Textbook of Family Medicine
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This ninth edition of the Textbook of Family Medicine, edited by Drs. Robert E. Rakel and David P. Rakel, remains your #1 choice for complete guidance on the principles of family medicine, primary care in the community, and all aspects of clinical practice. Ideal for both residents and practicing physicians, this medical reference book includes evidence-based, practical information to optimize patient care and prepare you for the ABFM exam.
A clean, quick-reference layout makes it easy for you to put information to work immediately in your practice. Gain a new understanding of the patient-centered medical home and how to achieve this status in outpatient clinics. Make the most effective care decisions with help from "Evidence vs. Harm" icons that guide you through key treatments of common medical conditions. Take advantage of today’s most useful online resources with a convenient list of outstanding clinical websites.
Quickly spot "Best Evidence Recommendations" with special boxes located throughout the text, and glean helpful tips on diagnosis and therapy from "Key Points" boxes found on every page. Quickly access content with an efficient new layout that includes more than 1,000 tables and full-color illustrations; treatment boxes for a concise overview of how to treat various conditions; Grade A SORT recommendations; and key points highlighting the major takeaways of each chapter.
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- Elsevier Health Sciences (US)
- 9780323313087
- 9780323239905
- ePub
- 9
- David Rakel; Robert E. Rakel
- English
- 2015-02-02
- 10
Kaflar
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Video Contents
- Preface
- Part One Principles of Family Medicine
- 1 Family Physician
- The Joy of Family Practice
- Development of the Specialty
- Definitions
- Personalized Care
- Characteristics and Functions of the Family Physician
- The Family Physician in Practice
- Patient-Centered Medical Home
- Looking toward the Future
- Web Resources
- References
- 2 Patient-Centered Medical Home
- History
- Healing, Curing, and the Goals of the Medical Home
- Health Teams
- The Health Home Checklist
- Lessons from Early Adaptors
- Payment Models for the Health Home
- Conclusion
- Web Resources
- References
- 3 Psychosocial Influences on Health
- Conceptual Models
- Integration of Psychosocial Issues in Clinical Practice
- Evidence-Based Practice
- The Patient-Centered Medical Home
- Conclusion
- Web Resources
- References
- 4 Care of the Elderly Patient
- Geriatric Assessment
- Falls
- Elder Abuse
- Pressure Ulcers
- Rational Drug Prescribing for Elderly Patients
- Urinary Incontinence
- Web Resources
- Podcasts
- References
- 5 Care of the Dying Patient
- The Physician's Attitude
- Communication
- Denial
- “Watch with Me”
- Patient Control
- The Importance of Hope
- Prolonging Living or Prolonging Dying?
- Management of Symptoms
- Nutrition
- Where to Die
- Hospice Care
- Advance Directives
- Web Resources
- References
- Suggested Readings
- 6 Care of the Self
- The Burnout Trap
- A Roadmap to Health and Wellness
- Summary
- Acknowledgment
- Web Resources
- References
- 7 Preventive Health Care
- Family Medicine and Prevention
- Definitions of Prevention
- Evidence as the Foundation of Prevention
- Paying for Preventive Services
- Assessing Screening Tests
- Assessing Physician Counseling
- Putting Prevention into Practice
- Examples of Putting the Four-Step Approach into Practice
- The Family Physician as the Foundation of the Public Health System
- Intergenerational Aspects of Prevention in the Family
- Genomics and Prevention
- Office Systems as an Aid to Prevention
- Web Resources
- References
