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Tobacco, alcohol, illicit drugs, and secondhand exposure are the nation's leading health problems. These acquired problems cause more than half of all deaths per year. First use, as well as some subsequent use, may be voluntary, but after loss of control, continued use is to be expected in an addict. So, prevention is the treatment of choice and also the treatment with the greatest ef? cacy. When prevention fails, early intervention and prompt treatment are critical; oth- wise, abuse becomes dependence and with it comes a chronic life-long disease without a speci? c cure. This places a great deal of responsibility on the already overburdened primary care physicians, who must identify a disease fraught with denial and whose patients are generally the last ones to know and accept the fact that they are hopelessly addicted and need help. Physician education and competency make early diagnosis more likely, but most practicing phy- cians do not have addiction education or treatment training as part of their undergraduate medical education. Among physicians, tobacco competency has improved, and a smoking history is now a part of almost every new patient assessment. A patient's attempts to quit and pharmacologic treatments have been incorporated into most practices in which the physician emphasizes we- ness. Most physicians have prescribed and followed patients treated with ni- tine replacement and Zyban. Progress in the treatment of alcohol abuse and dependence, cocaine and prescription misuse and dependence, and other drugs of abuse has been much slower.

This book provides emergency department and urgent care physicians with a treatment plan for patients deemed not to have an emergency medical situation and who can be safely treated as an outpatient. Although this book examines a wide variety of conditions and patient demographics, it maintains a consistent narrative that reflects the urgency and specificities of the emergency medicine setting. This book further fills gaps in the emergency medicine literature by relaying deliberate and concise training on how to provide basic primary care. Primary Care for Emergency Physicians utilizes the latest information present in the field to provide the reader with up-to-date diagnosis and treatment for the conditions most often seen in the emergency department. A second edition to its successful predecessor, the book's original chapters have been thoroughly updated and several new chapters have been added. The new chapters consist of diagnoses, treatments, and general information on diabetes mellitus, vaginal problems, sciatica, and allergic rhinitis. Among the topics carried over from the first edition are headaches, ear pain, sinonasal diseases, GERD, bloating, constipation, and hemorrhoids. This volume is a concise guide to primary care that is ideal for emergency and urgent care physicians, both residents and more experienced providers.

The purpose of this unique title is to provide internal medicine residents and physicians, as well as other professionals engaged in internal medicine practice, with a single resource of comprehensive, abundantly helpful, time-saving training and practice notes. Developed by a now highly experienced hospitalist physician during his three years'residency training in internal medicine, as well as during his current role as a practicing hospitalist, these notes provide a broad framework and tool not only for the learning and practicing of internal medicine after graduation from professional schools and during training, but after residency training as well. The majority of the notes were presented as one to a few sentences, rendering the information succinct and easy to digest. The notes also provide simple, key information in patient care including, but not limited to, the workup and management of a wide range of clinical scenarios. The book was divided into three general areas -- 1) daily notes taken during the author's residency training (in the format of a diary with the original dates but updated knowledge and information), 2) notes for outpatient medicine and clinical subspecialties, and 3) notes as a hospitalist. The daily notes were based on knowledge and experiences the author learned from actual clinical cases (workup, medication regimen, patient education, and sometimes patient and family interactions). The notes for outpatient medicine and clinical subspecialties were based on specific topics/subspecialties and were heavily clinically oriented with a focus on patient care. The addition of notes as a hospitalist was based on the author's duties as a hospitalist, which requires knowledge and understanding of acute neurological and neurosurgical issues, various types of cancers, and some common yet complicated or uncommon clinical scenarios of infectious diseases. A major contribution to the internal medicine education literature, Internal Medicine Training Notes and Survival Guide: An Insider's Roadmap for the Journey from Resident to Attending Physician will appeal to a wide readership, including resident physicians, practicing physicians, physician assistants, and nurse practitioners in internal medicine.

This textbook presents real-world cases and discussions that introduce the various psychiatric syndromes found in the aging population before delving into the core concepts covered by geriatric psychiatry curricula. The text follows each case study with the vital information necessary for physicians in training, including key features of each disorder and its presentation, practical guidelines for diagnosis and treatment, clinical pearls, and other devices that are essential to trainees in geriatric psychiatry. With the latest DSM-5-TR guidelines and with rich learning tools that include key points, review questions, tables, and illustrations, this text is the only resource that is specifically designed to train both US and Canadian candidates for specialty and subspecialty certification or recertification in geriatric psychiatry. It will also appeal to audiences worldwide as a state-of-the-art resource for practice guidance. The text meets the needs of the future head on with its straightforward coverage of the most frequently encountered challenges, including neuropsychiatric syndromes, psychopharmacology, elder care and the law, substance use disorders, psychiatric comorbidities in systemic medical illness, consultation-liaison psychiatry, palliative care, climate change and health, and equity/diversity/inclusion matters in the care of older adults. Written by experts in the field, Geriatric Psychiatry: A Case-Based Textbook, 2nd edition will be the ultimate resource for graduate and undergraduate medical students and certificate candidates providing mental health care for aging adults, including psychiatrists, psychologists, geriatricians, primary care and family practice doctors, neurologists, social workers, nurses, and others.

