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Pfenninger and Fowler's Procedures for Primary Care, 4th edition Primary care clinicians are performing more varied procedures than ever before, and physicians, residents, and students need a comprehensive, authoritative resource that provides trusted information in an easy-to-follow format. Through three outstanding editions, Pfenninger and Fowler’s Procedures for Primary Care has been the go-to reference for step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care providers. This 4th Edition continues that tradition with new section editors, updated illustrations, new chapters, and much more.

1. Chapter 35. Introduction to Aesthetic Medicine - p. 230 2. Chapter 36. Cosmeceuticals and Skin care - p. 235 3. Chapter 37. Gingival Melanin Hyperpigmentation - p. 240 4. Chapter 38. Lasers and Pulsed-Light Devices: Hair Removal - p. 244 5. Chapter 39. Lasers and Pulsed-Light Devices: Photofacial Rejuvenation - p. 253 6. Chapter 40. Lasers and Pulsed-Light Devices: Acne - p. 260 7. Chapter 41. Lasers and Pulsed-Light Devices: Skin Tightening - p. 265 8. Chapter 42. Lasers and Pulsed-Light Devices: Leg Telangiectasia - p. 268 9. Chapter 43. Lasers: Tattoo Removal - p. 274 10. Chapter 44. Fractional Laser Skin Resurfacing - p. 278 11. Chapter 45. Nonablative Radiowave Skin Tightening with the Ellman S5 Surgitron (Pellevé Procedure) - p. 293 12. Chapter 46. Epilation of Isolated Hairs (Including Trichiasis) - p. 298 13. Chapter 47. Botulinum Toxin - p. 300 14. Chapter 48. Tissue Filler - p. 309 15. Chapter 49. Microdermabrasion and Dermal Infusion - p. 315 16. Chapter 50. Skin Peels - p. 323 17. Chapter 51. Photodynamic Therapy - p. 332 18. Chapter 52. Cellulite Treatments - p. 336 19. Chapter 53. Thread Lift Using Barbed Suspension Sutures for Facial Rejuvenation - p. 341 20. Chapter 54. Radiofrequency-Assisted Upper Blepharoplasty for the Correction of Dermatochalasis - p. 346 21. Chapter 55. Body Piercing - p. 353 22. Section 4. Eyes, Ears, Nose, and Throat - p. 360 23. Chapter 56. Mucocele Removal - p. 362 24. Chapter 57. Chalazion and Hordeolum - p. 365 25. Chapter 58. Tonometry - p. 371 26. Chapter 59. Audiometry - p. 376 27. Chapter 60. Tympanometry - p. 382 28. Chapter 61. Tympanocentesis and Myringotomy - p. 385 29. Chapter 62. Cerumen Impaction Removal - p. 388 30. Chapter 63. Earlobe Repair - p. 393 31. Chapter 64. Nasolaryngoscopy - p. 397 32. Chapter 65. Indirect Mirror Laryngoscopy - p. 403 33. Chapter 66. Tonsillectomy and Adenoidectomy - p. 406 34. Chapter 67. Allergy Testing and Immunotherapy - p. 415 35. Chapter 68. Fine-Needle Aspiration Cytology and Biopsy - p. 427 36. Section 5. Cardiovascular and Respiratory System Procedures - p. 431 37. Chapter 69. Antibiotic Prophylaxis - p. 434 38. Chapter 70. Office Electrocardiograms - p. 438 39. Chapter 71. Preoperative Evaluation - p. 444 40. Chapter 72. Ambulatory Blood Pressure Monitoring - p. 453 41. Chapter 73. Ambulatory Electrocardiography: Holter and Event Monitoring - p. 457 42. CHAPTER 74. Stress ECG Testing - p. 474 43. Chapter 75. Echocardiography - p. 497 44. Chapter 76. Stress Echocardiography - p. 510 45. Chapter 77. Noninvasive Venous and Arterial Studies of the Lower Extremities - p. 521 46. Chapter 78. Sclerotherapy - p. 534 47. Chapter 79. Ambulatory Phlebectomy - p. 546 48. Chapter 80. Endovenous Vein Ablation - p. 554 49. Chapter 81. Pulmonary Function Testing - p. 560 50. Section 6. Gastrointestinal System Procedures - p. 567 51. Chapter 82. Clinical Anorectal Anatomy and Digital Examination - p. 570 52. Chapter 83. Anoscopy - p. 573 53. Chapter 84. High-Resolution Anoscopy and Anal Pap Smear - p. 577 54. Chapter 85. Anal Fissure, Lateral