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Primary Care Medicine

Edition: 8
9781496398116
ISBN/ISSN:
9781496398116
Publication Date:
September 2, 2020
2020-09-2
9781496398116
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Selected as a Doody's Core Title for 2022 and 2023! Long regarded as “the book” in the field for in-depth ...
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  • Selected as a Doody's Core Title for 2022 and 2023!

    Long regarded as “the book” in the field for in-depth learning as well as decision support at the point of care, Primary Care Medicine, 8th Edition, continues its tradition as a comprehensive, evidence-based, action-oriented information resource. Presented in companion electronic format updated quarterly, its problem-based orientation spans the full spectrum of problems encountered in adult primary care practice. Chapters address screening, diagnosis, prevention and management, including indications for referral and approaches to patient education and shared decision making. Clear, practical, bulleted recommendations and an extensive annotated bibliography of best references follow detailed discussions of pathophysiology, clinical presentation, differential diagnosis, and strategies for workup and treatment.   Now with its 40th-anniversary edition, this exceptional text is a must-have resource for physicians, nurse practitioners, physician assistants, students, and residents- offering the most complete and up-to-date resource available for primary care education and practice.
    • Included interactive eBook incorporates quarterly updates featuring critically reviewed important new evidence as well as a study guide for students and tables for shared decision making.
    • Fully updated chapter content based on nearly 4,000 new references and real-world advice in bulleted form at the end of each chapter ensure current, easily accessible, evidence-based point-of-care decision support.
    • Unique problem-based chapter organization covers the spectrum of adult primary care, highlighted by more than 400 tables, figures, and photographs, many in color.
    • Chapters present actionable, scientifically validated guidance that allows physicians to go beyond standard consensus guidelines and provide highly personalized care.
    • Best evidence is integrated with considerations of affordability, cost-effectiveness, convenience, and patient preference.
    • Special consideration is given to team-based approaches of primary care delivery, recognizing its increasing importance to achieving high levels of practice performance.
    Enrich Your eBook Reading Experience
    • Read directly on your preferred device(s), such as computer, tablet, or smartphone.
    • Easily convert to audiobook, powering your content with natural language text-to-speech.
  • Edition
    8
    ISBN/ISSN
    9781496398116
    Product Format
    Hardcover Book
    Trim Size
    8.375 x 10.875
    Pages
    1648
    Edition
    8
    Publication Date
    September 2, 2020
    Weight
    8.65
  • Allan Goroll
  • CONTENTS
    Contributors viii
    Preface xiii
    Foreword to the First Edition xiv
    Acknowledgments xv
    SECTION I
    Principles of Primary Care
    Chapter 1 The Purpose and Practice of Primary
    Care 1
    Chapter 2 Selection and Interpretation of Diagnostic
    Tests 9
    Chapter 3 Health Maintenance and the Role of
    Screening 18
    Chapter 4 Estimating and Communicating Risk
    and Prognosis 23
    Chapter 5 Choosing among Treatment Options 26
    Chapter 6 Immunization 29
    Appendix 6-1: Vaccination for
    Travel 44
    SECTION II
    Systemic Problems
    Chapter 7 Screening for HIV Infection 47
    Chapter 8 Evaluation of Chronic Fatigue 50
    Chapter 9 Evaluation of Weight Loss 56
    Chapter 10 Evaluation of Overweight and
    Obesity 62
    Chapter 11 Evaluation of Fever 70
    Chapter 12 Evaluation of Lymphadenopathy 81
    Chapter 13 Approach to the Patient with Human