Older adults represent the most rapidly growing demographic in the U.S. and in many developed countries around the world. The field of geriatric medicine is still relatively young, and is only recently seeing a significant increase in peer reviewed literature. Medicare and Medicaid expenditures related to older adults are nearly a trillion dollars/year in the US. How our healthcare system cares for older adults, and how those older adults navigate an increasingly complex system, is of the utmost importance. According to the Institute of Medicine, physicians and other healthcare professionals receive an inadequate amount of training in geriatric medicine. Geriatric medicine is based on the concept of delivering person centered care with a focus on function and quality of life. It is essential that physicians, nurse practitioners, physician assistants, pharmacists, social workers and other health care professionals all be knowledgeable about thegeriatric approach to care.Geriatric medicine varies from most other fields in medicine. While many specialties function on the basis of evidence-based literature, geriatricians and other clinicians caring for older adults must integrate relatively limited evidence with variable physiological changes and complex psychosocial determinants. Geriatricians are used to caring for 90 year olds with multiple chronic illnesses. Their variable physiology leads to uncertain responses to pharmacotherapy, and their personal goals and wishes need to be incorporated into any plan of care. Practicing geriatric medicine requires the ability to see patterns. But it goes one step further, as the rules are constantly in flux. Every patient is an individual with particular needs and goals. In order to provide true person centered care to older adults, one has to incorporate these factors into the decision making process. The proposed handbookis designed to present a comprehensive and state-of the-art update that incorporates existing literature with clinical experience. Basic science and the physiology of aging create a background, but are not the main focus. This is because every chapter has been written through the lens of “person centered care.” This book is about focusing on what matters to the person, and how that is not always about pathology and physiology. The reader generally will not find simple solutions to symptoms, diseases and syndromes. In fact, the key to caring for geriatric patients is the ability to think both critically and divergently at the same time. Geriatrics encompasses multiple disciplines and spans all of the subspecialties. It requires knowledge of working within an interdisciplinary team. It requires an appreciation of how quality of life varies with each individual and creates treatment and care plans that also vary. And most of all, it requires a firm commitment to first learning who the person is so that all of the necessary data can be analyzed and integrated into a true person centered plan of care. This book aims to serve as an unparalleled resource for meeting these challenges. Updated and revised from the previous edition, this text features over 40 new peer-reviewed chapters, new references, and a wide array of useful new tools that are updated on a regular basis by interdisciplinary and interprofessional experts in geriatric medicine.

This book addresses the unique healthcare needs of adults with chronic childhood illnesses. It presents a model of primary and secondary prevention for emerging adulthood: primary prevention, in which all young adults are screened for high-risk behaviors and health needs, and secondary prevention, in which young adults with chronic childhood conditions are optimized through coordinated care, connections to community resources and social/family support.Now in its revised and expanded second edition, this book is organized in seven parts. Part I provides a detailed overview of the health care transition from pediatrics to adult medicine from both a policy and practice perspective. New topics in this section include telemedicine as a tool to optimize transition care and systems of care/models of care that include practical steps on how to get transition/transfer done or care for these patients in the appropriate setting. In Part II, the concept of emerging adulthood as a developmental period is explored and strategies for providing improved comprehensive care for this age group are discussed. A section on addressing health maintenance has been added to this edition. Part III reviews specific chronic childhood conditions, such as attention-deficit/hyperactivity disorder, autism, cystic fibrosis, and diabetes mellitus, and offers clinical cases and summary reports that can be used as a quick guides to each condition. Several new conditions have been added to this section, including metabolic issues/conditions, eating disorders, transgender medicine and childhood endocrine conditions. Section IV is a completely new section that focuses on hospital medicine. Chapters within this section include pre-op clearance, maintaining safety, neurodiversity considerations, ER issues and triaging, emergencies, contact with PCP, adult issues not addressed, pediatric issues often overlooked, inpatient transition policies, procedures, Med-Peds/Transition, palliative care/hospice and unique inpatient cases. In Part V, additional clinical considerations that are not necessarily condition-specific but are highly relevant to the care of young adults with chronic childhood conditions are examined. Part VI describes the socio-legal issues involved in caring for this population. Finally, part VII is another completely new section that focuses on public health and population considerations. Chapters in this section include telemedicine, disaster preparedness, quality improvement, health care services, mental health/psychiatry, neurodiversity and addressing equity and racism. Written by experts in the field, Care of Adults with Chronic Childhood Conditions, 2e provides primary care providers with a new framework for the care of young adults and identifies opportunities to influence patient health outcomes over a life trajectory.

In this book, a clinician can experience the most typical medical subjects in a primary care setting, which is the highlight. The book brings knowledge and counseling skills into action as it takes you through various scenarios. In addition, it serves as a guide for passing the Objective Structured Clinical Examination, or'OSCE,'by mirroring the Middle East and Arab World exam format in a structured fashion. With that, the book left behind distinctive traces that productively revealed its value and reputation.The book chapters provide a systematic approach to patient-centered medical problems, making it easier and handier for the students. The process covers in-depth history remarks, an organized set of physical examinations, and careful counseling tips.

Telemedicine has ballooned in popularity and necessity in the COVID-19 world, and it has proved its worth. Even in the post-pandemic world, telemedicine will be here to stay, as it offers both patient and provider many advantages. However, physicians are often ill-equipped and lack sufficient training in how to conduct a physical examination remotely. Practical and timely, this book presents the current best practices for performing musculoskeletal examination remotely via telemedicine. It takes an anatomical approach, covering all joints and disorders commonly seen in the clinic, including preparation and general principles, the upper and lower extremities and the axial skeleton. For each region, the challenges and limitations of telemedicine are systematically highlighted and discussed, with techniques clearly described and illustrated. Concluding chapters present telemedicine procedures for both the functional assessment of a patient and evaluation and management of respiratory muscle dysfunction.Orthopedic and sports medicine practitioners, as well as general physicians, nurse practitioners, and physician assistants who treat patients with musculoskeletal disorders, will find this book highly engaging and enlightening.

The second edition of this popular textbook provides a comprehensive overview to chronic illness care, which is the coordinated, comprehensive and sustained response to chronic diseases and conditions by health care providers, formal and informal caregivers, healthcare systems, and community-based resources. This unique resource uses an ecological framework to frame chronic illness care at multiple levels, and includes sections on individual influences, the role of family and community networks, social and environmental determinants, and health policy. The book also orients how chronic care is provided across the spectrum of health care settings, from home to clinic, from the emergency department to the hospital and from hospitals to residential care facilities. The fully revised and expanded edition of Chronic Illness Care describes the operational frameworks and strategies that are needed to meet the care needsof chronically ill patients, including behavioral health, care management, transitions of care, and health information technology. It also addresses the changing workforce needs in health care and the fiscal models and policies that are associated with chronic care. Several new chapters are included in the second edition and reflect the significant changes that have occurred in health care due to the COVID-19 pandemic. Chapters covering vaccinations, virtual care, and care of COVID-19 associated chronic conditions have been added. The revised textbook builds on the first edition's content that covered providing care to special population groups, such as children and adolescents, older adults, and adults with intellectual and developmental disabilities, by including care approaches to adults with severe and persistent mental health disorders, the LGBTQ+ community, incarcerated persons, immigrants and refugees, and military veterans. Finally, chapters on important and emerging topics, such as natural language processing and health inequities and structural racism have also been added.

