstetric Ultrasound
174. Paracervical Block
175. Pudental Anesthesia
176. Saddleblocks
177. Transcervical Amnioinfusion
178. Vaginal Delivery

Part Eleven Pediatrics

179. DeLee Suctioning
180. Dorsal Penile Nerve Block
181. Intraosseous Venous Access (IOVA)
182. Neonatal Resuscitation
183. Newborn Circumcision
184. Pediatric Arterial Puncture and Venous Cutdown
185. Suprapubic Bladder Aspiration
186. Umbilical Artery Catheterization

Part Twelve Orthopedics

187. Ankle Splinting, Taping, and Casting
188. Cast Immobilization
189. Compartment Syndrome Evaluation
190. Diagnostic Needle Arthroscopic Lavage and Biopsy
191. Extensor Tendon Repair
192. Fracture Care
193. Ganglion Treatment
194. Joint and Soft Tissue Aspiration and Injection
195. Knee Braces
196. Nursemaid’s Elbow: Subluxation of the Radial Head
197. Orthoses, Plantar Warts, Corns, and Calluses
198. Osteoporosis Screening
199. Shoulder Dislocations

Part Thirteen Osteopathic

200. Osteopathic Manipulative Medicine

Part Fourteen Alternative Medicine

201. Acupuncture

Part Fifteen Miscellaneous

202. Allergy Testing and Immunotherapy
203. Anaphylaxis
204. Antibiotic Prophylaxis for Bacterial Endocarditis
205. Biofeedback
206. Body Fat Analysis
207. Bone Marrow Aspiration and Biopsy
208. Drawing Blood for Bone Culture
209. Emergency Department and Office Ultrasound
210. Fine-Needle Aspiration Cytology and Biopsy
211. Heimlich Maneuver
212. Hypnosis
213. Lumbar Puncture
214. Muscle Biopsy
215. TENS Unit, Phonophoresis, Iontophoresis
216. Venous Methylene Blue Intravenous Therapy


A. Commonly Used Instruments
B. Informed Consent
C. Latex Allergy Guidelines
D. Pearls of Practice
E. Resources for Learning Procedures
F. Supplier Information
G. Universal Precautions

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  • Anonymous

    Posted July 24, 2002

    Must have

    Outstanding guide for every primary care physician. I've seen many books of that kind but this book is clearly the best.

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