Sphincterotomy, and Anal Fistula - p. 585 55. Chapter 86. Perianal Abscess Incision and Drainage - p. 593 56. Chapter 87. Office Treatment of Hemorrhoids - p. 596 57. Chapter 88. Removal of Perianal Skin Tags (External Hemorrhoidal Skin Tags) - p. 607 58. Chapter 89. Flexible Sigmoidoscopy - p. 610 59. Chapter 90. Colonoscopy - p. 623 60. Chapter 91. Esophagogastroduodenoscopy - p. 639 61. Chapter 92. Percutaneous Endoscopic Gastrostomy Placement and Replacement - p. 656 62. Chapter 93. Video Capsule Endoscopy - p. 667 63. Chapter 94. Esophageal Foreign Body Removal - p. 676 64. Chapter 95. Inguinal Hernia Reduction - p. 680 65. Section 7. Urinary System Procedures - p. 681 66. Chapter 96. Bladder Catheterization (And Urethral Dilation) - p. 684 67. Chapter 97. Diagnostic Cystourethroscopy - p. 690 68. Chapter 98. Office Testing and Treatment Options for Interstitial Cystitis (Painful Bladder Syndrome) - p. 695 69. Chapter 99. Suprapubic Catheter Insertion and/or Change - p. 701 70. Chapter 100. Suprapubic Tap or Aspiration - p. 705 71. Chapter 101. Bedside Urodynamic Studies - p. 707 72. Section 8. Male Reproductive System - p. 710 73. Chapter 102. Adult Circumcision - p. 712 74. Chapter 103. Androscopy - p. 718 75. Chapter 104. Dorsal Slit for Phimosis - p. 726 76. Chapter 105. Prostate Massage - p. 730 77. Chapter 106. Prostate and Seminal Vesicle Ultrasonography and Biopsy - p. 732 78. Chapter 107. Self-Injection Therapy for the Treatment of Erectile Dysfunction - p. 741 79. CHAPTER 108. Vacuum Devices for Erectile Dysfunction - p. 745 80. Chapter 109. Implantable Hormone Pellets for Testosterone Deficiency in Adult Men - p. 747 81. Chapter 110. Sperm Banking - p. 753 82. CHAPTER 111. Vasectomy - p. 755 83. Chapter 112. Manual Testicular Detorsion - p. 771 84. Section 9. Gynecology and Female Reproductive System - p. 772 85. CHAPTER 113. Pregnancy Termination: First-Trimester Suction Aspiration - p. 774 86. Chapter 114. Pregnancy Termination: Medication Abortion - p. 784 87. Chapter 115. Emergency Contraception - p. 791 88. Chapter 116. Barrier Contraceptives: Cervical Caps, Condoms, and Diaphragms - p. 794 89. Chapter 117. Fertility Awareness–Based Methods of Contraception (Natural Family Planning) - p. 801 90. Chapter 118. Bartholin Cyst and Abscess: Word Catheter Insertion Marsupialization - p. 804 91. Chapter 119. Breast Biopsy - p. 808 92. Chapter 120. Pap Smear and Related Techniques for Cervical Cancer Screening - p. 814 93. Chapter 121. Human Papillomavirus DNA Typing - p. 825 94. Chapter 122. Wet Smear and Potassium Hydroxide Preparation - p. 829 95. Chapter 123. Cervical Polyps - p. 833 96. CHAPTER 124. Colposcopic Examination - p. 836 97. Chapter 125. Cryotherapy of the Cervix - p. 855 98. Chapter 126. Cervical Stenosis and Cervical Dilation - p. 861 99. Chapter 127. Loop Electrosurgical Excision Procedure for Treating Cervical Intraepithelial Neoplasia - p. 867 100. Chapter 128. Cervical Conization - p. 876 101. Chapter 129. Endometrial Biopsy - p. 879 102. Chapter 130. Hysteroscopy - p. 888 103. Chapter 131. Permanent Female Sterilization (Tubal Ligation) - p. 898 104. Chapter 132. Insertion of Essure (Hysteroscopically Assisted Female Sterilization) - p. 909 105. Chapter 133. Endometrial Ablation - p. 915 106. Chapter 134. Hysterosalpingography and Sonohysterography - p. 925 107. Chapter 135. Intrauterine Device Insertion and Removal - p. 932 108. Chapter 136. Insertion and Removal of Nexplanon - p. 946 109. Chapter 137. Pessaries - p. 952 110. Chapter 138. Treatment of Noncervical Condylomata Acuminata - p. 960 111. Chapter 139. Vulvar Biopsy - p. 970 112. Chapter 140. Treatment of the Adult Victim of Sexual Assault - p. 974 113. Section 