(BQ) Part 1 book “Family medicine - Ambulatory care & prevention” has contents: Ankle injuries, abdominal pain, the abnormal pap smear, arm and shoulder complaints, breast lumps and other breast conditions, cellulitis and other bacterial skin infections, dermatitis and other pruritic dermatoses,… and other contents.
a LANGE clinical manual Family Medicine Ambulatory Care & Prevention sixth edition Edited by Mindy A Smith, MD, MS Clinical Professor, Department of Family Medicine Michigan State University, College of Human Medicine East Lansing, Michigan Leslie A Shimp, PharmD, MS Professor of Pharmacy College of Pharmacy Clinical Pharmacist, Ambulatory Care University of Michigan Ann Arbor, Michigan Sarina Schrager, MD, MS Professor, Department of Family Medicine University of Wisconsin, School of Medicine and Public Health Madison, Wisconsin New York Chicago San Francisco Athens London Madrid Mexico City New Delhi Milan San Juan Singapore Sydney Toronto Copyright © 2014 by McGraw-Hill Education All rights reserved Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher, with the exception that the program listings may be entered, stored, and executed in a computer system, but they may not be reproduced for publication ISBN: 978-0-07-182074-5 MHID: 0-07-182074-4 The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-182073-8, MHID: 0-07-182073-6 eBook conversion by codeMantra Version 1.0 All trademarks are trademarks of their respective owners Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark Where such designations appear in this book, they have been printed with initial caps McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promotions or for use in corporate training programs To contact a representative, please visit the Contact Us page at www mhprofessional.com Previous editions copyright © 2009, 2005, 2001, by The McGraw-Hill Companies, Inc.; Copyright © 1996, 1993 by Appleton & Lange Notice Medicine is an ever-changing science As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work Readers are encouraged to confirm the information contained herein with other sources For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration This recommendation is of particular importance in connection with new or infrequently used drugs TERMS OF USE This is a copyrighted work and McGraw-Hill Education and its licensors reserve all rights in and to the work Use of this work is subject to these terms Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill Education’s prior consent You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited Your right to use the work may be terminated if you fail to comply with these terms THE WORK IS PROVIDED “AS IS.” McGRAW-HILL EDUCATION AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE McGraw-Hill Education and its licensors not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom McGraw-Hill Education has no responsibility for the content of any information accessed through the work Under no circumstances shall McGraw-Hill Education and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise Contents Contributors ix Preface xxi Section I Common Problems Abdominal Pain Kalyanakrishnan Ramakrishnan, MD, MS, FRCS The Abnormal Pap Smear Kathryn Reilly, MD, & Audra Fox, MD 12 Amenorrhea Amanda Kaufman, MD 17 Anemia Andrew D Jones, MD, MBA, & Cary L Clarke, MD 24 Ankle Injuries Philip R Palmer, MD, FAAFP 31 Arm and Shoulder Complaints Brian R Coleman, MD 37 Bites and Stings Brenda Powell, MD 