Clinic A/P, adults, Clinic A/P, Peds, PSYCHIATRY
#Suicidal Ideation 16 yo M with suicidal ideation. Not actively planning to kill self. Not homicidal. Two days ago, thought of jumping off a bridge onto a truck. -Send straight as a walk-in to Riverside County Mental Health. They will start evaluation immediately...
Clinic A/P, adults, Clinic A/P, Peds
Diagnosis -H&P: Review meds for culprits. -Risk factors for cancer: -R/o palpable popliteal, iliac, and supraclavicular nodes which are always abnormal. Evaluate for palpable epitrochlear nodes greater than 5 mm which would be abnormal as well. DDx & Causes....
Clinic A/P, adults, Clinic A/P, Peds, ENDOCRINOLOGY
-Graves disease = the most common cause of hyperthyroidism in the United States. -Graves’ disease (thyrotoxicosis) is an autoimmune disorder in which a unique antibody called thyroid-stimulating antibody (also called TSH Receptor Antibodies) stimulates the TSH...
Clinic A/P, adults, ENDOCRINOLOGY
Definition: Diagnosis History and physical. Labs/studies ordered/reviewed: -TSH first. If low, then free T4 and T3. CBC, CMP (review calcium level). R/o elevated alkaline phosphatase or hypercalciuria. -RAIU scan. -Thyroglobulin if concern for exogenous T4 overdose...
Clinic A/P, adults, Clinic A/P, Peds
Bacterial Conjunctivitis -History of eye morning matting present. -No red flags such photophobia (elicited via pupillary constriction) and anisocoria (greater than 1mm). -No vision loss (indication for prompt referral to ophthalmology). -Don’t wear contact...
