Pocket Primary Care 3rd Edition

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GENERAL MEDICINE
Curtis R. Chong, Jared Klein, Warren Chuang
Evidence-Based Medicine
Health Literacy
Disease Screening
Immunizations
The Patient Visit
Care of the “Difficult Patient”
Counseling Patients
Obesity
Chronic Pain
Chronic Opioid Use
Advance Care Planning
Fall Prevention
Perioperative Evaluation

CARDIOLOGY
Nino Mihatov, Ada C. Stefanescu Schmidt, Kenta Nakamura
Approach to the ECG
Coronary Artery Disease
Chest Pain and Noninvasive Testing
Dyslipidemia
Hypertension
Palpitations and Arrhythmias
Atrial Fibrillation and Flutter
Syncope and Orthostasis
Heart Failure
Valvular Heart Disease
Aortic Disease
Carotid Disease
Peripheral Artery Disease
Lower Extremity Edema and Ulcers
Sports and Exercise Clearance
Adult Congenital Disease

DERMATOLOGY
Sarah Gee, Ellen Roh
Approach to Skin Lesions
Common Benign Growths
Acne
Rosacea
Nonmelanoma Skin Cancer
Melanoma
Bites and Infestations
Tinea
Atopic Dermatitis (Eczema)
Dermatitis
Cutaneous Drug Eruptions
Urticaria
Psoriasis
Alopecia
Wound Care
Topical Corticosteroids
Classical Distribution of Common Skin Disorders

ENDOCRINE
Dina Reiss
Diabetes Mellitus
Osteoporosis
Calcium Disorders
Vitamin D Deficiency
Thyroid Disease
Thyroid Nodules
Adrenal Insufficiency
Adrenal Nodules
Pituitary Disorders
Hyperprolactinemia

GASTROINTESTINAL
Long Nguyen, Daniel Sikavi
Abdominal Pain
Gastroesophageal Reflux Disease
Peptic Ulcer Disease
H. Pylori
Dysphagia
Constipation
Diarrhea
Irritable Bowel Syndrome
Celiac Disease
Inflammatory Bowel Disease
Abnormal Lfts
Cirrhosis
Gallstones
Pancreatic Disease
Gi Bleeding
Hemorrhoids
Diverticular Disease

HEMATOLOGY & ONCOLOGY

INFECTIOUS DISEASE
Jacqueline T. Chu, Jacob H. Johnson, Brian C. Zanoni, Caitlin Lee Cohen
COVID-19
Influenza
Pneumonia
Sexually Transmitted Infections
Herpes Simplex Virus
Urinary Tract Infection
Clostridioides Difficile
Skin & Soft Tissue Infections
Varicella Zoster
Hepatitis B
Hepatitis C
Hiv/Aids
Pneumocystis Prophylaxis
Tuberculosis
Infectious Endocarditis Prophylaxis
Fever of Unknown Origin
Tick-Borne Illness
Travel Medicine

MUSCULOSKELETAL
Isaac Smith, Mark A. Matza, Curtis R. Chong
Joint Pain and Monoarticular Arthritis
Polyarticular Arthritis
Rheumatologic Tests
Osteoarthritis
Back Pain
Hip Pain
Knee Pain
Shoulder Pain
Elbow Pain
Hand Disorders
Foot & Ankle Disorders
Fibromyalgia
Gout and Pseudogout
Myalgias
Myositis
Polymyalgia Rheumatica
Giant Cell Arteritis
Systemic Lupus Erythematosus
Glucocorticoids and Disease-Modifying Antirheumatic Drugs

NEUROLOGY
Michael P. Bowley, Omar Al-louzi, Morgan L. Prust, Sarah Wahlster,
Warren Chuang
Headache
Diplopia
Dizziness and Vertigo
Bell’s Palsy
Dementia
Concussion
Weakness
Peripheral Neuropathy
Restless Legs Syndrome
Tremor
Parkinson Disease
Seizure
Stroke, Tia, & Poststroke Care

HEENT
Aaron Remenschneider, Grayson W. Armstrong
Ophthalmic Evaluation
Vision Loss
Eye Complaints
Eye Injury
Findings in Common Eye Disorders
Allergic Rhinitis
Upper Respiratory Infection
Rhinosinusitis
Pharyngitis
Hoarseness
Dentofacial Pain
Otitis
Hearing Loss and Tinnitus

PSYCHIATRY
Daniel J. Daunis Jr, Emily Sorg, Elizabeth N. Madva, Diana Punko,
Charles Masaki, Noor Beckwith, Samuel Kohrman, Ashika Bains,
Manesh Gopaldas, Julian J. Raffoul, Jessica Diehl, Barrington Hwang,
Kalli Ann Burdick, Emmy Masur Patterson, Ryan Michael Cassidy,
Joshua Corriveau
Anxiety Disorders
Attention-Deficit Hyperactivity Disorder
Bipolar Disorder
Depression
Feeding and Eating Disorders
Insomnia and Sleep Disorders
Obsessive-Compulsive Disorder
Psychotropic Medications
Posttraumatic Stress Disorder
Psychotic Disorders
Somatic Symptoms and Related Disorders
Suicide Risk Assessment