    Immunodeficiency Virus (HIV)
    Infection 85
    Chapter 14 Screening for Hypertension 99
    Chapter 15 Screening for Hyperlipidemia and
    Associated Coronary Heart Disease Risk
    Factors 102
    Chapter 16 Infective Endocarditis Prophylaxis 109
    Chapter 17 Prevention of Rheumatic Fever and
    Rheumatic Heart Disease 112
    SECTION III
    Cardiovascular Problems
    Chapter 18 Primary Prevention of Coronary Heart
    Disease 115
    Appendix 18-1: Medical Screening of
    Potential Exercisers 127
    Appendix 18-2: The Exercise
    Prescription 130
    Chapter 19 Evaluation of Hypertension 134
    Chapter 20 Evaluation of Chest Pain 144
    Chapter 21 Evaluation of the Asymptomatic Systolic
    Murmur 158
    Chapter 22 Evaluation of Leg Edema 164
    Appendix 22-1: Screening for Occult
    Malignancy in Persons with Unprovoked
    Deep Vein Thrombosis 171
    Appendix 22-2: Evaluation for Upper
    Extremity DVT 172
    Chapter 23 Evaluation of Arterial Insufficiency
    of the Lower Extremities 172
    Chapter 24 Evaluation of Syncope 178
    Chapter 25 Evaluation of Palpitations 187
    Appendix 25-1: Evaluation of Atrial
    Fibrillation in the Outpatient Setting 195
    Chapter 26 Management of Hypertension 200
    Chapter 27 Approach to the Patient with a Lipid
    Disorder 221Chapter 28 Outpatient Management of Atrial
    Fibrillation 2 4 7
    Chapter 29 Management of Ventricular Irritability in
    the Ambulatory Setting 262
    Chapter 30 Management of Chronic Stable Angina 273
    Chapter 31 Secondary Prevention of Coronary Heart
    Disease after a Recent Acute Coronary
    Syndrome 296
    Chapter 32 Approach to the Patient with Chronic
    Congestive Heart Failure 310
    Appendix 32-1: Managing Disorders of
    Serum Potassium in Congestive Heart
    Failure 332
    Chapter 33 Management of Valvular Heart
    Disease 334
    Appendix 33-1: Approach to
    Hypertrophic Cardiomyopathy and Patent
    Foramen Ovale 347
    Chapter 34 Management of Peripheral Artery
    Disease (P AD) 3 5 0
    Chapter 35 Management of Peripheral Venous
    Disease 3 5 7
    Chapter 36 Noninvasive Studies for Coronary Heart
    Disease 370
    Appendix 36-1: Perioperative Medical
    Evaluation 382
    SECTION IV
    Respiratory Problems
    Chapter 37 Screening for Lung Cancer 395
    Chapter 38 Tuberculosis Screening and
    Prophylaxis 399
    Chapter 39 Evaluation and Prevention of
    Occupational and Environmental Lung
    Disease 404
    Chapter 40 Evaluation of Chronic Dyspnea 410
    Chapter 41 Evaluation of Subacute and Chronic
    Cough 415
    Chapter 42 Evaluation of Hemoptysis 422
    Chapter 43 Evaluation of Pleural Effusions 425
    Chapter 44 Evaluation of the Solitary Pulmonary
    Nodule 431
    Appendix 44-1: Evaluation of Multiple
    Incidental Pulmonary Nodules 436
    Chapter 45 Evaluation of Clubbing 436
    Chapter 46 Approach to the Patient with Obstructive
    Sleep Apnea 439
    Chapter 47 Management of Chronic Obstructive
    Pulmonary Disease 44 7
    Chapter 48 Management of Asthma 468
    Chapter 49 Approach to the Patient with
    Tuberculosis 489
    Appendix 49-1: Approach to the Patient
    With Nontuberculous Mycobacterial Lung
    Disease 496
    Chapter 50 Approach to Acute Uncomplicated
    Respiratory Tract Infection 497
    Chapter 51 Management of Sarcoidosis 504
    Appendix 55-1: Evaluation of Interstitial
    Lung Disease 508
    Chapter 52 Outpatient Approach to Acute
    Lower Respiratory Tract Infection—
    Acute Bronchitis and Pneumonia 514
    Chapter 53 Approach to the Patient with Lung
    Cancer 5 2 9
    Chapter 54 Smoking Cessation 537
    Appendix 54-1: Pulmonary Consequences
    of Other Forms of Smoking 545
    SECTION V
    Gastrointestinal Problems
    Chapter 55 Screening and Case Finding for
    Gastrointestinal Cancers 5 4 7
    Chapter 56 Screening for Colorectal Cancer 550
    Appendix 56-1: Examination of the
    Anorectum and Sigmoid Colon with
    Digital Rectal Examination, Anoscopy,
