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Contributors xiii
Preface xix
Acknowledgments xxi
General 1
Introduction to Ambulatory Medicine/General Outpatient Skills Cynthia H. Ledford 3
Preventative Medicine Heather Laird-Fick 11
Occupational and Environmental Health Dale E. Toney 17
Complementary and Alternative Medicine Natalia E. Morone 23
Cardiovascular 29
Coronary Artery Disease Andrew R. Hoellein 31
Cardiac Stress Testing Tayloe Loftus Amit S. Dhamoon 37
Hyperlipidemia Pat F. Bass III 43
Hypertension Thomas Andrew Albritton 49
Heart Murmurs Rebecca Andrews Steven Angus 54
Peripheral Arterial Disease Harish Herrle Scott Herrle 62
Palpitations Jacqueline Carey Rachel Chase 68
Pulmonary 75
Asthma James Temprano 77
Cough David Hiestand 85
Allergic Rhinitis James Temprano 90
Tuberculosis Brian S. Murphy 95
Solitary Pulmonary Nodule Kevin Simpson Matthew Fitz 103
Lung Cancer Janet N. Myers 107
Interpretation of Pulmonary Function Tests Dianne M. Zalenski 114
Gastrointestinal 119
Diarrhea Elizabeth Holt 121
Constipation Edward H. Wu 126
Evaluation of Dyspepsia and Peptic Ulcer Disease Gregg M. Talente 132
Gastroesophageal Reflux Disease Luis R. Pena 138
Colon Cancer and Screening Thomas M. Manger 143
Hepatitis Alda Maria R. Gonzaga 149
Irritable Bowel Syndrome Melissa A. McNeil 157
Renal 163
Interpretation of Urinalysis Jennifer R. Kogan 165
Evaluation of Hematuria Sonya Borrero 169
Nephrolithiasis Robert Brooks 174
Urinary Incontinence Jan Coleman Gross 179
Benign Prostatic Hyperplasia and Prostatitis Angela S. Tackett 187
Erectile Dysfunction David Lambert 193
Endocrine 199
Diabetes Thomas M. Manger 201
Hyperthyroidism James Williams Stuart J. Cohen 210
Hypothyroidism Stuart J. Cohen James Williams 219
Infectious Disease 225
Outpatient HIV Management Andrew R. Hoellein 227
Upper Respiratory Infections Henry Sakowski 236
Acute Pharyngitis Henry Sakowski 242
The Red Eye Andrew R. Hoellein 248
Urinary Tract Infection Jennifer R. Kogan 252
Sexually Transmitted Infections Cheryl S. Lynch 257
Oncology 267
Breast Cancer and Screening Sara Jo Grethlein 269
Prostate Cancer and Screening Steven Angus 275
Skin Cancers Alexandra Thomas 281
Musculoskeletal 289
Low Back Pain Kevin A. Dorrance Colleen A. Dorrance Steven Burning 291
Shoulder Pain Anu Sharma 298
Knee Pain Heather S. Laird-Fick 304
Osteoarthritis and Rheumatoid Arthritis Peri Hickman Pepmueller 311
Evaluation of Rheumatic Conditions Katherine K. Temprano Terry L. Moore 318
Fibromyalgia Janine Frank 327
Polymyalgia Rheumatica and Giant Cell Arteritis Robert W. Lightfoot, Jr. 332
Gout Erica Friedman 337
Neurologic 343
Headaches Peggy B. Hasley 345
Women's Health 353
Vaginitis Monica Ann Shaw 355
Abnormal Uterine Bleeding and Amenorrhea Lynne A. Jensen 362
Osteoporosis Deidra Beshear 369
Cervical Cancer Screening and Abnormal Pap Tests Carla L. Spagnoletti 375
Menopause Alexandra Thomas 381
Birth Control and Fertility Issues Megan S. Cunnane 386
Other 395
Smoking Cessation Davoren Chick 397
Depression Jo Albritton 401
Anxiety Disorders Steven F. Reichert 407
Obesity Judi Daniels 413
Substance Abuse Elizabeth A. Warner 418
Chronic Pain Steven F. Reichert 423
Approach to Fatigue Mary Duke 430
Approach to the Patient with Dizziness Raquel A. Buranosky 436
Obstructive Sleep Apnea Angela Webb 441
Intimate Partner Violence Jacqueline S. Gibson 446
Dermatitis and Urticaria T. Shawn Caudill 452
Index 459
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