Pfenninger and Fowler s Procedures for Primary Care E-Book
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Pfenninger and Fowler’s Procedures for Primary Care, 3rd Edition is a comprehensive, "how-to" resource offering step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care clinicians. . Designed for everyday practice, the outline format allows speedy reference while the detailed text and clear illustrations guide you through each procedure. The new edition of this best-selling book features full-color illustrations and easy access to the complete contents and illustrations, patient forms, and more online at

  • Understand how to proceed, step by step, thanks to detailed text and illustrations.
  • Locate critical information at a glance with numerous boxes and tables.
  • Use the book for years with minimal wear and tear thanks to its sturdy cover.
  • Patient education handouts to educate, save time, and reduce liability
  • Coding guidelines included
  • This best selling text now includes full color photos and new sections on Aesthetic and Hospitalist Procedures in addition to an update of all the previous procedures discussed in prior editions!

Access the complete contents and illustrations online, download patient education handouts and consent forms, view lists of device manufacturers, and more at

  • Offer your patients a variety of cosmetic procedures using lasers and pulsed-light devices (including individual chapters on procedures for hair removal, photorejuvenation, , skin tightening and skin resurfacing, and tattoo removal), botulinum toxin, as well as new coverage of cosmeceutical skin care, tissue fillers, and photodynamic therapy.
  • Master new procedures such as maggot treatment for chronic ulcers, endovenous vein closure, stress echo, insertion of the contraceptive capsule (Implanon) and tubal implant (Essure), musculoskeletal ultrasound, no-needle/no-scalpel vasectomy, procedures to treat acute headaches, and more.

Don’t worry! All the more basic office procedures are still included…with improved and updated discussions!

Pfenninger and Fowler provide the latest and most comprehensive information on medical procedures that allow primary care physicians to more effectively treat their patients.


Surgical incision
Birth control
Surgical suture
Endometrial biopsy
Capsule endoscopy
Human skin
Anorectal abscess
Dislocated shoulder
Neurogenic bladder
Cervical conization
Endometrial ablation
Wood's lamp
Cervical cerclage
Natural family planning
Corneal abrasion
Family medicine
Postcoital test
Fecal impaction
Peritonsillar abscess
Ingrown nail
Labor induction
External cephalic version
Inguinal hernia
Cutaneous conditions
Skin grafting
Cardiac stress test
Lung function test
Deep vein thrombosis
Pain management
Photodynamic therapy
Pilonidal cyst
Seminal vesicle
Prostate massage
Compartment syndrome
Local anesthetic
Local anesthesia
Hair removal
Medical ultrasonography
Tissue (biology)
Acne vulgaris
Cardiopulmonary resuscitation
Emergency medicine
Caesarean section
Nitrous oxide
Urinary tract infection
Emergency contraception
Interstitial cystitis
Hallux valgus


Publié par
Date de parution 23 septembre 2010
Nombre de lectures 0
EAN13 9781455700929
Langue English
Poids de l'ouvrage 9 Mo

Informations légales : prix de location à la page 0,0448€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.


Pfenninger & Fowler’s Procedures for Primary Care
Third Edition

John L. Pfenninger, MD
President and Director, Medical Procedures Center, PC, Private Practice, Midland, Michigan
Senior Consultant and Founder, National Procedures Institute, Austin, Texas
Clinical Professor, Michigan State University College of Human Medicine, East Lansing, Michigan

Grant C. Fowler, MD
Professor and Vice Chair, Department of Family and Community Medicine, University of Texas Medical School at Houston, Houston, Texas
Front Matter

Pfenninger & Fowler’s Procedures for Primary Care
Edited by
John L. Pfenninger, MD
President and Director, Medical Procedures Center, PC
Private Practice
Midland, Michigan
Senior Consultant and Founder
National Procedures Institute
Austin, Texas
Clinical Professor
Michigan State University College of Human Medicine
East Lansing, Michigan
Grant C. Fowler, MD
Professor and Vice Chair
Department of Family and Community Medicine
University of Texas Medical School at Houston
Houston, Texas
1600 John F. Kennedy Blvd
Ste. 1800
Philadelphia, PA 19103-2899
© 2011, 2003, 1994 by Mosby, Inc, an affiliate of Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any mean, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies, and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Pfenninger and Fowler’s procedures for primary care / edited by John L. Pfenninger, Grant C. Fowler.—3rd ed.
p. ; cm.
Other title: Procedures for primary care
Includes bibliographical references and index.
ISBN 978-0-323-05267-2
1. Primary care (Medicine) 2. Surgery, minor. I. Pfenninger, John L. II. Fowler, Grant C. III. Title: Procedures for primary care.
[DNLM: 1. Primary Health Care—methods. 2. Diagnostic Techniques and Procedures. 3. Surgical Procedures, Operative—methods. W 84.61 P528 2010]
RC48.P76 2010
616–dc22 2010008159
Acquisitions Editor: Kate Dimock
Developmental Editor: Julie Mirra
Publishing Services Manager: Pat Joiner-Myers
Project Manager: Joy Moore
Design Direction: Ellen Zanolle
Marketing Manager: Tracie Pasker
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
The first edition of this text was dedicated to my family. Grandma Rose helped awaken my curiosity in medicine and my parents supported it. My wife Kay and my children, Stacey, Matthew, and Dana provided the encouragement that was needed to persist and complete the book itself.
The second edition was dedicated to all my colleagues in family practice here in Midland who were so gracious in covering call for me during my travels and while writing.
As this third edition is published, medicine is in turmoil. We are trying to find direction. Our care is being driven by evidence-based medicine. A cost-effective approach to provide that care is of paramount importance. Finding a way to enable care for all and determining methods to support the aging population have gained center stage importance. With this in mind, this third edition is dedicated then to my two grandsons, Daniel and Ryan Maura. They are the future. They and their generation will need to pull and mold the best of the past to create a new world of healthcare to address these issues. It is for them that we strive to do our best. It will take their best to allow us to continue to provide the highest quality of medical care in the world.

