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on1365635478 |
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|a 9783031153532
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|a 10.1007/978-3-031-15353-2
|2 doi
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|a (OCoLC)1365635478
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|a RC46
|b .H36 2022
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|a HCDD
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|a Handbook of outpatient medicine /
|c Elana Sydney, Eleanor Weinstein, Lisa M. Rucker, editors.
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| 250 |
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|a Second edition.
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| 264 |
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|a Cham, Switzerland :
|b Springer,
|c 2022.
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| 300 |
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|a 1 online resource (1 volume) :
|b illustrations (black and white, and colour).
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| 336 |
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|a text
|b txt
|2 rdacontent
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|a computer
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|2 rdamedia
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|a online resource
|b cr
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|a Includes index.
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|a The practice of outpatient medicine in the 21st century has become fast-paced and challenging. The busy practitioner learns to make accurate decisions regarding diagnoses and treatments, individualizing them based on the patients particular characteristics and desires. Patients typically present with more than one issue, spanning from wanting information about a vaccine to having symptoms of an acute and serious infectious disease, while also needing care of their chronic conditions. In order to function in a timely manner, the provider needs a reliable resource to aid in making efficient decisions. This text is designed to fulfill this purpose. Now fully revised and expanded, Handbook of Outpatient Medicine, 2e provides a quick, portable, algorithm-based guide to diagnosis and management of common problems seen in adult patients. Written by experienced primary care practitioners, this text emphasizes efficient decision-making necessary in the fast-paced realm of the medical office. It covers general considerations such as the physical examination, care of special populations, and pain management and palliative care. It also focuses on common symptoms and disorders by system, including endocrine, respiratory, cardiac, orthopedic, neurologic, genitourinary, and gynecologic. For each disorder, symptoms, red flags, algorithms for differential diagnosis, related symptoms and findings, laboratory workup, treatment guidelines, and clinical pearls are discussed. One of the major updates in this edition is a chapter dedicated to COVID-19. This chapter focuses on COVID-19 diagnosis, care and sequelae, including what to do after discharge from the hospital. Since the global pandemic has affected medicine as a whole, many of the chapters also discuss COVID-19 as a differential diagnosis. Newer and higher quality photos have also been added in several chapters to help illustrate techniques more efficiently, including new imaging modalities for chest pain.
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|a Print version record.
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|a Intro -- Preface -- Contents -- Part I: General Considerations -- Chapter 1: Screening/Physical Exam/Health Maintenance -- Introduction -- Intersection of Public Health and Primary Care -- Social Determinants of Health (SDOH) [1] -- Prevention -- Harm Reduction -- Decision-Making/Differential Diagnosis -- Screening -- Physical Exam -- Vaccinations -- Health Maintenance -- References -- Chapter 2: Covid-19 for the Primary Care Clinician: Current Recommendations-Don't Blink! -- Introduction -- Symptoms -- Other History -- Physical Exam -- Lab Tests -- Differential Diagnosis -- Treatment -- Prevention -- Long Covid -- References -- Chapter 3: Transition Care of Teens with Chronic Health Conditions -- Introduction -- Barriers in Transition Care -- Patient and Family Perspectives -- Provider Perspectives -- Initial Evaluation of Teens with Chronic Health Conditions Transitioning to Adult Providers -- Portable Medical Summary -- Assessment of Functional Status -- Education -- Living Arrangement and Family Support -- Employment -- Health Insurance and Benefits Relevant to the Transitioning Adult -- Medicaid, Medicare, SSI, and SSDI -- Medical Decision-Making and Guardianship -- Local Resources for Intellectual and Developmental Disabilities (IDD) -- Unique Considerations in Teens and Young Adults with Chronic Health Conditions Transitioning to Adult Providers -- Specialist-Dominated Care -- Internist-Dominated Care -- Condition-Specific Medical Knowledge -- Medication Reconciliation/Polypharmacy -- Secondary Medical Conditions -- Behavioral Health -- Anxiety and Depression -- Health Maintenance -- Sexual Health -- Sexual Abuse -- Contraception -- Cervical Cancer Screening -- Health Disparities -- Ethical Considerations -- Conclusion -- References -- Chapter 4: Care of the Elderly Patient -- Introduction -- Outpatient Assessment.
