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Primary Care Medicine: Office Evaluation and Management of the Adult Patient ( Lippincott Williams & Wilkins )
Release Date: 2005-08-01
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List Price: $99.00
Price: $99.00
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Product Description
Completely updated for its Fifth Edition, this comprehensive text presents a practical approach to the office evaluation and management of every problem seen by primary care practitioners. In 239 problem-oriented chapters, the book provides essential information on medical diagnosis, lab tests, treatment options, and health maintenance and offers authoritative guidance on clinical decision-making. Every chapter of this edition ends with practical, bulleted Recommendations based on the best evidence, expert consensus guidelines, and clinical judgement. Annotated bibliographies in each chapter highlight the best available studies and analyses. This edition includes more Internet references and more evidence-based references that indicate evidence grades.
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 Relevance of primary care textbook to my practice.
This textbook is very informative and helpful in my current practice as a family physician and geriatrician. The topics are up-to-date and very relevant.
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 Boston baked beans ( weaverhawn )
When I was a medical student, the attendings (recently elevated residents) really liked this book. I bought it and tried to like it. It was one of the very few texts I ended up giving away. Many years later I decided to give it another try given all the stars it garners. Again, I don't see the attraction. It reminds me of my Father's texts---heavy, densely packed with small print unrelieved by color or illustrations. 1400+ pages and there are literally a handful of illustrations 2 of which are on how to use a rigid sigmoidoscope! (By golly, they paid good money for those illustrations 25 years ago and they are going to use them even if you should only be using the instrument as a paperweight.) Oh, and they did splash out with a photo showing you where the lateral epicondyle of the elbow is. I lied--my Father's texts (despite higher costs and technical difficulties in his time) did have color plates for derm and ophthalmology. If you can imagine derm diagnosis with 11 black and white photos and ophtho with no pictures at all this is the text for you. Honestly, the art direction of this book makes you want to weep.
Dipping in it for "desk side consultations" the chapter on incontinence mentions using phenylpropanolamine which had been off the market for at least 2 years before the copyright date. Bizarrely, "Screening for DM" is separated from "Approach to the Patient with DM" by 9 chapters. The chapter on managing DM states normalizing fasting glucose is the top priority yet teleologically since the HbA1c represents an "average" blood glucose and since the "average" human is in the fed state most of the time, this made no sense when it was written. A patient can have a morning fasting glucose of 90 and 2h pp levels of 400 for the rest of the day.
I can't imagine using this book as a student or without a solid background in diagnosis. I am not impressed that the therapeutics are compatible with a copyright of 2006. The quality of the paper, printing and binding is above average. A lot of people really like this book. I would strongly recommend you "test drive" this text somehow before buying it.
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 Primary Care Text
This is a book that my family practice residency uses for diadactic readings. I have found it to be well written and organized for primary care adult medicine. It is very up to date on latest research and gives recommendations at the end of the chapter with evidence based recommendations. It can at times be a bit wordy, but overall very good. A couple down sides are there are no pediatric topics discussed and Goroll does not include any mentioning of osteopathic manipulation, even though there is some significant efficacy studies involving osteopathic manipulation. Overall a good text.
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This book rules when it comes to practical advice ( foycu )
I like to read Harrison's now and then, but it is so genetics and research heavy that I get bored. This book is excellent because it comes from a practical perspective (i.e. for the busy clinician vs. the academic) and it breaks down problems by symptoms. A sample chapter is "The patient with dizziness". When I see patients with relatively common things that I want to refresh on, I pull out this book. Sometimes it doesn't have the detail I want, but that's what I have Harrison's for and the web. It is DEFINITELY worth the 90 bucks or so it costs to have in the library.
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The Best!
Over 200 of the most commonly encountered chief complaints in family medicine! This is the book! It's contributors are outstanding educators and clinicians from the school of medicine Harvard. Practical, no-nonsense straight to point case management -- it is like having a team of brilliant family physicians to consultant on every aspect of your daily practice. I am a PA and I think this should be on every practitioner's book shelf in family medicine.
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Addiction