John L. Pfenninger, MD
As they should be, the first and second editions were dedicated to our families, friends, and colleagues. They both inspired and tolerated us through this process, again and again. Likewise, this edition is dedicated to them.
This edition is also dedicated to primary care clinicians everywhere who have endured practicing in our current healthcare system; all of us know what that means and it has not always been nurturing and supportive. As we continue to endure, adapt, and persevere, this book is dedicated to those who continue to do the right thing, what’s best for our patients, their families, our profession, and the healthcare system. Even though future healthcare systems are likely to be more complicated, new technologies and procedures will evolve that can keep it fun and exciting. And my prediction persists that patient outcomes and satisfaction as well as healthcare systems will be enhanced when as many procedures as possible are provided by primary care clinicians.

Grant C. Fowler, MD

Suraj Achar, MD, Associate Clinical Professor, Associate Director of Sports Medicine, University of California–San Diego, San Diego, CA

Christopher F. Adams, MD, MBA, Fellow of Sports Medicine, University of Missouri–Kansas City, Kansas City, MO

Olasunkanmi W. Adeyinka, MD, Assistant Professor, Department of Family and Community Medicine, University of Texas Medical School at Houston; Medical Director, UT Physicians–Family Medicine, Houston, TX

Scott Akin, MD, Medical Staff, Contra Costa Regional Medical Center, Martinez, CA

Haneef Alibhai, MD, CM, CCFP, FCFP, Medical Director, MD Cosmetic & Laser Clinic, Abbotsford, Vancouver, BC, Canada

Philip J. Aliotta, MD, MSHA, FACS, CPI, Chief of Urology, Sisters of Charity Hospitals; Attending, Department of Urology, School of Biomedical Sciences and Medicine, SUNY–Buffalo; Attending and Director of Pelvic Floor Disorders and Neurogenic Bladder, Jacobs Neurologic Institute, Buffalo General Hosptial, Buffalo, NY; Instructor of Urology, New York Osteopathic Medicine, New York, NY; Instructor of Urology Lake Erie College of Osteopathic Medicine, Erie, PA

Michael A. Altman, MD, Associate Professor, Department of Family and Community Medicine, University of Texas Medical School at Houston, Houston, TX

Gerald A. Amundsen, MD, Faculty, Great Plains Family Medicine Residency, Oklahoma City; Physician, Mustang Family Practice, Mustang, OK

John J. Andazola, MD, Program Director, The Southern New Mexico Family Medicine Residency Program, Las Cruces, NM

Fatih Arikan, DDS, PhD, Associate Professor, Department of Periodontology, Ege University School of Dentistry, Bornova, Izmir, Turkey

K.M.R. Arnold, MD, Assistant Clinical Professor, Department of Family Medicine, University of Indiana, Indianapolis, IN

Darrin Ashbrooks, MD, Department of Family Medicine, University of Arkansas for Medical Science AHEC–Southwest, Texarkana, AR; Department of Sports Medicine, University of Kansas City– Missouri School of Medicine, Kansas City, MO

Barry Auster, MD, Clinical Instuctor of Dermatology, Michigan State University, East Lansing; Chair of Dermatology, Sinai-Grace, Detroit; Department of Dermatology, William Beaumont Hospital, Royal Oak, MI

Dennis E. Babel, PhD, HCLD (ABB), Laboratory Director, Mycology Consultants Laboratory, Holland, MI

Thad J. Barkdull, MD, FAAFP, CAQSM, Clinical Assistant Professor, Department of Family Medicine, John A. Burns School of Medicine, University of Hawaii; Director of Sports Medicine, Family Medicine Residency, Tripler Army Medical Center, Honolulu, HI

Andy S. Barnett, MD, Clinical Instructor, Department of Family Medicine, University of Washington and Madigan Army Medical Center, Tacoma; Staff Physician, Department of Emergency Medici

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