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| 505 |
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|a Tips for Effective Communication -- Past Medical and Surgical History -- Social History -- Medications -- Review of System for Older Adults -- Physical Examination: Evaluate for Pertinent Findings in the Geriatric Patient -- Functional Assessment -- Health Promotion and Disease Prevention -- Vaccines for Individuals over 65 Years of Age [6] -- Primary and Secondary Disease Prevention -- Lifestyle and Behaviors -- Geriatric Syndromes -- Urinary Incontinence (See Table 4.2) -- Dementia (See Chapter on Cognitive Impairment) -- Delirium -- Confusion Assessment Method (CAM): Short version [14] -- Delirium Evaluation -- Depression -- Medication Management -- Falls and Immobility -- Examination of the Older Adult After a Fall [16] -- Get Up and Go Test [17] -- Preventing Future Falls -- Polypharmacy -- Sensory Loss -- Vision -- Hearing Loss -- Malnutrition and Unexplained Weight Loss -- Osteoporosis -- Sleep Disorders -- Advanced Care Planning -- Elder Abuse and Neglect -- Home Care -- References -- Chapter 5: Care at the End of Life: Palliative and Hospice Care-Symptom Management -- History -- Palliative Care/Hospice Care -- Role of the Primary Care Physician in Palliative Care/Hospice -- When to Refer -- Starting the Conversation/Important Documents -- Management of Common Symptoms in Palliative Care -- Shortness of Breath -- Constipation -- Nausea/Vomiting -- Pain -- Conclusion -- References -- Chapter 6: Substance Use Disorder -- Introduction -- Definitions -- Decision-Making -- Identification -- Key History -- Workup -- Management -- Risky or Unhealthy Alcohol Use -- Risky Opioid Use or OUD -- References -- Part II: Endocrine -- Chapter 7: Diabetes -- Introduction -- Diagnosis of DM -- Screening for DM -- Key H& -- P in Early DM -- History -- Physical Exam -- Healthcare Maintenance in the Patient with Diabetes [11] -- Treatment of DM.
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| 505 |
8 |
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|a Type 1 Diabetes -- Type 2 Diabetes -- Lifestyle Changes -- Pharmacological Therapy in T2D -- Choice of Therapy -- Metformin -- Sulfonylureas (Glimepiride, Glyburide, Glipizide) and Meglitinides (Repaglinide, Nateglinide) -- GLP-1 Receptor Agonists (Exenatide, Liraglutide, Dulaglutide, Lixisenatide) -- DPP-4 Inhibitors (Sitagliptin, Saxagliptin, Linagliptin, Alogliptin) -- SGLT-2 Inhibitors (Canagliflozin, Dapagliflozin, Empagliflozin, Ertugliflozin) -- Thiazolidinediones (Pioglitazone) -- Alpha-Glucosidase Inhibitors (AGIs) (Acarbose, Miglitol) -- Insulin -- References -- Chapter 8: Thyroid Dysfunction -- Hypothyroidism -- Brief Introduction -- Key H& -- P -- Decision-Making/Diagnosis -- Treatment -- Overt Hypothyroidism -- Subclinical Hypothyroidism -- Treatment Challenges -- Hyperthyroidism -- Brief Introduction -- Key H& -- P -- Decision-Making/Differential Diagnosis -- Treatment -- Graves' Disease -- Radioactive Iodine (RAI) -- Surgery -- Treatment: Subclinical Hyperthyroidism -- Thyroid Nodules -- Brief Introduction -- Key H& -- P -- Decision-Making/Differential Diagnosis -- Treatment -- References -- Chapter 9: Lipids -- Introduction -- Key History and Physical -- History -- Medical History -- Family History -- Social History -- Physical Exam -- Decision-Making/Differential Diagnosis -- Screening Population -- Testing Lipid Levels: Fasting vs. Non-fasting -- Assessing Risk for ASCVD -- Treatment -- Principles of Therapy -- Treatment Strategies -- Lifestyle Modification -- Statins -- Fibrates -- Fish Oil -- Other Non-statin Medications -- Monitoring After Initiating Therapy -- References -- Chapter 10: Obesity -- Introduction -- Key History and Physical Exam -- History -- Physical Examination and Diagnostics -- Who Should Lose Weight? -- Treatment -- Management of Obesity -- Diet -- Physical Activity -- Pharmacotherapy.
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8 |
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|a Weight-Loss Surgery and Procedures -- Long-Term Follow-Up After Uncomplicated Bariatric Surgery -- References -- Part III: Respiratory -- Chapter 11: Cough -- Brief Introduction -- Decision-Making/Differential Diagnosis -- Acute Cough -- Subacute Cough -- Chronic Cough -- Evaluation/Investigation -- Disease-Specific Features -- Acute Cough -- Subacute Cough -- Chronic Cough -- Treatment -- References -- Chapter 12: Shortness of Breath -- Introduction -- Decision-Making/Differential Diagnosis and Key History and Physical Exam -- Sudden-Onset Dyspnea -- Acute-Onset Dyspnea -- Episodic Dyspnea -- Chronic Dyspnea -- Treatment -- References -- Chapter 13: Sinusitis or Rhinosinusitis -- Introduction -- Acute Sinusitis -- Chronic/Recurrent Sinusitis -- Symptoms of Acute Sinusitis -- Symptoms of Chronic Sinusitis -- Physical Findings -- Diagnosis -- Diagnostic Tests -- Treatment of Acute Sinusitis -- Treatment of Chronic Sinusitis -- Additional Evaluation -- References -- Chapter 14: Sore Throat -- Introduction -- Decision-Making/Differential Diagnosis -- Key H& -- P -- Rapid Antigen Detection Tests -- Treatment -- Symptomatic Treatment -- References -- Chapter 15: Sleep Apnea -- Introduction -- ICSD3 Classifies Sleep Disorders into Seven Major Categories [4] -- Prevalence -- Sleep History -- Screening Questionnaires to Assess the Risk of OSA -- STOP-Bang Questionnaire -- Understanding ESS Score -- Focused Physical Exam -- OSA/SDB (Obstructive Sleep Apnea/Sleep-Disordered Breathing) -- Definition -- Risk Factors -- Pathophysiology -- Diagnosis -- Differential Diagnosis of Excessive Daytime Sleepiness (EDS) -- Complications and Consequences of Untreated Sleep Apnea -- Treatment: OSAHS/SDB (Usual Therapy) -- Treatment of CSA -- References -- Part IV: Cardiac -- Chapter 16: Hypertension -- Brief Introduction -- Scope of the Problem.