This book provides extensive information on the duodenal switch and all of its derivatives. The number of procedures performed is progressively increasing, as cases of obesity are on the rise and patients'body mass index (BMI) is getting higher. It discusses all the techniques involved in the duodenal switch procedure and its derivatives used in the primary and revision situations. Readers will learn what the procedure can offer not only in terms of weight loss, but also its potential with regard to metabolic diseases, since some data indicates that the duodenal switch may lead to rapid resolution of diabetes and other comorbidities. The work is divided into three parts, the first of which provides an overview of the duodenal switch, its history, mechanisms of action and reasons for performing it. Part II covers patient selection, risk assessment, complications and different techniques regarding weight loss surgery. In addition, there are chapters on nutrition and psychological aspects. Lastly, the chapters in Part III address patient selection and preoperative and postoperative care in metabolic and diabetes type 2 surgeries. The most important information on the duodenal switch is gathered in a single volume and includes its benefits for metabolic diseases. This book will give healthcare professionals new confidence with regard to this procedure and may serve as a reference guide not only for the bariatric community (surgeons, PA, ARNP, nutritionists) but also for teaching new residents and fellows.

One third of misdiagnosed medical cases result in serious injury or death. Moreover, 40,000-80,000 deaths occur each year in the United States alone because of misdiagnosis. This is a major clinical crisis that medical schools and hospitals have failed to adequately address. There is currently no book available that provides general clinicians with the knowledge to prevent such lethal errors in a variety of disciplines.Composed of clinical cases, the book represents seventy chapters fashioned into sixteen modules and are organized by systems, such as allergy and immunology, cardiology, neurology and rheumatology, just to name a few. Each chapter is organized with a general introduction to the topic followed by the name of the specific disease. Next comes the actual clinical case presentation followed by the differential diagnosis. It then explains what was misdiagnosed in the specific case and why. A general discussion and plan of action is then described followed by a conclusion. Uniquely incorporated in the book is a chapter dedicated to the legal perspectives of misdiagnosis followed by an editor's perspective. The Misdiagnosis Casebook in Clinical Medicine is a valuable and much-needed resource for clinicians as well as practitioners in all areas of medicine.

The second edition of this well-received book will offer both new insights into the intimate mechanisms of transition from hypertension to heart failure and clinical practice advice on the prevention and treatment of heart failure in hypertensive population. Heart failure is the result of the hypertension's effects on the heart and it is a growing public health problem, as it affects 20-50% of the adult population in developed countries. In this context the international scientific community is continuously struggling to develop better strategies in screening, diagnosing and treating hypertension and its deleterious effects. Thus, this field is continuously changing, with new important information being added constantly. A part of the book dedicated to diagnostics, comprising a chapter on new perspectives on multimodality imaging and a special chapter on diastolic dysfunction. The arrhythmic complications of hypertensive heart disease are discussed in two chapters on atrial fibrillation and ventricular arrhythmias respectively. Readers will also find new chapters regarding hypertension and heart failure in special populations such as cancer patients, young patients, pregnancy and patients with a history of SARS-CoV2 infection. This book is a useful tool for clinicians but also to the research community interested in heart failure and consequences of hypertension on heart who want to be up-to-date with the new developments in the field.

This book serves as a guide to any patient, clinician, or person who desires to understand how transgender and gender diverse individuals can be assisted in achieving voice and communication congruity with gender. Voice and communication style serve as intricate links to one's identity and are central aspects of the gender transition process. Guiding a transgender or gender diverse patient through this transition is complex, requiring an understanding of the patient's desires, the ability to identify and work with patients to achieve sustainable patterns of behavioral modification that affect voice in a positive manner, and an understanding of the role of newly emerging surgical techniques. This is best addressed by an interdisciplinary team, and this book makes this material available in one source. The first section of the book consists of introductory chapters written by primary care physicians, endocrinologists, and psychiatrists addressing the complex nature of transition from the medical standpoint. A review of hormonal replacement therapies, psychological evaluations, and potential effects of hormone replacement on voice is included. The second section describes the behavioral techniques available in speech and voice therapy for voice change and addresses outcomes that can be expected from behavioral intervention. Each chapter addresses the physiologic principles of therapeutic techniques for effecting change, techniques of instruction, nuances for transgender and gender diverse patients, methods of generalization, and methods of maintenance. Finally, the third section of the book details the surgical techniques available to assist patients in voice transition and their expected outcomes for voice modification. Each chapter includes an introduction, preoperative assessment, role of preoperative therapy, surgical technique, postoperative management, and expected outcome. This section also includes a surgical atlas. This is an ideal guide forotolaryngologists, speech-language pathologists, primary care providers, as well as psychiatrists and endocrinologists caring for transgender and gender nonconforming patients.

This book analyzes the factors that have sparked pandemics over the past 2000 years, from the Antonine Plague to COVID-19.It is noteworthy that the frequency of pandemics has increased over the past 2000 years. The authors identify three main drivers for the development of pandemics: transportation, human development, and changes in natural ecosystems. It is important to note that with the advent of the industrial age, the length of time it takes for a pandemic to develop has decreased. COVID-19 is certainly not the last pandemic we will face. Therefore, it is of paramount importance to learn from the past 2000 years to help educate general community and public health officials about pandemic risks and help governments prepare for the next pandemic.The book is also very useful in low and middle-income countries where, in the last several decades, viruses with potential for pandemics have originated. It's comprehensiveness and didactic stylemake this book a valuable read for government health agencies, private organizations, health care professionals and students.

