Essential Guide to Primary Care Procedures

Section I Anesthesia
1 Local Anesthesia Administration
2 Field Block Anesthesia
3 Digital and Dorsal Penile Nerve Block Anesthesia
4 Peripheral Nerve Blocks
5 Procedural (Conscious) Sedation

Section II Urgent and Emergency Care
6 Ambulatory Ultrasound
7 Chest Tube Insertion
8 Cardioversion
9 Emergency Cricothyrotomy
10 Endotracheal Intubation
11 Fishhook Removal
12 Incision and Drainage of Abscesses
13 Lumbar Puncture
14 Mandibular Dislocation Reduction
15 Radial Head Subluxation (Nursemaid’s Elbow) Reduction
16 Ring Removal
17 Shoulder Reduction
18 Tick Removal

Section III Cardiovascular and Respiratory
19 Arterial Puncture and Line Placement
20 Bone Marrow Aspiration
21 Central Venous Catheter Placement
22 Exercise Treadmill Testing
23 Sclerotherapy
24 Spirometry
25 Thoracentesis

Section IV Basic Dermatology
26 Cryosurgery of the Skin
27 Dermoscopy
28 Electrodessication and Curettage, and Curettage and Cryotherapy
29 Keloid and Hypertrophic Scar Treatment
30 Earlobe Keloid Excision
31 Punch Biopsy of the Skin

Section V Aesthetic Procedures
32 Aesthetic Procedures Introduction
33 Botulinum Toxin for Facial Rejuvenation
34 Dermal Fillers for Facial Rejuvenation
35 Laser Hair Removal
36 Laser Photo Rejuvenation
37 Microdermabrasion
38 Radiosurgical Skin Surgery (LEEP)

Section VI Closure Techniques
39 Basic Closures—Instrument Tie, Hand Tie, Stapling, and Chemical Closure
40 Simple Interrupted Suture
41 Deep Buried Dermal Suture
42 Corner Suture
43 Horizontal Mattress Suture
44 Running Cutaneous Suture
45 Running Subcuticular (Intracutaneous) Suture
46 Vertical Mattress Suture Placement

Section VII Skin Surgery
47 Layout of Skin Procedures
48 Advancement Flaps
49 Burow’s Triangle (Dog-Ear) Repair and Flap
50 Epidermal Cyst Fusiform Excision
51 Epidermoid Cysts: Minimal Excisional Removal
52 Fusiform (Elliptical) Excision
53 Lipoma Excision
54 M-Plasty
55 O-to-Z Plasty
56 Purse-String Suture Closure
57 Rhomboid Flap
58 Rotation Flap
59 Scalp Repair Techniques
60 Skin Tag Removal
61 Shave Biopsy
62 Tangential Laceration Repair
63 T-Plasty
64 V-to-Y Plasty
65 Z-Plasty

Section VIII Nail Procedures
66 Digital Mucous Cysts Removal
67 Nail Avulsion and Matrixectomy
68 Nail Plate and Nail Bed Biopsy
69 Subungual Hematoma Drainage
70 Paronychia Surgery

Section IX Gynecology and Urology
71 Bartholin’s Gland Cyst and Abscesses Treatment
72 Cervical Polyp Removal
73 Cold Knife Conization of the Uterine Cervix
74 Colposcopy and Directed Cervical Biopsy
75 Fitting Contraceptive Diaphragms
76 Cervical Cryotherapy
77 Dilation and Curettage (D&C)
78 Endometrial Biopsy
79 Fine-Needle Aspiration of the Breast
80 Hysteroscopic Female Sterilization with Micro-Insert (Essure)
81 Intrauterine Device Insertion and Removal
82 Laparoscopic Tubal Cauterization
83 Loop Electrosurgical Excisional Procedure (LEEP)
84 Office Hysteroscopy
85 Subdermal Implant (Nexplanon)
86 No-Scalpel Vasectomy
87 Paracervical Block Anesthesia
88 Pessaries
89 Treatment of Noncervical Human Papillomavirus Genital Infections

Section X Gastroenterology
90 Abdominal Paracentesis
91 Anoscopy with Biopsy
92 Anal Cytology and High-Resolution Anoscopy
93 Colonoscopy
94 Esophagogastroduodenoscopy
95 Flexible Sigmoidoscopy
96 Treatment of Internal Hemorrhoid
97 Pilonidal Cyst or Abscess Management
98 Excision of Thrombosed External Hemorrhoids
99 Transnasal Esophagoscopy