- 8 Behavioral Change and Patient Empowerment
- Traditional Physician Role
- Evolution of the Care Model
- The Participatory Medical Model
- The Birth of the “e-Patient Revolution”
- Patient- and Family-Centered Care
- Patient Engagement
- The Patient-Centered Medical Home
- Patient/Provider Collaboration
- Information Technology and Participatory Medicine
- Health Behavior Change and Motivational Interviewing
- Web Resources
- References
- 9 Interpreting the Medical Literature: Applying Evidence-Based Medicine in Practice
- Building Clinical Evidence from Published Research
- Understanding the Statistical Significance of Study Results
- Interpreting Study Results: Statistical and Clinical Significance
- Other Keys to Interpreting Clinical Evidence
- Using Evidence at the Point of Care
- Web Resources
- References
- 10 Information Technology
- Introduction
- Electronic Health Records
- Mobile Technology
- Engaging Patients
- Security
- Conclusion
- Web Resources
- Suggested Reading
- References
- 11 Clinical Problem Solving
- Introduction
- The Principles of Family Medicine Define the Context for Solving Clinical Problems
- Tasks and Steps Used by Family Physicians to Solve Clinical Problems
- Challenges to Clinical Problem Solving
- Conclusion
- References
- 12 Integrative Medicine
- eAppendix 12-1. Glossary of Complementary and Alternative Medicine (CAM) Terms
- eAppendix 12-2. Mind-Body Experiential and Mindfulness Research: Mindfulness Meditation Practice CD
- eAppendix 12-3. Energy Healing Modalities*
- eAppendix 12-4. Highlights of Acupuncture Research and Findings
- 13 Establishing Rapport
- eAppendix 13-1. Interviewing Effectively
- eAppendix 13-2. Care with Caring
- 14 Interpreting Laboratory Tests
- The Concept of “Normal”
- Evaluating a Test's Performance Characteristics
- Separating Diseased from Disease-Free Persons
- Web Resources
- References
- Part Two Practice of Family Medicine
- 15 Infectious Diseases
- Principles
- Syndromes
- Pathogens
- Acknowledgments
- Web Resources
- References
- 16 Pulmonary Medicine
- Lung Disease in Primary Care
- Obstructive Lung Disease
- Acute Infectious Diseases
- Chronic Infectious Diseases
- Fungal Infections of the Lung
- Vascular Disease
- Pulmonary Complications of Sickle Cell Disease
- Malignant Disease
- Occupational Lung Disease
- Granulomatous Diseases
- Interstitial Lung Diseases
- Lung Manifestations of Autoimmune Connective Tissue Disorders and Other Systemic Diseases
- Diseases of the Pleura and Extrapulmonary Space
- Disorders of Breathing
- Web Resources
- References
- 17 Ophthalmology
- eAppendix 17-1. Hyphema
- eAppendix 17-2. Vision Screening in Children (see Table 17-5)
- eAppendix 17-3. Specific Types of Strabismus
- eAppendix 17-4. Hypertensive Retinopathy Grading
- 18 Otorhinolaryngology
- Emergencies
- Head and Neck Trauma and Respiratory Embarrassment
- Nasal Trauma
- The Ear
- Facial Nerve Paralysis
- The Nose and Paranasal Sinuses
- eAppendix 18-1. Ear: Physical Examination
- eAppendix 18-2. Nose and Paranasal Sinuses: Physical Examination
- eAppendix 18-3. Nasal Obstruction: Physical Examination
- eAppendix 18-4. Oral Cavity and Pharynx: Radiography
- eAppendix 18-5. Neck: Physical Examination
- 19 Allergy
- Allergic Rhinitis
- Nonallergic Rhinitis
- Allergy in the Eye
- Asthma
- Reference
- Anaphylaxis
- Web Resources
- References
- Best Evidence Sources
- 20 Obstetrics
- Woman and Child Health
- Preconception Counseling
- Nutrition
- Medical Risk Assessment
- Routine Prenatal Care
- Prenatal Screening and Diagnostic Testing
- Prenatal Diagnostic Tests
- Drug and Chemical Exposures in Pregnancy
- Infections in Pregnancy
- Medical Disorders in Pregnancy
- Complications of Early Pregnancy
- Complications of Late Pregnancy