ADDICTION MEDICINE
Jared Klein
Diagnosis and Treatment of Substance Use Disorders
Alcohol Use Disorder
Opioid Use Disorder
Other Drug Use Disorders
Tobacco Use
PULMONARY
Jason H. Maley, Sneha Kannan, Brian C. Zanoni
Pulmonary Function Tests
Asthma
Chronic Obstructive Pulmonary Disease
Interstitial Lung Disease
Sleep Apnea
Chronic Cough
Hemoptysis
Pulmonary Nodules
Pulmonary Hypertension

RENAL/UROLOGY
Andrew S. Allegretti, Ignacio A. Portales-Castillo
Chronic Kidney Disease
Proteinuria
Hematuria
Nephrolithiasis
Urinary Incontinence
Sodium Disorders
Potassium Disorders

WOMEN’S HEALTH
Dina Reiss, Curtis R. Chong, Priya Sarin Gupta
Breast Health
Breast Cancer Screening
Cervical Cancer Screening
Menopause
Menstrual Disorders
Polycystic Ovarian Syndrome
Female Infertility
Contraception
Pelvic Inflammatory Disease
Vaginitis
Pelvic Pain
Intimate Partner Violence

MEN’S HEALTH
Dina Reiss, Curtis R. Chong
Bph and Lower Urinary Tract Symptoms
Male Sexual Dysfunction
Male Hypogonadism
Male Infertility
Prostatitis
Scrotal & Testicular Lesions
Prostate Cancer