This book reviews, in one place, the breadth of articles that form the basis for the current practice of medicine. When physicians examine medical literature, there are articles that are quoted over and over again, as well as articles that have established the standards that are so embedded that we no longer think of where those standards came from. When clinicians treat patients with diabetes, why do we aim for an A1c less than 7%? That standard comes primarily from two trials, the DPPT and the UKPDS trial, both of which broke new ground when they were published. In addition, the ACCORD trial informed us that a lower A1c goal does not improve outcomes, and may in fact lead to worse outcomes. Understanding these trials helps physicians to make better decisions for their patients and gives them a greater appreciation for the information they work with every day.The chapters are organized by system such as respiratory, cardiovascular, diabetes, etc. and within each system,in the chronological order of publication. Each article reviewed includes a succinct overview of methodology and the results, followed by a discussion that puts the results into clinical context. All articles are selected and chapters written by primary care physicians who understand what is relevant to the intended audience for the book. Written by experts in the field, Top Articles Every Clinician Should Know provides readers with one source where information can be found about the most important articles published in the medical literature that informs the way clinicians practice primary care today.

Since the publication of the 7th edition of this book, there has been a remarkable increase in information in several clinical areas, including cardiology, immunology and oncology. This rapid knowledge expansion has led to practice changes for family physicians and other primary care providers. Patients are now discharged from tertiary care hospitals to their home communities with life sustaining left ventricular assist “heart pumps”. Hepatitis C, once an incurable illness, is now routinely cured. Oncology treatment regimens are increasingly becoming ambulatory and individualized. The decreased cost and increasing availability of health monitoring devices will make it possible for physicians to remotely check on the health status of their patients in their homes. With the ongoing and worsening shortage of family physicians across the US, the practice model for family medicine in the future may tend toward a family physician supervising a cast of mid-level providers as they care for a panel of patients, versus the physician providing the majority of care. All of these changes will require practice pattern changes and a need for up to date sources of information for the family physician. In addition, the “family” of family medicine academic organizations is undertaking a major review of the practice, training, funding and evaluation of all aspects of family medicine. Eight family medicine organizations have launched the “Family Medicine for America's Health” (FMAHealth) with the expressed purpose “to strategically align work to improve practice models, payment, technology, workforce and education, and research to support the triple aim”. This project has moved past the study phase and will soon move to the implementation phased. This book is organized into short, focused chapters almost exclusively dedicated to topics relevant to daily practice. All lead authors are themselves accomplished family physicianswho can specifically address the needs, concerns, and interests of this crucial profession. As one of the key reference textbooks for family medicine, it is very important to provide the most up-to-date knowledge to support learners and practitioners of family medicine in the face of rapidly expanding clinical knowledge and the extensive self-examination of family medicine. Family Medicine: Principles and Practice, 8th Edition, is a must-have reference for medical students, residents, practicing physicians, nurse practitioners and physician assistants with an active role in patient care.

This book reviews the myriad of elements that layer substance abuse disorder, a significant public health issue. It addresses the strong stigma associated with the disease, particularly in regard to the doctor patient relationships. The book begins by explaining the importance of integrating psychiatric and substance use disorder treatment by demonstrating the efficacy of this treatment model. Subsequent to this are chapters dedicated to specific addiction disorders, including cocaine, opioids, gambling, food, and sex addictions. Chapters also examine how addiction can differ among various neurobiological, genetic, socioeconomic, and age demographics. The book closes with histories, policies, and modalities of drug use which serve as a key component to building a foundation for effective and ethical health policy. Written by international experts in addiction psychiatry, Substance and Non-Substance Related Addictions: A Global Approach is avaluable resource for all practitioners seeking to expand their knowledge of addiction medicine.

Now in a revised and expanded third edition, this case-based guide emphasizes the latest investigative advances in both imaging and molecular diagnostics and new treatment approaches for a wide variety of common and complex endocrine conditions. Utilizing unique clinical case histories, each main endocrine condition and disorder is curated by a senior Section Editor with an introduction to his or her area covering both physiology and pathophysiology. This introductory chapter is followed by a number of case histories written by invited experts and designed to cover the important relevant pathophysiology, following a consistent chapter format for ease of use, including bulleted objectives, case presentations, review of the diagnosis, lessons learned, and 3-5 multiple-choice review questions. Section headings include the pituitary, thyroid (overactivity, underactivity and cancer) and parathyroid, adrenal disorders, metabolic bone disease, type 2 diabetes, lipid abnormalities, obesity, and pregnancy. Topics new to this edition include PCOS, transgender medicine and the endocrine effects of viral infections.With a focus on covering major parts of the APDEM curriculum, A Case-Based Guide to Clinical Endocrinology remains a tremendous resource for junior and veteran clinicians alike.

Psychosomatic diagnostics and therapy are of increasing importance in the acute treatment, prevention and rehabilitation of cardiovascular diseases. The connection between heart disease and the psyche as well as the psychosocial concomitant symptoms is well documented. Contents:•Basics of cardiology and psychosomatic medicine; •Doctor-patient relationship; •Ethical issues, gender effects, psychocardiology along the lifespan; •Psychosomatic problem areas and comorbidities in coronary heart disease: Personality factors, risk behaviours, depression, anxiety disorders; •Specific problems in other cardiovascular diseases and treatment settings; •Diagnostics; •Interdisciplinary cooperation, treatment and rehabilitation; •Training courses in psychocardiology.The book offers cardiologists, internists, general practitioners, psychotherapists and psychologists all practice-relevant basics to be able to treat their patients in the best possible way. It is a translation of an original German edition. The translation was done with the help of artificial intelligence (machine translation by the service DeepL.com). A subsequent human revision was done primarily in terms of content, so that the book may read stylistically differently from a conventional translation.

Working in the outpatient clinic is a key training experience for medical students. When they arrive at the clinic, students may discover that their time on the inpatient wards does not necessarily prepare them to perform well in the outpatient setting. Everything is different in the clinic, from the nature and context of the patient encounter to the student's role in note-writing, oral case presentation, and case discussion with the attending physician. The purpose of this book is to guide students as they transition to the world of 15-minute appointments, telemedicine, cyberchondriasis, motivational interviewing, shared medical appointments, and real-time informatics. The aim is to give students a clear understanding of their role in a variety of clinic settings, to evaluate and present their patients well, maximize learning, and provide excellent care for their patients. Excelling in the Clinic explains the process of becoming an effective, efficient, and scholarly worker in the primary care clinic.