10. Obstetrics - p. 979 114. Chapter 141. Postcoital Test (Sims-Huhner Test) - p. 982 115. Chapter 142. Obstetric Ultrasound - p. 984 116. Chapter 143. Cervical Cerclage - p. 999 117. Chapter 144. Amniocentesis - p. 1003 118. Chapter 145. External Cephalic Version - p. 1008 119. Chapter 146. Antepartum Fetal Monitoring - p. 1012 120. Chapter 147. Induction of Labor - p. 1019 121. Chapter 148. Amniotomy - p. 1025 122. Chapter 149. Fetal Scalp Electrode Application - p. 1028 123. Chapter 150. Intrauterine Pressure Catheter Insertion - p. 1032 124. Chapter 151. Transcervical Amnioinfusion - p. 1035 125. Chapter 152. Intrathecal (Spinal) Analgesia in Labor - p. 1038 126. Chapter 153. Paracervical Block - p. 1042 127. Chapter 154. Pudendal Anesthesia - p. 1045 128. Chapter 155. Low Spinal (Saddle Block) Anesthesia - p. 1049 129. Chapter 156. Vaginal Delivery - p. 1053 130. Chapter 157. Forceps- and Vacuum-Assisted Deliveries - p. 1063 131. Chapter 158. Episiotomy and Repair of the Perineum - p. 1069 132. Chapter 159. Symphysiotomy - p. 1079 133. Chapter 160. Cesarean Delivery - p. 1082 134. Chapter 161. Culdocentesis (Colpocentesis) - p. 1090 135. Chapter 162. Dilation and Curettage - p. 1093 136. Section 11. Pediatrics - p. 1097 137. Chapter 163. Neonatal Resuscitation - p. 1100 138. Chapter 164. Pediatric Arterial Puncture and Venous Mini-Cutdown - p. 1105 139. Chapter 165. Umbilical Vessel Catheterization - p. 1109 140. Chapter 166. Dorsal Penile and Subcutaneous Ring Block for Newborn Circumcision - p. 1114 141. Chapter 167. Newborn Circumcision and Office Meatotomy - p. 1117 142. Chapter 168. Pediatric Suprapubic Bladder Aspiration - p. 1126 143. Chapter 169. Tongue-tie Snipping (Frenotomy) for Ankyloglossia - p. 1128 144. Chapter 170. Management of Young Female as Possible Victim of Sexual Abuse - p. 1131 145. Section 12. Orthopedics and Sports Medicine - p. 1138 146. Chapter 171. Musculoskeletal Ultrasound - p. 1140 147. Chapter 172. Extensor Tendon Repair - p. 1154 148. Chapter 173. Nursemaid’s Elbow: Radial Head Subluxation - p. 1160 149. Chapter 174. Shoulder Dislocations - p. 1163 150. Chapter 175. Ankle and Foot Splinting, Casting, and Taping - p. 1168 151. Chapter 176. Cast Immobilization and Upper Extremity Splinting - p. 1176 152. Chapter 177. Knee Braces - p. 1186 153. Chapter 178. Fracture Care - p. 1193 154. Chapter 179. Compartment Syndrome Evaluation - p. 1212 155. Chapter 180. Joint and Soft Tissue Aspiration and Injection (Arthrocentesis) - p. 1221 156. Chapter 181. Trigger-Point Injection - p. 1240 157. Chapter 182. Ganglion Treatment - p. 1245 158. Chapter 183. Transcutaneous Electrical Nerve Stimulation, Phonophoresis, and Iontophoresis - p. 1250 159. Chapter 184. Acupuncture - p. 1257 160. Chapter 185. Podiatric Procedures - p. 1263 161. Chapter 186. Body Fat Analysis - p. 1273 162. Chapter 187. Office Nerve Conduction Testing - p. 1280 163. Chapter 188. Muscle Biopsy - p. 1286 164. Section 13. Urgent Care - p. 1288 165. Chapter 189. Burn Treatment - p. 1290 166. Chapter 190. Fishhook Removal - p. 1298 167. Chapter 191. Foreign Body Removal from Skin and Soft Tissue - p. 1301 168. Chapter 192. Incision and Drainage of an Abscess - p. 1307 169. Chapter 193. Subungual Hematoma Evacuation - p. 1311 170. Chapter 194. Ingrown Toenails - p. 1314 171. Chapter 195. Ring Removal from an Edematous Finger - p. 1320 172. Chapter 196. Skin Stapling - p. 1323 173. Chapter 197. Tick Removal and Prevention of Infection - p. 1326 174. Chapter 198. Tissue Glues - p. 1329 175. Chapter 199. Topical Hemostatic Agents - p. 1332 176. Chapter 200. Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies - p. 1338 177. Chapter 201. Slit-Lamp Examination - p. 1345 178. Chapter 202. Auricular Hematoma Evacuation - p. 1350 179. CHAPTER 203. Reduction of Dislocated Temporomandibular Joint (with Temporomandibular Joint Syndrome Exercises) - p. 1355 180. Chapter 204. Removal of Foreign Bodies from the Ear and Nose - p. 1359 181. Chapter 205. Management of Epistaxis - p. 1365 182. CHAPTER 206. Peritonsillar Abscess Drainage - p. 1372 183. CHAPTER 207. Management of Dental Injuries and Reimplantation of an Avulsed Tooth - p. 1377 184. Chapter 208. Management of Fecal Impaction - p. 1382 185. Chapter 209. Gastrointestinal Decontamination - p. 1384 186. Chapter 210. Diagnostic Peritoneal Lavage - p. 1390 187. Chapter 211. Tube Thoracostomy and Emergency Needle Decompression of Tension Pneumothorax - p. 1394 188. Chapter 212. Anaphylaxis - p. 1401 189. Chapter 213. Prevention and treatment of Wound Infections - p. 1404 190. Chapter 214. Emergency Department, Hospitalist, and Office Ultrasound (POCUS) - p. 1408 191. Chapter 215. Heimlich Maneuver - p. 1439 192. CHAPTER 216. Zipper Injury Management - p. 1441 193. Section 14. Hospitalist - p. 1443 194. Chapter 217. Nasogastric and Nasoenteric Tube Insertion and Removal - p. 1446 195. Chapter 218. Thoracentesis - p. 1454 196. Chapter 219. Abdominal Paracentesis - p. 1461 197. Chapter 220. Bone Marrow Aspiration and Biopsy - p. 1466 198. Chapter 221. Lumbar Puncture - p. 1471 199. Chapter 222. Tracheal Intubation - p. 1477 200. Chapter 223. Cricothyroid Catheter Insertion, Cricothyroidotomy, and Tracheostomy - p. 1485 201. Chapter 224. Mechanical Ventilation - p. 1493 202. Chapter 225. Arterial Puncture and Percutaneous Arterial Line Placement - p. 1499 203. Chapter 226. Intraosseous Vascular Access - p. 1510 204. Chapter 227. Venous Cutdown - p. 1515 205. Chapter 228. Central Venous Catheter Insertion - p. 1521 206. Chapter 229. Swan-Ganz (Pulmonary Artery) Catheterization - p. 1529 207. Chapter 230. Pericardiocentesis - p. 1537 208. Chapter 231. Electrical Cardioversion - p. 1543 209. Chapter 232. Temporary Pacing - p. 1548 210. Chapter 233. Drawing Blood Cultures - p. 1556 211. Chapter 234. Blood Products and Blood Banking - p. 1559 212. Chapter 235. Principles of X-Ray Interpretation - p. 1566 213. Appendixes - p. 1575 214. Appendix A. Commonly Used Instruments and Equipment - p. 1576 215. Appendix B Informed Consent - p. 1581 216. Appendix C. Latex Allergy Guidelines - p. 1586 217. Appendix D. Supplier Information - p. 1590 218. Appendix E. Resources for Learning and Teaching Procedures - p. 1604 219. Appendix F. Universal Precautions - p. 1615 220. Appendix G. Neoplasms of the Skin: ICD-10 Diagnostic Codes - p. 1620 221. Appendix H. Pearls of Practice - p. 1624 222. Appendix I. Universal Procedural Training in Family Medicine - p. 1630 223. Appendix J. Outline for a Comprehensive Operative Note - p. 1633 224. Appendix K. Management Guidelines for Abnormal Cervical Cancer Screening Tests and Histologic Findings - p. 1634 225. Appendix L. Buying Major Office Equipment - p. 1643 226. Appendix M. Special Considerations in Geriatric Patients - p. 1647 227. Index - p. 1651

Descripcion
Descripción

Pfenninger and Fowler's Procedures for Primary Care, 4th edition Primary care clinicians are performing more varied procedures than ever before, and physicians, residents, and students need a comprehensive, authoritative resource that provides trusted information in an easy-to-follow format. Through three outstanding editions, Pfenninger and Fowler’s Procedures for Primary Care has been the go-to reference for step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care providers. This 4th Edition continues that tradition with new section editors, updated illustrations, new chapters, and much more.

