Meghan M. Kiefer - Pocket Primary Care

Pocket

PRIMARY
CARE

Second Edition

Edited by

M EGHAN M. K IEFER , MD, MPH

C URTIS R. C HONG , MD, PhD, MPhil, FACP

A Massachusetts General Hospital Handbook

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Printed in China

Library of Congress Cataloging-in-Publication Data

Names: Kiefer, Meghan, editor. | Chong, Curtis, editor.

Title: Pocket primary care / edited by Meghan M. Kiefer, Curtis R. Chong.

Other titles: Pocket primary care (Kiefer) | Pocket notebook.

Description: Second edition. | Philadelphia : Wolters Kluwer, [2018] | Series: Pocket notebook | A Massachusetts General Hospital handbook. |

Includes bibliographical references and index.

Identifiers: LCCN 2017055856 | ISBN 9781975106126 (loose-leaf)

Subjects: | MESH: Primary Health Care | Handbooks

Classification: LCC RA393 | NLM W 49 | DDC 362.1dc23

LC record available at https://lccn.loc.gov/2017055856

DISCLAIMER Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner.

The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.

Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.

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10 9 8 7 6 5 4 3 2 1

Andrew Allegretti, MD, MSc

Attending Physician, Massachusetts General Hospital; Instructor in Medicine, Harvard Medical School (Renal/Urology Section Editor) MGH 13

Brandon Auerbach, MD, MPH

Attending Physician, Virginia Mason Medical Center (Obesity) MGH 15

Kimberly G. Blumenthal, MD

Attending Physician, Massachusetts General Hospital; Assistant Professor of Medicine, Harvard Medical School (HEENT Section Editor) MGH 12

Michael Bowley, MD, PhD

Assistant in Neurology, Massachusetts General Hospital; Instructor in Neurology, Harvard Medical School (Neurology Section Editor) MGH Neurology 13

Brian Boyle, MD

Psychiatry Resident, Massachusetts General Hospital (Anxiety and Panic Disorders, Attention-Deficit Hyperactivity Disorder, Depression)

Allen Chang, MD

Attending Physician, Department of Medicine, UMass Memorial Medical Center; Assistant Professor of Medicine, University of Massachusetts Medical School (Mens Health Section Editor) MGH 12

Curtis R. Chong, MD, PhD, MPhil, FACP

Attending Physician, Memorial Sloan Kettering Cancer Center (Hematology and Oncology Section Editor, Elbow Pain) MGH 11

Jacqueline T. Chu, MD

Attending Physician, Massachusetts General Hospital; Instructor in Medicine, Harvard Medical School (Infectious Disease Section Editor) MGH 14

Warren Chuang, MD

Attending Physician, Massachusetts General Hospital; Instructor in Medicine, Harvard Medical School (Advance Care Planning, Dementia)

Daniel Daunis, MD

Psychiatry Resident, Massachusetts General Hospital (Bipolar Disorder, Difficult Patient, Psychotic Disorders, and Medications)

Doreen DeFaria Yeh, MD

Attending Physician, Massachusetts General Hospital; Subspecialty Education Coordinator, MGH Division of Cardiology; Instructor in Medicine, Harvard Medical School (Adult Congenital Heart Disease) MGH 06

David Dudzinski, MD, JD

Attending Physician, Massachusetts General Hospital; Director, Cardiac Intensive Care Unit, MGH Division of Cardiology; Instructor in Medicine, Harvard Medical School (Cardiology Section Editor) MGH 09

Lindsay T. Fourman, MD

Endocrinology Fellow, Massachusetts General Hospital; Research Fellow in Medicine, Harvard Medical School (Endocrine Section Editor)

J. Scott Gabrielsen, MD, PhD

Fellow in Mens Reproductive Surgery and Medicine, Scott Department of Urology, Baylor College of Medicine (Mens Health Section Editor, Incontinence) MGH Urology 17

Sarah N. Gee, MD

Attending Physician, Vitalogy Skincare (Dermatology Section Editor) MGH Dermatology 12

Benjamin Gigliotti, MD

Endocrinology Fellow, Massachusetts General Hospital; Research Fellow in Medicine, Harvard Medical School (Thyroid Disease)

Stacey Gray, MD

Assistant Professor of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School