Primary care clinicians are performing more varied procedures than ever before, and physicians, residents, and students need a comprehensive, authoritative resource that gives trusted information in an easy-to-follow format. Through three outstanding editions, Pfenninger and Fowler’s Procedures for medical care has been the go-to reference for step-by-step strategies for nearly every Procedure that will be performed in an office, hospital, or emergency care facility by medical care providers. This 4th Edition of Pfenninger and Fowler’s Procedures for Primary Care pdf continues that tradition with new section editors, updated illustrations, new chapters, and far more. No other medical care procedure book compares with Pfenninger and Fowler’s breadth and depth of practical, step-by-step content!

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1. Provides comprehensive, real-world coverage of quite 230 procedures that arise within the medical care setting, including many who were previously performed only in subspecialty settings, like joint injections and cosmetic procedures.
2. Includes new chapters: Esophageal Foreign Body Removal, Manual Testicular Detorsion, Symphysiotomy, Zipper Injury Management, and Blood Products.
3. Presents the “how-to” expertise of six new section editors, for a fresh, contemporary perspective throughout the book.
4. Additional specialization in the evidence, with plentiful citations to key references, makes this the foremost evidence-based edition yet.
5. Features numerous updated illustrations, including more full color, and incorporates updated ICD-10-CM codes throughout.
6. Provides access to online resources including patient education handouts and consent forms, lists of device manufacturers, and more.
7. Utilizes a concise outline format, detailed text and illustrations, and abundant boxes and tables for quick access to the knowledge you would like.
8. The enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a spread of devices.

Preface of Pfenninger and Fowler’s Procedures for Primary Care pdf

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.

Table of Contents of Pfenninger and Fowler’s Procedures for Primary Care pdf

Section 1 – Anesthesia

1. Procedural Sedation and Analgesia

2. Pediatric Sedation

3. Nitrous Oxide Sedation

4. Topical Anesthesia

5. Local Anesthesia

6. Local and Topical Anesthetic Complications

7. Peripheral Nerve Blocks and Field Blocks

8. Oral/Facial Anesthesia

9. Bier Block

10. Epidural Anesthesia and Analgesia

11. Procedures to Treat Headaches

Section 2 – Dermatology

12. Acne Therapy: Surgical Approaches

13. Approach to Various Skin Lesions

14. Cryosurgery

15. Dermoscopy (Epiluminescence Microscopy)

16. Flaps and Plasties

17. Fungal Studies and Scabies: Collection Procedures and Tests

18. Incisions: Planning the Direction of the Cut

19. Laceration and Incision Repair

20. Laceration and Incision Repair: Needle Selection

21. Laceration and Incision Repair: Suture Selection

22. Laceration and Incision Repair: Suture Tying

23. Nail Plate and Nail Bed Biopsy

24. Nail Bed Repair

25. Radiofrequency Surgery (Modern Electrosurgery)

26. Skin Biopsy

27. Skin Grafting

28. Hypertrophic Scars and Keloids

29. Unna Paste Boot: Treatment of Venous Stasis Ulcers and Other Disorders

30. Wart (Verruca) Treatment

31. Pilonidal Cyst and Abscess: Current Management

32. Wood’s Light Examination

33. Wound Dressing

34. Maggot Treatment for Chronic Ulcers

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Section 3 – Aesthetic Medicine