1. Chapter 35. Introduction to Aesthetic Medicine - p. 230 2. Chapter 36. Cosmeceuticals and Skin care - p. 235 3. Chapter 37. Gingival Melanin Hyperpigmentation - p. 240 4. Chapter 38. Lasers and Pulsed-Light Devices: Hair Removal - p. 244 5. Chapter 39. Lasers and Pulsed-Light Devices: Photofacial Rejuvenation - p. 253 6. Chapter 40. Lasers and Pulsed-Light Devices: Acne - p. 260 7. Chapter 41. Lasers and Pulsed-Light Devices: Skin Tightening - p. 265 8. Chapter 42. Lasers and Pulsed-Light Devices: Leg Telangiectasia - p. 268 9. Chapter 43. Lasers: Tattoo Removal - p. 274 10. Chapter 44. Fractional Laser Skin Resurfacing - p. 278 11. Chapter 45. Nonablative Radiowave Skin Tightening with the Ellman S5 Surgitron (Pellevé Procedure) - p. 293 12. Chapter 46. Epilation of Isolated Hairs (Including Trichiasis) - p. 298 13. Chapter 47. Botulinum Toxin - p. 300 14. Chapter 48. Tissue Filler - p. 309 15. Chapter 49. Microdermabrasion and Dermal Infusion - p. 315 16. Chapter 50. Skin Peels - p. 323 17. Chapter 51. Photodynamic Therapy - p. 332 18. Chapter 52. Cellulite Treatments - p. 336 19. Chapter 53. Thread Lift Using Barbed Suspension Sutures for Facial Rejuvenation - p. 341 20. Chapter 54. Radiofrequency-Assisted Upper Blepharoplasty for the Correction of Dermatochalasis - p. 346 21. Chapter 55. Body Piercing - p. 353 22. Section 4. Eyes, Ears, Nose, and Throat - p. 360 23. Chapter 56. Mucocele Removal - p. 362 24. Chapter 57. Chalazion and Hordeolum - p. 365 25. Chapter 58. Tonometry - p. 371 26. Chapter 59. Audiometry - p. 376 27. Chapter 60. Tympanometry - p. 382 28. Chapter 61. Tympanocentesis and Myringotomy - p. 385 29. Chapter 62. Cerumen Impaction Removal - p. 388 30. Chapter 63. Earlobe Repair - p. 393 31. Chapter 64. Nasolaryngoscopy - p. 397 32. Chapter 65. Indirect Mirror Laryngoscopy - p. 403 33. Chapter 66. Tonsillectomy and Adenoidectomy - p. 406 34. Chapter 67. Allergy Testing and Immunotherapy - p. 415 35. Chapter 68. Fine-Needle Aspiration Cytology and Biopsy - p. 427 36. Section 5. Cardiovascular and Respiratory System Procedures - p. 431 37. Chapter 69. Antibiotic Prophylaxis - p. 434 38. Chapter 70. Office Electrocardiograms - p. 438 39. Chapter 71. Preoperative Evaluation - p. 444 40. Chapter 72. Ambulatory Blood Pressure Monitoring - p. 453 41. Chapter 73. Ambulatory Electrocardiography: Holter and Event Monitoring - p. 457 42. CHAPTER 74. Stress ECG Testing - p. 474 43. Chapter 75. Echocardiography - p. 497 44. Chapter 76. Stress Echocardiography - p. 510 45. Chapter 77. Noninvasive Venous and Arterial Studies of the Lower Extremities - p. 521 46. Chapter 78. Sclerotherapy - p. 534 47. Chapter 79. Ambulatory Phlebectomy - p. 546 48. Chapter 80. Endovenous Vein Ablation - p. 554 49. Chapter 81. Pulmonary Function Testing - p. 560 50. Section 6. Gastrointestinal System Procedures - p. 567 51. Chapter 82. Clinical Anorectal Anatomy and Digital Examination - p. 570 52. Chapter 83. Anoscopy - p. 573 53. Chapter 84. High-Resolution Anoscopy and Anal Pap Smear - p. 577 54. Chapter 85. Anal Fissure, Lateral Sphincterotomy, and Anal Fistula - p. 585 55. Chapter 86. Perianal Abscess Incision and Drainage - p. 593 56. Chapter 87. Office Treatment of Hemorrhoids - p. 596 57. Chapter 88. Removal of Perianal Skin Tags (External Hemorrhoidal Skin Tags) - p. 607 58. Chapter 89. Flexible Sigmoidoscopy - p. 610 59. Chapter 90. Colonoscopy - p. 623 60. Chapter 