Greenhalgh: How to Read a Paper: The Basics of Evidence-Based Medicine 4th Edition

How to Read a Paper describes the different types of clinical research reporting, and explains how to critically appraise the publications. The book provides the tools to find and evaluate the literature, and implement the findings in an evidence-based, patient-centered way. Written for anyone in the health care professions who has little or no knowledge of evidence-based medicine, it provides a clear understanding of the concepts and how to put them into practice at the basic, clinical level.

New to this edition

• The fourth edition will include two new chapters on important developments in health care research and delivery, but otherwise retains its original style, size, and scope.
• New chapter on quality improvement – describing papers on quality improvement projects using ebm methods; this will extend the readership to non clinical health care professionals working in hospitals and family practice, and to nurse specialists and practice nurses working in this field.
• New chapter on complex interventions - how to set up research projects involving both qualitative and quantitative methodology (known as mixed methods).
• Thorough revision and updating of existing chapters and references.
• New illustrations – diagrammatic representations of ebm concepts.

Contents

1 Why read papers at all?

• 1.1 Does 'evidence-based medicine' simply mean 'reading papers in medical journals'?
• 1.2 Why do people sometimes groan when you mention EBM?
• 1.3 Before you start: formulate the problem.

2 Searching the literature.

• 2.1 What are you looking for?
• 2.2 Levels upon levels of evidence.
• 2.3 Synthesised sources: systems, summaries and syntheses.
• 2.4 Pre-appraised sources: synopses of systematic reviews and primary studies.
• 2.5 Specialised resources.
• 2.6 Primary studies – tackling the jungle.
• 2.7 One-stop shopping: federated search engines.
• 2.8 Asking for help and asking around.

3 Getting your bearings – what is this paper about?

• 3.1 The science of 'trashing' papers.
• 3.2 Three preliminary questions to get your bearings.
• 3.3 Randomised controlled trials.
• 3.4 Cohort studies.
• 3.5 Case-control studies.
• 3.6 Cross-sectional surveys.
• 3.7 Case reports.
• 3.8 The traditional hierarchy of evidence.
• 3.9 A note on ethical considerations.

4 Assessing methodological quality.

• 4.1 Was the study original?
• 4.2 Whom is the study about?
• 4.3 Was the design of the study sensible?
• 4.4 Was systematic bias avoided or minimised?
• 4.5 Was assessment 'blind'?
• 4.6 Were preliminary statistical questions addressed?
• 4.7 Summing up.

5 Statistics for the non-statistician.

• 5.1 How can non-statisticians evaluate statistical tests?
• 5.2 Have the authors set the scene correctly?
• 5.3 Paired data, tails, and outliers.
• 5.4 Correlation, regression and causation.
• 5.5 Probability and confidence.
• 5.6 The bottom line.
• 5.7 Summary.

6 Papers that report trials of drug treatments and other simple interventions.

• 6.1 ‘Evidence’ and marketing.
• 6.2 Making decisions about therapy.
• 6.3 Surrogate endpoints.
• 6.4 What information to expect in a paper describing an RCT: the CONSORT statement.
• 6.5 Getting worthwhile evidence out of a pharmaceutical representative.

7 Papers that report trials of complex interventions.

• 7.1 Complex interventions.
• 7.2 Ten questions to ask about a paper describing a complex intervention.

8 Papers that report diagnostic or screening tests.

• 8.1 Ten men in the dock.
• 8.2 Validating diagnostic tests against a gold standard.
• 8.3 Ten questions to ask about a paper that claims to validate a diagnostic or screening test.
• 8.4 Likelihood ratios.
• 8.5 Clinical prediction rules.

9 Papers that summarise other papers (systematic reviews and meta-analyses).

• 9.1 When is a review systematic?
• 9.2 Evaluating systematic reviews.
• 9.3 Meta-analysis for the non-statistician.
• 9.4 Explaining heterogeneity.
• 9.5 New approaches to systematic review.

10 Papers that tell you what to do (guidelines).

• 10.1 The great guidelines debate.
• 10.2 How can we help ensure that evidence-based guidelines are followed?
• 10.3 Ten questions to ask about a clinical guideline.

11 Papers that tell you what things cost (economic analyses).

• 11.1 What is an economic analysis?
• 11.2 Measuring the costs and benefits of health interventions.
• 11.3 Ten questions to ask about an economic analysis.
• 11.4 Conclusion.

12 Papers that go beyond numbers (qualitative research).

• 12.1 What is qualitative research?
• 12.2 Evaluating papers that describe qualitative research.
• 12.3 Conclusion.

13 Papers that report questionnaire research.

• 13.1 The rise and rise of questionnaire research.
• 13.2 Ten questions to ask about a paper describing a questionnaire study.

14 Papers that report quality improvement case studies.

• 14.1 What are quality improvement studies – and how should we research them?
• 14.2 Ten questions to ask about a paper describing a quality improvement initiative.
• 14.3 Conclusion.

15 Getting evidence into practice.

• 15.1 Why are health professionals slow to adopt evidence-based practice?
• 15.2 How much avoidable suffering is caused by failing to implement evidence?
• 15.3 How can we influence health professionals' behaviour to promote evidence-based practice?
• 15.4 What does an 'evidence-based organisation' look like?
• 15.5 How can we help organisations develop the appropriate structures, systems and values to support evidence-based practice?
• 15.6 Why is it so hard to get evidence into policymaking?

Appendices 

• Appendix 1 Checklists for finding, appraising and implementing evidence.
• Appendix 2 Assessing the effects of an intervention.

Index.

 

About the Author 

Trisha Greenhalgh is Professor of Primary Health Care at University College, London and a practising GP. Her main areas of interest are:

• Web based teaching and learning, especially for health care professionals
• Evidence based health care and quality improvement, especially in relation to multiprofessional and interdisciplinary working.
• Health service management, especially organisation, delivery and evaluation of diabetes services in primary care.
• Use of personal narrative to explore the patient's perspective and illness experience, especially in relation to diabetes in minority ethnic groups.

