Alcohol Use Disorder

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

-Single-question screening three-question AUDIT-C screening used. -Patient meets DSM-V criteria for the diagnosis of alcohol use disorder. Patient indeed has a problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested...

Asplenia / Fever in a Splenectomy Patient

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

Asplenic patients should get antibiotics for any episode of fever Asplenic patients who develop a fever should be given parenteral antibiotics immediately. Due to the increased risk of pneumococcal sepsis in asplenic patients, vaccinations against these particular...

Intestinal Ischemia (Acute Mesenteric Ischemia)

Hospital A/P, Adults

Diagnosis -History and Physical. -Risk Factors: -DDx and Etiology: -A very high index of suspicion is needed for timely diagnosis. Time is bowel. Timely dx is key to avoiding bowel infarction which can occur within hours. -Labs: Often normal or nonspecific early on....

Diabetic Foot Ulcer, Severe

Hospital A/P, Adults

#Severe Diabetic foot ulcer Failed outpatient treatment with Doxy and Metronizadole for 14 days. Probed to bone @2.5cm. Tenderness absent 2/2 to neuropathy. Erythema and edema present. Mild crepitus present (indicating mixed infection w/ GNR and anaerobes or...

Granulomatous Pulmonary Disease

Hospital A/P, Adults

#Diffuse bilateral pulmonary granulomatous disease. CXR and CT – chest show diffuse bilateral 1-3mm nodules, consistent with granulomatous disease. For workup, will order: -Histoplasma Antigen, urine -Histoplasma Antigen, blood -Blastomyces Antibody -Coccidiodes...

Urinary Retention

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

Common Causes -Obstructive causes e.g. BPH -Medications e.g. Pain medications -Spinal pathology Treatment options Acute urinary retention: -Indwelling bladder catheter (Foley), -Intermittent catheterization if the patient can do it. -Catheter removal and trial of...