Section XI Eye, Ear, Nose, and Throat Procedures
100 Anterior Epistaxis Treatment
101 Cerumen Impaction Removal
102 Chalazia Management
103 Conjunctival and Corneal Foreign Object Removal
104 Earlobe Repair
105 Flexible Fiberoptic Nasolaryngoscopy
106 Foreign Body Removal from the Nose and the Ear
107 Tympanometry

Section XII Musculoskeletal Procedures
108 Carpal Tunnel Injection
109 De Quervain’s Tenosynovitis Injection
110 Extensor Tendon Repair
111 Greater Trochanteric Bursa Injection
112 Knee Joint Aspiration and Injection
113 Olecranon Bursa Aspiration and Injection
114 Plantar Fascia Injection
115 Shoulder Injection
116 The Short Arm Cast
117 The Short Leg Cast
118 Lower Extremity Splinting
119 Upper Extremity Splinting
120 Trigger Finger Injection
121 Trigger Point Injection
122 Wrist Ganglia Aspiration and Injection

Section XIII Pediatrics
123 Circumcision Using Gomco Clamp and Dorsal Penile Block
124 Circumcision using the Mogen Clamp
125 Circumcision using the Plastibell Device
126 Intraosseous Line Placement
127 Pediatric Sedation
128 Suprapubic Bladder Catheterization
Section XIV Appendices
Appendix A: Informed Consent
Appendix B: Lines of Least Skin Tension (Langer Lines)
Appendix C: Bacterial Endocarditis Prevention Recommendations
Appendix D: Recommended Margins for Removal of Neoplastic Skin Lesions
Appendix E: Skin Preparation Recommendations
Appendix F: Local Anesthetic Agent Materials
Appendix G: Hemostatic Methods for Skin Procedures
Appendix H: Recommended Suture Removal Times
Appendix I: Instruments and Materials for the Office Surgery Tray
Appendix J: Instruments and Materials for Gynecological Procedures
Appendix K: Instruments and Materials for Aspiration and Injection Procedures
Appendix L: Recommendations for Endoscope Disinfection

• Stay up to date with new procedures and equipment , including dorsal penile block, peripheral nerve blocks, topical anesthesia, hand-held ultrasound, electrodessication and curettage, dermoscopy, aesthetic procedures, Wood's slide examination, and more.
• Perform procedures more effectively and avoid common mistakes with popular “pearls and pitfalls” sections.
• Go beyond the basics with coverage of complications, post-procedures and pediatric considerations, and evidence-based references in each chapter.
• Get complete, practical coverage in every chapter , including background information on each procedure; indications and contraindications; sequential instructions, pictures and illustrations of the procedure; bulleted pitfalls and pearls; suggested CPT codes and average charges; and references.
• More evidence based medicine , with referencing throughout the chapters and appendices.
• View handy compilations of information applicable to many procedures , recommendations, and other practical information in the appendices.
• A great reference for the novice proceduralist who is learning procedures, or for the establish clinician who wishes to update or brush up on their knowledge.

Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to:

• More than 100 patient education handouts
Videos of common procedures Complete content with enhanced navigation
• Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web
• Cross-linked pages , references, and more for easy navigation
• Highlighting tool for easier reference of key content throughout the text
• Ability to take and share notes with friends and colleagues
• Quick reference tabbing to save your favorite content for future use

4-Star Review from Doody's Review Service!
"This remains one of the best, if not the best, book for understanding and learning how to perform the basic outpatient procedures in the primary care office. The first edition was published in 2009. Because the purpose of this book is to teach, the editor describes the focus of this second edition as breaking down each procedure into its component parts and illustrating techniques to give primary care and emergency medicine providers the skills necessary to provide primary care services. The editor and contributors have continued the work begun with the first edition. The audience includes primary care and emergency medicine providers, resident or attending, as well as the nursing and technical staff who are called upon to prepare patients and assist in the procedure. For the most part, the contributors are highly experienced practitioners and teachers. The value of this book lies in the completeness of the information , the explanations of the important aspects of the procedure, indications and contraindications, the equipment lists, the pictures and videos of the procedure, and the CPT billing codes associated with the procedures. This continues to be a most necessary addition to every training program in primary care or emergency medicine. It is one of the best books on outpatient procedures -- there are few that come close."
Reviewed by Vincent F Carr, DO, MSA, FACC, FACP(Uniformed Services University of the Health Sciences) on behalf of Doody's Review Service
Weighted Numerical Score: 94 - 4 Stars!