Provider-Mode: The Next 25 — Volume II

Volume I taught you to think. Volume II shows you what the system can really do.

The first 25 chief complaints were the foundation: the acute presentations, the bread and butter, the conditions you see every day in your first year. The Next 25 are different. These are the chronic disease management visits where your prescribing decisions follow the patient for years. The women's health depth that most general references skim. The mental health work primary care actually does. The specialty-adjacent presentations you don't see day one of clinic but absolutely see month three.

This is where the TLAP™ system stops being an academic exercise and starts running your whole practice.

WHAT'S INSIDE: 25 MORE PRIMARY CARE CHIEF COMPLAINTS

Cardiovascular and pulmonary chronic disease management: hyperlipidemia management with the 2023 PREVENT risk calculator, chronic heart failure with the four-pillar approach (ARNI, beta-blocker, MRA, SGLT2 inhibitor), lower extremity edema decoded mechanism-first, asthma chronic management per GINA 2025, COPD per GOLD 2025.

The GI conditions UpToDate is bad at: constipation, nausea and vomiting (with the pathway-specific antiemetic framework), rectal bleeding and hemorrhoids.

Men's health and chronic GU: BPH and male LUTS, erectile dysfunction (and why it's a vascular bellwether), CKD with KDIGO 2024 staging and finerenone considerations.

Women's health going deeper: contraception counseling using the 2024 CDC USMEC, perimenopause and menopause with the Menopause Society 2022 hormone therapy position statement, the first prenatal visit done right.

MSK presentations: neck pain (and how to spot myelopathy), hip pain organized by location.

Neurology that most resources skip: peripheral neuropathy worked up by distribution, cognitive concern and dementia evaluation.

Primary care psychiatry: insomnia (with current DORA pharmacology), adult ADHD evaluation per APSARD 2024.

The rest: red eye and the six-cause filter, acne with current AAD 2024 guidance, suspected skin cancer evaluation with USPSTF 2023, anemia workup using the MCV-driven flowchart, and pre-operative evaluation using the 2024 AHA/ACC perioperative guideline.

SAME 13-SECTION CARD ANATOMY AS VOLUME I

Every card includes Critical Practice Updates, Rule of 4 Differential, Patho Queen teaching note, Focused History, Exam Essentials, Workup, First-Line Treatment, the full Patho-to-Pharm Bridge™ for every drug class mentioned, plain-language Counseling Script, Escalate and Red Flags, Follow-Up, the TLAP callout, and complete APA 7 references current to 2021 or later.

THE FLAGSHIP CARD: HEART FAILURE

Card 27 is the showcase card of Volume II. Heart failure is the Compensation to Decompensation to Failure Arc™ in clinical form. The four-pillar GDMT approach is decoded drug by drug through the Patho-to-Pharm Bridge™. The dual mechanism of sacubitril-valsartan, why SGLT2 inhibitors work in HFpEF when nothing else does, the difference between evidence-based and non-evidence-based beta-blockers, when to use vericiguat, when IV iron actually matters. If you understand this card, you understand the framework that powers every TLAP teaching tool.

WHAT YOU GET INSIDE THE BOOK

- 25 chronic management and specialty-adjacent primary care presentations
- Master Comparison Grid for cards 26 through 50 in a single back-of-pack table
- Complete APA 7 references organized per card, every source 2021 or later (with explicit pre-2021 exceptions where foundational evidence remains the standard of practice)
- 22 named clinical guidelines from 2022 to 2025 cited across the cards
- The Patho Queen teaching voice throughout

WHO THIS IS FOR

NPs who own Volume I and want to complete the reference. NPs whose practice has matured beyond the obvious chief complaints into the harder day-to-day of chronic disease management. Clinicians who want depth on women's health, chronic GU, and primary care psychiatry without buying separate specialty references. PA and FNP students preparing for boards who need the chronic disease management cards specifically.

FORMAT

124-page interactive PDF. Searchable, printable, reference-quality typesetting. Delivered instantly upon purchase. Single-user, personal use license.

BETTER TOGETHER

This is Volume II. Volume I, covering the first 25 chief complaints, is sold separately. For the complete primary care reference, see the Provider-Mode Top 50 Bundle for both volumes at a savings.

You're not behind. You were taught backwards. Let's fix that.