44 Breast Lumps and Other Breast Conditions Diane J Madlon-Kay, MD, MS 54 Cellulitis and Other Bacterial Skin Infections Donald B Middleton, MD 58 10 Chest Pain George P.N Samraj, MD, MRCOG 70 11 Confusion Robert C Salinas, MD (CAQ-G, HPM), & Audra Fox, MD 78 12 Constipation Allen R Last, MD, MPH, & Jonathan D Ference, PharmD, BCPS 83 13 Cough Jennifer E Lochner, MD, & David Holmes, MD 91 14 Dermatitis and Other Pruritic Dermatoses 103 A Ildiko Martonffy, MD, Jie Wang, MD, Aleksandra Zgierska, MD, PhD, William G Phillips, MD, & Marjorie Shaw Phillips, MS, RPh, FASHP 15 Dermatologic Neoplasms 120 Daniel L Stulberg, MD, & Douglas G Browning, MD, ATC-L iii iv Contents 16 Diarrhea 131 Michael A Noll, MD, Jeanne M Ferrante, MD, MPH, & Laura Hargro, MD, MBA 17 Dizziness 145 Suzanne L Harrison, MD, & Lisa M Johnson, MD 18 Dysmenorrhea 149 Suzanne L Harrison, MD, & Lisa M Johnson, MD 19 Dyspepsia 154 Kalyanakrishnan Ramakrishnan, MD, MS, FRCS 20 Dyspnea 161 James C Chesnutt, MD, Mark R Stephan, MD, Scott A Fields, MD, & William L Toffler, MD 21 Dysuria in Women 166 L Peter Schwiebert, MD 22 Earache 172 David Berkson, MD, FAAFP, Greeshma Naini, MD, & Carmelo DiSalvo, MD 23 Enuresis 183 Kalyanakrishnan Ramakrishnan, MD, MS, FRCS 24 Failure to Thrive 187 Jacqueline L Gerhart, MD, & Cathy Kamens, MD 25 Fatigue 193 Anthony F Valdini, MD, MS 26 Fluid, Electrolyte, and Acid–Base Disturbances 198 Mudit Gilotra, MD, Marc Altshuler, MD, & Lara Carson Weinstein, MD, MPH 27 Foot Conditions 206 James R Barrett, MD, CAQSM 28 Fractures 216 Ted C Schaffer, MD, & Melanie C Schaffer, MD 29 Gastrointestinal Bleeding 222 Erin C Contratto, MD, & May S Jennings, MD 30 Genital Lesions 228 Tomás P Owens, Jr., MD 31 Hair and Nail Disorders 237 Amy D Crawford-Faucher, MD, FAAFP 32 Hand and Wrist Complaints 251 Jessica T Servey, MD, FAAFP, Col, USAF, Ted Boehm, MD, & Nicole G Stern, MD 33 Headaches 264 Dan F Criswell, MD 34 Hearing Loss 274 Robert C Salinas, MD, & Audra Fox, MD 35 Hematuria 281 Cynthia M Waickus, MD, PhD 36 Insomnia 287 Julianne Falleroni, DO, MPH Contents v 37 Jaundice 300 Kalyanakrishnan Ramakrishnan, MD, MS, FRCS, & L Peter Schwiebert, MD 38 Joint Pain 310 L Peter Schwiebert, MD 39 Knee Complaints 317 Vimarie Rodriguez, MD, CAQSM, & Mitchell A Kaminski, MD, MBA 40 Lacerations and Skin Biopsy 332 Jason Chao, MD, MS, & Rasai L Ernst, MD 41 Leg and Hip Complaints 338 Geoffrey S Kuhlman, MD, CAQSM, FAAFP 42 Liver Function Test Abnormalities 347 Angie Mathai, MD, & James P McKenna, MD 43 Low Back Pain 352 Dan F Criswell, MD 44 Lymphadenopathy 360 Jo Marie Reilly, MD, FAAFP, & Fred Kobylarz, MD, MPH 45 Myalgia 364 Tomás P Owens, Jr., MD 46 Nausea and Vomiting 371 Nipa R Shah, MD, & George R Wilson, MD 47 Neck Pain 383 Michael P Rowane, DO, MS, FAAFP, FAAO 48 Palpitations 387 Jose E Rodríguez, MD, & Mike D Hardin, Jr., MD 49 Pediatric Fever 395 Joanne Dempster, MD, & Urmi A Desai, MD 50 Pelvic Pain 400 Guido Grasso-Knight, MD, MPH, Meredith A Goodwin, MD, & Niharika Khanna, MBBS, MD, DGO 51 Perianal Complaints 410 Kalyanakrishnan Ramakrishnan, MD, MS, FRCS 52 Proteinuria 418 Aamir Siddiqi, MD 53 The Red Eye 423 Heidi S Chumley, MD, Victor A Diaz, Jr., MD, & Deborah K Witt, MD 54 Rhinitis and Sinus Pain 432 Jensena M Carlson, MD, Melissa Stiles, MD, Robert G Quattlebaum, MD, Vanessa A Diaz, MD, MS, & Arch G Mainous III, PhD 55 Scrotal Complaints 443 Michael N Nduati, MD, MBA, MPH, & John A Heydt, MD 56 Sore Throat 449 L Peter Schwiebert, MD vi Contents 57 