    and Sigmoidoscopy 556Chapter 57 Screening for and Prevention of Viral
    Hepatitis 5 60
    Chapter 58 Evaluation of Abdominal Pain 570
    Appendix 58-1: Management of the
    Abdominal Aortic Aneurysm 581
    Chapter 59 Evaluation of Nausea and Vomiting 582
    Chapter 60 Evaluation of Dysphagia and Suspected
    Esophageal Chest Pain 588
    Chapter 61 Approach to the Patient with Heartburn
    and Reflux (Gastroesophageal Reflux
    Disease) 593
    Chapter 62 Evaluation of Jaundice 600
    Appendix 62-1: Evaluation of the
    Asymptomatic Patient with an Incidental
    Elevation in a Liver Function Test 603
    Chapter 63 Evaluation of Gastrointestinal
    Bleeding 607
    Chapter 64 Evaluation and Management of
    Diarrhea 612
    Chapter 65 Approach to the Patient with
    Constipation 626
    Chapter 66 Approach to the Patient with Anorectal
    Complaints 632
    Chapter 67 Approach to the Patient with an External
    Hernia 640
    Chapter 68 Management of Peptic Ulcer
    Disease 643
    Chapter 69 Management of Asymptomatic and
    Symptomatic Gallstones 655
    Chapter 70 Management of Hepatitis 661
    Appendix 70-1: Recommended Direct-
    Acting Antiviral (DAA ) Programs for
    Hepatitis C Virus Infection 680
    Chapter 71 Management of Cirrhosis and Chronic
    Liver Failure 682
    Chapter 72 Management of Pancreatitis 691
    Chapter 73 Management of Inflammatory Bowel
    Disease 695
    Chapter 75 Management of Diverticular Disease 716
    Chapter 76 Management of Gastrointestinal
    Cancers 7 2 0
    SECTION VI
    Hematologic and Oncologic
    Problems
    Chapter 77 Screening for Anemia 739
    Chapter 78 Screening for Sickle Cell Disease and
    Sickle Cell Trait 741
    Chapter 79 Evaluation of Anemia 743
    Chapter 80 Evaluation of Erythrocytosis
    (P olycy themia) 7 5 4
    Appendix 80-1: Other Myeloproliferative
    Disorders—Primary Myelofibrosis 758
    Chapter 81 Evaluation of Bleeding Problems and
    Abnormal Bleeding Studies 759
    Chapter 82 Management of Common Anemias 771
    Appendix 82-1: Management of
    Asplenia 778
    Chapter 83 Outpatient Oral Anticoagulant
    Therapy 780
    Chapter 84 Approach to the Patient with
    Lymphoma 790
    Chapter 85 Approach to the Patient with Metastatic
    Cancer of Unknown Primary Origin 801
    Chapter 86 Approach to Staging and Monitoring 807
    Chapter 87 Comprehensive Care of the Cancer
    Patient 810
    Appendix 87-1: Cancer Prevention 816
    Chapter 88 Principles of Cancer Drug Therapy 818
    Chapter 89 Principles of Radiation Therapy 829
    Chapter 90 Assessment and Relief of Chronic Cancer
    Pain and Palliative Care 834
    Chapter 91 Managing the Gastrointestinal Complications
    of Cancer and Cancer T reatment 848
    Chapter 92 Complications of Cancer: Oncologic SECTION VII
    Endocrinologic Problems
    Chapter 93 Screening for Type 2 Diabetes Mellitus 861
    Appendix 93-1: Screening for Gestational
    and Type 1 Diabetes 868
    Chapter 94 Screening for Thyroid Cancer 870
    Chapter 95 Evaluation of Thyroid Nodules 872
    Chapter 96 Approach to the Patient with
    Hypercalcemia 8 7 9
    Chapter 97 Evaluation of Hypoglycemia 885
    Chapter 98 Evaluation of Hirsutism 890
    Appendix 98-1: Approach to an
    Incidentally Encountered Adrenal
    Mass 895
    Chapter 99 Evaluation of Gynecomastia 897
    Chapter 100 Evaluation of Galactorrhea and
    Hyperprolactinemia 90 1
    Chapter 101 Evaluation of Suspected Diabetes
    Insipidus 905
    Chapter 102 Approach to the Patient with Diabetes
    Mellitus 908
    Chapter 103 Approach to the Patient with
    Hyperthyroidism 940
    Chapter 104 Approach to the Patient with
    Hypothyroidism 949
    Chapter 105 Glucocorticoid Therapy 959
    SECTION VIII
    Gynecologic Problems
    Chapter 106 Screening for Breast Cancer 967
    Chapter 107 Screening for Cervical Cancer 975
    Chapter 108 Screening for Ovarian Cancer 981
    Chapter 109 Screening for Endometrial Cancer 984
