內容簡介
內容簡介 The Family Medicine Reference That Thinks Like a Physician. Not a Textbook Most clinical handbooks tell you what the guidelines say. This one also tells you where they're wrong, where experienced physicians deviate from them, and what 22 years of real practice has taught Dr. Patricia Monroe that no guideline committee will ever publish.Written for family physicians, primary care practitioners, nurse practitioners, and physician assistants managing the full spectrum of outpatient and inpatient conditions: Clinical Controversies: Where USPSTF, ACC AHA, and AAFP genuinely disagree, with analysis of what practicing physicians actually do and why Real Patient Case Studies: 15 detailed clinical cases per chapter with named patients, competing diagnoses, specific lab values, and step-by-step reasoning from 22 years of practice Expert Clinical Pearls: First-person insights: "What I tell every resident," "Where I deviate from the guidelines," "The case that changed my practice" Drug Dosing Tables: Every drug with exact dose, route, frequency, and renal adjustment by CrCl threshold Evidence-Based Protocols: Current USPSTF, ADA 2024, ACC AHA 2023, IDSA, AAFP guidelines with Class Level of evidence grading Complete Primary Care Coverage: Preventive medicine, cardiovascular, diabetes, pulmonary, GI, infectious disease, mental health, women's and men's health, pediatrics, geriatrics, dermatology, and clinical procedures Every chapter includes landmark trial citations (ACCORD, HOPE-3, DPP, STEP, JUPITER, SPRINT), drug dosing with renal adjustments, and clinical controversies you won't find in guidelines. 451 pages. 15 chapters. 300+ conditions. Written by a physician who has seen every one of them. Dr. Patricia A. Monroe, MD, FAAFP