Product Details

• Paperback: 256 pages
• Publisher: BMJ Books; 4 edition (2011)
• Language: English
• ISBN-10: 1444334360
• ISBN-13: 978-1444334364
• Product Dimensions: 8.4 x 5.4 x 0.6 inches

List Price: $47.95 

 

Eiff: Fracture Management for Primary Care 3rd Edition (Expert Consult Series)

From the earliest conception of this book through the publication of this third edition, it has always been our intent to produce a practical user-friendly book that helps clinicians manage their patients who have fractures. We have accomplished this through a systematic approach to each fracture that enables you to find the information you need quickly, including what to look for, what to do in the acute setting, how to manage the fracture long term, and when to refer. The many high-quality radiographs and illustrations help clinicians properly identify those fractures that can be managed by primary care providers and those that need to be referred. The basic systematic format of the text has been retained, but information from the second edition has been significantly revised to include current evidence and references. We have expanded the discussion in the imaging sections for each fracture to include evidence regarding preferred modalities for identifying fractures. Aspects of the emergency care of fractures, including guidelines for emergent referral and greater detail regarding methods for closed reductions for fractures and dislocations, are featured in this edition. New radiographs and illustrations have been added to give you optimal examples of the fractures you will encounter.

This edition builds on the success of the second edition and gives you an even better reference for your practice. One of the most notable changes is the addition of an entire section devoted to step-by-step instructions on applying a variety of splints and casts. Another update in this edition is the inclusion of patient education handouts that can be downloaded from the online version of the book. These handouts will give your patients information about the healing process and the kinds of rehabilitation exercises they can do to return to full activity after an injury. The online book also includes videos covering techniques for splinting and reducing dislocations.

We would like to thank the many individuals who helped us in the preparation of this edition. We thank our contributing authors for their assistance with individual chapters and the appendix: Ryan Petering, MD (Finger Fractures and Carpal Fractures), Charles Webb, MD (Metacarpal Fractures), John Malaty, MD (Facial and Skull Fractures), Adam Prawer, MD (Radius and Ulna Fractures), Michael Seth Smith, MD (Metatarsal Fractures), and Michael Petrizzi, MD, and Timothy Sanford, MD (Appendix). We thank Walter Calmbach, MD, for his contribution to the first two editions of the book. We also thank Janice Gaillard, senior developmental editor, at Elsevier for her guidance and advice. And finally, we are grateful to the many practicing clinicians who have encouraged us to take this next step in pursuit of our vision to give you the most accurate and practical working guide to fracture management.

-- M. Patrice Eiff and Robert L. Hatch

Key Features

• Access the information you need, the way you need it with a template format for presenting each type of fracture.
• Diagnose fractures accurately with the many high-quality images.
• Clearly see the anatomic relationships of bones and joints through schematic illustrations.
• Reference key information quickly and easily thanks to one-page management tables that summarize pertinent aspects of diagnosis and treatment.
• Treat displaced fractures using detailed, step-by-step descriptions of the most common reduction techniques.

Website Features

• Consult the book from any computer at home, in your office, or at any practice location.
• Instantly locate the answers to your clinical questions via a simple search query.
• Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.

Contents

Introduction

• Fracture Management: A Personal View

Chapter 1 - Fracture Management by Primary Care Providers

• Primary Care Physicians 
• Nurse Practitioners and Physician Assistants
• References

Chapter 2 - General Principles of Fracture Care

• Bone Composition
• Fracture Healing
• Potential Fracture Sites
• Fracture Description
• Fracture Selection
• Overview of Acute Management
• Overview of Definitive Care
• Late Fracture Complications
• Management of Pediatric Fractures

Chapter 3 - Finger Fractures

• Distal Phalanx Fractures
• Mallet Finger
• Flexor Digitorum Profundus Avulsion (Jersey Finger)
• Distal Interphalangeal Joint Dislocation
• Middle Phalanx Shaft Fractures (Adult)
• Middle Phalanx Fractures (Pediatric)
• Proximal Interphalangeal Joint Injuries
• Proximal Phalanx Shaft Fractures (Adult)
• Pediatric (Physeal) Fractures of the Proximal Phalanx
• Dislocations and Ligament Injuries of the Metacarpophalangeal Joint
• Dislocations and Ligament Injuries of the Thumb Metacarpophalangeal Joint

Chapter 4 - Metacarpal Fractures

• Metacarpal Head
• Metacarpal Neck
• Metacarpal Shaft
• Metacarpal Base
• Dislocations of the Carpometacarpal Joint
• First Metacarpal Fractures (Adult)
• First Metacarpal Fractures (Pediatric)

Chapter 5 - Carpal Fractures

• Scaphoid Fractures (Adult)
• Triquetrum Fractures
• Lunate Fractures
• Hamate Fractures
• Capitate Fractures
• Pisiform Fractures
• Trapezium Fractures
• Trapezoid Fractures
• Carpal Dislocations

Chapter 6 - Radius and Ulna Fractures

• Distal Radius Fractures (Adult)
• Distal Radius Fractures (Pediatric)
• Fractures of the Shaft of the Radius (Adult): Galeazzi's Fracture
• Fractures of the Shaft of the Radius (Pediatric)
• Both-Bone Forearm Fractures (Adult)
• Both-Bone Forearm Fractures (Pediatric)
• Fractures of the Ulnar Shaft
• Monteggia's Fractures (Adult)
• Monteggia's Fractures (Pediatric)
• Wrist Dislocations (Radiocarpal Joint)

Chapter 7 - Elbow Fractures

• Radial Head and Neck
• Olecranon
• Distal Humerus (Adult)
• Distal Humerus (Pediatric)
• Elbow Dislocation

Chapter 8 - Humerus Fractures

• Anatomic Considerations
• Proximal Humerus Fractures (Adult)
• Proximal Humerus Fractures (Pediatric)
• Midshaft Fractures of the Humerus
• Shoulder (Glenohumeral) Dislocations

