This bible of family practice for primary care students and clinicians provides current national practice guidelines for professional standards of care across the life span. Concise and clearly organized, the resource features detailed, step-by-step instructions for physical examinations and diagnostic testing in the outpatient setting, information on health promotion, care guidelines, dietary information, information on culturally responsive care, patient resources, and abundant patient education handouts.

Table of Contents

• Contributors
• Reviewers for the Third and Fourth Editions
• Preface
• Part I. Guidelines
• Chapter 1. Health Maintenance Guidelines
• Cultural Diversity and Sensitivity
• Factors Contributing to Cultural Diversity
• Health Maintenance During the Life Span
• Other Collaborating Providers
• Adult Risk Assessment Form
• Adult Preventive Health Care
• Immunizations
• Beers Criteria for Medication Use in Older Adults
• Bibliography, Chapter 1
• Chapter 2. Public Health Guidelines
• Homelessness
• Obesity
• Post–Bariatric Surgery Long-Term Follow-Up
• Substance Use Disorders
• Violence
• Bibliography, Chapter 2
• Chapter 3. Pain Management Guidelines
• Acute Pain
• Chronic Pain
• Lower Back Pain
• Bibliography, Chapter 3
• Chapter 4. Dermatology Guidelines
• Acne Rosacea
• Acne Vulgaris
• Animal Bites, Mammalian
• Benign Skin Lesions
• Candidiasis
• Contact Dermatitis
• Eczema or Atopic Dermatitis
• Erythema Multiforme
• Folliculitis
• Hand, Foot, and Mouth Syndrome
• Herpes Simplex Virus Type 1
• Herpes Zoster or Shingles
• Impetigo
• Insect Bites and Stings
• Lice (Pediculosis)
• Lichen Planus
• Pityriasis Rosea
• Precancerous or Cancerous Skin Lesions
• Psoriasis
• Scabies
• Seborrheic Dermatitis
• Tinea Corporis (Ringworm)
• Tinea Versicolor
• Warts
• Wound Care
• Xerosis (Winter Itch)
• Bibliography, Chapter 4
• Chapter 5. Eye Guidelines
• Amblyopia
• Blepharitis
• Cataracts
• Chalazion
• Conjunctivitis
• Corneal Abrasion
• Dacryocystitis
• Dry Eyes
• Excessive Tears
• Eye Pain
• Glaucoma, Acute Angle-Closure
• Hordeolum (Stye)
• Strabismus
• Subconjunctival Hemorrhage
• Uveitis
• Bibliography, Chapter 5
• Chapter 6. Ear Guidelines
• Acute Otitis Media
• Cerumen Impaction (Earwax)
• Hearing Loss
• Otitis Externa
• Otitis Media With Effusion
• Tinnitus
• Bibliography, Chapter 6
• Chapter 7. Nasal Guidelines
• Allergic Rhinitis
• Epistaxis
• Nonallergic Rhinitis
• Sinusitis
• Bibliography, Chapter 7
• Chapter 8. Throat and Mouth Guidelines
• Avulsed Tooth
• Dental Abscess
• Epiglottitis
• Oral Cancer
• Pharyngitis
• Stomatitis, Minor Recurrent Aphthous Stomatitis
• Thrush
• Bibliography, Chapter 8
• Chapter 9. Respiratory Guidelines
• Asthma
• Bronchiolitis: Child
• Bronchitis, Acute
• Bronchitis, Chronic
• Chronic Obstructive Pulmonary Disease
• Common Cold/Upper Respiratory Infection
• Cough
• Croup, Viral
• Emphysema
• Obstructive Sleep Apnea
• Pneumonia (Bacterial)
• Pneumonia (Viral)
• Respiratory Syncytial Virus Bronchiolitis
• Shortness of Breath
• Tuberculosis
• Bibliography, Chapter 9
• Chapter 10. Cardiovascular Guidelines
• Acute Myocardial Infarction
• Arrhythmias
• Atherosclerosis and Hyperlipidemia
• Atrial Fibrillation