    Chapter 110 Screening for and Prevention of Intimate
    Partner Violence 987
    Appendix 110-1: Screening for Firearm
    Chapter 111 Approach to the Woman with Abnormal
    Vaginal Bleeding 991
    Chapter 112 Evaluation and Symptomatic
    Management of Secondary
    Amenorrhea 998
    Chapter 113 Evaluation of Breast Masses and Nipple
    Discharges 1005
    Chapter 114 Evaluation of Vulvar Pruritus 1009
    Chapter 115 Medical Evaluation of Female Sexual
    Dysfunction 1 0 1 3
    Chapter 116 Approach to the Patient with Pelvic
    Pain 1017
    Appendix 116-1: Premenstrual
    Syndrome/Premenstrual Dysphoric
    Disorder 1022
    Chapter 117 Approach to the Patient with an
    Abnormal Vaginal Discharge 1024
    Chapter 118 Approach to the Menopausal
    Woman 1030
    Appendix 118-1: Evaluation of
    Flushing 1038
    Chapter 119 Approach to Fertility Control 1039
    Chapter 120 Approach to the Infertile Couple 1049
    Chapter 121 Approach to the Woman with an
    Unplanned Pregnancy 1057
    Chapter 122 Management of Breast Cancer 1063
    Chapter 123 Management of the Woman with Genital
    Tract Cancer 1076
    SECTION IX
    Genitourinary Problems
    Chapter 124 Screening for Syphilis 1083
    Chapter 125 Screening for Chlamydia and Gonorrhea
    Infection 1086
    Chapter 126 Screening for Prostate Cancer 1090
    Chapter 127 Screening for Asymptomatic Bacteriuria
    and Urinary Tract Infection 1095Chapter 129 Evaluation of the Patient with
    Hematuria 1101
    Chapter 130 Evaluation of the Patient with
    Proteinuria 1 1 0 7
    Chapter 131 Evaluation of Scrotal Pain, Masses, and
    Swelling 1113
    Chapter 132 Medical Evaluation and Management of
    Erectile Dysfunction 1116
    Chapter 133 Approach to Dysuria and Urinary Tract
    Infections in Women 1130
    Apendix 133-1: Evaluation of Sterile
    Pyuria 1140
    Chapter 134 Approach to Urinary Incontinence 1141
    Chapter 135 Approach to the Patient with
    Nephrolithiasis 1150
    Chapter 136 Approach to the Male Patient with
    Urethritis 1157
    Chapter 137 Approach to the Patient with
    Gonorrhea 1161
    Chapter 138 Approach to Benign Prostatic
    Hyperplasia 1 1 65
    Chapter 139 Management of Acute and Chronic
    Prostatitis 1 1 7 0
    Appendix 139-1: Urine and Prostatic
    Fluid Collections in Men 1175
    Chapter 140 Management of Urinary Tract Infection in
    Men 1176
    Chapter 141 Management of Syphilis and Other
    Sexually Transmitted Diseases 1181
    Chapter 142 Management of the Patient with Chronic
    Kidney Disease 1185
    Chapter 143 Management of Genitourinary
    Cancers 1195
    SECTION X
    Musculoskeletal Problems
    Chapter 144 Screening for Osteoporosis in
    Postmenopausal Women 1213
    Appendix 144-1: Screening for
    Osteoporosis in Men 1216
    Chapter 145 Evaluation of Acute Monoarticular
    Arthritis 1217
    Chapter 146 Evaluation of Polyarticular
    Complaints 1221
    Chapter 147 Approach to the Patient with Back
    Pain 1233
    Chapter 148 Evaluation of Neck Pain 1251
    Chapter 149 Approach to the Patient with Muscle
    Soreness or Cramps 1255
    Chapter 150 Approach to the Patient with Shoulder
    Pain 1259
    Chapter 151 Evaluation of Hip Pain 1266
    Chapter 152 Evaluation of Knee Pain 1271
    Chapter 153 Approach to Minor Orthopedic
    Problems of the Elbow, Wrist, and
    Hand 1278
    Chapter 154 Approach to Common Problems
    of the Foot and Ankle 1283
    Chapter 155 Approach to the Patient with
    Asymptomatic Hyperuricemia 1 2 89
    Chapter 156 Management of Rheumatoid
    Arthritis 1293
    Chapter 157 Management of Osteoarthritis 1313
    Chapter 158 Management of Gout 1325
    Chapter 159 Approach to the Patient with
    Fibromyalgia 1334
    Chapter 160 Approach to the Patient with Lyme
    Disease 1 3 43
    Chapter 161 Approach to the Patient with
    Polymyalgia Rheumatica or Giant-Cell
    (Temporal) Arteritis 1353
    Chapter 162 Management of Paget Disease 1360