Lung cancer is the second most diagnosed cancer and remains the leading cause of cancer-related deaths in the United States. The high mortality is largely the consequence of late diagnosis; lung cancer is typically asymptomatic in early stages when a surgical cure is most likely. As a result, there has been great interest in and research on early detection of lung cancer through screening. There is evidence for reduced disease-specific mortality through screening for lung cancer. However, creating an integrated, systematic approach to lung cancer screening remains a challenge for providers. A successful lung cancer screening program weighs the benefits and harms of screening, clearly defines the target population and the screening process, and does not exclude eligible patient populations based on race, ethnicity, or socioeconomic status, In addition it should promote shared decision-making and address risk reduction. Lung Cancer Screening: Essentials for Primary Care provides a comprehensive and pragmatic guide to screening for lung cancer in real world clinical practice. The first two chapters summarize the epidemiology, risk factors and disparities in lung cancer, and provide the evidence base for screening for lung cancer. The disparities in lung cancer among different groups within the US population are well known. This text highlights how health disparities in lung cancer affect screening and have led to modification of lung cancer screening guidelines. Subsequent chapters provide a guide to implementing a successful lung cancer screening program and address the barriers that arise during implementation. The book concludes with real-world solutions to overcoming barriers in lung cancer screening. This pocket guide is an essential read and bookshelf reference for providers who do not have the specialized knowledge of screening for lung cancer. It also appeals to pulmonologists, fellows in Pulmonary Medicine, chest radiologists, and advanced practice providers with an interest in setting up lung cancer screening in any clinical practice.

The standard textbook of Dermatology and Allergy in new edition! The 4th edition of the'Braun-Falco Textbook', an international standard text of dermatology, allergy and sexually transmitted disorders has been thoroughly rewritten and reedited and offers a comprehensive state-of-the-art review of the entire field for clinicians in hospital and private practice. The editors assembled an expert team of authors with outstanding international reputation who present a concise overview of the complete spectrum of dermatology and its groundbreaking progress with particular emphasis on aspects of practical care within the specialty. The treatment recommendations are based on current international guidelines and standards of care, and pay special attention to latest therapeutic progress as well as recent pathophysiological concepts. A special emphasis has been put on a unique array of high quality figures and a clear, easily understandable structure of the respective chapters. Besides the printed version, the new edition is available as a digital version. New aspects of the 4th edition that reflect the tremendous and rapid progress of dermatology include an up to date clinical classification of dermatoses, current guidelines and therapeutic concepts in inflammatory and neoplastic diseases, and dermatological aspects of the new Covid-19 infection. “Braun-Falco`s Dermatology” is a must for specialists and trainees in dermatology, and of great value for all physicians who encounter skin diseases in general.

Chronic kidney disease (CKD) is a major global public health problem, affecting nearly one in seven adults in the United States alone. It is a disease that integrates chronic illness at several levels, and the progressive condition is associated with high rates of co-morbidity. This text provides a comprehensive, current state-of-the art review of this field, serving as a valuable resource for primary care providers and non-nephrology clinicians that treat patients with CKD. It is comprised of 24 chapters focused on specific aspects of the disease. The first 2 chapters provide a bit of background on the disease, describing the anatomy and physiology of the kidney as well as the definition and epidemiology of the disease. The following 3 chapters discuss the detection, prevention and progression of the disease. The next 6 chapters describe the relationship of the disease with other conditions and most common co-morbidities such as diabetes and hypertension. The chapters, that follow focus on the CKD associated complications and the CKD within special populations such as the elderly and minorities as well as dietary restrictions and drug dosing. The book concludes with discussion on preparation for renal replacement therapy and preemptive organ transplantation as an alternative to dialysis in the management of the advanced CKD. Written by experts in the field, Approach to Chronic Kidney Disease is a comprehensive guide for clinicians, especially primary care providers including residents and fellows in training, who take care of chronic kidney disease patients. It is also a useful tool for researchers dealing with this challenging field.

This book provides a concise overview of the latest controversies and advances in men's health. It covers the male anatomy, physiology, and the metabolic syndromes that most commonly affect males. A range of benign and malignant conditions affecting the prostate, testes, rectum and colon are detailed. Chapters feature an easy-to-follow format and feature learning objectives to highlight the key concepts in each chapter aiding the reader to develop a thorough understanding of fundamental aspects in men's health.Men's Health and Wellbeing features insightful reviews of controversies and recent developments in men's health, and is a valuable resource for all trainee and practicing medical professionals who treat these patients.

This book is designed to familiarize clinical practitioners in systemic therapy options and medical management of urologic malignancies including prostate cancer, bladder and upper tract urothelial carcinoma, and renal cell carcinoma. Organized by organ system, the text highlights new therapies such as novel forms of androgen deprivation, cytotoxic chemotherapy, immune check point and immunomodulatory agents, and targeted therapies. Written by experts in the field, the book also reviews current chemotherapy and immunotherapy regimens for genitourinary malignancies and discusses indications, outcomes, and toxicities, as well as clinical trial concepts. Each of the book's chapters offers a bulleted box of clinical pearls on the particular role of the APP.Chemotherapy and Immunotherapy in Urologic Oncology: A Guide for the Advanced Practice Provider is a resource for urologists, uro-radiologists, medical clinicians and family practitioners alike, familiarizing its audiences with systemic therapy regimens for urologic malignancies, as well as their expected outcomes and side effects.

This book assembles many of the foremost writers and clinicians in the field of team-based primary care to share their own relational reflections. It features narratives from fields such as integrated behavioral health, integrated primary care, primary care behavioral health, medical family therapy, health psychology, primary care psychology, and clinical social work. The key focus of the chapters are the relationships that are formed during primary care delivery. The book is organized into six core chapters: Family of Origin, Teachers and Mentors, Our Patients and Ourselves, Colleagues and Collaborators, Clinician as Patient, and Death and Loss. Each chapter contains a variety of styles and formats of narrative medicine, including personal reflections, story-telling, and poetry. Connections in the Clinic will be of interest to a wide audience of clinicians and educators dedicated to a reflective or story-telling approach to healing.