Syncope 454 Brian H Halstater, MD, John Ragsdale III, MD, LeRoy C White, MD, JD, & Felix Horng, MD, MBA 58 Tremors and Other Movement Disorders 461 Aylin Yaman, MD, Hakan Yaman, MD, MS, & Goutham Rao, MD 59 Urinary Incontinence 471 Annette Sandretto, MSN, ANP-BC, RN, Karen D Novielli, MD, & Barry D Weiss, MD 60 Urinary Symptoms in Men 479 Karl T Rew, MD, & Linda L Walker, MD, FAAFP 61 Urticaria 489 Robert Ellis, MD, Montiel Rosenthal, MD, & Laura Counsell, MD 62 Abnormal Vaginal Bleeding 500 Heather L Paladine, MD, FAAFP & Pooja A Shah, MD 63 Vaginal Discharge 506 L Peter Schwiebert, MD 64 Venous Thromboembolism 512 Stefani A Hudson, MD, & Jeffrey M Tingen, PharmD, MBA, BCPS, BCACP, CDE 65 Wheezing 518 Christopher Taggart, MD, & Judith Kerber Frazier, MD Section II Chronic Illness 525 66 Acne Vulgaris and Acne Rosacea 525 Paul C Walker, PharmD, FASHP, Mindy A Smith, MD, MS, Brooke E Farley, PharmD, BCPS, & Julie A Murphy, PharmD, BCPS 67 Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome 535 Parya Saberi, PharmD, MAS, Megan Mahoney, MD, & Ronald H Goldschmidt, MD 68 Asthma 548 Jonathan MacClements, MD, FAAFP 69 Cancers of the Breast, Lung, and Colon 562 Elizabeth R Menzel, MD, & Kathryn Jacobe, MD 70 Chronic Obstructive Pulmonary Disease 576 H Bruce Vogt, MD, FAAFP 71 Chronic (Persistent) Pain 596 Michael P Temporal, MD 72 Cirrhosis 605 Mark C Potter, MD, & Mari Egan, MD, MHPE 73 Congestive Heart Failure 614 Philip M Diller, MD, PhD, & Christopher R Bernheisel, MD 74 Dementia 627 Radha Ramana Murthy Gokula, MD, CMD, & Leelasri Vanguru, MD Contents vii 75 Diabetes Mellitus 643 Stuart D Rockafellow, PharmD, BCACP, Caroline R Richardson, MD, & Mark B Mengel, MD, MPH 76 Dyslipidemias 660 Trisha D Wells, PharmD, Amanda M Cox, MD, Mindy A Smith, MD, MS, & Michael A Crouch, MD, MSPH 77 Hypertension 676 Ann E Evensen, MD, FAAFP, & Charles B Eaton, MD, MS 78 Inflammatory Bowel Disease 687 Russell Lemmon, DO, & David M Lessens, MD, MPH 79 Ischemic Heart Disease and Acute Coronary Syndromes 697 Damon F Lee, MD, Lovedhi Aggarwal, MD, & Allen L Hixon, MD 80 Menopause 709 Linda M Speer, MD, Tammy J Lindsay, MD, & Mark Mengel, MD, MPH 81 Obesity 716 Radhika R Hariharan, MD, MRCP (UK), Brian C Reed, MD, & Sarah R Edmonson, MD, MS 82 Osteoarthritis 726 Charles Kodner, MD 83 Osteoporosis 737 William T Manard, MD, FAAFP, & Richard O Schamp, MD, CMD, CHCQM 84 Peptic Ulcer Disease 747 Carol Stewart, MD, FAAFP, Nancy Tyre, MD, & Lesley D Wilkinson, MD 85 Premenstrual Syndrome 755 Heather R Pickett, DO, FAAFP, Abby L Harris, MD, & Michael Michener, MD 86 Renal Failure 763 Terrence T Truong, MD 87 Seizure Disorders 774 Mindy A Smith, MD, MS, Shawn H Blanchard, MD, & William L Toffler, MD 88 Stroke 786 Michael P Temporal, MD 89 Thyroid Disease 797 Jeri R Reid, MD, & Angela R Wetherton, MD Section III Psychiatric Disorders 808 90 Alcohol and Drug Abuse 808 Robert Mallin, MD, & Kristen Hood Watson, MD 91 Anxiety 819 John C Rogers, MD, MPH, MEd, & Alicia A Kowalchuk, DO 92 Attention Deficit Hyperactivity Disorder 829 H Russell Searight, PhD, MPH, Jennifer Gafford, PhD, & Stephanie L Evans, PharmD, BCPS viii Contents 93 Family Violence: Child, Intimate Partner, and Elder Abuse 847 F David Schneider, MD, MSPH, Nancy D Kellogg, MD, & Melissa A Talamantes, MS 94 Depression 856 Rhonda A Faulkner, PhD, & Luis T Garcia, MD, A.B.F.M 95 Eating Disorders 865 Brian C Reed, MD 96 Somatization 873 Juliet Bradley, MD, & Tracy R Juliao, PhD Section IV Reproductive Health 