Headaches, Migraine (Chronic)

Clinic A/P, adults

Chronic Migraine Headaches (CM HA) Diagnosis -Meets definition of chronic migraines. -Risk factors reviewed. -No HA red flags present. -Differential diagnosis reviewed. -Workup to get or review: CBC, CMP, TSH. Consider Polysomnography. -Considered chronic migraine vs...

Vaginitis: Bacterial Vaginosis (BV)

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

Diagnosis Bacterial vaginosis is diagnosed by the presence of 3 out of 4 Amsel criteria. Treatment BV is treated Same as that of Trichomoniasis with Metronizadole. Oral and topical clindamycin and metronidazole are equally effective at treating BV. Background...

Chronic Hyperkalemia (Usually Outpatient)

Clinic A/P, adults

Treatment – Low potassium diet – Polystyrene sulfonate (Kayexalate) 15g PO qd-qid in the short term. Alternately you can do 30-50g PR q6h. – Lasix 10mg (low dose) short-term – Patiromer (Veltassa) in the long run. Requires application and...

Pruritis Ani (Anal Itching)

Clinic A/P, adults

To prevent anal itching, you need to wash the area properly, keeping the area clean, cool and dry (avoid moisture), avoiding irritants, modify your diet to prevent diarrhea, and protect the skin with ointment when needed. -Keep the area clean and don’t irritate...

Bowel Incontinence

Clinic A/P, adults

-Avoid foods or activities known to worsen symptoms. E.g. avoid fructose, lactose, caffeine. -Keep a food and symptom diary to identify factors that cause diarrhea and incontinence. -Keep the area clean and dry, without excessive wiping or use of strong soaps or...

Functional Gallbladder Disorder

Clinic A/P, adults

#Functional Gallbladder disorder -Previously, functional gallbladder disorder was called chronic acalculous cholecystitis, acalculous cholecystitis, biliary dyskinesia, or biliary dysmotility. -Consider functional gallbladder disorder in any patient who presents with...