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CURRENT Practice Guidelines in Primary Care 2019


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Table of Contents

Section 1 Screening
1. Behavioral Health Disorders
Alcohol Abuse and Dependence
Illicit Drug Use
Tobacco Use
2. Cardiovascular Disorders
Abdominal Aortic Aneurysm
Carotid Artery Stenosis (CAS) (Asymptomatic)
Cholesterol and Lipid Disorders
Coronary Artery Disease
Hypertension (HTN), Adults
Sleep Apnea
Tobacco Use
3. Disorders of the Skin, Breast, and Musculoskeletal System
Breast Cancer-BRCA1 and 2 Mutations
Breast Cancer
Breast Cancer
Cancer, Oral
Oral Cancer
Skin Cancer (Melanoma)
Skin Cancer
Vitamin D Deficiency
4. Endocrine and Metabolic Disorders
Diabetes Mellitus (DM), Type 2
Thyroid Cancer
Thyroid Dysfunction
5. Gastrointestinal Disorders
Adenocarcinoma of Gastroesophageal Junction
Barrett Esophagus (BE)
Cancer, Colorectal (CRC)
Cancer, Liver (Hepatocellular Carcinoma [HCC])
Celiac Disease
Gastric Cancer
Hemochromatosis (Hereditary)
Hepatitis B Virus Infection
Hepatitis C Virus (HCV) Infection, Chronic
Pancreatic Cancer
6. Genitourinary Disorders
Bladder Cancer
Cervical Cancer
Endometrial Cancer
Ovarian Cancer
Pelvic Examinations
Prostate Cancer
Testicular Cancer
7. Infectious Diseases
Gonorrhea and Chlamydia
Herpes Simplex Virus (HSV), Genital
Human Immunodeficiency Virus (HIV)
Tuberculosis, Latent
8. Pulmonary Disorders
Chronic Obstructive Pulmonary Disease
Lung Cancer
9. Renal Disorders
Kidney Disease, Chronic (CKD)
10. Special Population: Children and Adolescents
Alcohol Abuse and Dependence
Attention-Deficit/Hyperactivity Disorder
Autism Spectrum Disorder
Celiac Disease
Cholesterol and Lipid Disorders
Family Violence and Abuse
Human Immunodeficiency Virus (HIV)
Hypertension (HTN), Children and Adolescents
Illicit Drug Use
Lead Poisoning
Motor Vehicle Safety
Speech and Language Delay
Tobacco Use
Tuberculosis, Latent
Visual Impairment
11. Special Population: Newborns and Infants
Developmental Dysplasia of the Hip (DDH)
Growth Abnormalities
Hearing Impairment
Newborn Screening
Phenylketonuria (PKU)
Thyroid Disease
12. Special Population: Older Adults
Falls in the Elderly
Family Violence and Abuse
Visual Impairment, Glaucoma, or Cataract
13. Special Population: Pregnant Women
Bacterial Vaginosis
Bacteriuria, Asymptomatic
Chlamydia and Gonorrhea
Diabetes Mellitus, Gestational (GDM)
Diabetes Mellitus (DM), Type 2
Fetal Aneuploidy
Group B Streptococcal (GBS) Disease
Hepatitis B Virus Infection
Hepatitis C Virus (HCV) Infection, Chronic
Herpes Simplex Virus (HSV), Genital
Human Immunodeficiency Virus (HIV)
Lead Poisoning
Rh (D) Incompatibility
Thyroid Disease
Tobacco Use
Section 2 Prevention
14. Cardiovascular Disorders
Hypertension (HTN)
Myocardial Infarction (MI), Aspirin Therapy
Myocardial Infarction (MI), Dietary Therapy
Myocardial Infarction (MI), Statin Therapy
Myocardial Infarction (MI), Special Populations
Stroke, Atrial Fibrillation
Stroke, Special Populations
Venous Thromboembolism (VTE) Prophylaxis in Nonsurgical Patients
Venous Thromboembolism (VTE) in Surgical Patients
15. Disorders of the Skin, Breast, and Musculoskeletal System
Back Pain, Low
Breast Cancer
Oral Cancer
Pressure Ulcers
Skin Cancer
16. Endocrine and Metabolic Disorders
Diabetes Mellitus (DM), Type 2
Hormone Replacement Therapy to Prevent Chronic Conditions
17. Gastrointestinal Disorders
Colorectal Cancer
Esophagus Cancer
Gastric Cancer
Liver Cancer
18. Genitourinary Disorders
Cervical Cancer
Endometrial Cancer
Ovarian Cancer
Prostate Cancer
19. Infectious Diseases
Catheter-Related Bloodstream Infections
Colitis, Clostridium Difficile
Endocarditis Prevention