• Chest Pain
• Chronic Venous Insufficiency and Varicose Veins
• Deep Vein Thrombosis
• Heart Failure
• Hypertension
• Lymphedema
• Murmurs
• Palpitations
• Peripheral Arterial Disease
• Superficial Thrombophlebitis
• Syncope
• Bibliography, Chapter 10
• Chapter 11. Gastrointestinal Guidelines
• Abdominal Pain
• Appendicitis
• Celiac Disease
• Cholecystitis
• Colic
• Colorectal Cancer Screening
• Constipation
• Crohn's Disease
• Cyclosporiasis
• Diarrhea
• Diverticulosis and Diverticulitis
• Elevated Liver Enzymes
• Gastroenteritis, Bacterial and Viral
• Gastroesophageal Reflux Disease
• Giardiasis intestinalis
• Hemorrhoids
• Hepatitis A
• Hepatitis B
• Hepatitis C
• Hernias, Abdominal
• Hernias, Pelvic
• Hirschprung's Disease or Congenital Aganglionic Megacolon
• Hookworm
• Irritable Bowel Syndrome
• Jaundice
• Malabsorption
• Nausea and Vomiting
• Peptic Ulcer Disease
• Pinworm
• Roundworm
• Ulcerative Colitis
• Bibliography, Chapter 11
• Chapter 12. Genitourinary Guidelines
• Benign Prostatic Hypertrophy
• Chronic Kidney Disease in Adults
• Epididymitis
• Hematuria
• Hydrocele
• Interstitial Cystitis
• Prostatitis
• Proteinuria
• Pyelonephritis
• Renal Calculi or Kidney Stones (Nephrolithiasis)
• Sexual Dysfunction Male
• Testicular Torsion
• Undescended Testes or Cryptorchidism
• Urinary Incontinence
• Urinary Tract Infection (Acute Cystitis)
• Varicocele
• Bibliography, Chapter 12
• Chapter 13. Obstetrics Guidelines
• Antepartum
• Postpartum
• Bibliography, Chapter 13
• Chapter 14. Gynecologic Guidelines
• Amenorrhea
• Atrophic Vaginitis
• Bacterial Vaginosis (or Gardnerella)
• Bartholin's Cyst or Abscess
• Breast Pain
• Cervicitis
• Contraception
• Dysmenorrhea
• Dyspareunia
• Emergency Contraception
• Endometriosis
• Female Sexual Dysfunction
• Infertility
• Menopause
• Pap Smear Screening Guidelines and Interpretation
• Pelvic Inflammatory Disease
• Premenstrual Syndrome and Premenstrual Dysphoric Disorder
• Vulvovaginal Candidiasis
• Bibliography, Chapter 14
• Chapter 15. Sexually Transmitted Infections Guidelines
• Chlamydia
• Gonorrhea
• Herpes Simplex Virus Type 2
• Human Papillomavirus
• Syphilis
• Trichomoniasis
• Bibliography, Chapter 15
• Chapter 16. Infectious Disease Guidelines
• Cat Scratch Disease
• Cytomegalovirus
• Encephalitis
• H1N1 Influenza A (Swine Flu)
• Influenza (Flu)
• Kawasaki Disease
• Lyme Disease
• Meningitis
• Mononucleosis (Epstein–Barr)
• Mumps
• Parvovirus B19 (Fifth Disease, Erythema Infectiosum)
• Rheumatic Fever
• Rocky Mountain Spotted Fever
• Roseola (Exanthem Subitum)
• Rubella (German Measles)
• Rubeola (Red Measles)
• Scarlet Fever (Scarlatina)
• Toxoplasmosis
• Varicella (Chickenpox)
• West Nile Virus
• Zika Virus Infection
• Bibliography, Chapter 16
• Chapter 17. Systemic Disorders Guidelines
• Chronic Fatigue Syndrome (Systemic Exertion Intolerance Syndrome)
• Fevers of Unknown Origin
• Human Immunodeficiency Virus (HIV)
• Idiopathic (Autoimmune) Thrombocytopenic Purpura
• Iron-Deficiency Anemia (Microcytic, Hypochromic)
• Lymphadenopathy
• Pernicious Anemia (Megaloblastic Anemia)
• Bibliography, Chapter 17
• Chapter 18. Musculoskeletal Guidelines
• Neck and Upper Back Disorders
• Plantar Fasciitis
