Principles of Ambulatory Mecdicine-6판(2003)

Table of Contents
Acknowledgments
Preface
1 Ambulatory Care: Domain and Core Proficiencies 3
2 Practicing Evidence-Based Medicine in the Ambulatory Care
Setting 12
3 The Practitioner-Patient Relationship and Communication During
Clinical Encounters 23
4 Patient Education and the Promotion of Healthy Behaviors 35
5 Complementary and Alternative Medicine 57
6 Sexuality and Sexual Disorders 69
7 Sleep Disorders 92
8 Occupational and Environmental Disease 109
9 Selected Special Services: Disability Insurance, Vocational
Rehabilitation, and Home Health Services 120
10 Care of the Patient With Cancer 126
11 Adolescent Patients: Special Considerations 133
12 Geriatric Medicine: Special Considerations 154
13 Care at the End of Life 168
14 Integrating Prevention into Ambulatory Practice: An Overview
181
15 Principles of Nutrition in Ambulatory Care 196
16 Exercise for the Healthy Patient 206
17 Genetic Testing and Counseling 217
18 Immunization to Prevent Infectious Disease 225
19 Evaluation of Psychosocial Problems 239
20 Psychotherapy in Ambulatory Practice 246
21 Somatization 252
22 Anxiety and Anxiety Disorders 263
23 Personality and Personality Disorders 280
24 Affective Disorders 285
25 Schizophrenia and Related Psychotic Disorders 303
26 Cognitive Impairment and Mental Illness in the Elderly 312
27 Tobacco Use and Dependence 321
28 Alcoholism and Associated Problems 334
29 Illicit and Therapeutic Use of Drugs With Abuse Liability 361
30 Allergy and Related Conditions 387
31 Approach to the Patient with Fever 406
32 Bacterial Infections of the Skin 413
33 Respiratory Tract Infections 421
34 Tuberculosis in the Ambulatory Patient 445
35 Acute Gastroenteritis and Associated Conditions 455
36 Genitourinary Infections 468
37 Sexually Transmitted Diseases 477
38 Lyme Disease and Other Tick-Borne Illnesses 498
39 Human Immunodeficiency Virus Infection 508
40 Ambulatory Care for Selected Infections Including
Osteomyelitis, Lung Abscess, and Endocarditis 533
41 International Medicine: Care of the Traveler and of the
Immigrant Patient 544
42 Disorders of the Esophagus: Dysphagia, Noncardiac Chest Pain,
and Gastroesophageal Reflux 571
43 Peptic Ulcer Disease 584
44 Irritable Bowel Syndrome 595
45 Selected Gastrointestinal Problems I: Bleeding, Diarrhea,
Abdominal Pain 605
46 Selected Gastrointestinal Problems II: Constipation,
Diverticular Disease, Ostomy Care 633
47 Diseases of the Liver 646
48 Proteinuria 663
49 Hematuria 669
50 Hypokalemia 674
51 Urinary Stones 683
52 Chronic Renal Insufficiency 695
53 Bladder Outlet Obstruction 725
54 Urinary Incontinence 737
55 Anemia 747
56 Disorders of Hemostasis 762
57 Thromboembolic Disease 770
58 Selected Disorders of Lymph Nodes and Lymphocytes 780
59 Common Pulmonary Problems: Cough, Hemoptysis, Dyspnea, Chest
Pain, and Abnormal Chest X-Ray 789
60 Obstructive Airways Diseases: Asthma and Chronic Obstructive
Pulmonary Disease 808
61 Lung Cancer 841
62 Coronary Artery Disease 859
63 Postmyocardial Infarction Care and Cardiac Rehabilitation 879
64 Arrhythmias and Other Abnormalities of Cardiac Conduction 900
65 Common Cardiac Disorders Revealed by Auscultation of the
Heart 933
66 Heart Failure 956
67 Hypertension 980
68 Approach to Musculoskeletal Injuries 1021
69 Shoulder and Elbow Pain 1027
70 Neck Pain 1049
71 Low Back Pain 1056
72 Knee and Leg Pain 1073
73 Common Problems of the Feet 1094
74 Nonarticular Rheumatic Disorders 1105
75 Osteoarthritis 1116
76 Crystal-Induced Arthritis 1132
77 Rheumatoid Arthritis 1149
78 Sacroiliitis, Ankylosing Spondylitis, and Reactive Arthritis
1171
79 Diabetes Mellitus 1183
80 Thyroid Disorders 1230
81 Selected Endocrine Problems: Disorders of Pituitary, Adrenal,
and Parathyroid Glands; Pharmacologic Use of Steroids;
Hypocalcemia and Hypercalcemia; Disorders of
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