Musculoskeletal (MSK) disorders have a high prevalence and are one of the main reasons for patients to consult with a provider. For a range of issues from injury to back pain to rheumatic disease, musculoskeletal pathology is the second most common reason for a patient to see a primary care provider. However, despite their prevalence and significant socioeconomic impact, musculoskeletal disorders are relatively undertaught in medical schools in the United States. While all medical, nursing and physician assistant students receive exposure to some MSK content, in many medical schools this material does not receive curricular exposure commensurate with its prevalence. This practical textbook fills in that gap. All aspects of musculoskeletal disease and its management are presented concisely for quick reference and review, with each chapter opening with clear goals and objectives. The text begins with a discussion of the anatomy and physiology of bone, cartilage and muscle, including imaging techniques and interpretation. Musculoskeletal infections, tumors and vascular conditions are then covered, along with common rheumatic conditions such as rheumatoid and osteoarthritis, metabolic bone disease, and age-specific and traumatic conditions. Finally, the upper and lower extremity and spine are thoroughly discussed in terms of anatomy/pathoanatomy, common clinical conditions, physical exam, and common radiographic and clinical correlations. The main audience for Clinical Foundations of Musculoskeletal Medicine is medical students seeking to improve their understanding of common musculoskeletal conditions. Given the relevance of musculoskeletal conditions to a range of providers, this book can also be used for the musculoskeletal education of allied professionals such as physician assistants (PA) and nurse practitioner students. It could likewise serve as a resource for practicing medical professionals to develop and enhance their knowledge in this content area.

This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further.This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

This book outlines the approach to comprehensive men's health deployed at three of the most successful American men's health centers. It demonstrates the ways in which multidisciplinary care allows patients to easily access their doctors via coordination of care, same day add-on visits, and streamlining of office logistics such as sharing of charts, reports, and results. Guiding readers in establishing an evidence-based, multidisciplinary approach to the management of male patients of all ages, this volume shows how prevention, rapid intervention, cost efficiency, and coordinated care are at the forefront of a health center's care strategy. The authors of this volume are thought leaders in the disciplines of cardiology, gastroenterology, dermatology, psychiatry, and preventative medicine.Design and Implementation of the Modern Men's Health Center: A Multidisciplinary Approach enables urologists, medical subspecialists, and surgical subspecialists to both manage basic patient issues and also to understand how multidisciplinary care enables the success of a men's health center.

Written by the top medical student rotators, this book provides medical students with the often elusive information and skills required to ace their clinical rotationsChapters cover all major medical sub-specialties such as internal medicine, general surgery, cardiology, dermatology, orthopedics, neurosurgery, and ophthalmology. Additionally, the book offers many novel features including a review of core rotation skills for oral presentations and a walk-through of a day in the life of the medical student on a particular rotation. It focuses on the common cases that students actually encounter in the hospital. This format thereby administers a complete, concise overview of what is needed for each rotationA unique resource, The Ultimate Medical School Rotation Guide is not only instructional and comprehensive, but also assuring and supportive as it encourages students to appreciate this rewarding time in their medical careers

This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns.Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented bya number of chapters which address special considerations such as the frail patient and chronic opioid use.Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.

This book provides an up-to date, extensive, and focused review of complex regional pain syndrome (CRPS). It reflects the current scientific understanding of the disorder, describes appropriate treatment recommendations, and explores future directions of diagnosis and treatment. Divided into three sections, the first section covers the etiology and pathology of CRPS. The following section offers treatments and emerging advances in evaluation and/or treatment. The book then closes with an exploration of varying patient populations. Each chapter is authored by specialists experienced with CRPS research and treatment. Additionally, the review and recommendations provided reflect careful consideration of evidence-based medicine and medical consensus guidelines. Complex Regional Pain Syndrome targets a range of healthcare specialties including pain management, rheumatology, neurology, internal medicine, and family practice.

The expanded second edition of this key clinical reference provides the most up-to-date and comprehensive review of oncologic emergencies. It covers the diagnosis and management of the full range of emergencies caused directly by cancer and/or treatment, including chemotoxicity, radiotoxicity and post-surgical complications, as well as transplant-related issues and toxicities of novel antineoplastic agents and the new immunotherapies. The book also shows how the entire spectrum of clinical medicine is brought to bear in the care of cancer patients in the unique setting of the emergency department (ED), from health promotion and prevention, to treatment and palliative care. Recognizing the multiple, overlapping contexts in which emergency care of cancer patients occurs, the book addresses clinically crucial interdisciplinary topics such as the ethics of ED cancer care, analgesic misuse and abuse, informatics, quality improvement and more. Finally, perspectives on care system and social forces that shape ED cancer care, such as cancer care disparities and care models, frame the book as a whole. Edited and written by world-renowned experts in emergency medicine and oncology, the Second Edition of Oncologic Emergency Medicine: Principles and Practice is the definitive resource for emergency physicians, oncologists, internists, family physicians, emergency nurses, nurse practitioners, physician assistants, and policy makers as well as pre and postgraduate trainees.

This second edition provides an updated review on the current guidelines and practice standards for the clinical management of cardiovascular risk factors and prevention of cardiovascular diseases. Endorsed by the American Society for Preventive Cardiology, this practical textbook includes concise descriptions of major and newer risk factors, biomarkers, and best practices in the management and prevention of cardiovascular disease. The manual contains chapters on the epidemiology and risk factors for a variety of cardiovascular diseases including dyslipidemia, hypertension, diabetes, inflammation, and ischemic stroke. It examines behavioral factors, psychosocial stress, family history, nutrition, physical activity, smoking, alcohol use, and other sociocultural factors. In addition, the book discusses new imaging strategies in detection of cardiovascular disease, prevention of heart failure, atrial fibrillation, and peripheral arterial disease, and prevention for special populations. Throughout the manual, recommendations are based on guidelines endorsed by the American College of Cardiology, American Heart Association, and other major societies. The second edition of the ASPC Manual of Preventive Cardiology is an essential resource for physicians, medical students, residents, fellows, nurses, and other healthcare professionals and researchers in cardiology, primary care, health promotion and disease prevention, exercise physiology, and pharmacotherapy.