Chapter 9 - Clavicle and Scapula Fractures

• Clavicle Fractures
• Scapula Fractures

Chapter 10 - Spine Fractures

• Cervical Spine Fractures (Adult)
• Cervical Spine Fractures (Pediatric)
• Thoracolumbar Spine Fractures (Adult)
• Thoracolumbar Spine Fractures (Pediatric)
• Spondylolysis
• Nontraumatic Thoracolumbar Fractures
• Tumors
• Vertebral Osteomyelitis

Chapter 11 - Femur and Pelvis Fractures

• Femoral Neck Fractures
• Intertrochanteric Fractures
• Trochanteric Fractures
• Femoral Shaft Fractures
• Stress Fractures of the Femur
• Hip Dislocations
• Pelvic Fractures
• Acetabular Fractures

Chapter 12 - Patellar, Tibial, and Fibular Fractures

• Patellar Fractures And Dislocations
• Tibial Fractures
• Fibular Fractures

Chapter 13 - Ankle Fractures

• Ankle Fractures (Adult)
• Ankle Fractures (Pediatric)
• Ankle Dislocation

Chapter 14 - Calcaneus and Other Tarsal Fractures

• Calcaneus Fractures (Adult)
• Calcaneus Fractures (Pediatric)
• Talus Fractures (Adult)
• Talus Fractures (Pediatric)
• Navicular Fractures (Adult)
• Navicular Fractures (Pediatric)
• Cuboid and Cuneiform Fractures

Chapter 15 - Metatarsal Fractures

• Fractures of the Metatarsal Shafts
• Stress Fractures of the Metatarsal Shafts
• Proximal Fractures of the First through Fourth Metatarsals
• Stress Fracture of the Fifth Metatarsal Diaphysis

Chapter 16 - Toe Fractures

• Toe Fractures
• Toe Dislocations
• Sesamoid Fractures

Chapter 17 - Facial and Skull Fractures

• Nasal Fractures
• Fractures of Other Facial Bones
• Skull Fractures

Chapter 18 - Rib Fractures

• Anatomic Considerations
• Mechanism of Injury
• Rib Fractures after Trauma
• Stress Fractures of the Ribs

Appendix (Casting and Splinting)

• General Principles about Splinting and Casting
• Short-Arm Cast CPT 29075
• Short-Arm Thumb Spica Cast CPT 29075
• Long Arm Cast CPT 29065
• Long-Arm Thumb Spica Cast CPT 29065
• Short-Leg Cast: Non–Weight Bearing (CPT 29405) and Weight Bearing (CPT 29425)
• Long-Leg Cast CPT 29345,355 or 365
• Ulnar Gutter Splint CPT 29105
• Upper Extremity Sugar Tong Splint CPT Code 29125
• Thumb Spica Sugar Tong Splint CPT Code 29105
• Lower Extremity Splint (Three-Sided Immobilization) CPT 29505

About the Authors

• M. Patrice Eiff, MD, Professor, Department of Family Medicine, Oregon Health and Science University, Portland, Oregon.
• Robert Hatch, MD, MPH, Professor, Department of Community Health and Family Medicine, University of Florida, Gainesville, Florida.
• Mariam K. Higgins, Medical Illustrator, Portland, Oregon.

Product Details

• Paperback: 400 pages
• Publisher: Saunders; 3 edition (August 8, 2011)
• Language: English
• ISBN-10: 143770428X
• ISBN-13: 978-1437704280

 

List Price: $79.95 

 

Dunphy: Primary Care: Art and Science of Advanced Practice Nursing 3rd edition

The premier reference for advanced practice nurses providing primary care, written by nurse practitioners for nurse practitioners in collaboration with a physician! 

This respected text offers a solid understanding of the theoretical foundation of nursing practice as well as comprehensive patient-care guidance based on the latest scientific evidence. 

Thoroughly updated and revised, the 3rd Edition examines diseases and disorders of every body system as well as men's health, women's health, psychosocial problems, and more. It also presents new coverage of pathophysiology, diagnostic reasoning, evidence-based practice, geriatrics, and pediatrics. 

Clear, concise, readable, well organized, and easy to follow, the text, together with the resources online at DavisPlus, offers complete coverage of of the APRN's role as a primary care provider.

Contents

I. Advanced Practice Nursing: The Art

• 1. Advanced Practice Nursing in the Twenty-First Century
• 2. Caring and the Advanced Practice Nurse
• 3. Health Promotion
• 4. The Art of Diagnosis and Treatment

II. Caring-Based Nursing: The Science

• 5. Evidence-Based Care
• 6. Neurologic Problems
• 7. Skin Problems
• 8. Eyes, Ears, Nose, and Throat Problems
• 9. Respiratory Problems
• 10. Cardiovascular Problems
• 11. Abdominal Problems
• 12. Renal Problems
• 13. Men’s Health Problems
• 14. Women’s Health Problems
• 15. Musculoskeletal Problems
• 16. Endocrine and Metabolic Problems
• 17. Hematologic and Immune Problems
• 18. Psychosocial Problems
• 19. Emergency Problems
• 20. Palliative Care

III.Caring-Based Nursing: The Practice

• 21. Ethical and Legal Issues of a Caring-Based Practice
• 22. The Business of Advanced Practice
• 23. The 15-Minute Hour: A Short-Term Approach to Psychotherapy in Primary Care
• 24. Putting Caring into Practice: Caring for Self

Appendices

• A. Physiological Influences of the Aging Process
• B. Laboratory Test Variations in the Older Adult

Key Features

• Serves the needs of advanced practice nurses because it’s written by nurse practitioners for nurse practitioners, in collaboration with a physician.
• Organizes content around the Circle of Caring framework for nursing-based knowledge and holistic care.
• Explores complementary and alternative treatments for each disorder.
• Considers interactions of pharmaceuticals with alternative medications and nutraceuticals.
• Features chapters on decision-making, palliative care, psychotherapy in primary care, self care, and the business of advanced practice.