• Sciatica
• Sprains: Ankle and Knee
• Bibliography, Chapter 18
• Chapter 19. Neurologic Guidelines
• Alzheimer's Disease
• Bell's Palsy
• Carpal Tunnel Syndrome
• Dementia
• Guillain–Barré Syndrome
• Headache
• Migraine Headache
• Mild Traumatic Brain Injury
• Multiple Sclerosis
• Myasthenia Gravis
• Parkinson's Disease
• Restless Legs Syndrome
• Seizures
• Seizure, Febrile (Child)
• Transient Ischemic Attack
• Vertigo
• Bibliography, Chapter 19
• Chapter 20. Endocrine Guidelines
• Addison's Disease
• Cushing's Syndrome
• Diabetes Mellitus
• Galactorrhea
• Gynecomastia
• Hirsutism
• Hypogonadism
• Metabolic Syndrome/Insulin Resistance Syndrome
• Polycystic Ovarian Syndrome
• Thyroid Disease: Hyperthyroidism
• Thyroid Disease: Hypothyroidism
• Thyrotoxicosis/Thryoid Storm
• Bibliography, Chapter 20
• Chapter 21. Rheumatological Guidelines
• Ankylosing Spondylitis
• Fibromyalgia
• Gout
• Osteoarthritis
• Osteoporosis/Kyphosis/Fracture
• Polymyalgia Rheumatica
• Pseudogout
• Psoriatic Arthritis
• Raynaud's Phenomenom
• Rheumatoid Arthritis
• Systemic Lupus Erythematosus
• Temporal Arteritis/Giant Cell Arteritis
• Vitamin D Deficiency
• Bibliography, Chapter 21
• Chapter 22. Psychiatric Guidelines
• Anxiety
• Attention-Deficit Disorder/Attention-Deficit/ Hyperactivity Disorder
• Bipolar Disorder
• Depression
• Failure to Thrive
• Grief
• Sleep Disorders
• Suicide
• Bibliography, Chapter 22
• Chapter 23. Assessment Guide for Sport Participation
• II. Procedures
• Canalith Repositioning (Epley) Procedure for Vertigo
• Cervical Evaluation During Pregnancy: Bimanual Examination
• Clock-Draw Test
• Cystometry
• Cystometry: Bedside
• Foreign Body Removal From the Nose
• Hernia Reduction (Inguinal/Groin)
• Intrauterine Device Insertion
• Neurologic Examination
• Nonstress Test
• Oral Airway Insertion
• Pap Smear and Maturation Index Procedure
• Pregnancy: Estimating Date of Delivery
• Prostatic Massage Technique: 2-Glass Test
• Rectal Prolapse Reduction
• Sprain Evaluation
• Tick Removal
• Trichloroacetic Acid/Podophyllin Therapy
• Wet Mount/Cervical Cultures Procedure
• III. Patient Teaching Guides
• Abdominal Pain: Adults
• Abdominal Pain: Children
• Acne Rosacea
• Acne Vulgaris
• Acute Otitis Media
• Addison's Disease
• ADHD: Coping Strategies for Teens and Adults
• ADHD: Tips for Caregivers of a Child With ADHD
• Adolescent Nutrition
• Alcohol and Drug Dependence
• Allergic Rhinitis
• Amenorrhea
• Ankle Exercises
• Aphthous Stomatitis
• Asthma
• Asthma: Action Plan and Peak Flow Monitoring
• Asthma: How to Use a Metered-Dose Inhaler
• Atherosclerosis and Hyperlipidemia
• Atrial Fibrillation
• Atrophic Vaginitis
• Back Stretches
• Bacterial Pneumonia: Adult
• Bacterial Pneumonia: Child
• Bacterial Vaginosis
• Basal Body Temperature Measurement
• Bell's Palsy
• Bipolar Disorder
• Bronchiolitis: Child
• Bronchitis, Acute
• Bronchitis, Chronic
• Cerumen Impaction (Earwax)
• Cervicitis
• Chickenpox (Varicella)
• Childhood Nutrition
• Chlamydia
• Chronic Obstructive Pulmonary Disease
• Chronic Pain
• Chronic Venous Insufficiency
• Colic: Ways to Soothe a Fussy Baby
• Common Cold
• Conjunctivitis
• Constipation Relief
• Contraception: How to Take Birth Control Pills (for a 28-Day Cycle)