    Chapter 163 Approach to the Patient with Raynaud
    Phenomenon 1364
    Chapter 164 Prevention and Management of
    Osteoporosis 1 3 69
    Appendix 164-1: Management of
    Osteoporosis in Men 1384SECTION XI
    Neurologic Problems
    Chapter 165 Approach to the Patient with
    Headache 1387
    Chapter 166 Evaluation of Dizziness 1397
    Chapter 167 Focal Neurologic Complaints: Evaluation
    of Nerve Root and Peripheral Nerve
    Syndromes 1405
    Chapter 168 Evaluation of Tremor 1413
    Chapter 169 Evaluation of Dementia 1416
    Chapter 170 Approach to the Patient with
    a Seizure 1427
    Chapter 171 Management of Transient Ischemic
    Attack and Asymptomatic Carotid
    Bruit 1436
    Chapter 172 Management of Multiple
    Sclerosis 1446
    Chapter 173 Management of Alzheimer
    Disease 1453
    Chapter 174 Approach to the Patient with Parkinson
    Disease 1466
    Chapter 175 Approach to the Patient with
    Bell Palsy (Idiopathic Facial
    Mononeuropathy) 1474
    Chapter 176 Management of Tic Douloureux
    (T rigeminal Neuralg ia) 1 4 7 7
    SECTION XII
    Dermatologic Problems
    Chapter 177 Screening for Skin Cancers 1481
    Chapter 178 Evaluation of Pruritus 1488
    Chapter 179 Evaluation of Purpura 1494
    Chapter 180 Evaluation of Disturbances in
    Pigmentation 1 49 7
    Chapter 181 Evaluation of Urticaria and
    Angioedema 1502
    Chapter 182 Approach to the Patient with Hair
    Loss 1507
    Chapter 183 Disturbances of Skin Hydration:
    Dry Skin and Excessive Sweating 1513
    Chapter 184 Approach to the Patient with
    Dermatitis 1517
    Chapter 185 Management of Acne Vulgaris 1524
    Chapter 186 Management of Rosacea and Other
    Acneiform Dermatoses 1 5 2 8
    Chapter 187 Management of Psoriasis 1531
    Chapter 188 Management of Intertrigo and
    Inter trig inous Dermatoses 1 5 3 7
    Chapter 189 Management of Corns and
    Calluses 1540
    Chapter 190 Approach to Bacterial Skin
    Infections 1542
    Chapter 191 Management of Superficial Fungal
    Infections 1 5 49
    Chapter 192 Management of Cutaneous
    and Genital Herpes Simplex 1555
    Chapter 193 Management of Herpes
    Zoster 1562
    Chapter 194 Management of Warts 1567
    Chapter 195 Management of Scabies and
    Pediculosis 1571
    Chapter 196 Management of Skin Trauma: Bites
    and Burns 1574
    Chapter 197 Management of Skin
    Ulceration 1581
    Appendix 197-1: Minor Surgical Office
    Procedures for Skin Problems 1585
    SECTION XIII
    Ophthalmologic Problems
    Chapter 198 Screening for Open-Angle
    Glaucoma 1589
    Chapter 199 Evaluation of the Red Eye 1591
    Chapter 200 Evaluation of Impaired Vision 1597
    Chapter 201 Evaluation of Eye Pain 1601Chapter 202 Evaluation of Dry Eyes 1604
    Chapter 203 Evaluation of Common Visual
    Disturbances: Flashing Lights,
    Floaters, and Other Transient
    Phenomena 1606
    Chapter 204 Evaluation of Exophthalmos 1608
    Chapter 205 Evaluation of Watery Eyes 1610
    Chapter 206 Management of the Patient
    with Age-Related Macular
    Degeneration 1612
    Chapter 207 Management of Glaucoma 1615
    Chapter 208 Management of Cataracts 1619
    Chapter 209 Management of Diabetic
    Retinopathy 1623
    Chapter 210 Correction of Vision 1626
    SECTION XIV
    Ear, Nose, and Throat Problems
    Chapter 211 Screening for Oral Cancer 1631
    Chapter 212 Evaluation of Hearing Loss 1634
    Appendix 212-1: Audiometry 1639
    Chapter 213 Approach to Epistaxis 1640
    Chapter 214 Evaluation of Acute Facial Pain and
    Swelling 1643
    Chapter 215 Evaluation of Smell and Taste
    Disturbances 1647
    Appendix 215-1: Halitosis 1650
    Chapter 216 Approach to the Patient with
    Hoarseness 1651
    Chapter 217 Evaluation of Tinnitus 1655
    Chapter 218 Approach to the Patient with Otitis 1657
    Chapter 219 Approach to the Patient with
    Sinusitis 1660
    Chapter 220 Approach to the Patient with
    Pharyngitis 1667