New to this edition

• Features enhanced coverage of pathophysiology and diagnostic reasoning as well as up-to-dated guidance on laboratory and diagnostic tests.
• Emphasizes evidence-based practice with new information on evidence levels and more references to primary studies.
• Integrates new discussions of health policy and primary care throughout the text.
• Presents more information on pediatrics and geriatrics based on new advanced practice guidelines.
• Includes new content relevant to Doctor of Nursing Practice (DNP) programs.
• Offers two new appendices on the aging process and the older adult.
• Includes new coverage of coding and billing.
• Delivers enhanced teaching and learning resources online at DavisPlus.

About the Author

• Lynne M. Dunphy, PhD, APRN, BC, Professor of Nursing, University of Rhode Island, Kingston, Rhode Island.
• Jill E. Winland-Brown, EdD, MSN, FNP-BC, Professor and Family Nurse Practitioner, Christine E. Lynn College of Nursing, Treasure Coast Campus, Florida Atlantic University, Port St. Lucie, Florida.
• Brian Oscar Porter, MD, PhD, MPH, Adjunct Intramural Investigator, National Institutes of Health, National Institute of Allergy and Infectious Diseases, Laboratory of Immunoregulation, Clinical and Molecular Retrovirology Section, Bethesda, Maryland and Medical Officer, Food and Drug Administration, Center for Drug Evaluation and Research Office of New Drugs, Division of Pulmonary, Allergy, and Rheumatology Products, Silver Spring, Maryland.
• Debera J. Thomas, DNS, RN, FNP/ANP, Dean and Professor, School of Nursing, Northern Arizona University, Flagstaff, Arizona.

Product Details

• Hardcover: 1307 pages
• Publisher: F.A. Davis Company; 3rd edition (April 6, 2011)
• Language: English
• ISBN-10: 0803622554
• ISBN-13: 978-0803622555
• Product Dimensions: 11 x 8.9 x 2.3 inches

List Price: $135.00

Schalock: Lippincott's Primary Care Dermatology

Lippincott's Primary Care Dermatology will help family practitioners, internists, nurse practitioners, and physician assistants understand, diagnose, and treat dermatologic problems commonly seen in the primary care setting. Emphasis on day-to-day outpatient office practice distinguishes Lippincott's Primary Care Dermatology from other dermatology textbooks. Coverage includes adult, geriatric, and ethnic skin.
Each diagnosis begins with a realistic case and includes detailed discussions of pathogenesis, diagnostic methods, and therapy. An "at a glance" therapy section summarizes primary and secondary treatments to make treatment decisions easier. The book includes over 300 full-color images of skin lesions, numerous patient handouts, and a folded-in anatomical chart for the office.
A companion website will include the fully searchable text and an image bank.

Book Features

• Full-color series design.
• Over 300 full-color images of skin lesions.
• Patient cases for each representative diagnosis.
• "At a glance" therapy sections quickly review primary and secondary treatments.
• Many tables for easy consideration of related diagnoses and treatments.
• Covers adult, geriatric, and ethnic skin.
• Folded-in anatomical chart for the office.
• Patient education handouts. 

Contents

Chapter 1: Basic Definitions and Differential Diagnosis
Chapter 2: Topical Therapy
Chapter 3: Procedures in Dermatological Diagnosis and Therapy
Chapter 4: Care and Maintenance of Normal Skin
Chapter 5: Bacterial Diseases
Chapter 6: Acne and Related Disorders
Chapter 7: Premalignant and Malignant Skin Lesions
Chapter 8: Dermatological Reactions to Arthropods
Chapter 9: Fungal Infections
Chapter 10: Viral Infections of the Skin
Chapter 11: Benign Neoplasms
Chapter 12: Papulosquamous Diseases
Chapter 13: Sexually Transmitted Diseases

• Non-venereal Skin Disease
• Human Papillomavirus Infection
• Genital Ulcer Disease
• External Markers of HIV

Chapter 14: Pigmentary Disorders
Chapter 15: Dermatitis
Chapter 16: Skin of Color
Chapter 17: Geriatric Dermatology
Chapter 18: Dermatoses of Pregnancy
Chapter 19: Newborn Skin Conditions
Chapter 20: Leg Ulcers and Decubitus Ulcers
Chapter 21: Urticaria
Chapter 22: Ultraviolet Light Reactions
Chapter 23: Bullous Diseases

• Autoimmune Bullous Diseases
• Pemphigus Vulgaris
• Bullous Pemphigoid
• Erythema Multiforme
• Stevens Johnson Syndrome / Toxic Epidermal Necrolysis

Chapter 24: Hair Loss
Chapter 25: Common Disorders of the Nail Apparatus
Chapter 26: Connective Tissue Disease and Vasculitis Related Dermatoses

• Systemic Lupus Erythematosus
• Chronic Cutaneous Lupus
• Dermatomyositis
• Rheumatoid Arthritis / Nodules
• Morphea / Scleroderma / CREST Syndrome
• Henoch-Schoenlein Purpura

Chapter 27: Other Dermatologic Conditions
Index 

Book Details 

• Hardcover: 576 pages
• Publisher: Lippincott Williams & Wilkins; 1 Har/Chrt edition (September 16, 2010)
• Language: English
• ISBN-10: 0781793785
• ISBN-13: 978-0781793780
• Product Dimensions: 10.9 x 8.6 x 1.2 inches

List Price: $87.50

Pfenninger and Fowler's Procedures for Primary Care 3rd Edition: Expert Consult - Online and Print

