Clinic A/P, adults, Clinic A/P, Peds
The first-line medications for this disorder are SSRIs and SNRIs. Paroxetine and sertraline have FDA approval for PTSD. Other antidepressants such as mirtazapine would be second-line therapy.
Clinic A/P, adults, Hospital A/P, Adults
“The annual cancer risk for patients with nondysplastic Barrett’s esophagus is 0.12%–0.4%, with a significant increase in risk if dysplasia is present. Surveillance with endoscopy every 3 years is recommended for patients with Barrett’s esophagus without...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Diagnosis H&P: Typical presentation: Patient was started on Lisinopril. A few hours after taking the first dose, he shows up to the ER with facial, lip, tongue edema, tightness in his throat that has been gradually progressing over the last few hours. He has some...
Clinic A/P, adults, Hospital A/P, Adults
Definition of ACS (acute coronary syndrome). Diagnosis See workup for chronic stable angina in the clinic setting. Treatment -Send the patient to the ED immediately. Some of the following will be done in the ED, do what you can with clinic resources. -Morphine prn...
Clinic A/P, adults, Hospital A/P, Adults
Diagnosis Hx is consistent with chronic stable angina, not ACS. OPQRST-A. Angina type (Typical, Atypical, Nonspecific)?: CVD risk factors in this pt are:_____________ Pretest Probability of CAD: High / Intermediate / Low / Very low HEART score: (The HEART...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
http://www.aafp.org/afp/2016/0501/p746.html