This book provides healthcare professionals, the medical community, residents and students with an up-to-date handbook on current female and male contraceptive options. It illustrates the process of contraceptive development, from ancient times to steroid discovery up to the most recent formulations that provide not only an optimal contraceptive efficacy but also complimentary health benefits for women. It offers a comprehensive overview of the current knowledge on this topic, ranging from biological contraceptive mechanisms to the challenges of contraceptive use in different clinical conditions. It also presents reviews of the current latest, including preclinical and clinical research, to provide detailed and up-to-date information on recently developed contraceptives. It also features a section on counseling, which is highly relevant to optimal contraceptive provision and compliance. Each chapter has been written by a leading expert in the field and provides a comprehensive reference on the topic as well as practical implications. As such, this book provides accessible and authoritative information for clinicians in their everyday practice and for students interested in expanding their knowledge on the topic.

This book provides a review of therapeutic foods and diets for aging patients. Drawing from extensive clinical experience in large integrative medical practices, it offers a unique and thorough perspective on the challenges that older adults present and the most effective ways to integrate nutritional approaches into their care. Nutritional therapies included here improve patient quality of life via noninvasive, lower cost care and reduce systemic dependencies in a growing demographic. This book looks at condition-specific interventions to equip the practitioner with a thorough understanding of when to call upon specific diet interventions. The text revolves around easily translated clinical tools such as tables, graphs, case studies, and examples to assure multicultural adaptation of evidence-based approaches for conventional use in clinical settings. Integrative Geriatric Nutrition: A Practitioner's Guide to Dietary Approaches for Older Adults is a concise yet thorough resource for all physicians and medical students who treat aging patients, including geriatricians, nutritionists, family physicians, gastroenterologists, nursing home administrators, nurses, other healthcare providers, geriatric advocates, and inquisitive consumers.

This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR AppropriatenessCriteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students'knowledge.

The incidence of skin cancer continues to rise, as do the challenges physicians face in treating the growing population of skin cancer patients. Skin Cancer Management: A Practical Approach, 2nd edition addresses the spectrum of skin cancers from the precancerous to the inoperable. In this revised and updated edition, a wide selection of medical treatments and surgical procedures are described in detail and supplemented with an abundance of full-color figures. Numerous case studies help to illustrate the various techniques.

This book is designed to guide all physicians in long-term care, in-, and outpatient settings who work with elders with co-current dementia and medical comorbidities. Chapters cover a wide range of challenging topics, including epidemiological data, evaluation and management techniques to optimize physical and cognitive function in patients with dementia, safety measures, and nonpharmacologic measures to support cognition. Chapters also discuss the unique aspects of managing the most common chronic diseases and the management of musculoskeletal pain in elders with dementia. Except for the introductory chapter, each chapter will include a case vignette to highlight some of the primary challenges of management of the particular chronic disease/condition in elders with dementia, making this an accessible and highly practical tool for medical professionals of all backgrounds.Written by experts in the field, Dementia and Chronic Disease is an excellent resource for all medical professionals treating patients with dementia, including geriatricians, family medicine physicians, social workers, nurses, hospitalists, and all others.

This title is an easy-to-read guide outlining specific differences in communication, clinical therapies, medications, protocols, and other critical approaches to the care of African Americans. The book discusses a wide range of disorders impacting African Americans and takes a comprehensive and evidence-based approach to the clinical support of providers that see African American patients. Recording the worst medical outcomes of any racial/ethnic group in America, African Americans have the highest mortality, longest hospital length of stay, worst compliance with medications and referrals, and the lowest trust of the healthcare system. Indeed, there are countless well-designed studies that validate verified differences in the clinical care of a number of pervasive diseases in African Americans, including hypertension, heart disease, kidney disease, obesity, cancer, and more. Despite the widespread acknowledgement of the existence of health disparities among racial/ethnic groups, the overall outcomes for African Americans are still the most shocking. From high infant mortality to death by almost any cause, African Americans have the worst data of any other racial or ethnic group. Patient-Centered Clinical Care for African Americans, a highly practical and first-of-its-kind title, illuminates these alarming issues and represents a major contribution to the clinical literature. It will be of significant interest to all physicians, clinicians, and allied health personnel.

The book covers basic theories, basic knowledge and basic skills on clinical diagnosis, basic requirements for doctors'ethical conduct, clinical reasoning and documentation of medical records during the process of making a diagnosis. It consists of six parts, including ‘Symptoms', ‘History Taking', ‘Physical Examination', ‘Supplementary Examination', ‘Common Clinical Diagnosis Techniques', and ‘Diagnostic Process and Clinical Reasoning'. A vocabulary index is included for easy reference at the end of the book. This book is compiled by authors of 14 Chinese medical schools and universities, whose years of experience in clinical diagnostics, rich overseas learning and working experiences. This book is included in the first round of English textbooks series for clinical medicine major of China's higher medical colleges; and is among'13th Five-Year'planning textbooks of National Health Commission of the People's Republic of China. It is also an ideal textbook for MBBS(Bachelor of Medicine and Bachelor of Surgery) student It is a co-publication book with People's Medical Publishing House (PMPH). The ISBN of PMPH version in China is 978-7-117-23852-6.

This book provides primary care clinicians, researchers, and educators with a guide that helps facilitate comprehensive, evidenced-based healthcare of women and gender diverse populations. Many primary care training programs in the United States lack formalized training in women's health, or if they do, the allotted time for teaching is sparse. This book addresses this learning gap with a solid framework for any program or individual interested in learning about or teaching women's health. It can serve as a quick in-the-clinic reference between patients, or be used to steer curricular efforts in medical training programs, particularly tailored to internal medicine, family medicine, gynecology, nursing, and advanced practice provider programs. Organized to cover essential topics in women's health and gender based care, this text is divided into eight sections: Foundations of Women's Health and Gender Based Medicine, Gynecologic Health and Disease, Breast Health and Disease, Common Medical Conditions, Chronic Pain Disorders, Mental Health and Trauma, Care of Selected Populations (care of female veterans and gender diverse patients), and Obstetric Medicine. Using the Maintenance of Certification (MOC) and American Board of Internal Medicine blueprints for examination development, authors provide evidence-based reviews with several challenge questions and annotated answers at the end of each chapter. The epidemiology, pathophysiology, evaluation, diagnosis, treatment, and prognosis of all disease processes are detailed in each chapter. Learning objectives, summary points, certain exam techniques, clinical pearls, diagrams, and images are added to enhance reader's engagement and understanding of the material. Written by experts in the field, Sex and Gender-Based Women's Health is designed to guide all providers, regardless of training discipline or seniority, through comprehensive outpatient women's health and gender diverse care.