The face of medicine has changed drastically since the first edition of this text was published in 1994. The intervening 16 years have seen a revolution in computers and technology. New procedures have been introduced. Electronic medical records are being rapidly adopted. The government has just passed a new healthcare reform bill. Medicine has become more regulated and much more of a business. The vision of the family physician “who can provide a breadth and continuity of commonly needed healthcare services for adults and children; who can deliver babies, manage simple fractures, counsel single parents, go to the hospital, maintain an office, and, when all else fails, comfort the dying; … who provides healthcare from the nursery to the nursing home, without taking the patient to the poorhouse along the way,” as defined by Dr. Rodney in the forward to the first edition, becomes more elusive.
This indeed is a time of change. Rapid change. Warp speed change. A time of excitement and confusion. A time of bewilderment and futuristic goals. A time for huge potential growth.
The primary care clinician stands at the threshold of this change. Measuring quality has been implemented. The Family Medical Home has been introduced and is being incorporated into routine care by many. It is now the focus of hope to manage healthcare delivery in the future.
In all this change and turmoil, we must be careful to recall that the care of the patient remains the primary goal of the medical system. The goal is not to meet some time constraint for an office visit or hospital stay, or to follow some protocol or clinical guideline, or to meet the budget. Rather, the goal of our care is the health of our patients and their families. That goal gives us our purpose and is the reason we became physicians, clinicians, and healers.
Having primary care providers perform procedures still makes sense in the new order of healthcare. It can be a part of the proposed Family Medical Home. Many of these procedures can be performed in the office, which reduces cost. They can be offered by clinicians who know their patients, which the patients appreciate. Performing procedures in the office reduces the time needed to complete referrals to other specialists and reduces delay in the diagnosis and treatment of many conditions. It also makes it easier to document that necessary procedures were actually performed and that patients were not lost in the system. If healthcare reimbursement becomes more “bundled,” it will make sense for the primary care clinician to provide even more procedural care. Performing procedures is also rewarding for practitioners and can enhance their enjoyment of the practice of medicine. That said, the quality of the procedures performed can and must meet or surpass the highest of standards. This text helps meet that goal.
We appreciate the feedback we have received on the first two editions. New features in this edition include colored photos and two complete new sections: Aesthetic Medicine and Hospitalist Procedures. Adding these sections reflects some of the changes in medicine. The patient's desire to look younger and healthier has been coupled with advancements in technology to accomplish just that. Hospitalist care has become the norm and is more focused and complicated; yet the associated procedures are not out of the range of primary care clinicians. Family physicians and other primary care clinicians, because of their breadth and depth of training, can step up to these new areas of healthcare and bring these procedures to their patients.
Times change. The experts, academics, and politicians move on. New technology and procedures are invented. But the need for that healer and caregiver who really does care will never change. The fear and trepidation that a patient often experiences can only be alleviated by the touch, the words, and the expertise of the caring clinician. In our search for the knowledge and expertise to perform the procedures presented in this text, we should never forget that, first and foremost, we are people who treat patients and their families, not just their symptoms. We learn and gain the skills to perform the procedures reviewed in this text to aid healing. Procedures are not goals unto themselves; rather, they are included in our expertise as another way to help people feel better and be healthier.

John L. Pfenninger and Grant C. Fowler

Pfenninger and Fowler's Procedures for Primary Care, 3rd Edition is a comprehensive, "how-to" resource offering step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care clinicians. Designed for everyday practice, the outline format allows speedy reference while the detailed text and clear illustrations guide you through each procedure. The new edition of this best-selling book features full-color illustrations and easy access to the complete contents and illustrations, patient forms, and more online at www.expertconsult.com.

Book Features

• Understand how to proceed, step by step, thanks to detailed text and illustrations.
• Locate critical information at a glance with numerous boxes and tables.
• Use the book for years with minimal wear and tear thanks to its sturdy cover.
• Patient education handouts to educate, save time, and reduce liability
• Coding guidelines included

New in this edition

• This best selling text now includes full-color photos and new sections on Aesthetic and Hospitalist Procedures in addition to an update of all the previous procedures discussed in prior editions!
• Access the complete contents and illustrations online, download patient education handouts and consent forms, view lists of device manufacturers, and more at www.expertconsult.com.
• Offer your patients a variety of cosmetic procedures using lasers and pulsed-light devices (including individual chapters on procedures for hair removal, photorejuvenation, skin tightening and skin resurfacing, and tattoo removal), and botulinum toxin, as well as new coverage of cosmeceutical skin care, tissue fillers, and photodynamic therapy.
• Master new procedures such as maggot treatment for chronic ulcers, endovenous vein closure, stress echo, insertion of the contraceptive capsule (Implanon) and tubal implant (Essure), musculoskeletal ultrasound, no-needle/no-scalpel vasectomy, procedures to treat acute headaches, and more.
• Don't worry! All the more basic office procedures are still included...with improved and updated discussions!

Pfenninger and Fowler provide the latest and most comprehensive information on medical procedures that allow primary care physicians to more effectively treat their patients.

About the Author

• John Pfenninger, MD, FAAFP, Director, The National Procedures Institute, Midland, MI; Clinical Professor, Department of Family Practice, Michigan State College of Human Medicine, East Lansing, MI; and 
• Grant C Fowler, MD, Professor and Vice Chair, Department of Family Practice & Community Medicine, University of Texas Houston Health Science Center Medical School, Houston, TX. 

Contents
Part One Anesthesia

• Bier Block
• Conscious Sedation
• Epidurals
• Local Anesthesia
• Local and Topical Anesthetics Complications
• Nitrous Oxide Sedation
• Pediatric Sedation
• Peripheral Nerve Blocks and Field Blocks
• Site Specific and Facial Anesthesia
• Technique of Trigger Point Injection
• Topical Anesthesia

Part Two Dermatology

• Acne Therapy
• Approach to Various Skin Lesions
• Burn Treatment
• Cryosurgery
• Dermoscopy
• Fishhook Removal
• Flaps and Plasties
• Foreign Body Removal from Skin and Soft Tissue
• Fungal Cultures
• Incision and Drainage of an Abscess
• Incisions: Planning the Direction of the Cut
• Laceration and Incision Repair
• Laceration and Incision Repair: Needle Selection
• Laceration and Incision Repair: Suture Selection
• Laceration and Incision Repair: Suture Tying
• Laser Therapy
• Mucocoele Removal
• Nail Bed Repair
• Nail Plate and Nail Bed Biopsy
• Radiofrequency Surgery
• Ring Removal from an Edematous Finger
• Skin Biopsy
• Skin Grafting
• Skin Stapling
• Subungual Hematoma Evacuation
• Tick Removal
• Tissue Glues
• Hypertrophic Scars and Keloids
• Ingrown Toenails
• Trichiasis
• Topical Hemostatic Agents
• Unna Paste Boot
• Wart (verruca) Treatment
• Wood's Light Examination
• Wound Dressing

