Добавил:
kiopkiopkiop18@yandex.ru t.me/Prokururor I Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_2866_Библиотеки_им_академика_М_И_Перельмана.pdf
Скачиваний:
0
Добавлен:
15.09.2026
Размер:
15 Мб
Скачать
☆
Handbook ofOutpatient Medicine
ElanaSydney· EleanorWeinstein· LisaM.RuckerEditors
SecondEdition
123
Elana Sydney • Eleanor Weinstein Lisa M. Rucker
Editors
Handbook of Outpatient Medicine
Second Edition
Editors
Elana Sydney Department of Medicine Albert Einstein College of Medicine, Jacobi Medical Center Bronx, NY, USA
Eleanor Weinstein Department of Medicine Albert Einstein College of Medicine, Jacobi Medical Center Bronx, NY, USA
Lisa M. Rucker Department of Medicine Albert Einstein College of Medicine, Jacobi Medical Center Bronx, NY, USA
ISBN 978-3-031-15352-5 ISBN 978-3-031-15353-2 (eBook)
https://doi.org/10.1007/978-3-031-15353-2
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2018, 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of pub­lication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
We dedicate this book to our patients who have taught us so much over the years.

Preface

The practice of medicine in the outpatient setting has become increasingly complex and challenging in recent years. Pressures of time and of decision-making regarding patients with multiple comorbidities may test even the most-seasoned clinicians. The busy clinician needs an easy-to-use, quick ref­erence that can help guide assessments and therapeutic plans on the spot. As practicing general internists and teachers for decades, we know very well how critical it is to have a clear idea quickly about how to approach the patient sitting across from you in the exam room. Our goal of revising the first edi­tion of Handbook of Outpatient Medicine, originally pub­lished in 2018, was to provide an updated roadmap for the common problems that present themselves to the outpatient adult provider.
This book is organized into several sections. The first sec­tion deals with the approach to special populations, such as the older adult and the teen with chronic medical problems transitioning to adult care. The remaining sections focuse on specific symptoms, diagnoses, and organ systems. Each chap­ter includes an algorithm to efficiently guide the user along the decision points of making the diagnosis and/ or determin­ing the best treatment. The sections are written by experi­enced outpatient clinicians and based on current evidence and up-to-date recommendations by respected organizations such as the US Preventive Services Task Force.
Quotidian topics like diabetes and hypertension are pre­sented in more detail. Other common issues less reliably included in textbooks are covered here as well. These topics include obesity, sleep apnea, hair loss, and new to this second
viii
Preface
edition, post-covid care, and addiction medicine. Although this book is certainly not intended to be an exhaustive com­pendium of medicine, it does address most of the diagnoses and chief complaints presented to an outpatient internal medicine practitioner. Additionally, the approach to diagnosis and treatment represents a variety of medical centers across the country as well as internationally.
Written and organized in an easy-to-follow style, this book can aid physicians, medical students, nurse practitioners, and physician assistants. We hope you find this reference to be useful.
Bronx, NY, USA ElanaSydney EleanorWeinstein LisaM.Rucker

Contents

Part I General Considerations
1 Screening/Physical Exam/Health Maintenance � � � � � � 3
Joseph Conigliaro and Sandeep Kapoor
2 Covid-19 for the Primary Care Clinician: Current
Recommendations—Don’t Blink! � � � � � � � � � � � � � � � � � 45
Matthew Love
3 Transition Care of Teens with Chronic Health
Conditions � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 61
Catherine Waymel and Kamala Gullapalli Cotts
4 Care of the Elderly Patient � � � � � � � � � � � � � � � � � � � � � � � 87
Veronica M. LoFaso
5 Care at the End of Life: Palliative and Hospice
Care—Symptom Management � � � � � � � � � � � � � � � � � � � 117
Tabitha N. Goring and Ingrid L. Nelson
6 Substance Use Disorder � � � � � � � � � � � � � � � � � � � � � � � � � 137
Kimberly Cartmill
Part II Endocrine
7 Diabetes � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 159
Ari Geliebter
8 Thyroid Dysfunction � � � � � � � � � � � � � � � � � � � � � � � � � � � � 179
Nancy A. LaVine
x
Contents
9 Lipids � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 195
Anjali Manavalan
10 Obesity � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 211
Jacinth S. Ruddock and Gayotri Goswami
Part III Respiratory
11 Cough � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 235
Israa Soghier and Kiyoshi Kinjo
12 Shortness of Breath � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 251
Kiyoshi Kinjo
13 Sinusitis or Rhinosinusitis � � � � � � � � � � � � � � � � � � � � � � � 265
Shuchita Khasnavis
14 Sore Throat � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 279
Lori Ciuffo
15 Sleep Apnea � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 289
Jhansi Nalamati and Dushyant Damania
Part IV Cardiac
16 Hypertension � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 309
Jitendra Barmecha
17 Chest Pain � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 333
Adarsh Katamreddy
18 Anemia � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 355
Benjamin Cohen
19 Edema � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 391
Valerie Jorge Cabrera
Contents
Part V Dermatologic
20 Rash � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 403
Alexander Howell and Karthik Krishnamurthy
21 Alopecia � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 427
Clara Barranco and Karthik Krishnamurthy
Part VI Orthopaedic
22 Knee Pain � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 445
Mitsuyo Kinjo
23 Shoulder Pain � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 457
Mitsuyo Kinjo
24 Back Pain � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 473
Mitsuyo Kinjo
Part VII Neurologic
25 Dizziness � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 487
Robert Kennedy Jr
xi
26 Headache � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 507
Schantal Polanco
Part VIII Gynecologic
27 Vaginal Discharge � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �525
Lucille M. Torres-Deas, Nicole C. Habibe Burgos, and Athina Vassilakis
28 Contraception � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 543
Athina Vassilakis and Natasha Natarajan