Primary care clinicians are performing more varied procedures than ever before, and physicians, residents, and students need a comprehensive, authoritative resource that provides trusted information in an easy-to-follow format. Through three outstanding editions, Pfenninger and Fowler's Procedures for Primary Care has been the go-to reference for step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care providers. This 4th Edition continues that tradition with new section editors, updated illustrations, new chapters, and much more. No other primary care procedure book compares with Pfenninger and Fowler's breadth and depth of practical, step-by-step content!Provides comprehensive, real-world coverage of more than 230 procedures that arise in the primary care setting, including many that were previously performed only in subspecialty settings, such as joint injections and cosmetic procedures.Includes new chapters: Esophageal Foreign Body Removal, Manual Testicular Detorsion, Symphysiotomy, Zipper Injury Management, and Blood Products.Presents the "how-to" expertise of six new section editors, for a fresh, contemporary perspective throughout the book.Additional focus on the evidence, with plentiful citations to key references, makes this the most evidence-based edition yet.Features numerous updated illustrations, including many more in full color, and incorporates updated ICD-10-CM codes throughout.Provides access to online resources including patient education handouts and consent forms, lists of device manufacturers, and more.Utilizes a concise outline format, detailed text and illustrations, and abundant boxes and tables for quick access to the information you need.Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices
Pfenninger & Fowler's Procedures for Primary Care, 4ePrefaceSection 1 - Anesthesia1. Procedural Sedation and Analgesia2. Pediatric Sedation3. Nitrous Oxide Sedation4. Topical Anesthesia5. Local Anesthesia6. Local and Topical Anesthetic Complications7. Peripheral Nerve Blocks and Field Blocks8. Oral/Facial Anesthesia9. Bier Block10. Epidural Anesthesia and Analgesia11. Procedures to Treat HeadachesSection 2 - Dermatology12. Acne Therapy: Surgical Approaches13. Approach to Various Skin Lesions14. Cryosurgery15. Dermoscopy (Epiluminescence Microscopy)16. Flaps and Plasties17. Fungal Studies and Scabies: Collection Procedures and Tests18. Incisions: Planning the Direction of the Cut19. Laceration and Incision Repair20. Laceration and Incision Repair: Needle Selection21. Laceration and Incision Repair: Suture Selection22. Laceration and Incision Repair: Suture Tying23. Nail Plate and Nail Bed Biopsy24. Nail Bed Repair25. Radiofrequency Surgery (Modern Electrosurgery)26. Skin Biopsy27. Skin Grafting28. Hypertrophic Scars and Keloids29. Unna Paste Boot: Treatment of Venous Stasis Ulcers and Other Disorders30. Wart (Verruca) Treatment31. Pilonidal Cyst and Abscess: Current Management32. Wood's Light Examination33. Wound Dressing34. Maggot Treatment for Chronic UlcersSection 3 - Aesthetic Medicine35. Introduction to Aesthetic Medicine36. Cosmeceutical Skin Care37. Gingival Hyperpigmentation38. Lasers and Pulsed-Light Devices: Hair Removal39. Lasers and Pulsed-Light Devices: Photofacial Rejuvenation40. Lasers and Pulsed-Light Devices: Acne41. Lasers and Pulsed-Light Devices: Skin Tightening42. Lasers and Pulsed Light Devices: Spider Veins43. Lasers and Pulsed-Light Devices: Tattoo Removal44. Lasers and Pulsed-Light Devices: Skin Resurfacing45. Nonablative Radiowave Skin Tightening with the Ellman S5 Surgitron (The Pelleve Procedure)46. Epilation of Isolated Hairs47. Botulinum Toxin48. Tissue Fillers49. Microdermabrasion and Dermalinfusion50. Chemical Peels51. Photodynamic Therapy52. Cellulite Treatments53. Thread Lift Using Barbed Suspension