Human Immunodeficiency Virus (HIV), Opportunistic Infections
Immunizations, Adults
Influenza, Chemoprophylaxis
Influenza, Vaccination
20. Renal Disorders
Kidney Injury, Acute
21. Special Population: Children and Adolescents
Dental Caries
Diabetes Mellitus (DM), Type 2
Domestic Violence
Immunizations, Infants and Children
Influenza, Chemoprophylaxis
Influenza, Vaccination
Motor Vehicle Injury
Otitis Media
Sexually Transmitted Infections (STIS)
Tobacco Use
22. Special Population: Newborns and Infants
Immunizations, Infants and Children
Sudden Infant Death Syndrome (SIDS)
Gonorrhea, Ophthalmia Neonatorum
23. Special Population: Older Adults
Driving Risk
Falls in the Elderly
Osteoporotic Hip Fractures
24. Special Population: Pregnant Women
Cesarean Section
Group B Streptococcal (GBS) Infection
Neural Tube Defects
Postpartum Hemorrhage
Preterm Birth
Rh Alloimmunization
Surgical Site Infections (SSI)
Tobacco Use
Section 3 Management
25. Behavioral Health Disorders
Adult Psychiatric Patients in the Emergency Department
Alcohol Use Disorders
Attention-Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Eating Disorders
Pregnancy, Substance Abuse
Tobacco Abuse, Smoking Cessation
26. Cardiovascular Disorders
Abdominal Aortic Aneurysm (AAA)
Atrial Fibrillation
Carotid Artery Disease
Coronary Artery Disease (CAD)
Heart Failure
Peripheral Arterial Disease
Preoperative Clearance
Valvular Heart Disease
27. Care of the Older Adult
Dementia, Feeding Tubes
Dementia, Alzheimer Disease
Delirium, Postoperative
Palliative Care of Dying Adults
28. Disorders of the Head, Eye, Ear, Nose, and Throat
Bronchitis, Acute
Cerumen Impaction
Headache, Migraine Prophylaxis
Hearing Loss, Sudden
Laryngitis, Acute
Otitis Externa, Acute (AOE)
Otitis Media, Acute (AOM)
Pharyngitis, Acute
Sinusitis, Acute Bacterial
Tympanostomy Tubes
Vertigo, Benign Paroxysmal Positional (BPPV)
29. Disorders of the Skin, Breast, and Musculoskeletal System
Ankylosing Spondylitis and Spondyloarthritis
Atopic Dermatitis (AD)
Back Pain, Low
Breast Cancer Follow-Up Care
Gout, Acute Attacks
Hip Fractures
Multiple Sclerosis (MS)
Muscle Cramps
Osteoarthritis (OA)
Osteoporosis, Glucocorticoid-Induced
Pressure Ulcers
Psoriasis, Plaque-Type
Psoriasis and Psoriatic Arthritis
Rheumatoid Arthritis (RA), Biologic Disease-Modifying Antirheumatic Drugs (DMARDS)
30. Endocrine and Metabolic Disorders
Adrenal Incidentalomas
Androgen Deficiency Syndrome (Also See Hypogonadism, Male)
Cushing's Syndrome (CS)
Diabetic Foot Problems, Inpatient Management
Diabetes Mellitus, Gestational (GDM)
Thyroid Disease, Hyperthyroidism
Thyroid Disease, Hypothyroidism
Hypogonadism, Male
Metabolic Syndrome
Thyroid Nodules
Diabetes Mellitus (DM), Type 1
Diabetes Mellitus (DM), Type 2
Vitamin Deficiencies
31. Gastrointestinal Disorders
Abnormal Liver Chemistries
Ascites, Due to Cirrhosis
Barrett Esophagus
Celiac Disease
Colitis, Clostridium Difficile
Colorectal Cancer Follow-Up Care
Constipation, Idiopathic
Diarrhea, Acute
Gastrointestinal Bleeding, Lower
Gastrointestinal Bleeding, Upper (UGIB)
Helicobacter Pylori Infection
Hepatitis B Virus (HBV)
Hepatitis B Virus Infection-Treatment Specifics
Hepatitis C Virus (HCV)
Hereditary Hemochromatosis (HH)
Inflammatory Bowel Disease, Crohn's Disease
Inflammatory Bowel Disease, Ulcerative Colitis
Inflammatory Bowel Disease, Ulcerative Colitis, Surgical Treatment
Irritable Bowel Syndrome (IBS)
Pancreatitis, Acute (AP)
Ulcers, Stress
32. Genitourinary Disorders
Active Surveillance (AS) for the Management of Localized Prostate Cancer
Benign Prostatic Hyperplasia (BPH)
Erectile Dysfunction (ED)
Indwelling Urinary Catheters or Intermittent Catheterization
Infertility, Male
Ovarian Cancer Follow-Up Care