Part Three Aesthetics

• Body Piercing
• Botox (Botulinum A Exotoxin
• Collagen Injections
• Dermasanding (Manual Dermabrasion)
• Hair Removal
• Microdermabrasion
• Skin Peels (Chemical, Laser)
• Tattoo Removal

Part Four Eyes, Ears, Nose and Throat

• Section One: Eyes
• Chalazion and Hordeolum
• Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies
• Slit Lamp Exam
• Tonometry
• Visual Function Evaluation
• Section Two: Ears, Nose and Throat
• Audiometry
• Auricular Hematoma Evacuation
• Bifid Earlobe Repair
• Cerumen Impaction Removal
• Ear Piercing
• Myringotomy and Tympanocentesis
• Reduction of Dislocated Temporomandibular Joint (with TMJ Syndrome Exercises)
• Tympanometry
• Removal of Foreign Bodies from the Ear and Nose
• Flexible Fiberoptic Rhinolaryngoscopy
• Management of Epistaxis
• Nasal Turbinate Reduction
• Emergency Cricothyroidotomy and Tracheostomy
• Indirect Mirror Laryngoscopy
• Peritonsillar Abscess Drainage
• Reimplantation of an Avulsed Tooth
• Tongue-Tie Snipping (Frenotomy) for Ankyloglossia

Part Five Cardiovascular and Respiratory

• Ambulatory Blood Pressure Monitoring
• Ambulatory Phlebectomy
• Arterial Puncture
• Carioversion
• Central Venous Catheter Insertion
• Chest Tube Insertion and Removal
• Endotracheal Intubation
• Holter Monitoring
• Noninvasive Venous and Arterial Studies of the Lower Extremities
• Office Electrocardiograms
• Percutaneous Arterial Line Placement
• Pericardiocentesis
• Pulmonary Function Testing
• Sclerotherapy: Injection
• Sclerotherapy: Radiofrequency
• Stress (Exercise) Testing
• Swan-Ganz Catheterization
• Temporary Pacing
• Thoracentesis
• Venous Cutdown

Part Six Gastrointestinal

• Abdominal Paracentesis
• Anal Fissure/Lateral Sphincterotomy
• Anorectal Anatomy and Examination
• Anoscopy
• Colonoscopy
• Esophagogastroduodenoscopy (EGD)
• Fecal Impaction Removal
• Flexible Sigmoidoscopy
• Gastric Lavage
• Inguinal Hernia Reduction
• Nasogastric Tube and Salem Sump Insertion
• Office Treatment of Hemorrhoids
• Perianal Abscess Incision and Drainage Fistulas
• Perianal Skin Tags (External Hemorrhoidal Skin Tags)
• Pilonidal Cyst/Abscess Incision and Drainage
• Peritoneal Lavage:Diagnostic

Part Seven Urinary

• Bladder Catheterization
• Diagnostic Cystourethroscopy
• Suprapubic Catheter Insertion/Change
• Suprapubic Taps or Aspirations
• Bedside Urodynamic Studies for Urinary Incontinence
• Urodynamics

Part Eight Male Reproductive System

• Adult Circumcision
• Androscopy
• Dorsal Slit for Phimosis
• Prostate Biopsy
• Prostate Massage
• Prostate and Seminal Vesicles Ultrasonography
• Self-Injection Therapy for the Treatment of Erectile Dysfunction
• Sperm Banking
• Implantable Hormone Pellets for Testosterone Deficiency
• Vacuum Devices for Erectile Dysfunction
• Vesectomy

Part Nine Gynecology and Female Reproductive System

• Abortion: Medical
• Abortion: Surgical
• Barrier Contraceptives: Cervical Cap, Vaginal Condom, and Diaphragm Fitting
• Bartholin's Cyst/Abscess: Word Catheter Insertion Marsupialization
• Breast Biopsy
• Cervical Cerclage
• Cervical Conization
• Cervical Polyps
• Cervical Stenosis/Cervical Dilation
• Cervicography
• The Colposcopic Examination
• Contraceptive Implants (Norplant) Insertion and Removal
• Cryocone of the Cervix
• Culdocentesis (Colpocentesis)
• Diagnostic Hysteroscopy
• Dilation and Curettage
• DNA Sampling: Cervix and Other
• Endometrial Biopsy
• Hysterosalpingography
• IUD Insertion
• IUD Removal
• Loop Electrosurgical Excision Procedure (LEEP) for Treating CIN
• Pap Smear and Related Techniques for Cervical CA Screening
• Permanent Female Sterilization (Tubal Ligation
• Pessaries
• Postcoital Examination Test or Sims-Huhner Test
• Speculoscopy
• Treatment of Noncervical Condyloma Acuminata
• Endometrial Ablation
• Vaginal Exam of the Female for Rape
• Vaginal Exam of the Young Female for Possible Sexual Abuse
• Vulvar Biopsy
• Wet smear and KOH Preparation

Part Ten Obstetrics

• Amniocentesis
• Caesarean Section
• Cervical Ripening/Vaginal Prostaglandins
• Contraction Stress Test, Nonstress Test, and Spontaneous Fetal Movement Counting
• Episiotomy
• External Cephalic Version
• Fetal Scalp Electrode Application
• Forceps and Vacuum Extraction (Assisted Vaginal Delivery)
• Intrathecal Analgesia
• Intrauterine Pressure Catheter (IUPC) Insertion
• Obstetric Ultrasound
• Paracervical Block
• Pudental Anesthesia
• Saddleblocks
• Transcervical Amnioinfusion
• Vaginal Delivery

