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Description & Overview

Advanced Primary Care Practice is a comprehensive clinical reference for assessment, diagnosis, treatment, prevention, follow-up, and long-term management in primary and ambulatory care. The book is organized around the breadth of problems encountered in first-contact practice and the decisions required to determine what can be managed safely, what requires further investigation, and what requires urgent escalation or specialist involvement.

The opening chapter establishes the foundations of advanced primary care, including clinical reasoning, problem representation, differential diagnosis, diagnostic probability, red flags, screening, prevention, immunization review, medication reconciliation, continuity, and care coordination. System-based chapters then provide detailed coverage of common and important disorders encountered in outpatient practice.

Cardiovascular sections address hypertension, dyslipidemia, coronary disease, heart failure, arrhythmias, and vascular concerns. Respiratory chapters examine asthma, chronic obstructive pulmonary disease, infection, and other common pulmonary presentations. Endocrine and metabolic coverage includes diabetes, obesity, thyroid disease, osteoporosis, and related metabolic problems.

Inside this book, readers will find detailed coverage of:

· Advanced primary-care assessment and clinical reasoning

· Prevention, screening, and longitudinal care

· Cardiovascular and vascular disorders

· Respiratory disorders

· Diabetes, endocrine, obesity, and metabolic care

· Gastrointestinal, hepatobiliary, and nutritional disorders

· Renal, urologic, and genitourinary conditions

· Musculoskeletal and rheumatologic disorders

· Neurologic symptoms and disorders

· Mental, behavioral, and substance-related health

· Dermatology, ENT, and common eye conditions

· Infectious disease and antimicrobial stewardship

· Reproductive, sexual, and women's health

· Multimorbidity, older adults, polypharmacy, referral, and care transitions

Additional chapters address gastrointestinal and liver disease, kidney and urinary conditions, musculoskeletal and rheumatologic problems, neurologic presentations, depression, anxiety, substance use, dermatology, ENT and eye conditions, infectious disease, reproductive and sexual health, contraception, menstrual concerns, and menopause. The final chapter focuses on multimorbidity, frailty, falls, cognitive decline, polypharmacy, deprescribing, function, goals of care, referral, transitions, and coordination among multiple clinicians, bringing the major responsibilities of longitudinal primary care into one detailed clinical framework.
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