Sutures for Facial Rejuvenation54. Radiofrequency-Assisted Upper Blepharoplasty for the Correction of Dermatochalasis55. Body PiercingSection 4 - Eyes, Ears, Nose, and Throat56. Mucocele Removal57. Chalazion and Hordeolum58. Tonometry59. Audiometry60. Tympanometry61. Myringotomy and Tympanocentesis62. Cerumen Impaction Removal63. Earlobe Repair64. Nasolaryngoscopy65. Indirect Mirro Laryngoscopy66. Tonsillectomy and Adnoidectomy67. Allergy Testing and Immunotherapy68. Fine-Needle Aspiration Cytology and BiopsySection 5 - Cardiovascular and Respiratory System Procedures69. Antibiotic Prophylaxis for Prevention Bacterial Endocarditis70. Office Electrocardiograms71. Pre-op Evaluation72. Ambulatory Blood Pressure Monitoring73. Ambulatory Electrocardiography: Holter and Event Monitoring74. Exercise (Stress) Testing75. Echocardiography76. Stress Echo77. Noninvasive Venous and Arterial Studies of the Lower Extremities78. Sclerotherapy79. Ambulatory Phlebectomy80. Endovenous Vein Closure81. Pulmonary Function TestingSection 6 - Gastrointestinal System Procedures82. Clinical Anorectal Anatomy and Digital Examination83. Anoscopy84. High Resolution Anoscopy85. Anal Fissure/Lateral Sphincterotomy86. Perianal Abscess Incision and Drainage87. Office Treatment of Hemorrhoids88. Removal of Perianal Skin Tags (External Hemorrhoidal Skin Tags)89. Flexible Sigmoidoscopy90. Colonoscopy91. Esophagogastroduodenoscopy92. PEG Tube Insertion93. Capsule Endoscopy94. Esophageal Foreign Body Removal95. Inguinal Hernia ReductionSection 7 - Urinary System Procedures96. Bladder Catheterization97. Diagnostic Cystourethroscopy98. Office Testing and Treatment Options for Interstitial Cystitis99. Suprapubic Catheter Insertion and/or Change100. Suprapubic Tap or Aspiration101. Bedside Urodynamic StudiesSection 8 - Male Reproductive System102. Adult Circumcision103. Androscopy104. Dorsal Slit for Phimosis105. Prostate Massage106. Prostate and Seminal Vesicle Ultrasonography107. Self-Injection Therapy for the Treatment of Erectile Dysfunction108. Vacuum Devices for Erectile Dysfunction109. Implantable Hormone Pellets for Testosterone Deficiency in Adult Men110. Sperm Banking111. Vasectomy112. Manual Testicular DetorsionSection 9 - Gynecology and Female Reproductive System113. Suction Aspiration for Elective and Spontaneous First Trimester Abortion114. Medical Abortion115. Emergency Contraception116. Barrier Contraceptives: Cervical Caps, Condoms, and Diaphragms117. Fertility Awareness-based Methods of Contraception (Natural Family Planning)118. Bartholin's Cyst/Abscess: Word Catheter Insertion, Marsupialization119. Breast Biopsy120. Pap Smear and Related Techniques for Cervical Cancer Screening121. Human Papillomavirus DNA Sampling122. Wet Smear and KOH Preparation123. Cervical Polyps124. Colposcopic Examination125. Cryotherapy of the Cervix126. Cervical Stenosis and Cervical Dilation127. Loop Electrosurgical Excision Procedure (LEEP) for Treating Cervical Intraepithelial Neoplasia128. Cervical Conization129. Endometrial Biopsy130. Hysteroscopy131. Permanent Female Sterilization (Tubal Ligation)132. Insertion of ESSURE (Contraceptive Implant)133. Endometrial Ablation (Roller Ball, Cryoablation, Thermal Balloon)134. Hysterosalpingography and Sonohysterosalpingography135. Intrauterine Device (IUD) Insertion and Removal136. Insertion and Removal of Implanon137. Pessaries138. Treatment of Noncervical CONDYLOMATA ACUMINATA139. Vulvar Biopsy140. Management of the Adult Victim of Sexual AssaultSection 10 - Obstetrics141. Postcoital Examination Test142. Obstetric Ultrasound143. Cervical Cerclage144. Amniocentesis145. External Cephalic Version146. Antepartum Fetal Monitoring147. Induction of Labor148. Amniotomy149. Fetal Scalp Electrode Applicaton150. Intrauterine Pressure Catheter Insertion151. Transcervical