Part Eleven Pediatrics

• DeLee Suctioning
• Dorsal Penile Nerve Block
• Intraosseous Venous Access (IOVA)
• Neonatal Resuscitation
• Newborn Circumcision
• Pediatric Arterial Puncture and Venous Cutdown
• Suprapubic Bladder Aspiration
• Umbilical Artery Catheterization

Part Twelve Orthopedics

• Ankle Splinting, Taping, and Casting
• Cast Immobilization
• Compartment Syndrome Evaluation
• Diagnostic Needle Arthroscopic Lavage and Biopsy
• Extensor Tendon Repair
• Fracture Care
• Ganglion Treatment
• Joint and Soft Tissue Aspiration and Injection
• Knee Braces
• Nursemaid's Elbow: Subluxation of the Radial Head
• Orthoses, Plantar Warts, Corns, and Calluses
• Osteoporosis Screening
• Shoulder Dislocations

Part Thirteen Osteopathic

• Osteopathic Manipulative Medicine

Part Fourteen Alternative Medicine

• Acupuncture

Part Fifteen Miscellaneous

• Allergy Testing and Immunotherapy
• Anaphylaxis
• Antibiotic Prophylaxis for Bacterial Endocarditis
• Biofeedback
• Body Fat Analysis
• Bone Marrow Aspiration and Biopsy
• Drawing Blood for Bone Culture
• Emergency Department and Office Ultrasound
• Fine-Needle Aspiration Cytology and Biopsy
• Heimlich Maneuver
• Hypnosis
• Lumbar Puncture
• Muscle Biopsy
• TENS Unit, Phonophoresis, Iontophoresis
• Venous Methylene Blue Intravenous Therapy
• Appendices
• Commonly Used Instruments
• Informed Consent
• Latex Allergy Guidelines
• Pearls of Practice
• Resources for Learning Procedures
• Supplier Information
• Universal Precautions

Product Details

• Hardcover: 1776 pages
• Publisher: Saunders; 3 edition (September 23, 2010)
• Language: English
• ISBN-10: 0323052673
• ISBN-13: 978-0323052672
• Product Dimensions: 11.1 x 8.8 x 2.5 inches 

List Price: $139.00

Zuckerman Parker Handbook of Developmental & Behavioral Pediatrics for Primary Care 3rd Edition

The thoroughly updated Third Edition of The Zuckerman Parker Handbook of Developmental and Behavioral Pediatrics for Primary Care provides practical guidance on diagnosing and treating children with developmental and behavioral problems in the primary care setting.

• Talking with Parents
• Talking with Children
• Teachable Moments in Primary Care
• Touchpoints of Anticipatory Guidance in the First Three Years
• Difficult Encounters with Parents
• Helping Families Deal with Bad News
• Promoting Early Literacy
• Family Systems
• Dealing with Difficult Child Behavior in the Office
• Promoting Parental Self Understanding
• Behavioral Screening
• Developmental Screening
• Screening for Social & Emotional Delays in Early Childhood
• Behavioral Management: Theory & Practice
• Coping with Stressful Transitions
• Managing Behavior
• Pain
• Early Child Development in Low & Middle Income Countries
• Self Regulation Therapy
• Psychopharmacology
• Abdominal Pain
• Anorexia Nervosa & Bulimia
• Anxiety Disorders
• Asperger's Syndrome
• Attention Deficit Hyperactivity Disorder
• Autistic Spectrum Disorders
• ASD Alternative Therapy
• ASD Treatment
• Bad News in the Media
• Bipolar Disorder in Children
• Biting Others
• Breath Holding
• Bullying
• Cerebral Palsy
• The Child with Dysmorphism
• Chronic Illness
• Colic
• Depression
• Down Syndrome
• Encopresis
• Enuresis
• Failure to Thrive
• Fears
• Fetal Alcohol Syndrome
• Fragile X Syndrome
• Gay, Lesbian & Bisexual Youth
• Gender Identity Disorders
• The Gifted Child
• Headaches
• Hearing Loss
• Intellectual Disability: Behavioral Problems
• Intellectual Disability: Diagnostic Evaluation
• Language Delays
• Lying, Cheating & Stealing
• Masturbation
• Motor Delays
• Neglect
• Nightmares & Night Terrors
• Oppositional Behavior
• Oppositional Defiant Disorder
• Overweight
• Physical Abuse
• The Picky Eater
• Post Traumatic Stress Disorder (PTSD) in Children
• Prematurity: Primary Care Follow-up
• School Avoidance
• School Failure
• School Readiness
• Selective Mutism
• Self-Esteem & Resilience
• Sensory Integration Disorder
• Sex and the Adolescent
• Sexual Abuse
• Shyness
• Sleep Problems
• Speech-Sound Disorders
• Stuttering
• Substance Abuse in Adolescence
• Suicide
• Temper Tantrums
• Temperamentally Difficult
• Thumb Sucking
• Tics & Tourette's Syndrome
• Toilet Training
• Unpopular Children
• Violent Youth
• Visual Impairment
• Witness to Violence
• Adoption
• Bereavement & Loss
• Bilingualism
• Child Care
• Cultural Competence
• Death in a Child
• Divorce
• Foster Care
• Health Literacy
• Incarcerated Parents
• Lesbian & Gay Parents
• Media
• Military Parents
• Screening for Maternal Mental Health Problems
• Sibling Rivalry
• Single Parents
• Stepfamilies
• Twins
• Vulnerable Children
• Appendices
• PSC
• ELMS
• Temperament Scale

Written in outline format, Zuckerman Parker Handbook of Developmental & Behavioral Pediatrics for Primary Care 3rd Edition enables readers to easily find the information they need to make diagnostic and management decisions. Recommended readings for both physicians and parents are included.