- Multiple Gestation
- Antepartum Fetal Surveillance
- Normal Labor and Delivery
- Abnormalities of Labor and Delivery
- Electronic Fetal Monitoring
- Vaginal Birth after Cesarean Section
- Intrapartum Procedures
- The Puerperium
- Postpartum Hemorrhage
- Web Resources
- References
- 21 Care of the Newborn
- Care at Delivery
- Care in the Newborn Nursery
- Care at the Primary Care Office
- Parental Education and Anticipatory Guidance
- Web Resources
- References
- 22 Growth and Development
- Care of Children in Family Medicine
- Blood Pressure Monitoring
- Measuring Physical Parameters of Growth
- Screening Healthy Children
- Discipline
- Nutrition
- Behavior and Neurodevelopment
- Guidelines for Clinical Assessment
- Immunizations
- Acknowledgment
- Key Resource
- Web Resources
- References
- 23 Behavioral Problems in Children and Adolescents
- e-Appendix 23-1. Encopresis and Enuresis
- 24 Child Abuse
- Implications and Long-Term Outcomes
- Neglect
- Physical Abuse
- Sexual Abuse
- Summary
- Web Resources
- References
- 25 Gynecology
- Patient-Centered Approach to the Well-Woman Examination
- Abnormal Vaginal Bleeding
- Pelvic Mass
- Vaginal Discharge
- Vulvar Lesions
- Acute Pelvic Pain
- Menopause
- Web Resources
- References
- 26 Contraception
- Combined Oral Contraceptive Pills
- Progestin-Only Contraception
- Additional Contraceptive Choices
- Adolescent Concerns
- Additional Information
- Web Resources
- References
- 27 Cardiovascular Disease
- Atherosclerosis
- Dyslipidemia
- Hypertension
- Metabolic Syndrome
- Diabetes Mellitus
- Cigarette Smoking
- Coronary Artery Disease
- Valvular Heart Disease
- Heart Failure
- Myocardial and Pericardial Diseases
- Peripheral Arterial Disease
- Aortic Disease
- Peripheral Venous Disease
- Cardiac Electrophysiology and Arrhythmias
- Web Resources
- References
- 28 Common Office Procedures
- e-Appendix 28-1. History of Surgery
- 29 Sports Medicine
- eAppendix 29-1. Gastrointestinal Problems
- eAppendix 29-2. Low Back Pain
- 30 Common Issues in Orthopedics
- Fractures
- Shoulder
- Elbow
- Wrist and Hand
- Hip
- Knee
- Ankle and Foot
- Web Resources
- References
- 31 Neck and Back Pain
- Introduction
- Cervical Sprains and Whiplash Syndromes
- Cervical and Lumbar Disc Syndromes
- Spinal Stenosis
- Spondylolisthesis
- Vertebral Compression Fractures
- Myofascial Pain
- Chronic Low Back Pain
- Web Resources
- References
- 32 Rheumatology and Musculoskeletal Problems
- Evaluation of Joint and Other Musculoskeletal Symptoms
- Pathogenesis of Rheumatic and Other Musculoskeletal Diseases
- Laboratory Studies
- Rheumatic Diseases
- eAppendix 32-1. Viral Arthritis
- eAppendix 32-2. Prevention of Lyme Disease
- eAppendix 32-3. Other Vasculitic Conditions
- eAppendix 32-4. Scleroderma-Like Disorders
- eAppendix 32-5. Diffuse Fasciitis with Eosinophilia
- eAppendix 32-6. Temporomandibular Joint Syndrome*
- 33 Dermatology
- Principles of Diagnosis
- General Management
- Skin Problems Beginning in Childhood
- Inflammatory Dermatologic Diseases
- Infectious Skin Diseases
- Infestations
- Hypersensitivity Reactions and Other Eruptions
- Skin Signs of Systemic Disease
- Benign Growths
- Premalignant and Malignant Skin Lesions
- Web Resources
- References
- 34 Diabetes Mellitus
- Introduction
- Prediabetes: A Treatable Precursor of Type 2 Diabetes
- Type 2 Diabetes Mellitus
- Type 1 Diabetes Mellitus
- Long-Term Complications of Diabetes
- Five Things Patients Must Do to Become Successful Diabetes Self-Managers
- Acknowledgment
- Web Resources
- References
- 35 Endocrinology
- Hypothalamic–Pituitary Axis
- Approach to Pituitary Disease
- Pineal Gland
- Thyroid Disorders
- Adrenal Glands
- eAppendix 35-1. Acromegaly and Gigantism
