Thoroughly updated by a new editorial team, this Spiral® Manual provides practical, accessible information on the full spectrum of clinical problems in primary care. Written from the family physician's perspective, the book emphasizes ambulatory care, plus pertinent hospital-based and home-based problems, and focuses on disease prevention and health maintenance.

Topics include diagnostic challenges such as amenorrhea and fatigue, common disorders such as diabetes mellitus and hypertension, and selected procedures such as obstetric ultrasound and nasolaryngoscopy. New topics covered in this edition include bronchospasm and chest pain, drug addiction, sleep disorders, hematuria, metabolic syndrome, and acute and chronic pain management.

I: DISEASE PRESENTATION AND HEALTH SCREENING
• Health Maintenance for Infants and Children
• Health Maintenance for Adolescents
• Health Maintenance for the Adult Patient
• Health Maintenance for Older Adults
• Health Care for the International Traveler
II: COMMON PRESENTING PROBLEMS
• Weight Loss
• Fatigue
• Dizziness
• Cough
• Chest Pain
• Abdominal Pain
• Jaundice
• Edema
• Pelvic Pain
• Back Pain
III: EMERGENCY PROBLEMS IN AMBULATORY CARE
• Anaphylaxis
• Bronchospasm
• Drug Overdose
• Epistaxis
• Syncope
• Cerebral Concussion
• Fractures Requiring Special Consideration
IV: PROBLEMS OF INFANTS AND CHILDREN
• Developmental Problems in Children
• Fever in Infancy and Childhood
• Inspiratory Stridor, Croup, and Epiglottitis
• Reactive Airway Disease in Children
• Viral Exanthems of Children
• Musculoskeletal Problems of Children And Adolescents
• Enuresis
• Common Poisoning in Children
• Behavioral Problems of Children
• Attention-Deficit-Hyperactivity Disorder
V: HUMAN BEHAVIOR AND PROBLEMS OF LIVING
• Anxiety, Panic Disorders, and Agoraphobia
• Depression
• Alcoholism
• Sexual Dysfunction
• Eating Disorders
• Sleep Disorders
• Drug Misuse Disorders
VI: DISORDERS OF THE NERVOUS SYSTEM
• Migraine Headaches
• Nonmigraine Headaches
• Meningitis
• Seizures
• Transient Ischemic Attacks
• Stroke
• Parkinson Disease
• Alzheimer Disease
• Peripheral Neuropathy
VII: EYE PROBLEMS
• Conjunctivitis and Other Causes of a Red Eye
• Age-Associated Eye Diseases: Cataracts, Glaucoma, and Macular Degeneration
• Ocular Injuries
VIII: EAR, NOSE, AND THROAT PROBLEMS
• Acute Otitis Media
• Chronic Otitis Media
• Otitis Externa
• Pharyngitis
• Sinusitis
• Allergic Rhinitis
IX: CARDIOVASCULAR PROBLEMS
• Hypertension
• Ischemic Heart Disease
• Murmurs and Valvular Heart Disease
• Heart Failure
• Atrial Fibrillation and Other Supraventricular Tachycardias
• Ventricular Dysrhythmias
• Venous Thrombosis and Thrombophlebitis
• Peripheral Arterial Disease
X: RESPIRATORY PROBLEMS
• Asthma
• Acute Bronchitis and Pneumonia
• Chronic Obstructive Pulmonary Disease
• Tuberculosis
• Lung Cancer
XI: GASTROINTESTINAL PROBLEMS
• Peptic Ulcer Disease and Gastritis
XII: RENAL AND UROLOGIC PROBLEMS
• Cystitis and Bacteriuria
XIII: PROBLEMS RELATED TO THE FEMALE REPRODUCTIVE SYSTEM
• Vaginitis and Cervicitis
XIV: FAMILY PLANNING AND MATERNITY CARE
• Contraception
XV: MUSCULOSKELETAL PROBLEMS AND ARTHRITIS
• Osteoarthritis
XVI: DERMATOLOGIC PROBLEMS
• Pyoderma and Cellulitis
XVII: ENDOCRINE AND METABOLIC DISORDERS
• Obesity
XVIII: DISORDERS OF THE BLOOD
• Iron Deficiency Anemia
XIX: INFECTIOUS DISEASES
• Gastroenteritis
XX: INJURIES AND VIOLENCE
• Bites of Humans and Animals
XXI: OCCUPATIONAL AND ENVIRONMENTAL PROBLEMS
• Pesticide and Related Poisoning
XXII: THERAPEUTIC CHOICES
• Bacterial Endocarditis Prophylaxis