Vaginitis: Bacterial Vaginosis (BV)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Diagnosis Bacterial vaginosis is diagnosed by the presence of 3 out of 4 Amsel criteria. Treatment BV is treated Same as that of Trichomoniasis with Metronizadole. Oral and topical clindamycin and metronidazole are equally effective at treating BV. Background...

Thrombotic Thrombocytopenic Purpura (TTP)

Hospital A/P, Adults

Two emergency thrombocytopenias: DIC and TTP. HIT too. #Thrombotic Thrombocytopenic Purpura (TTP) TTP is an emergency TTP is defined by a pentad. Mnemonic is FAT RN Fever Anemia. The type of anemia is MAHA (Microangiopathic hemolytic anemia) Thrombocytopenia Renal...

Constipation in adults, Chronic

Clinic A/P, adults, Hospital A/P, Adults

Chronic Constipation in Adults: Assessment and Plan History, above. -Established diagnosis with Rome III criteria & reviewed main symptoms. –Bristol stool type:____ -R/o alarm features. -Medication review: No Drugs that cause constipation. -DDx reviewed to...

Neutropenic Fever

Hospital A/P, Adults

#Neutropenia and Fever -Definition: Temperature > 38.3°C (101°F) + ANC < 500. [NB: Fever in a neutropenic patient is defined as a single temperature >38.3°C (101°F) or a sustained temperature >38.0°C (100.4°F) for >1 hour.] -Admit to Med-Surg -CBC,...

Physical Exam, Annual, Adult

Hospital A/P, Adults

#Annual Physical Exam, Adult Pt here for an annual physical exam. ADLs: Patient able to ambulate/transfer, continence, feeding independently. The patient needs assistance for bathing, dressing, toileting from his wife. Cognitive skills: Normal perception, attention,...

Pruritus (Itching)

Clinic A/P, adults, Hospital A/P, Adults

Diagnosis H&P DDx and Etiology. Diagnostic studies -CBC, CMP (fasting glucose, Alk phos, BUN, Creatinine), TSH -Consider skin biopsy. -Consider scraping (KOH, mineral oil) -Consider culture (fungal, viral, bacterial) -Consider HIV test and CXR if a systemic...