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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