Opioid dependence

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

-Suboxone –       —//— Important links Opioid Risk Tool Suboxone Appropriate Use Checklist Suboxone Medication Guide COWS Induction Sheet   References Click to access cows_induction_flow_sheet.pdf Click to access...

Sarcoidosis

Clinic A/P, adults

  Treatment (if indicated) -1st-line treatment: Corticosteroids. -2nd-line and 3rd-line tx: Methotrexate, azathioprine, leflunomide, and biologic agents.   Further Reading / References Am Fam Physician. 2016 May 15;93(10):840-8. Diagnosis and Management of...

Phimosis

Clinic A/P, adults

“Phimosis is the inability of the foreskin (prepuce) to retract over the glans and it can be physiologic or pathologic. Nonretractile foreskin is very common in young boys, and is seen in up to 10% of uncircumcised 3-year-old boys. This physiologic phimosis is...

Hyperparathyroidism (Primary and Secondary)

Clinic A/P, adults

Background Primary vs. secondary vs. tertiary Hyperparathyroidism. Primary hyperparathyroidism is the most common cause of hypercalcemia in the outpatient setting. Pathogenesis: 1) The function of the Parathyroid Hormone. 2) Vitamin D Action. Causes of secondary...

Proctalgia fugax

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

“36-year-old white male complains of episodic pain in the rectum over the past several years. The pain occurs every 3–6 weeks and is sharp, cramp-like, and severe. It lasts from 1 to 15 minutes. He has no other gastrointestinal complaints. A physical...

Testicular Torsion

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

Diagnosis Treatment Immediate urologic consultation for surgical exploration.   “Surgical exploration is the immediate priority, with ischemic damage starting between 4 and 8 hours after onset. Attempts at manual detorsion should not delay surgical...