Concussion

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

-Patient meets criteria for a concussion. -History & Physical, above. -Post Concussion Symptom Scale completed. -No red flags (no focal neurologic deficits, no anticoagulation use or coagulopathy, no evidence of basilar skull fracture (hemotympanum, raccoon eyes,...

Herpes Zoster (Shingles) and Postherpetic Neuralgia

Clinic A/P, adults

Acute Herpes Zoster Infection Etiology: “Shingles is caused by the varicella-zoster virus (VZV), the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays dormant (inactive) in the body. For reasons that are not fully known,...

Vaginitis, Atrophic / Genitourinary Syndrome of Menopause

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

-History and physical, above. -Genital s/sx from changes in the vulva, vagina, and lower genital tract that are caused by diminished estrogen. -Pharmacotherapy:  Vaginal estrogen, nonhormonal vaginal moisturizers, as well as ospemifene treatment options discussed with...

Nightmares Associated with PTSD

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

Diagnosis PTSD associated nightmares H&P: Typical presentation: Patient with PTSD appropriately treated with SSRI + CBT with some improvement but still having nightmares and sleep disturbances. DDx Treatment -Prazosin 1-6mg. Start with 1mg and increase as needed...

Intertrigo

Clinic A/P, adults

-Candida is most common cause. “Intertrigo is skin inflammation caused by skin-on-skin friction. It is facilitated by moisture trapped in deep skinfolds where air circulation is limited. When intertrigo does not respond to usual conservative measures, including...

Speech and Language Delay in Children

Clinic A/P, adults

-Patient meets criteria for a speech-language delay. -Refer to a speech-language pathologist / Local early development intervention program. -Refer to an audiologist. -MCHAT – Passed Patient not meeting the expected milestones for speech and language, a...