Clinic A/P, adults, Hospital A/P, Adults
-Step 1: Repeat CMP while fasting to confirm that the ALP is truly elevated. Also, check to make sure that it’s not from something physiologic such as pregnancy or a post-prandial increase. If the repeat ALP is within normal limits, continue to monitor the...
Clinic A/P, adults, Hospital A/P, Adults
#Nonalcoholic Fatty Liver Disease (NAFLD) and Nonalcoholic Steatohepatitis (NASH) The difference between NAFLD and NASH. “About 30% of the U.S. population has NAFLD and 5% has NASH. These rates are even higher in people with diabetes or obesity. About 2/3 rds of...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Background Definition: Vaginitis is the general term for disorders of the vagina caused by infection, inflammation, or changes in the normal vaginal flora or epidermis. Main types: 1) Infectious vaginitis (caused by Trichomonas, BV, and Candida), and 2) Atrophic...
Clinic A/P, adults, Hospital A/P, Adults
#Acute procedural anxiety in adults, Outpatient Setting. -History and physical performed, see above. -Patient has significant procedural anxiety. -Patient declines brief CBT which is also effective for treating acute procedural anxiety. Both meds and brief CBT are...
Clinic A/P, adults, Hospital A/P, Adults
Parkinson Disease (PD), also called Paralysis Agitans The cardinal features of PD are: Bradykinesia, PLUS Tremor, and/or Rigidity. PD is uncommon in people younger than 40, and the incidence of the disease increases rapidly over 60 years, with a mean age at diagnosis...
