This bible of family practice for primary care students and clinicians provides current national practice guidelines for professional standards of care across the lifespan. Concise and clearly organized, the resource features detailed, step-by-step instructions for physical examinations and diagnostic testing in the outpatient setting, information on health promotion, guidelines of care, dietary information, procedures, culturally responsive care, patient resources, and abundant patient education handouts. This fourth edition is updated to include new evidence-based guidelines for rheumatology, public health (featuring updated information on substance abuse, violence, obesity, homelessness, and lesbian health), the sport physical exam and interventions, endocrinology, the 2015 Beers Criteria, new CDC recommendations for health maintenance, PTSD assessment and management, Restless Leg Syndrome, sexual dysfunction treatment, and psychiatric disorders. Several new and updated patient teaching guides-with printable education points--add to the book's outstanding utility as a thorough and reliable clinical resource. Each of the 268 diagnoses includes definition, incidence, pathogenesis, predisposing factors, common complaints, sign/symptoms, subjective data, physical exam and diagnostic tests, differential diagnosis, and care plan. New to the Fourth Edition: New and Updated Guidelines for: Rheumatology - Polymyalgia Rheumatica, Sjogrens Syndome, Psoriatic Arthopathy, Pseudogout (calcium pyorphosphate dihydrate ), Ankylosing Spondolitis, Reactice Arthritis, Raynaud's Syndrome Public Health - Substance Abuse, Violence, Obesity, Homelessness, Lesbian Health Sports Exam - Assessment and Treatment 2015 Beers Criteria CDC Recommendations: Vaccine and Cancer Screening Endocrinology - Diabetes management and new FDA approved medications JNC-8 Guidelines for Hypertension Neurology - PTSD and Restless Leg Syndrome management Sexual Dysfunction Bipolar and other behavioural health disorders New and updated teaching guides Key Features: Presents information for 268 disorders in consistent format for ease of use Highlights key considerations with Practice Pointers Provides individual care points for pediatric, pregnant, and geriatric patients Includes 138 printable Patient Teaching Sheets Offers 18 procedure guidelines and routine health maintenance guidelines First place winner in the 2017 American Journal of Nursing awards.