Clinic A/P, adults, Clinic A/P, Peds, ENDOCRINOLOGY, Hospital A/P, Adults
Definition: High TSH + high, normal, or low free T4 Diagnosis H&P is consistent with a diagnosis of hypothyroidism. Labs: TSH, free T4, antithyroid antibodies (antithyroid peroxidase and antithyroglobulin), CBC, CMP, lipid panel, and CK. Treatment Levothyroxine...
Clinic A/P, adults, Hospital A/P, Adults, OB/GYN
Background PID is a polymicrobial infection of the upper genital tract. It primarily affects young, sexually active women. Chlamydia trachomatis and Neisseria gonorrhoeae are the most common organisms involved; however, other microorganisms especially anaerobes are...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Systemic signs and symptoms are more common with Chrohns than with ulcerative colitis. In a pediatric population, “Crohn’s disease is more common than ulcerative colitis”. Check, in adults, Crohn’s is also more common. Perianal manifestations...
Clinic A/P, adults, Hospital A/P, Adults
Definition: Results from precipitation of monosodium urate crystals in a joint space. Diagnosis -H&P. -Definitive diagnosis: Joint aspiration of synovial fluid, examination under polarized light microscopy to identify negatively birefringent uric acid crystals....
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
-New definition of Status Epilepticus, reviewed. To be completed… Attend to the ABCs before starting any pharmacologic intervention Place patients in the lateral decubitus position to avoid aspiration of emesis and to prevent epiglottis closure over the glottis...
Clinic A/P, adults, Hospital A/P, Adults
Workup of nephrolithiasis (kidney stones) CT without contrast. Get a non-contrast helical CT – ureteral dilation without stone suggests recent passage. A non-contrast CT is 97% sensitive and 95% specific for the diagnosis of urolithiasis. U/A & UCx CMP...