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Doody's Review ServiceReviewer: 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 along with 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.