881 97 Contraception 881 Grant M Greenberg, MD, MA, MHSA, Nell Kirst, MD, & Margaret Dobson, MD 98 Infertility 892 Keith A Frey, MD, MBA 99 Preconception and Prenatal Care 896 Kirsten Vitrikas, MD 100 Postpartum Care 909 Shami Goyal, MD, MS, & Jeannette E South-Paul, MD 101 Sexual Dysfunction 915 Elizabeth H Naumburg, MD, & Elizabeth J Brown, MD, MPH 102 Sexually Transmitted Infections 932 Jessica Dalby, MD, & Jaime Marks, MD Section V Preventive Medicine and Health Promotion 943 103 Chemoprophylaxis 943 A Ildiko Martonffy, MD, & Paul E Lewis III, MD, MPH 104 Counseling for Behavioral Change 950 Mark R Marnocha, PhD, David C Pole, MPH, Ryan M Niemiec, PsyD, Laura Frankenstein, MD, & Shawn E Boogaard, MSE 105 Immunizations 960 William E Cayley, Jr., MD, MDiv 106 Screening Tests 967 Larry L Dickey, MD, MPH 107 Travel Medicine 979 Mark K Huntington, MD, PhD, FAAFP 108 Preoperative Evaluation 996 Jaime D Marks, MD Index 1007 Color insert appears between pages 586 and 587 Contributors Lovedhi Aggarwal, MD Assistant Professor Department of Family Medicine and Community Health, University of Hawaii John A Burns School of Medicine, Honolulu, Hawaii Marc Altshuler, MD Associate Professor, Associate Residency Director, Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania James R Barrett, MD, CAQSM Professor of Family Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma David Berkson, MD, FAAFP Associate Professor, Drexel University College of Medicine, Philadelphia, Pennsylvania Christopher R Bernheisel, MD Assistant Professor of Family and Community Medicine, Director of UC/TCH Residency Program, The Christ Hospital Medical Office Building, Cincinnati, Ohio Shawn H Blanchard, MD Assistant Professor, Department of Family Medicine, Associate Director, Predoctoral Education, Oregon Health & Science University, Portland, Oregon Ted Boehm, MD Volunteer Faculty, Primary Care Sports Medicine Fellowship, Department of Family Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; Primary Care Sports, Medicine Physician, Oklahoma Sports and Orthopedics Institute, Norman, Oklahoma Shawn E Boogaard, MSE Health Educator/Counselor, University of Wisconsin Department of Family Medicine, Fox Valley Family Medicine Residency, Appleton, Wisconsin Juliet Bradley, MD Associate Professor of Clinical Medicine, Cook County-Loyola-Provident Family Medicine Residency Program, Chicago, Illinois Douglas G Browning, MD, ATC-L Wake Forest Family Practice, Winston Salem, North Carolina Elizabeth J Brown, MD, MPH Assistant Professor, Department of Family Medicine, University of Rochester, School of Medicine and Dentistry, Rochester, New York Jensena M Carlson, MD Academic Fellow in Family Medicine, University of Wisconsin-Madison, Madison, Wisconsin William E Cayley, Jr., MD, MDiv Professor, Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Eau Claire, Wisconsin ix ... publication ISBN: 97 8-0 -0 7 -1 8207 4-5 MHID: 0-0 7 -1 8207 4-4 The material in this eBook also appears in the print version of this title: ISBN: 97 8-0 -0 7 -1 8207 3-8 , MHID: 0-0 7 -1 8207 3-6 eBook conversion by... manual Family Medicine Ambulatory Care & Prevention sixth edition Edited by Mindy A Smith, MD, MS Clinical Professor, Department of Family Medicine Michigan State University, College of Human Medicine. .. Vitrikas, MD 10 0 Postpartum Care 909 Shami Goyal, MD, MS, & Jeannette E South-Paul, MD 10 1 Sexual Dysfunction 915 Elizabeth H Naumburg, MD, & Elizabeth J Brown, MD, MPH 10 2 Sexually