Contents -- Consultants -- List of Contributors -- Introduction -- 1: Alcohol problems -- Epidemiology -- Definitions -- Screening and diagnosis -- The CAGE questionnaire -- Treatment -- Pharmacotherapy -- Referral -- 2: Anemia -- Epidemiology -- Clinical presentation -- Diagnosis and evaluation -- Microcytic anemias (MCV 80 fl) -- Macrocytic anemias (MCV 100 fl) -- Hemolytic anemias -- 3: Anticoagulation -- Atrial fibrillation (AF) -- Valvular heart disease -- Deep venous thrombosis (DVT) and pulmonary embolus (PE) -- Myocardial infarction (MI) -- Heart failure -- Cerebrovascular disease -- Practical aspects of anticoaguation and antiplatelet therapy -- Special situations -- New directions -- 4: Arterial disease of the lower extremities -- Epidemiology -- Diagnosis -- Treatment -- 5: Asthma and chronic obstructive pulmonary disease -- Asthma -- Occupational asthma -- Chronic obstructive pulmonary disease (COPD) -- 6: Atrial fibrillation -- Epidemiology -- Diagnosis -- Therapy -- 7: Breast disease -- Introduction -- Evaluation of a breast mass -- Mastalgia -- Nipple discharge -- Fibrocystic change -- Fibroadenoma -- Breast cancer -- 8: Cancer screening -- Introduction -- Breast cancer -- Cervical cancer -- Colorectal cancer -- Lung cancer -- Ovarian cancer -- Prostate cancer -- Testicular cancer -- 9: Cerebrovascular disease -- Epidemiology -- Diagnosis -- Treatment -- Surgical management -- Hospital admission: indications -- 10: Coronary artery disease -- Epidemiology -- Diagnosis -- Treatment -- 11: Cough, bronchitis, and pneumonia -- Cough and bronchitis -- Community acquired pneumonia -- Prevention -- 12: Depression, anxiety, and somatization -- Depression -- The anxiety disorders -- Somatization -- 13: Dermatologic disease -- Introduction -- Acne vulgaris -- Skin cancer -- Steroid responsive dermatoses -- Psoriasis -- Dermatophyte infections.

14: Diabetes mellitus -- Epidemiology -- Diagnosis -- Treatment -- Drug therapy -- Prevention and treatment of complications -- 15: Dizziness -- Epidemiology -- Pathophysiology -- Diagnosis -- Common vestibular disorders -- 16: Domestic violence -- Introduction -- Epidemiology -- Diagnosis -- Treatment -- 17: Dyspepsia, peptic ulcer disease, and gastroesophageal reflux disease -- Epidemiology -- Diagnosis -- Treatment -- 18: Fatigue -- Epidemiology -- Diagnosis -- Treatment -- 19: Headache -- Epidemiology -- Diagnosis -- Cluster headache -- Migraine headache -- Other headache syndromes -- 20: Heart failure -- Epidemiology -- Diagnosis -- Treatment -- Diastolic dysfunction -- Revascularization -- Implantable cardioverter/defibrillator -- Heart transplantation -- 21: Hepatitis A, B, and C -- Hepatitis A -- Hepatitis B -- Hepatitis C -- 22: HIV disease -- Epidemiology -- Diagnosis -- Prevention -- Antiretroviral therapy -- 23: Hyperlipidemia -- Diagnosis -- Dietary treatment -- Medical therapy -- 24: Hypertension -- Epidemiology -- Diagnosis -- Treatment -- Notes on the agents -- 25: Irritable bowel syndrome -- Epidemiology -- Pathophysiology -- Diagnosis -- Treatment -- Conclusions -- 26: Liver and biliary disease -- Diagnosis -- Gallstones -- Primary sclerosing cholangitis -- Non-viral liver disease -- Cirrhosis -- 27: Low back pain -- Epidemiology -- Diagnosis -- Activity -- Back surgery -- Prognosis -- 28: Menopause and hormone replacement -- Introduction -- Diagnosis and evaluation -- Short-term HRT -- Long-term HRT -- 29: Musculoskeletal pain -- General approach -- Arthritis -- Fibromyalgia -- 30: Obesity -- Epidemiology -- Treatment -- Surgery -- 31: Osteoporosis -- Epidemiology -- Diagnosis -- Treatment -- 32: Palpitations -- Epidemiology -- Diagnosis -- Prognosis -- 33: Renal insufficiency -- Epidemiology -- Diagnosis -- Treatment -- Dialysis.

Summary -- 34: Seizure disorders -- Epidemiology -- Classification of seizures -- Diagnosis -- Special situations -- 35: Sexually transmitted diseases -- Epidemiology -- General principles of management -- Genital herpes -- Syphilis (reponema pallidum ) -- Gonorrhea (Neisseria gonorrhoeae ) -- Chlamydia (Chlamydia trachomatis ) -- Chancroid (Haemophilus ducreyi ) -- Genital warts -- 36: Smoking cessation -- Epidemiology -- Treatment -- Practical strategies for smoking cessation in the primary care setting -- 37: Thyroid disease -- Hypothyroidism -- Hyperthyroidism -- Thyroid nodule -- 38: Tuberculosis and PPD testing -- Epidemiology -- Latent infection -- 39: Upper respiratory infection and allergic rhinitis -- The common cold -- Influenza -- Acute bacterial sinusitis -- Group A hemolytic streptococcus pharyngitis -- Chronic tonsillitis -- Mononucleosis -- Allergic rhinitis -- 40: Valvular heart disease -- Aortic stenosis -- Mitral stenosis -- Mitral regurgitation -- Mitral valve prolapse -- Aortic regurgitation -- Bacterial endocarditis -- 41: Venous thromboembolism -- Epidemiology -- Diagnostic testing -- Treatment -- Appendix A: 30 Leading causes of death worldwide - 1990 -- Appendix B: 15 Leading causes of death, United States - 1998 -- Appendix C: Estimated new cancer cases and deaths by sex for all sites, United States - 2000* -- Appendix D: Centers for disease control notifiable diseases, United States - 1998 -- Appendix E: Recommendations for primary and secondary prevention from the US Preventive Services Task Force -- Glossary -- Diagnosis -- Risk -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Z.