Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults
Pre-DM is a risk factor for DM, and not a disease itself. Diagnosis -A1C 5.7 to 6.4 % / FBS 100-125 / impaired glucose tolerance. -Confirm the dx of pre-DM or DM type 2 by repeating the same test on a different day. -The patient is at risk of progression from pre-DM...
Clinic A/P, adults, Clinic A/P, Peds
-Get a checklist for all screening for Down Syndrome kids with age. All infants with Down syndrome need to be screened for heart, feeding, vision, hearing, thyroid, and hematologic abnormalities. All newborn Down Syndrome babies need an echocardiogram and a cardiology...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Definition: Delayed gastric emptying without mechanical obstruction of the stomach or duodenum. H&P performed, see above. Patient educated about the condition, alternative treatments, risks, and benefits provided. The patient has symptoms of gastroparesis. Will...
Clinic A/P, adults, Hospital A/P, Adults
-Step 1: Repeat CMP while fasting to confirm that the ALP is truly elevated. Also, check to make sure that it’s not from something physiologic such as pregnancy or a post-prandial increase. If the repeat ALP is within normal limits, continue to monitor the...
Clinic A/P, adults, Hospital A/P, Adults
#Nonalcoholic Fatty Liver Disease (NAFLD) and Nonalcoholic Steatohepatitis (NASH) The difference between NAFLD and NASH. “About 30% of the U.S. population has NAFLD and 5% has NASH. These rates are even higher in people with diabetes or obesity. About 2/3 rds of...