- eAppendix 35-2. Craniopharyngiomas, Thyrotropin-Secreting Pituitary Adenomas, Gonadotropic Adenomas, and Other Adenomas
- eAppendix 35-3. Isolated Aldosterone Deficiency
- eAppendix 35-4. Mixed Disorder: Congenital Adrenal Hyperplasia
- eAppendix 35-5. Cryptorchidism
- eAppendix 35-6. Depressed Libido in Women
- eAppendix 35-7. Galactorrhea and Hirsutism
- eAppendix 35-8. Osteoporosis and Osteomalacia
- 36 Obesity
- eAppendix 36-1. Epigenetic Regulation
- eAppendix 36-2. Current Research on How the Microbiome Can Influence Weight
- 37 Nutrition and Family Medicine
- Overview
- Nutrition Assessment
- Nutrition in the Life Cycle
- Dietary Patterns in Prevention and Management of Major Diseases
- Nutrition Decisions in the Hospitalized Patient
- Future in Nutrition
- Terminology
- Conclusion
- Web Resources
- References
- 38 Gastroenterology
- Epidemiology and Social Impact of Gastrointestinal Disease
- Common Pediatric Gastrointestinal Disorders
- Common Adult Gastrointestinal Disorders
- Gallbladder
- Liver
- Pancreas
- Lower Gastrointestinal Tract
- Web Resources
- References
- 39 Hematology
- Terminology
- Specific Hematologic Disease States
- Anticoagulant Therapy
- Hematologic Malignancies
- The Myeloproliferative Neoplasms
- Clonal or Myeloproliferative Eosinophilic Neoplasms
- Hematology and Pregnancy
- Thrombocytopenia in Pregnancy
- Web Resources
- References
- 40 Urinary Tract Disorders
- Evaluation of the Urinary Tract
- Anatomic Disorders
- Functional Disorders
- Infectious Disorders
- Neoplastic Disorders
- Web Resources
- References
- 41 Neurology
- Neurologic Examination
- Neurologic Conditions
- Web Resources
- References
- 42 Human Sexuality
- Overview
- Sexual Dysfunction
- Female Sexual Dysfunction
- Male Sexual Dysfunction
- Substance- or Medication-Induced Sexual Dysfunction
- Gender and Sexual Orientation
- Sexuality Issues at Specific Times of Life
- Conclusion
- Web Resources
- References
- 43 Clinical Genomics
- Overview
- Family History: Best Guide to Genetic Components of Disease
- Genetic Testing
- Ethical, Legal, and Social Issues
- Genetics in Primary Care Practice: Disease Illustrations
- Web Resources
- References
- 44 Crisis Intervention, Trauma, and Disasters
- Development of Crisis Intervention, Trauma, and Disaster Theory
- Evaluating the Crisis or Disaster
- Crisis Intervention Treatment in the Office Setting
- Coping Skills and Adaptive Problem Solving
- Other Trauma Treatments
- Medications for Symptoms of Psychiatric Disorders
- Conclusion
- Web Resources
- References
- 45 Difficult Encounters: Patients with Personality Disorders
- Personality Traits versus Personality Disorder
- Classification and Diagnosis
- Management of Patients with Personality Disorders
- General Management Principles for Difficult Patients
- Interventions for Specific Personality Disorders
- Conclusion
- Web Resources
- References
- 46 Anxiety and Depression
- Overview
- Anxiety, Major Depression, and Medical Illnesses
- Diagnosis and Screening of Mood and Anxiety Disorders
- Assessment of the Depressed or Anxious Patient in Medical Settings
- Management and Treatment of Major Depression and Anxiety Disorders
- Web Resources
- References
- 47 Delirium and Dementia
- Delirium
- Dementia
- Web Resources
- References
- 48 Alcohol Use Disorders
- eAppendix 48-1. Causative Factors for Alcohol Use Disorders
- eAppendix 48-2. Physicians with Alcohol Use Disorders
- 49 Nicotine Addiction
- eAppendix 49-1. Health Risks with Smoking: Pregnancy
- eAppendix 49-2. Social and Legal Action
- 50 Substance Use Disorders
- Scope of the Problem
- Screening
- Laboratory Testing
- Pharmacology
- Intoxication and Withdrawal
- Behavioral Therapies for Substance Use Disorders
- Special Populations
- Web Resources
- References
- Index