Amnioinfusion152. Intrathecal Analgesia153. Paracervical Block154. Pudendal Anesthesia155. Saddle Block Anesthesia156. Vaginal Delivery157. Forceps- and Vacuum-Assisted Deliveries158. Episiotomy and Repair of the Perineum159. Symphysiotomy160. Cesarean Section161. Culdocentesis (Colpocentesis)162. Dilation and CurettageSection 11 - Pediatrics163. Neonatal Resuscitation164. Pediatric Arterial Puncture and Venous Minicutdown165. Umbilical Vessel Catheterization166. Dorsal Penile and Subcutaneous Ring Block for Newborn Circumcision167. Newborn Circumcision and Office Meatotomy168. Pediatric Suprapubic Bladder Aspiration169. Tonque-Tie Snipping (Frenotomy) for Ankyloglossia170. Management of Young Female as Possible Victim of Sexual AbuseSection 12 - Orthopedics and Sports Medicine171. Musculoskeletal Ultrasound172. Extensor Tendon Repair173. Nursemaid's Elbow: Subluxation of the Radial Head174. Shoulder Dislocations175. Ankle and Foot Splinting, Casting, and Taping176. Cast Immobilization177. Knee Braces178. Fracture Care179. Compartment Syndrome Evaluation180. Joint and Soft Tissue Aspiration and Injection (Arthrocentesis)181. Trigger-Point Injection182. Ganglion Treatment183. Transcutaneous Electrical Nerve Stimulation (TENS), Phonophoresis, and Iontophoresis184. Acupuncture185. Podiatric Procedures186. Body Fat Analysis187. NC-Stat System for Office EMGs188. Muscle BiospySection 13 - Urgent Care189. Burn Treatment190. Fishhook Removal191. Foreign Body Removal from Skin and Soft Tissues192. Incision and Drainage of an Abscess193. Subungual Hematoma Evacuation194. Ingrown Toenails195. Ring Removal from an Edematous Finger196. Skin Stapling197. Tick Removal and Prevention of Infection198. Tissue Glues199. Topical Hemostatic Agents200. Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies201. Slit Lamp Examination202. Auricular Hematoma Evacuation203. Reduction of Dislocated Temporomandibular Joint (with TMJ Syndrome Exercises)204. Removal of Foreign Bodies from the Ear and Nose205. Management of Epitaxis206. Peritonsillar Abscess Drainage207. Management of Tooth Fracture and Reimplantation of an Avulsed Tooth208. Management of Fecal Impaction209. Gastrointestinal Decontamination210. Peritoneal Lavage, Diagnostic211. Tube Thoracostomy and Emergency Needle Decompression of Tension Pneumothorax212. Anaphylaxis213. Prevention and Treatment of Wound Infections214. Emergency Department and Office Ultrasound215. Heimlich Maneuver216. Zipper Injury ManagementSection 14 - Hospitalist217. Nasogastric Tube, Nasoenteric Tube, and Salem Sump Insertion218. Thoracentesis219. Paracentesis220. Bone Marrow Aspiration or Biopsy221. Lumbar Puncture222. Tracheal (Endotracheal and Nasotracheal) Intubation223. Cricothyroidotomy, Transtracheal Catheter Insertion and Tracheostomy224. Ventilation Management225. Arterial Puncture and Percutaneous Arterial Line Placement226. Intraosseous Venous Access227. Venous Cutdown228. Central Venous Catheter Insertion229. Swan-Ganz (Pulmonary Artery) Catheterization230. Pericardiocentesis231. Electrical Cardioversion232. Temporary Pacing233. Drawing Blood Cultures234. Blood Products235. Principles of X-Ray InterpretationAppendices A to MAppendix A: Commonly Used Instruments/EquipmentAppendix B: Informed ConsentAppendix C: Latex Allergy GuidelinesAppendix D: Supplier InformationAppendix E: Resources for Learning ProceduresAppendix F: Universal PrecautionsAppendix G: Neoplasm, Skin: ICD-9 CodesAppendix H: Pearls of PracticeAppendix I: The Society of Teachers of Family Medicine Procedural Skills Task ForceAppendix J: Outline of a Comprehensive Operative NoteAppendix K: Algorithms for the Evaluation of Abnormal Pap Smears and Treatment of Colposcopic FindingsAppendix L: Buying Office EquipmentAppendix M: Special Considerations in Geriatric Patients