35. Introduction to Aesthetic Medicine

36. Cosmeceutical Skin Care

37. Gingival Hyperpigmentation

38. Lasers and Pulsed-Light Devices: Hair Removal

39. Lasers and Pulsed-Light Devices: Photofacial Rejuvenation

40. Lasers and Pulsed-Light Devices: Acne

41. Lasers and Pulsed-Light Devices: Skin Tightening

42. Lasers and Pulsed Light Devices: Spider Veins

43. Lasers and Pulsed-Light Devices: Tattoo Removal

44. Lasers and Pulsed-Light Devices: Skin Resurfacing

45. Nonablative Radiowave Skin Tightening with the Ellman S5 Surgitron (The Pelleve Procedure)

46. Epilation of Isolated Hairs

47. Botulinum Toxin

48. Tissue Fillers

49. Microdermabrasion and Dermalinfusion

50. Chemical Peels

51. Photodynamic Therapy

52. Cellulite Treatments

53. Thread Lift Using Barbed Suspension Sutures for Facial Rejuvenation

54. Radiofrequency-Assisted Upper Blepharoplasty for the Correction of Dermatochalasis

55. Body Piercing

Section 4 – Eyes, Ears, Nose, and Throat

56. Mucocele Removal

57. Chalazion and Hordeolum

58. Tonometry

59. Audiometry

60. Tympanometry

61. Myringotomy and Tympanocentesis

62. Cerumen Impaction Removal

63. Earlobe Repair

64. Nasolaryngoscopy

65. Indirect Mirro Laryngoscopy

66. Tonsillectomy and Adnoidectomy

67. Allergy Testing and Immunotherapy

68. Fine-Needle Aspiration Cytology and Biopsy

Section 5 – Cardiovascular and Respiratory System Procedures

69. Antibiotic Prophylaxis for Prevention Bacterial Endocarditis

70. Office Electrocardiograms

71. Pre-op Evaluation

72. Ambulatory Blood Pressure Monitoring

73. Ambulatory Electrocardiography: Holter and Event Monitoring

74. Exercise (Stress) Testing

75. Echocardiography

76. Stress Echo

77. Noninvasive Venous and Arterial Studies of the Lower Extremities

78. Sclerotherapy

79. Ambulatory Phlebectomy

80. Endovenous Vein Closure

81. Pulmonary Function Testing

Section 6 – Gastrointestinal System Procedures

82. Clinical Anorectal Anatomy and Digital Examination

83. Anoscopy

84. High Resolution Anoscopy

85. Anal Fissure/Lateral Sphincterotomy

86. Perianal Abscess Incision and Drainage

87. Office Treatment of Hemorrhoids

88. Removal of Perianal Skin Tags (External Hemorrhoidal Skin Tags)

89. Flexible Sigmoidoscopy

90. Colonoscopy

91. Esophagogastroduodenoscopy

92. PEG Tube Insertion

93. Capsule Endoscopy

94. Esophageal Foreign Body Removal

95. Inguinal Hernia Reduction

Section 7 – Urinary System Procedures

96. Bladder Catheterization

97. Diagnostic Cystourethroscopy

98. Office Testing and Treatment Options for Interstitial Cystitis

99. Suprapubic Catheter Insertion and/or Change

100. Suprapubic Tap or Aspiration

101. Bedside Urodynamic Studies

Section 8 – Male Reproductive System

102. Adult Circumcision

103. Androscopy

104. Dorsal Slit for Phimosis

105. Prostate Massage

106. Prostate and Seminal Vesicle Ultrasonography

107. Self-Injection Therapy for the Treatment of Erectile Dysfunction

108. Vacuum Devices for Erectile Dysfunction

109. Implantable Hormone Pellets for Testosterone Deficiency in Adult Men

110. Sperm Banking

111. Vasectomy

112. Manual Testicular Detorsion

Section 9 – Gynecology and Female Reproductive System

113. Suction Aspiration for Elective and Spontaneous First Trimester Abortion

114. Medical Abortion

115. Emergency Contraception

116. Barrier Contraceptives: Cervical Caps, Condoms, and Diaphragms

117. Fertility Awareness-based Methods of Contraception (Natural Family Planning)

118. Bartholin’s Cyst/Abscess: Word Catheter Insertion, Marsupialization

119. Breast Biopsy

120. Pap Smear and Related Techniques for Cervical Cancer Screening

121. Human Papillomavirus DNA Sampling

122. Wet Smear and KOH Preparation

123. Cervical Polyps

124. Colposcopic Examination

125. Cryotherapy of the Cervix

126. Cervical Stenosis and Cervical Dilation

127. Loop Electrosurgical Excision Procedure (LEEP) for Treating Cervical Intraepithelial Neoplasia

128. Cervical Conization

129. Endometrial Biopsy

130. Hysteroscopy

131. Permanent Female Sterilization (Tubal Ligation)

132. Insertion of ESSURE (Contraceptive Implant)

133. Endometrial Ablation (Roller Ball, Cryoablation)

Authors

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

Product details

• Book Name: Pfenninger and Fowler’s Procedures for Primary Care
• Publisher: Elsevier; 4th edition (April 26, 2019)
• Language: English
• Hardcover: 1728 pages
• ISBN-10: 0323476333
• ISBN-13: 978-0323476331
• Item Weight: 7.98 pounds
• Dimensions: 8.75 x 2.5 x 11.06 inches
• Best Sellers Rank: #20,300 in Books
  • #10 in Family Practice Medicine
  • #16 in Emergency Medicine (Books)

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