CONTENTS
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DEDICATION
To my wonderful partners at the
Legacy Southwest Community
Health Clinic including our leaders
Dr. Richard Beech and Mr. Jack Parker;
the excellent nurse practitioners Bernie,
Cornell, Carlisa, and Kathy;
and my phenomenal sonographers Patty and Kelly
you and your associates are the everyday heroes providing
medical care to the underserved each day.
ECT
To Cal, Casey, and Heather.
DB
To the students, residents, faculty, and patients of EVMS:
the best teachers I could ever have.
And to May and Sean: for their infinite patience and love.
BB
CONTRIBUTORS
Enjoli Benitez, MD, MPH
Resident
Family Medicine Residency Program
Department of Family Medicine
The Methodist Hospital-Houston
Houston, Texas
Isabelle Chughtai-Harvey, MD
Faculty Physician
Family Medicine Residency Program
Department of Family Medicine
The Methodist Hospital-Houston
Houston, Texas
Kate Gallagher, MD
Chief Resident
Eastern Virginia Medical School
Portsmouth Family Medicine
Portsmouth, Virginia
Aman Haider, MD
Chief Resident
Family Medicine Residency Program
Department of Family Medicine
The Methodist Hospital-Houston
Houston, Texas
Grace W. Kim, MD
Resident
Family Medicine Residency Program
Department of Family Medicine
The Methodist Hospital-Houston
Houston, Texas
Ryan Light, MD
Resident
Eastern Virginia Medical School
Portsmouth Family Medicine
Portsmouth, Virginia
Colette Lo, MD
Resident
Department of Family Medicine
Eastern Virginia Medical School
Norfolk, Virginia
Devon A. Shick, MD
Eastern Virginia Medical School
Portsmouth Family Medicine
Portsmouth, Virginia
PREFACE
We appreciate all the kind remarks and suggestions from the many medical students over the past 3 years. Your positive reception has been an incredible encouragement, especially in light of the short life of the Case Files series. In this third edition of Case Files: Family Medicine, the basic format of the book has been retained. Improvements were made in updating many of the chapters. New cases include Substance Abuse, Asthma, Sleep Apnea, Osteoporosis, Chronic Pain Management, and Leg Swelling. We reviewed the clinical scenarios with the intent of improving them; however, their real-life presentations patterned after actual clinical experience were accurate and instructive. The multiple-choice questions have been carefully reviewed and rewritten to ensure that they comply with the National Board and USMLE format. Through this third edition, we hope that the reader will continue to enjoy learning diagnosis and management through the simulated clinical cases. It certainly is a privilege to be teachers for so many students, and it is with humility that we present this edition.