Swanson s Family Medicine Review

876 Pages·2016·8.45 MB·English

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Swanson’s
FAMILY MEDICINE
REVIEW
Swanson’s
FAMILY MEDICINE
REVIEW
A PROBLEM-ORIENTED APPROACH
8th Edition
Editor-in-Chief
Alfred F. Tallia,
Professor and Chair
Family Medicine and Community Health
MD, MPH
Rutgers Robert Wood Johnson Medical School
New Brunswick, New Jersey
Co-Editors
Joseph E. S cherger,

Vice President, Primary Care
Marie E. Pinizzotto, MD Chair of Academic Affairs
MD, MPH
Eisenhower Medical Center
Rancho Mirage, California
Nancy W. Dickey,
President Emerita, Texas A&M Health Science Center
Professor, Family and Community Medicine
MD
Professor and Interim Chair, Clinical and Translational
Medicine
Executive Director, Rural and Community Health Institute
Texas A&M Health Science Center College of Medicine
College Station, Texas
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
SWANSON’S FAMILY MEDICINE REVIEW, EIGHTH EDITION ISBN: 978-0-323-35632-9
Copyright © 2017 by Elsevier, Inc. All rights reserved.
Previous editions copyrighted 2013, 2009, and 2003
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechan-
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sions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright
Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. In using such information or
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Library of Congress Cataloging-in-Publication Data
Names: Tallia, Alfred F., editor. | Scherger, Joseph E., editor. | Dickey,
Nancy, editor.
Title: Swanson’s family medicine review : a problem-oriented approach /
editor-in-chief, Alfred F. Tallia, co-editors, Joseph E. Scherger, Nancy
W. Dickey.
Other titles: Family medicine review
Description: 8th edition. | Philadelphia, PA : Elsevier, [2017] | Includes
bibliographical references and index.
Identifiers: LCCN 2015049807 | ISBN 9780323356329 (pbk. : alk. paper)
Subjects: | MESH: Family Practice | Examination Questions
Classification: LCC RC58 | NLM WB 18.2 | DDC 616.0076--dc23 LC record available at
http://lccn.loc.gov/2015049807
Content Strategist: Suzanne Toppy
Content Development Specialist: Janice Gaillard
Publishing Services Manager: Patricia Tannian
Project Manager: Ted Rodgers
Design Direction: Amy Buxton
Printed in United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To the lasting memory of
Dr. Richard Swanson
An extraordinary physician and educator
Contributors
Lani K. Ackerman, MD Noemi C. Doohan, MD, PhD
Associate Professor Family Physician
Family Medicine Ukiah Valley Medical Center
Texas A&M Health Science Center College Ukiah, California
of Medicine,
Kinder Fayssoux, MD
College Station, Texas
Family physician Center for Family Medicine
Scott and White Clinic Eisenhower Medical Associates,
College Station, Texas La Quinta, California
Adity Bhattacharyya, MD, FAAFP Negin Field, MD
Assistant Professor Resident Physician
Family Medicine and Community Health Family Medicine
Rutgers Robert Wood Johnson Medical School Eisenhower Medical Center
New Brunswick New Jersey Rancho Mirage, California
Michael Bogey, MD Kory Gill, DO
Emergency Medicine Program Director
Eisenhower Medical Center, Family Medicine and Sports Medicine
Rancho Mirage, California Texas A&M Health Science Center College of Medicine
Family Medicine Residency
Robert Chen, MD
College Station, Texas
Clinical Assistant Professor
David F. Howarth, MD, MPH
Family Medicine and Community Health
Rutgers Robert Wood Johnson Medical School Associate Professor of Family Medicine
New Brunswick, New Jersey Department of Family Medicine and Community
Health Director of Geriatric Training
Amanda Curnock, MD
Rutgers Robert Wood Johnson Medical School
Physican and Co-Director Argyros 365 Primary care New Brunswick, New Jersey
Eisenhower Medical Center
Alexandra G. Ianculescu, MD, PhD
La Quinta, California
Resident Physician
André de Leon, MD, MS
Internal Medicine
Core Faculty Eisenhower Medical Center
Non-Surgical Sports Medicine/Family Medicine Rancho Mirage, California
Eisenhower Family Medicine Residency
Glenn M. Jabola, MD
Rancho Mirage, California
Family Medicine
Tate de Leon, MD, MS
Eisenhower Medical Center
Core Faculty Rancho Mirage, California
Family Medicine
James D. King II, MD
Eisenhower Family Medicine Residency
Rancho Mirage, California Primary Care and Sports Medicine
Baylor Scott & White
Nancy W. Dickey, MD
College Station, Texas
President Emerita, Texas A&M Health Science Center Orthopedist
Professor, Family and Community Medicine Baylor Scott and White Healthcare
Professor and Interim Chair, Clinical and Translational College Station, Texas
Medicine
Martha Lansing, MD
Executive Director, Rural and Community Health
Institute Associate Professor and Vice Chair
Texas A&M Health Science Center College of Medicine Family Medicine and Community Health
College Station, Texas Rutgers Robert Wood Johnson Medical School
New Brunswick, New Jersey
Contributors vii
Anna Lichorad, MD Damoun A. Rezai, MD
Assistant Professor Resident Physician
Family Medicine Family Medicine
Texas A&M College of Medicine, Eisenhower Medical Center
Bryan, Texas La Quinta, California
Benjamin Mahdi, MD, MPH Beatrix Roemheld-Hamm, MD, PhD
Family Medicine Professor
Eisenhower Medical Center Family Medicine and Community Health
Rancho Mirage, California Rutgers Robert Wood Johnson Medical School
New Brunswick, New Jersey
Laura E. Marsh, MS, MD, CAQSM
Joseph E. Scherger, MD, MPH
Clinical Associate Professor
Family Community Medicine Vice President, Primary Care
Texas A&M Health Science Center Marie E. Pinizzotto, MD Chair of Academic Affairs