ABBREVIATIONS

INDEX
 CONTRIBUTING AUTHORS
Omar Al-louzi, MD
Assistant Professor
Staff Neurologist
Neurology Department
Cedars-Sinai Medical Center
Los Angeles, California
Andrew S. Allegretti, MD, MSc
Assistant Professor of Medicine
Harvard Medical School
Director of Critical Care Nephrology
Massachusetts General Hospital
Boston, Massachusetts
(MGH IM c/o 2013)
Grayson W. Armstrong, MD, MPH
Instructor of Ophthalmology, Department of Ophthalmology
Harvard Medical School
Ophthalmologist, Director of Ophthalmic Emergency Services, Department
of Ophthalmology
Massachusetts Eye and Ear
Boston, Massachusetts
Ashika Bains, MD
Instructor
Harvard Medical School
Psychiatrist
Massachusetts General Hospital
Boston, Massachusetts
Noor Beckwith, MD
Instructor
Harvard Medical School
Psychiatrist
Massachusetts General Hospital
Boston, Massachusetts
Michael P. Bowley, MD, PhD
Associate Program Director
Mass General Brigham Neurology
Residency
Harvard Medical School
Staff Neurologist, Department of Neurology
Massachusetts General Hospital
Boston, Massachusetts
(MGH Neurol c/o 2013)
Kalli Ann Burdick, MD
Psychiatry Resident
Vanderbilt University Medical Center
Nashville, Tennessee
Ryan Michael Cassidy, MD, PhD
Psychiatry Resident
Vanderbilt University Medical Center
Nashville, Tennessee
Curtis R. Chong, MD, PhD, MPhil, FACP
Stanford University School of Medicine
Palo Alto, California
(MGH IM c/o 2011)
Jacqueline T. Chu, MD
Instructor in Medicine
Harvard Medical School
Assistant Physician
Division of Infectious Diseases & Division of General Internal Medicine
Massachusetts General Hospital
Boston, Massachusetts
(MGH IM c/o 2014)
Warren Chuang, MD, MA
Assistant Professor in Medicine
Harvard Medical School
Physician, Department of Medicine
Division of General Internal Medicine
Massachusetts General Hospital
Boston, Massachusetts
Caitlin Lee Cohen, MD, MBA
Instructor in Medicine
Pulmonary and Critical Care
Brigham and Women’s Hospital
Harvard Medical School
Boston, Massachusetts
Joshua Corriveau, MD
Psychiatry Resident
Vanderbilt University Medical Center
Nashville, Tennessee
Daniel J. Daunis Jr, MD
Assistant Professor of Psychiatry
Vanderbilt University Medical Center
Nashville, Tennessee
Jessica Diehl, MD
Psychiatry Resident
Vanderbilt University Medical Center
Nashville, Tennessee
Sarah Gee, MD, FAAD
Attending Physician
Austin Skin (Private Practice)
Austin, Texas
(MGH Derm c/o 2012)
Manesh Gopaldas, MD
Addiction Psychiatry Fellow
Columbia University Medical Center
New York, New York
Priya Sarin Gupta, MD, MPH
Instructor in Medicine
Harvard Medical School
Medical Director, Community-Based Clinical Programs
Mass General Brigham
Medical Director, Mobile Health Services
MGH Kraft Center for Community Health
Massachusetts General Hospital
Boston, Massachusetts
Barrington Hwang, MD
Psychiatry Resident
Vanderbilt University Medical Center
Nashville, Tennessee
Jacob H. Johnson, MD
Instructor in Medicine
Harvard Medical School
Associate Physician
Division of Infectious Diseases
Brigham and Women’s Hospital
Boston, Massachusetts
(MGH IM c/o 2015)
Sneha Kannan, MD
Fellow
Division of Pulmonary and Critical Care
Harvard Combined Fellowship
Massachusetts General Hospital
Beth Israel Deaconess Medical Center
Boston, Massachusetts
Jared Klein, MD, MPH
Associate Professor, Department of Medicine
University of Washington
School of Medicine
Harborview Medical Center
Seattle, Washington
Samuel Kohrman, MD
Instructor
Harvard Medical School
Psychiatrist
Massachusetts General Hospital
Boston, Massachusetts
Elizabeth N. Madva, MD
Member of the Faculty of Psychiatry
Harvard Medical School
Attending Psychiatrist
Massachusetts General Hospital
Boston, Massachusetts
Jason H. Maley, MD, MS
Assistant Professor of Medicine
Harvard Medical School
Attending Physician
Division of Pulmonary, Critical Care, and Sleep Medicine
Beth Israel Deaconess Medical Center
Boston, Massachusetts
Charles Masaki, MD, PhD
Instructor
Harvard Medical School
Psychiatrist
Massachusetts General Hospital
Boston, Massachusetts
Mark A. Matza, MD, MBA
Instructor in Medicine
Harvard Medical School
Clinical Director, Rheumatology
Massachusetts General Hospital
Boston, Massachusetts
Nino Mihatov, MD
Fellow in Structural Heart Disease
Division of Cardiology
Columbia University Irving Medical Center & New York Presbyterian
Hospital
New York, New York
(MGH IM c/o 2016)
Kenta Nakamura, MD
Assistant Professor, Cardiology, Department of Medicine
University of Washington
Director, Cardiac Catheterization Laboratory
VA Puget Sound Health Care System
Seattle, Washington
(MGH IM c/o 2013)
Long Nguyen, MD, MS
Assistant Professor in Medicine
Harvard Medical School
Assistant in Medicine
Division of Gastroenterology
Massachusetts General Hospital
Boston, Massachusetts
Emmy Masur Patterson, MD
Psychiatry Resident
Vanderbilt University Medical Center
Nashville, Tennessee
Ignacio A. Portales-Castillo, MD
Clinical Fellow in Medicine
Harvard Medical School
Fellow in Nephrology
Massachusetts General Hospital
Boston, Massachusetts
Morgan L. Prust, MD
Assistant Professor of Neurology
Yale School of Medicine
Staff Neurointensivist
Yale-New Haven Hospital
New Haven, Connecticut
Diana Punko, MD, MS
Instructor
Harvard Medical School
Psychiatrist
Massachusetts General Hospital
Boston, Massachusetts
Julian J. Raffoul, MD, PhD, MBA, FACN
Psychiatry Resident
Vanderbilt University Medical Center
Nashville, Tennessee
Dina Reiss, MD, FRCPC
Assistant Professor of Medicine, Department of Medicine, Endocrinology
& Metabolism
Staff Physician, Department of Medicine, Endocrinology & Metabolism
Sinai Health System
University of Toronto
Toronto, Ontario, Canada
(MGH IM c/o 2011)
Aaron Remenschneider, MD, MPH
Associate Professor, Department of Otolaryngology
UMass Chan Medical School
Vice Chair, Department of Otolaryngology
UMass Memorial Health
Worcester, Massachusetts
(MEEI c/o 2014)
Ellen Roh, MD
Assistant Professor of Dermatology
Massachusetts General Hospital/Harvard Medical School
Boston, Massachusetts
Daniel Sikavi, MD
Clinical Fellow in Medicine
Harvard Medical School
Resident in Internal Medicine
Massachusetts General Hospital
Boston, Massachusetts
Isaac Smith, MD
Rheumatology Fellow
Department of Internal Medicine
Division of Rheumatology and Immunology
Duke University School of Medicine
Durham, North Carolina
(MGH IM c/o 2019)
Emily Sorg, MD
Instructor
Harvard Medical School
Psychiatrist
Massachusetts General Hospital
Boston, Massachusetts
Ada C. Stefanescu Schmidt, MD, MSc, FACC
Adult Congenital and Structural Interventional Cardiologist
Harvard Medical School and Massachusetts General Hospital
Boston, Massachusetts
(MGH IM c/o 2013)
Sarah Wahlster, MD
Section Head, Neurocritical Care
Assistant Professor, Department of Neurology
University of Washington
Director of Education
Neurosciences ICU
Harborview Medical Center
Seattle, Washington
(MGH Neurol c/o 2013)
Brian C. Zanoni, MD, MPH
Assistant Professor, Departments of Medicine and Pediatric Infectious
Diseases
Emory University School of Medicine
Children’s Healthcare of Atlanta
Atlanta, Georgia