Clinic A/P, adults, Clinic A/P, Peds, MUSCULOSKELETAL
-Bone pain is continuous. Unlike the pain of OA, the bone pain of Paget’s disease usually increases with rest, when the limbs are warmed, and at night. Bowing may occur in Tibia. Alkaline Phosphatase is elevated but GGT is normal. -Most common neurologic complication...
Clinic A/P, adults, Clinic A/P, Peds
“Multiple myeloma can be asymptomatic, but it becomes symptomatic when there is organ damage or other abnormalities, including renal insufficiency, elevated calcium, anemia, and bone disease. The majority of patients have bone pain. Anemia typically occurs...
Clinic A/P, adults, Clinic A/P, Peds
“Laryngoscopy should be performed to visualize the larynx and evaluate for vocal cord pathology in a patient whose hoarseness does not resolve within 3 months (SOR C). If a serious condition is suspected for some other reason, laryngoscopy should be performed...
Clinic A/P, adults, Clinic A/P, Peds, DERMATOLOGY
Graves disease causes Pretibial myxedema (whether it presents as hypo- or hyperthyroidism). Usually, it occurs in the lower legs and results from increased deposition of mucin. Diabetes mellitus can cause necrobiosis lipoidica, a lesion on the lower extremities;...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
“Many infections of the respiratory tract have a viral etiology, and when this is the case early antibiotic treatment offers little to no benefit. Once the clinical course of a respiratory illness exceeds the expected length for a viral illness, it may be...
Clinic A/P, adults, Clinic A/P, Peds, ENDOCRINOLOGY
Diagnosis -History and physical. -Screening recommendations reviewed. -ADA’s diagnostic criteria reviewed. -Confirm the diagnosis of pre-DM or DM type 2 by repeating the same test on a different day (per USPSTF). Repeat in 1-2 weeks. -Before starting Metformin,...