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8 |
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|a History and Review of Systems -- Decision-Making/Differential Diagnoses -- Physical Examination -- Measuring Blood Pressure -- Diagnostic Studies -- Clinical Quality Measure -- Assessment -- Treatment -- Lifestyle Management -- Pharmacological Interventions -- Office, Home Blood Pressure Monitoring (HBPM), and Ambulatory Blood Pressure Monitoring (ABPM) -- Refractory or Resistant Hypertension -- Role of Digital Health in Hypertension -- References -- Chapter 17: Chest Pain -- Chest Pain -- History -- Physical Exam -- Differential Diagnosis -- Potentially Life-Threatening -- Acute Coronary Syndromes -- Aortic Dissection -- Pulmonary Embolism -- Pneumothorax -- Non-Life-Threatening Causes -- Gastroesophageal Reflux Disease -- Pleuritic Chest Pain -- Cervical Angina -- Pericarditis -- Chronic Angina -- Herpes Zoster -- Muscular Pain -- Rib Fracture -- Costochondritis -- Esophageal Spasm -- Approach to Management in the Primary Care Setting -- Diagnostic Testing -- Electrocardiogram -- Blood Testing -- Imaging -- Chest X-Ray -- X-Ray C-Spine -- Transthoracic Echocardiogram -- Diagnostic Testing for Obstructive Coronary Artery Disease -- Treatment of Non-Life-Threatening Causes of Chest Pain -- References -- Chapter 18: Anemia -- Introduction -- Key History and Physical Exam -- Laboratory Evaluation -- Hypoproliferative Anemias -- Microcytic Anemia -- Differential Diagnosis -- Iron Deficiency Anemia -- Epidemiology -- Pathophysiology -- Key History -- Physical Exam -- Laboratory Evaluation -- Diagnosis -- Treatment -- Normocytic Anemia -- Differential Diagnosis [6] -- Anemia of Chronic Disease/Inflammation (AOCD) -- Epidemiology -- Pathophysiology -- Key History and Physical Exam -- Laboratory Evaluation -- Diagnosis -- Treatment -- Macrocytic Anemia -- Differential Diagnosis [2] -- Megaloblastic Anemia -- Vitamin B12 Deficiency -- Epidemiology.
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| 650 |
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|a Ambulatory medical care.
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| 650 |
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7 |
|a Ambulatory medical care
|2 fast
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| 650 |
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7 |
|a Assistència ambulatòria.
|2 thub
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| 650 |
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|a Presa de decisions.
|2 thub
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| 655 |
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7 |
|a Llibres electrònics.
|2 thub
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| 700 |
1 |
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|a Sydney, Elana,
|e editor.
|1 https://isni.org/isni/0000000499347134
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| 700 |
1 |
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|a Weinstein, Eleanor,
|e editor.
|1 https://isni.org/isni/0000000499332207
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| 700 |
1 |
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|a Rucker, Lisa M.,
|e editor.
|1 https://isni.org/isni/0000000035943552
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| 758 |
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|i has work:
|a Handbook of outpatient medicine (Text)
|1 https://id.oclc.org/worldcat/entity/E39PCGTrcRvrBMKHtMx68gKBGd
|4 https://id.oclc.org/worldcat/ontology/hasWork
|
| 776 |
0 |
8 |
|i Print version:
|t Handbook of outpatient medicine.
|b Second edition.
|d Cham : Springer, 2022
|z 9783031153525
|w (OCoLC)1348391024
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| 856 |
4 |
0 |
|u https://holycross.idm.oclc.org/login?auth=cas&url=https://link.springer.com/10.1007/978-3-031-15353-2
|y Click for online access
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| 903 |
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|a SPRING-MED2022
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| 994 |
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|a 92
|b HCD
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