Bryan, Texas Eisenhower Medical Center
Physician Rancho Mirage, California
Central Texas Sports Medicine and Orthopaedics
John F. Simmons, MD
Bryan, Texas
Assistant Professor
Barbara Jo McGarry, MD
Family Medicine
Associate Professor Director of the Advanced Obstetrical Track
Family Medicine and Community Health Texas A&M Family Medicine Residency
Program Director, Family Medicine Residency Bryan, Texas
Rutgers Robert Wood Johnson Medical School
Alex Spinoso, MD
New Brunswick, New Jersey
Family Medicine
Carmen Morales-Litchard, MD
Eisenhower Medical Center
Universidad Xochicalco Rancho Mirage, California
Tijuana, Mexico
Maureen Strohm, MD, MSEd
Family Medicine
Eisenhower Medical Center Vice President of Graduate Medical Education/DIO
Palm Desert, California HCA Far West Division
Henderson, Nevada
Gregory A. Pecchia, DO
Alfred F. Tallia, MD, MPH
Staff Physician
Family and Geriatric Medicine Professor and Chair
Eisenhower Medical Center Family Medicine and Community Health
Rancho Mirage, California Rutgers Robert Wood Johnson Medical School,
Director New Brunswick, New Jersey
Eisenhower Wellness Institute
K. Douglas Thrasher, DO, FAAFP
Eisenhower Medical Center
La Quinta, California Chairman
Department of Family Medicine
Bhavika Shivlal Rakholia, BA, MD
Eisenhower Medical Center
Resident Physician La Quinta, California
Family Medicine
Sangeetha Vinayagam, MD
Eisenhower Medical Center
Rancho Mirage, California Family Medicine
Eisenhower Medical Center
Joshua J. Raymond, MD, MPH
Rancho Mirage, California
Assistant Professor
Family Medicine and Community Health
Rutgers Robert Wood Johnson Medical School
New Brunswick, New Jersey
Preface
This is the eighth edition of Swanson’s Family Medicine As with the previous edition, distinguished family
Review. As an enduring and marvelous educational tool physicians Nancy W. Dickey, MD, President Emerits
for several generations of clinicians, this text is a testi- of the Texas A&M Health Science Center and professor
mony to the founding genius of Dr. Richard Swanson, of family and community medicine in the Texas A&M
the family physician who gave birth to the Review. The College of Medicine, and Joseph E. Scherger, MD, MPH,
text continues to be not only an effective tool for family Vice President for Primary Care and Academic Affairs
physicians preparing for certification or recertification, at Eisenhower Medical Center and founding dean of the
but also an excellent review for clinicians simply desiring Florida State University College of Medicine, served as
to hone their familiarity with the basic concepts pertinent my co-editors on this edition. As a team, we reviewed
to primary care. the chapters and case problems for relevance, and chose
The primary goals of the eighth edition are to update areas of emphasis and ways to organize the content. We
the content and retain the special essence that made selected the content to reflect the broad core of knowl-
previous editions such valued and popular educational edge required of every family physician. We also received
instruments. The book is divided into 11 sections. Ten valuable input from other family medicine clinicians with
represent a clinical area of Family Medicine, while the special expertise in specific content areas.
eleventh section is a popular illustrated review. We recruited as chapter authors the finest practicing
Each section contains chapters covering specific sub- family medicine experts from academic centers across
jects relevant to that section. Each chapter presents clini- the United States. They reaffirmed and updated chapter
cal cases that simulate actual clinical situations, providing content on the basis of thorough needs analyses, includ-
the learner with a sense of reality designed to enhance ing opinions of readers, participants, and faculty in live
retention of content. Each clinical case is followed by continuing medical education conferences, expert opin-
questions concerning diagnosis and management. The ion, and other accepted methodologies. The editors and
question section is followed by an answer section, which authors anticipate that the reader will both enjoy and
provides a detailed discussion relevant to each question. profit from the work that went into preparing this vol-
Finally, each chapter contains a short summation of key ume. Happy studying and learning!
learning points and selected readings and references,
including websites. This time tested learning methodol- Alfred F. Tallia, MD, MPH
ogy is designed to increase retention and to expand and Editor-in-Chief
refine the reader’s knowledge of the diagnostic methods,
therapeutics, and patient management techniques pre-
sented by each case.
Acknowledgments
As editor-in-chief, I am indebted to many individuals Thanks to Janice Gaillard, Suzanne Toppy, Ted
for their support and assistance in the preparation of Rodgers, and the staff at Elsevier for their inspiration and
the eighth edition of Swanson’s Family Medicine Review. support. Finally, much gratitude to our colleagues in the
To begin, I wish to thank my two co-editors, Nancy W. academic and clinical communities that we call home for
Dickey, MD, and Joseph E. Scherger, MD, MPH, for their help and understanding of the demands that prepa-
their hard work and understanding. ration of this edition required.
Collectively, we would like to thank our spouses, Eliz-
abeth Tallia, Carol Scherger, and Frank Dickey; and our Alfred F. Tallia, MD, MPH
entire families, as well as those of the authors, for their Editor-in-Chief
sacrifice of time and their understanding as we prepared
this edition.