91. Esophagogastroduodenoscopy - p. 639 61. Chapter 92. Percutaneous Endoscopic Gastrostomy Placement and Replacement - p. 656 62. Chapter 93. Video Capsule Endoscopy - p. 667 63. Chapter 94. Esophageal Foreign Body Removal - p. 676 64. Chapter 95. Inguinal Hernia Reduction - p. 680 65. Section 7. Urinary System Procedures - p. 681 66. Chapter 96. Bladder Catheterization (And Urethral Dilation) - p. 684 67. Chapter 97. Diagnostic Cystourethroscopy - p. 690 68. Chapter 98. Office Testing and Treatment Options for Interstitial Cystitis (Painful Bladder Syndrome) - p. 695 69. Chapter 99. Suprapubic Catheter Insertion and/or Change - p. 701 70. Chapter 100. Suprapubic Tap or Aspiration - p. 705 71. Chapter 101. Bedside Urodynamic Studies - p. 707 72. Section 8. Male Reproductive System - p. 710 73. Chapter 102. Adult Circumcision - p. 712 74. Chapter 103. Androscopy - p. 718 75. Chapter 104. Dorsal Slit for Phimosis - p. 726 76. Chapter 105. Prostate Massage - p. 730 77. Chapter 106. Prostate and Seminal Vesicle Ultrasonography and Biopsy - p. 732 78. Chapter 107. Self-Injection Therapy for the Treatment of Erectile Dysfunction - p. 741 79. CHAPTER 108. Vacuum Devices for Erectile Dysfunction - p. 745 80. Chapter 109. Implantable Hormone Pellets for Testosterone Deficiency in Adult Men - p. 747 81. Chapter 110. Sperm Banking - p. 753 82. CHAPTER 111. Vasectomy - p. 755 83. Chapter 112. Manual Testicular Detorsion - p. 771 84. Section 9. Gynecology and Female Reproductive System - p. 772 85. CHAPTER 113. Pregnancy Termination: First-Trimester Suction Aspiration - p. 774 86. Chapter 114. Pregnancy Termination: Medication Abortion - p. 784 87. Chapter 115. Emergency Contraception - p. 791 88. Chapter 116. Barrier Contraceptives: Cervical Caps, Condoms, and Diaphragms - p. 794 89. Chapter 117. Fertility Awareness–Based Methods of Contraception (Natural Family Planning) - p. 801 90. Chapter 118. Bartholin Cyst and Abscess: Word Catheter Insertion Marsupialization - p. 804 91. Chapter 119. Breast Biopsy - p. 808 92. Chapter 120. Pap Smear and Related Techniques for Cervical Cancer Screening - p. 814 93. Chapter 121. Human Papillomavirus DNA Typing - p. 825 94. Chapter 122. Wet Smear and Potassium Hydroxide Preparation - p. 829 95. Chapter 123. Cervical Polyps - p. 833 96. CHAPTER 124. Colposcopic Examination - p. 836 97. Chapter 125. Cryotherapy of the Cervix - p. 855 98. Chapter 126. Cervical Stenosis and Cervical Dilation - p. 861 99. Chapter 127. Loop Electrosurgical Excision Procedure for Treating Cervical Intraepithelial Neoplasia - p. 867 100. Chapter 128. Cervical Conization - p. 876 101. Chapter 129. Endometrial Biopsy - p. 879 102. Chapter 130. Hysteroscopy - p. 888 103. Chapter 131. Permanent Female Sterilization (Tubal Ligation) - p. 898 104. Chapter 132. Insertion of Essure (Hysteroscopically Assisted Female Sterilization) - p. 909 105. Chapter 133. Endometrial Ablation - p. 915 106. Chapter 134. Hysterosalpingography and Sonohysterography - p. 925 107. Chapter 135. Intrauterine Device Insertion and Removal - p. 932 108. Chapter 136. Insertion and Removal of Nexplanon - p. 946 109. Chapter 137. Pessaries - p. 952 110. Chapter 138. Treatment of Noncervical Condylomata Acuminata - p. 960 111. Chapter 139. Vulvar Biopsy - p. 970 112. Chapter 140. Treatment of the Adult Victim of Sexual Assault - p. 974 113. Section 10. Obstetrics - p. 979 114. Chapter 