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March 2, 1994

The Little Black Book of Primary Care: Pearls and References

JAMA. 1994;271(9):719. doi:10.1001/jama.1994.03510330101044

This wire-bound manual is not little. It is the size of most of the other spiral-bound manuals, such as the "Washington Manual," that used to rip the pocket of my white lab coat and weigh me down, so that all my other paraphernalia had to be placed in the other pocket for balance. It might replace the "Washington Manual" in the clinic or office, however, when the primary care resident has graduated from his or her terrors on the wards.

Although there are many good sections on hospital-based problems like myocardial infarction, congestive heart failure, and premature ventricular contractions, it covers most aspects of primary care, including adult and pediatric emergencies, "health maintenance," internal medicine, ophthalmology, ear-nose-and-throat, obstetrics and gynecology, pediatrics, psychiatry, urology, dermatology, and orthopedics. There are some striking gaps, such as the omission of adult immunization schedules and travel prophylaxis recommendations. It is incomplete on tuberculosis prophylaxis recommendations,

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