Coverage ranges from everyday problems such as biting and social avoidance to serious and complex psychiatric disorders such as anorexia and depression. This edition includes new chapters on dealing with difficult child behavior in the office; alternative therapy for autism spectrum disorders; treatment of autism spectrum disorders; oppositional defiant disorder; bilingualism; health literacy; incarcerated parents; and military parents.

A companion website includes the fully searchable text.

Key Features

• New Chapter:
• Alternative therapy in autism spectrum disorders
• Treatment of autism spectrum disorders
• Bilingualism
• Dealing with difficult child behavior in the office
• Health literacy
• Incarcerated parents
• Military parents
• Oppositional defiant disorder
• Two-color design
• Outline format
• Written by experts in the field

Book Details

• Paperback: 560 pages
• Publisher: Lippincott Williams & Wilkins; Third edition (October 1, 2010)
• Language: English
• ISBN-10: 1608319148
• ISBN-13: 978-1608319145
• Product Dimensions: 9 x 6 x 0.9 inches

List Price: $72.00 

 

McKeag: ACSM's Primary Care Sports Medicine 2nd Edition

The generation of the Second Edition of Primary Care Sports Medicine mercifully did not take the same amount of time as the generation of the First Edition. As editors, it was our intent to update and replicate all of the strong points of the First Edition.

This book remains organized in a similar fashion to the First Edition. However, where the First Edition had two authors, the Second Edition has two editors and many authors. By necessity, a number of different writing styles are present when compared to the First Edition, as this is a compilation work. However, there is a common thread—most of the authors of this text book are graduates or faculty of the Primary Care Sports Medicine Fellowship Program at Michigan State University, University of Pittsburgh, or Indiana University.

Our goals for this book have not changed from its pre-decessor. We continue to hope that it will serve as a compendium of how to do things right in sports medicine. We have continued to emphasize the concepts of prevention and rehabilitation.

The book continues to take a philosophical approach to Sports Medicine and should not be thought of purely as a reference work. In order for a physician to work within his or her profession, he/she needs a philosophical approach. This remains extremely important in the area of Primary Care Sports Medicine. We feel this book emphasizes such important points.

We want to take this opportunity to thank our colleagues for all the support they have provided us through the years in the field of Sports Medicine. This is especially true for our “learners”—students, residents, and fellows—that have honored us with their interest and enthusiasm for Primary Care Sports Medicine. Finally, and perhaps most importantly, we'd like to thank the athletes who have served not only as our patients, but as our teachers.

Special acknowledgment needs to be given to many people including those mentioned in the Preface to Edition 1. Others include: Jim Moriarity, MD; Steve Simons, MD; Al Tomchaney, MD; Mark Walsh, MD; John Downs, DO; Matthew Roush, MD; Harry Galanty, MD; William “Sandy” Quillen, PT; John L. Turner, MD; Jim Herndon, MD; Donald B. Middleton, MD.

We are grateful to several people who helped make this book possible. At Lippincott Williams & Wilkins, a phenomenal job of organizational prodding and editing was done by Jenny Koleth. She definitely set a high standard and this text is a tribute to her effort. At the American College of Sports Medicine, D. Mark Robertson, Assistant Executive Vice-President, was instrumental in giving this project direction and encouragement. Finally, thanks to the ACSM Medical Education Committee Review Panel, chaired by Sandra Hoffman, MD, for providing timely overview and suggestions concerning text accuracy.

Medicine is facing enormous challenges today. Sports Medicine is not immune from these challenges. Integrated holistic care of the athlete is no longer a model, but an expectation. Exercise, the most powerful provocateur of health known to mankind has been recognized as such. The job of teaching our colleagues is not done.

It is our hope that this book provides a complete look at the field of Sports Medicine, both philosophically and contextually.

PS: The sophistication of Sports Medicine has grown since the First Edition of this book was published. The Sports Medicine Certificate of Added Qualification [CAQ] is now basically recognized as a subspecialty of the American Boards of Family Practice, Pediatrics, Internal Medicine, Emergency Medicine, and, most recently, physical medicine and rehabilitation. The establishment of the Sports Medicine CAQ offers consumers of sports medicine care a quality assurance heretofore not seen. This book continues to use an updated and amended version of the curriculum upon which the CAQ is based.

Douglas B. McKeag and James L. Moeller

Contents

BASIC SCIENCE AND SPORTS MEDICINE

• Primary Care Perspective
• Epidemiology of Athletic Injuries
• Exercise Physiology and Exercise Testing
• Nutrition

PREVENTIVE SPORTS MEDICINE

• Preparticipation Screening
• Conditioning and Training Programs for Athletes/Nonathletes
• Exercise as Medicine: The Role of Exercise in Treating Chronic Disease
• Injury Prevention
• Covering Athletic Competition

CLINICAL SPORTS MEDICINE

• Management of On-site Emergencies
• Respiratory System
• Gastrointestinal System
• Cardiovascular System
• Head Injuries
• Peripheral Neuropathy
• Genitourinary System
• Dermatologic Conditions in Athletes
• Acute Infections
• Hematology
• Endocrine
• Environment
• Challenged Athletes
• Common Sports-Related Injuries and Illnesses: Generic Conditions
• Head and Neck
• The Shoulder and Upper Extremity
• The Elbow
• Wrist, Hand, and Finger Injuries
• Chest and Abdominal Wall
• Thoracic and Lumbar Spine
• Pelvis, Hip, and Upper Leg
• Knee Injuries
• Lower Leg and Ankle
• Foot and Toes

DIAGNOSTIC STUDIES, REHABILITATION, AND ASSOCIATED AREAS

• Imaging in Sports Medicine
• Rehabilitation
• Sport Psychology
• Drug Use

SPORTS MEDICINE AND YOUR COMMUNITY

• Building a Sports Medicine Practice and Network
• Patient and Community Education on Physical Fitness 

Book Details 

• Hardcover: 672 pages
• Publisher: Lippincott Williams & Wilkins; Second edition (July 3, 2007)
• Language: English 
• ISBN-10: 0781770289
• ISBN-13: 978-0781770286 

List Price: $165.00