    Chapter 221 Approach to the Patient with Hiccups
    Chapter 222 Approach to the Patient with Chronic
    Nasal Congestion and Discharge 1676
    Chapter 223 Approach to the Patient with Excessive
    Snoring 1684
    Chapter 224 Approach to the Patient with Aphthous
    Stomatitis 1685
    Chapter 225 Evaluation and Management of
    T emporomandibular Disorders 1 688
    SECTION XV
    Psychiatric and Behavioral Problems
    Chapter 226 Approach to the Patient with
    Anxiety 1693
    Appendix 226-1: Strategies for Stress
    Management 1704
    Chapter 227 Approach to the Patient with
    Depression 1 7 0 7
    Chapter 228 Approach to the Patient with an Alcohol
    Use Disorder 1727
    Chapter 229 Approach to the Patient with Sexual
    Dysfunction 1 7 42
    Chapter 230 Approach to the Patient with Somatic
    Symptom Disorder 1751
    Chapter 231 Approach to Difficult Patient
    Interactions 1 7 5 7
    Chapter 232 Approach to the Patient with
    Insomnia 1760
    Appendix 232-1: Restless Legs
    Syndrome 1768
    Chapter 233 Approach to Eating Disorders 1771
    Appendix 233-1: Night-Eating
    Syndrome 1780
    Chapter 234 Approach to Drug Use Disorders 1782
    Appendix 234-1: Treating Opioid
    Use Disorder in the Primary Care
    Setting 1793
    Chapter 235 Management of Obesity 1797
    Appendix 235-1: Treating Obesity as
    a Chronic Disease—Using the Chronic SECTION XVI
    Multidisciplinary and Allied Fields
    Chapter 236 Pain Management: Approach to the
    Patient with Chronic Nonmalignant
    Pain 1815
    Chapter 237 Herbal Supplements Commonly Used
    as Complementary or Alternative
    Therapy 1827
    Appendix 237-1: Organic Foods 1833
    Chapter 238 Caring for the Adolescent Patient 1834
    Chapter 239 Primary Care Geriatrics— Optimizing
    Cognitive and Physical Function
    in Older Adults and Caring for the
    V ulnerable 1 845
    Appendix 239-1: Use of Antipsychotic
    Drugs and Other Psychopharmacologic
    Agents in the Elderly 1849
    Index 1853
    • Included interactive eBook incorporates quarterly updates featuring critically reviewed important new evidence as well as a study guide for students and tables for shared decision making.
    • Fully updated chapter content based on nearly 4,000 new references and real-world advice in bulleted form at the end of each chapter ensure current, easily accessible, evidence-based point-of-care decision support.
    • Unique problem-based chapter organization covers the spectrum of adult primary care, highlighted by more than 400 tables, figures, and photographs, many in color.
    • Chapters present actionable, scientifically validated guidance that allows physicians to go beyond standard consensus guidelines and provide highly personalized care.
    • Best evidence is integrated with considerations of affordability, cost-effectiveness, convenience, and patient preference.
    • Special consideration is given to team-based approaches of primary care delivery, recognizing its increasing importance to achieving high levels of practice performance.
    Enrich Your eBook Reading Experience
    • Read directly on your preferred device(s), such as computer, tablet, or smartphone.
    • Easily convert to audiobook, powering your content with natural language text-to-speech.
  • “Compared with other primary care books written for use in the office at the point of care, Primary Care Medicine is the one to own.”  Journal of the American Medical Association, review of the previous edition
     "This is a valuable book that is equally easy to use in different formats -- print, IOS and Android. It is well organized and comprehensive without being overly detailed. It is very useful for practicing clinicians, focusing on pertinent facts yet making the references easy to find."  Vincent F. Carr, DO, MSA, FACC, FACP, Uniformed Services University of the Health Sciences, on behalf of Doody's Review Service, review of the previous edition
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