• Cough
• Crohn's Disease
• Croup, Viral
• Cushing's Syndrome
• Deep Vein Thrombosis
• Dementia
• Dermatitis
• Diabetes
• Diarrhea
• Dysmenorrhea (Painful Menstrual Cramps or Periods)
• Dyspareunia (Pain With Intercourse)
• Eczema
• Emergency Contraception— Levonogestrel
• Emergency Contraception—Ulipristal Acetate
• Emphysema
• Endometritis
• Epididymitis
• Erythema Multiforme
• Exercise
• Eye Medication Administration
• Febrile Seizures (Child)
• Fibrocystic Breast Changes and Breast Pain
• Fibromyalgia
• Folliculitis
• Gastroesophageal Reflux Disease
• Gestational Diabetes
• Gonorrhea
• Gout
• Grief
• Head Injury: Mild
• Hemorrhoids
• Herpes Simplex Virus
• Herpes Zoster, or Shingles
• HIV/AIDS: Resources for Patients
• Human Papillomavirus
• Infant Nutrition
• Influenza (Flu)
• Insect Bites and Stings
• Insulin Therapy During Pregnancy
• Iron-Deficiency Anemia (Pregnancy)
• Irritable Bowel Syndrome
• Jaundice and Hepatitis
• Kidney Disease: Chronic
• Knee Exercises
• Lactose Intolerance and Malabsorption
• Lice (Pediculosis)
• Lichen Planus
• Lyme Disease and Removal of a Tick
• Lymphedema
• Mastitis
• Menopause
• Migraine Headache
• Mononucleosis
• Myasthenia Gravis
• Nicotine Dependence
• Nosebleeds
• Oral Thrush in Children
• Osteoarthritis
• Osteoporosis
• Otitis Externa
• Otitis Media With Effusion
• Parkinson's Disease Management
• Pelvic Inflammatory Disease
• Peripheral Arterial Disease
• Pernicious Anemia
• Pharyngitis
• Pityriasis Rosea
• Pneumonia, Viral: Adult
• Pneumonia, Viral: Child
• Polymyalgia Rheumatica
• Postpartum: Breast Engorgement and Sore Nipples
• Premenstrual Syndrome
• Preterm Labor
• Prostatic Hypertrophy/Benign
• Prostatitis
• Pseudogout
• Psoriasis
• Respiratory Syncytial Virus
• RICE Therapy and Exercise Therapy
• Ringworm (Tinea)
• Rocky Mountain Spotted Fever and Removal of a Tick
• Roundworms and Pinworms
• Scabies
• Seborrheic Dermatitis
• Shortness of Breath
• Sinusitis
• Skin Care Assessment
• Sleep Apnea
• Sleep Disorders/Insomnia
• Superficial Thrombophlebitis
• Syphilis
• Systemic Lupus Erythematosus
• Testicular Self-Examination
• Tinea Versicolor
• Tinnitus
• Toxoplasmosis
• Transient Ischemic Attack
• Trichomoniasis
• Trigeminal Neuralgia
• Ulcer Management
• Urinary Incontinence: Women
• Urinary Tract Infection (Acute Cystitis)
• Urinary Tract Infection During Pregnancy: Pyelonephritis
• Vaginal Bleeding: First Trimester
• Vaginal Bleeding: Second and Third Trimesters
• Vaginal Yeast Infection
• Varicose Veins
• Warts
• Wound Care: Lower Extremity Ulcers
• Wound Care: Pressure Ulcers
• Wound Care: Wounds
• Wound Infection: Episiotomy and Cesarean Section
• Xerosis (Winter Itch)
• Zika Virus Infection
• Appendix A: Normal Laboratory Values
• Appendix B: Diet Recommendations
• Bland Diet
• DASH Diet: Dietary Approaches to Stop Hypertension
• Foods to Avoid While Taking Warfarin (Coumadin, Jantoven)
• Gluten-Free Diet
• High-Fiber Diet
• Lactose-Intolerance Diet
• Low-Fat/Low-Cholesterol Diet
• Nausea and Vomiting Diet Suggestions (Children and Adults)
• Vitamin D and Calcium Handout
• Appendix B: Bibliography
• Appendix C: Tanner's Sexual Maturity Stages
• Appendix D: Teeth