Textbook of Family Medicine 9th Edition by Robert E. Rakel, ISBN-13: 978-0323239905

Description

Textbook of Family Medicine 9th Edition by Robert E. Rakel, ISBN-13: 978-0323239905

[PDF eBook eTextbook] – Available Instantly

• Publisher: ‎ Saunders; 9th edition (March 6, 2015)
• Language: ‎ English
• 1215 pages (Large size file: 60 MB)
• ISBN-10: ‎ 0323239900

• ISBN-13: ‎ 978-0323239905

The Textbook of Family Medicine continues to provide the latest, most comprehensive coverage of family medicine practice.

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.
• Take advantage of an enhanced focus on team-based care as the role of primary care providers evolves, and stay up to date on the most current practice guidelines with evidence-based information throughout.
• View 30 immersive procedural videos online from Procedures Consult, including chest tube placement, knee injection, vasectomy, vaginal tear repair, skin biopsy, colposcopy, IUD insertion, and more.
• Remain at the forefront of the field with coverage on self-care, the emergence of tobacco alternatives such as e-cigarettes, and the changing picture of cancer in America.

Table of Contents:

Cover image

Title page

Table of Contents

Copyright

Dedication

Contributors

Preface

Multimedia Resources: Image Collection

Videos

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

David P. Rakel,MD was the founder and director of the University of Wisconsin Integrative Medicine program and is now Professor and Chair of the Department of Family & Community Medicine at the University of New Mexico Medical School in Albuquerque, NM. For more information, visit his website at davidrakel.com or elsevierauthors.com/davidrakel

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