The latest information from the CDC demonstrates that 70% of Americans can be classified as having pre-obesity or obesity. This chronic disease is considered the cause of many other chronic diseases such as hypertension, dyslipidemia, diabetes, and nonalcoholic fatty liver disease, to name but a few of the 236 obesity associated disorders. Additionally, obesity is considered to be the cause of fourteen different types of cancers. Based on the number of people affected and the consequences of the disease, it is imperative that it is studied and treated by primary care providers. Few training programs for physicians, NPs or PAs are covering the basics of treating obesity. These fundamentals include pathophysiology, assessment of the disease, and the foundational components of treatment with eating plans, physical activity and behavioral interventions, then the supporting components of anti-obesity medications, devices and surgery. As a result, few of thosecurrently in primary care practice have received any education in the evidence-based treatment of obesity. This book provides the reader with the education to understand the disease, the patient's experience, and full evidence-based treatment. It also provides the opportunity to understand how to incorporate the treatment into primary care. Written by a leading expert in the field, Treating Obesity in Primary Care offers all clinicians providing primary care services the information needed to effectively treat the chronic disease of obesity.

This book aims to concisely present the most common types of musculoskeletal infections and demonstrate the key components of accurate diagnosis, treatment, and management. Written by experts in both infectious diseases and orthopaedics, the text takes a reader-friendly approach that is ideal for medical professionals in training as students or as seasoned practitioners strengthening their skills. Case chapters include a color clinical image as well as radiographic images for superior visual support. They conclude with 4-6 bulleted high yield points for quick reference and reader retention. The cases presented in Musculoskeletal Infections: A Clinical Case Bookprovide relevant and challenging diagnostic and management issues in musculoskeletal infectious disease, with an emphasis on clinical pearls and medical-surgical collaboration.

This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.

This first-of-its-kind textbook marks a revolutionary effort to reform medical education nationally by providing a comprehensive, high-quality resource to serve as a foundation for lesbian, gay, bisexual, transgender, and queer (LGBTQ) health education across multiple disciplines. Addressing the decades-long unequal weight of medical education generally offered about the care of LGBTQ people, The Equal Curriculum was created to advance clinicians'competencies in optimizing the health of LGBTQ people. This textbook is designed to be integrated into health sciences curricula and offers pointed strategies to evaluate the integration of LGBTQ health topics. Starting with a brief overview, chapters 1 through 4 cover general content that is highly relevant to all health professionals working with LGBTQ people. Chapters 5 through 12 focus on specific patient populations and clinical specialties, and chapters 13 and 14 cover special topics. Key points in each chapter are highlighted to aid in the comprehension, and case vignettes are provided throughout the textbook, allowing learners to apply the content to clinical scenarios in order to evaluate how the application of relevant knowledge may impact health outcomes. Questions similar to National Board of Medical Examiners (NBME) style are provided in most chapters to assist in the application of content. As major addition to the clinical literature, The Equal Curriculum: Student and Educator Guide to LGBTQ Health should be of great interest to health sciences instructors, medical students in their preclinical and clinical phases, and trainees from other disciplines, such as physician assistants, nurses, social workers, and public health professionals.

Building upon the highly successful 1st edition, this book is a comprehensive review designed to prepare pediatric residents, fellows, and pediatricians for the General Pediatrics Certifying Examination, and for the American Board of Pediatrics Maintenance of Certification. Pediatric Board Study Guide: A Last Minute Review, 2nd edition, covers all aspects of pediatric medicine; each chapter has been updated according to the most recent content specifications provided by the ABP. The 2nd edition provides more illustrations, diagrams, radiology images, and clinical case scenarios to further assist readers in reviewing pediatric subspecialties. New chapter topics include nutrition, sports medicine, patient safety, quality improvement, ethics, and pharmacology. Finally, the book closes with a “Last Minute Review” of high-yield cases arranged in the same sequence as the chapters, providing readers with a concise study guide of critical cases and conditions.Pediatric residents and fellows preparing for the board examination, pediatricians, and pediatric subspecialists preparing for certification maintenance will find Pediatric Board Study Guide: A Last Minute Review, 2nd edition easy to use and comprehensive, making it the ideal resource and study tool.

Urine tests are used by a variety of primary care providers and specialists in order to diagnose, monitor and treat patients with various medical conditions. This first-of-its-kind text is a comprehensive clinical guide to the evaluation and application of urine tests. Clinical cases are used to highlight important aspects of urine testing. Further evaluation and management are then discussed based on the results of the urine tests. Topics covered include financial considerations, regulations, proper collection, testing methods, dipstick analysis, microscopy as well as cancer and drug screening tests, among others. Each chapter contains specific objectives for focus of study. Pertinent images, algorithms and board style review questions for important topics are also included. Written by nephrologists, urologists, other specialists and primary care physicians, Urine Tests uses a comprehensive approach to the clinical use of both common and uncommon urinetesting. Primarily appealing to practicing primary care physicians, this book is also a useful resource for specialists, nurse practitioners, physician assistants, physician fellows, residents and medical students alike.

This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today's physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts.A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners'misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks.Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician's assistants, nurse practitioners, and all others who teach and learn internal medicine.

This book provides primary care physicians and their medical teams with the detailed information they need to offer a full range of women's health procedures to their patients. Many primary care providers offer women's health procedures in an office setting for a variety of reasons, from the value placed on continuity of care to the lack of access to specialty care that patients may experience in rural areas. Each chapter in this book is written by a primary care physician and outlines one women's health procedure and its background information, indications, contraindications, complications, equipment, procedure steps, an office note, patient instructions and a patient handout. Tricks, helpful hints, key points, discussion questions, algorithms, and a wealth of illustrations are included through the book. This second edition is fully updated with the latest procedures and guidelines, ICD 10 coding information, and three new chapters on population health, contraceptive choice, and insertable contraceptive removal. Primary Care Procedures in Women's Health, Second Edition, is an ideal reference for all providers—including family physicians, general internists, residents, nurse practitioners, nurse midwives and physicians assistants—to be competent and comfortable performing a spectrum of office-based, women's health procedures.