141. Postcoital Test (Sims-Huhner Test) - p. 982 115. Chapter 142. Obstetric Ultrasound - p. 984 116. Chapter 143. Cervical Cerclage - p. 999 117. Chapter 144. Amniocentesis - p. 1003 118. Chapter 145. External Cephalic Version - p. 1008 119. Chapter 146. Antepartum Fetal Monitoring - p. 1012 120. Chapter 147. Induction of Labor - p. 1019 121. Chapter 148. Amniotomy - p. 1025 122. Chapter 149. Fetal Scalp Electrode Application - p. 1028 123. Chapter 150. Intrauterine Pressure Catheter Insertion - p. 1032 124. Chapter 151. Transcervical Amnioinfusion - p. 1035 125. Chapter 152. Intrathecal (Spinal) Analgesia in Labor - p. 1038 126. Chapter 153. Paracervical Block - p. 1042 127. Chapter 154. Pudendal Anesthesia - p. 1045 128. Chapter 155. Low Spinal (Saddle Block) Anesthesia - p. 1049 129. Chapter 156. Vaginal Delivery - p. 1053 130. Chapter 157. Forceps- and Vacuum-Assisted Deliveries - p. 1063 131. Chapter 158. Episiotomy and Repair of the Perineum - p. 1069 132. Chapter 159. Symphysiotomy - p. 1079 133. Chapter 160. Cesarean Delivery - p. 1082 134. Chapter 161. Culdocentesis (Colpocentesis) - p. 1090 135. Chapter 162. Dilation and Curettage - p. 1093 136. Section 11. Pediatrics - p. 1097 137. Chapter 163. Neonatal Resuscitation - p. 1100 138. Chapter 164. Pediatric Arterial Puncture and Venous Mini-Cutdown - p. 1105 139. Chapter 165. Umbilical Vessel Catheterization - p. 1109 140. Chapter 166. Dorsal Penile and Subcutaneous Ring Block for Newborn Circumcision - p. 1114 141. Chapter 167. Newborn Circumcision and Office Meatotomy - p. 1117 142. Chapter 168. Pediatric Suprapubic Bladder Aspiration - p. 1126 143. Chapter 169. Tongue-tie Snipping (Frenotomy) for Ankyloglossia - p. 1128 144. Chapter 170. Management of Young Female as Possible Victim of Sexual Abuse - p. 1131 145. Section 12. Orthopedics and Sports Medicine - p. 1138 146. Chapter 171. Musculoskeletal Ultrasound - p. 1140 147. Chapter 172. Extensor Tendon Repair - p. 1154 148. Chapter 173. Nursemaid’s Elbow: Radial Head Subluxation - p. 1160 149. Chapter 174. Shoulder Dislocations - p. 1163 150. Chapter 175. Ankle and Foot Splinting, Casting, and Taping - p. 1168 151. Chapter 176. Cast Immobilization and Upper Extremity Splinting - p. 1176 152. Chapter 177. Knee Braces - p. 1186 153. Chapter 178. Fracture Care - p. 1193 154. Chapter 179. Compartment Syndrome Evaluation - p. 1212 155. Chapter 180. Joint and Soft Tissue Aspiration and Injection (Arthrocentesis) - p. 1221 156. Chapter 181. Trigger-Point Injection - p. 1240 157. Chapter 182. Ganglion Treatment - p. 1245 158. Chapter 183. Transcutaneous Electrical Nerve Stimulation, Phonophoresis, and Iontophoresis - p. 1250 159. Chapter 184. Acupuncture - p. 1257 160. Chapter 185. Podiatric Procedures - p. 1263 161. Chapter 186. Body Fat Analysis - p. 1273 162. Chapter 187. Office Nerve Conduction Testing - p. 1280 163. Chapter 188. Muscle Biopsy - p. 1286 164. Section 13. Urgent Care - p. 1288 165. Chapter 189. Burn Treatment - p. 1290 166. Chapter 190. Fishhook Removal - p. 1298 167. Chapter 191. Foreign Body Removal from Skin and Soft Tissue - p. 1301 168. Chapter 192. Incision and Drainage of an Abscess - p. 1307 169. Chapter 193. Subungual Hematoma Evacuation - p. 1311 170. Chapter 194. Ingrown Toenails - p. 1314 171. Chapter 195. Ring Removal from an Edematous Finger - p. 1320 172. Chapter 196. Skin Stapling - p. 1323 173. Chapter 197. Tick Removal and Prevention of Infection - p. 1326 174. Chapter 198. Tissue Glues - p. 1329 175. Chapter 199. Topical Hemostatic Agents - p. 1332 176. Chapter 200. Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies - p. 1338 177. Chapter 201. Slit-Lamp Examination - p. 1345 178. Chapter 202. Auricular Hematoma Evacuation - p. 1350 179. CHAPTER 203. Reduction of Dislocated Temporomandibular Joint (with Temporomandibular Joint Syndrome Exercises) - p. 1355 180. Chapter 204. Removal of Foreign Bodies from the Ear and Nose - p. 1359 181. Chapter 205. Management of Epistaxis - p. 1365 182. CHAPTER 206. Peritonsillar Abscess Drainage - p. 1372 183. CHAPTER 207. Management of Dental Injuries and Reimplantation of an Avulsed Tooth - p. 1377 184. Chapter 208. Management of Fecal Impaction - p. 1382 185. Chapter 209. Gastrointestinal Decontamination - p. 1384 186. Chapter 210. Diagnostic Peritoneal Lavage - p. 1390 187. Chapter 211. Tube Thoracostomy and Emergency Needle Decompression of Tension Pneumothorax - p. 1394 188. Chapter 212. Anaphylaxis - p. 1401 189. Chapter 213. Prevention and treatment of Wound Infections - p. 1404 190. Chapter 214. Emergency Department, Hospitalist, and Office Ultrasound (POCUS) - p. 1408 191. Chapter 215. Heimlich Maneuver - p. 1439 192. CHAPTER 216. Zipper Injury Management - p. 1441 193. Section 14. Hospitalist - p. 1443 194. Chapter 217. Nasogastric and Nasoenteric Tube Insertion and Removal - p. 1446 195. Chapter 218. Thoracentesis - p. 1454 196. Chapter 219. Abdominal Paracentesis - p. 1461 197. Chapter 220. Bone Marrow Aspiration and Biopsy - p. 1466 198. Chapter 221. Lumbar Puncture - p. 1471 199. Chapter 222. Tracheal Intubation - p. 1477 200. Chapter 223. Cricothyroid Catheter Insertion, Cricothyroidotomy, and Tracheostomy - p. 1485 201. Chapter 224. Mechanical Ventilation - p. 1493 202. Chapter 225. Arterial Puncture and Percutaneous Arterial Line Placement - p. 1499 203. Chapter 226. Intraosseous Vascular Access - p. 1510 204. Chapter 227. Venous Cutdown - p. 1515 205. Chapter 228. Central Venous Catheter Insertion - p. 1521 206. Chapter 229. Swan-Ganz (Pulmonary Artery) Catheterization - p. 1529 207. Chapter 230. Pericardiocentesis - p. 1537 208. Chapter 231. Electrical Cardioversion - p. 1543 209. Chapter 232. Temporary Pacing - p. 1548 210. Chapter 233. Drawing Blood Cultures - p. 1556 211. Chapter 234. Blood Products and Blood Banking - p. 1559 212. Chapter 235. Principles of X-Ray Interpretation - p. 1566 213. Appendixes - p. 1575 214. Appendix A. Commonly Used Instruments and Equipment - p. 1576 215. Appendix B Informed Consent - p. 1581 216. Appendix C. Latex Allergy Guidelines - p. 1586 217. Appendix D. Supplier Information - p. 1590 218. Appendix E. Resources for Learning and Teaching Procedures - p. 1604 219. Appendix F. Universal Precautions - p. 1615 220. Appendix G. Neoplasms of the Skin: ICD-10 Diagnostic Codes - p. 1620 221. Appendix H. Pearls of Practice - p. 1624 222. Appendix I. Universal Procedural Training in Family Medicine - p. 1630 223. Appendix J. Outline for a Comprehensive Operative Note - p. 1633 224. Appendix K. Management Guidelines for Abnormal Cervical Cancer Screening Tests and Histologic Findings - p. 1634 225. Appendix L. Buying Major Office Equipment - p. 1643 226. Appendix M. Special Considerations in Geriatric Patients - p. 1647 227. Index - p. 1651

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