Pap Smear, Abnormal
Polycystic Ovary Syndrome
Prostate Cancer Follow-Up Care
Urinary Incontinence, Overactive Bladder
Urinary Incontinence, Stress
Urinary Tract Symptoms, Lower
33. Hematologic Disorders
Anemia-Use of Erythropoietic Agents
Carbon Monoxide Poisoning
Cobalamin (B12) Deficiency
Diffuse Large Cell Lymphoma (DLBCL) Stage I Through IV
Iron Deficiency Anemia
Management of Venous Thrombosis in Patients with Cancer
Platelet Transfusion
Red Blood Cell (RBC) Transfusion
Thrombocytopenia, Heparin-Induced
Thrombocytopenia, Thrombotic Purpura (TTP)
Thrombocytopenia, Immune Mediated
Transfusion Therapy, Alternatives to Red Blood Cell Transfusion
Transfusion Therapy, Cryoprecipitate
Transfusion Therapy, Fresh Frozen Plasma (FFP)
Transfusion Therapy, Prothrombin Complex Concentrate
Venous Thromboembolism, Deep Venous Thrombosis (DVT)
Venous Thromboembolism, Pulmonary Embolus (PE)
34. Infectious Diseases
Asymptomatic Bacteriuria
Common Cold
Human Immunodeficiency Virus (HIV)
Human Immunodeficiency Virus (HIV), Antiretroviral Therapy (Art) in Pediatrics
Human Immunodeficiency Virus, Antiretroviral Use in Adults
Identifying Risk of Serious Illness in Children Under 5 Y
Neutropenia, Febrile (FN)
Meningitis, Bacterial
Methicillin-Resistant Staphylococcus Aureus Infections
Respiratory Tract Infections, Lower
Respiratory Tract Infections, Upper
Sexually Transmitted Diseases
Tuberculosis (TB), Diagnosis
Tuberculosis (TB), Extrapulmonary Diagnosis
Tuberculosis (TB), Extrapulmonary Management
Tuberculosis (TB), Management
Tuberculosis (TB), Management of Latent TB
Tuberculosis (TB), Multidrug-Resistant (MDR-TB)
Urinary Tract Infections (UTI)
35. Neurologic Disorders
Bell's Palsy
Malignant Spinal Cord Compression (MSCC)
Normal Pressure Hydrocephalus (NPH)
Pain, Chronic, Cancer Related
Pain, Chronic
Pain, Neuropathic
Procedural Sedation
Restless Legs Syndrome and Periodic Limb Movement Disorders
Seizures, Febrile
Stroke, Acute Ischemic
Stroke, Recurrence
Traumatic Brain Injury
Tremor, Essential
36. Prenatal and Obstetric Care
Contraception, Emergency
Ectopic Pregnancy
Human Immunodeficiency Virus (HIV), Pregnancy
Pregnancy, Postpartum Hemorrhage (PPH)
Pregnancy, Premature Rupture of Membranes
Pregnancy, Preterm Labor
Pregnancy, Preterm Labor, Tocolysis
Pregnancy, Routine Prenatal Care
Thyroid Disease, Pregnancy and Postpartum
37. Pulmonary Disorders
Apnea, Central Sleep (CSAS)
Apnea, Obstructive Sleep (OSA)
Asthma, Exacerbations
Asthma, Stable
Chronic Obstructive Pulmonary Disease (COPD), Exacerbations
Chronic Obstructive Pulmonary Disease (COPD), Stable
Cough, Chronic
Non-Small Cell Lung Cancer (NSCLC) Follow-Up Care
Pleural Effusion, New
Pleural Effusion, Malignant (MPE)
Pneumonia, Community Acquired: Treatment
Pneumothorax, Spontaneous
Pulmonary Nodules
38. Renal Disorders
Kidney Disease, Chronic-Mineral and Bone Disorders (CKD-MBDS)
Kidney Disease, Chronic
Kidney Injury, Acute
Kidney Stones
Renal Cancer (RCC) Follow-Up Care
Renal Masses, Small
39. Appendices
Estimate of 10-Y Cardiac Risk for Men
Estimate of 10-Y Cardiac Risk for Women
Estimate of 10-Y Stroke Risk for Men
Estimate of 10-Y Stroke Risk for Women
95Th Percentile of Blood Pressure for Boys
95Th Percentile of Blood Pressure for Girls
Body Mass Index (BMI) Conversion Table
Functional Assessment Screening in the Elderly
Geriatric Depression Scale
Immunization Schedule
Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-Chat-R/F)
Professional Societies and Governmental Agencies

About the Author

Jacob David, MD is Associate Program Director, Ventura County Medical Center Family Medicine Residency Program.

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