Anemia in Chronic Kidney Disease

Clinic A/P, adults, Clinic A/P, Peds

“70-year-old male with a hx of CKD stage 4 (GFR 25 and Cr. 2.2) comes in c/o of fatigue. Hgb is low at 9; Serum iron low at 30 (N 60 -170); TIBC and Ferritin are normal. MCV is 77. Kidney function has been like that for over a year. Recent colonoscopy was normal...

Paronychia (Finger/Toe Nail Infection) – Acute and Chronic

Clinic A/P, adults, Clinic A/P, Peds

http://www.aafp.org/afp/2017/0701/p44.html Ultrasonography can be performed if there is uncertainty about the presence of an abscess.

Temporomandibular Joint (TMJ) Syndrome

Clinic A/P, adults, Clinic A/P, Peds

The use of a mouthguard at night is recommended for management of temporomandibular joint syndrome to reduce excessive teeth grinding during sleep

Amenorrhea, Primary

Clinic A/P, adults

Diagnosis Definition of primary amenorrhea. Diagnosis is clinical when the patient meets the definition of primary amenorrhea. -H&P. -Common presentation: -Ddx and Causes:  -Algorithm for secondary amenorrhea reviewed (from the AAFP) Diagnostic tests -Pregnancy...

Finger Fractures and Dislocations

Clinic A/P, adults, Clinic A/P, Peds

Am Fam Physician. 2012 Apr 15;85(8):805-810. http://www.aafp.org/afp/2012/0415/p805.html

Posterior cruciate ligament (PCL) Tear

Clinic A/P, adults, Clinic A/P, Peds, MUSCULOSKELETAL

“The posterior cruciate ligament (PCL) connects the medial femoral condyle to the posterior intercondylar area of the tibia and is affixed in such a way that the anterolateral section is taut in flexion and the posteromedial section is taut in extension, helping...