Histoplasmosis

I actually saw a patient who worked on the farms in the region around the Mississippi river who had Histoplasmosis in the past. Exposure to bird or bat droppings is a risk factor for Histoplasma capsulatum infection. Found in spelunkers, caves, bats, and bird...

Postpartum Depression (PPD)

Diagnosis -H&P -No SI/HI -Edinburgh Postnatal Depression Scale score is: -DDx and Etiology. *Evaluate and treat mothers at her baby’s well child check. Don’t tell them to come days later. Treatment -CBT -SSRIs. -F/u in 6 weeks. —END— How do...

Subacute Thyroiditis

Background Subacute thyroiditis = deQuervain thyroiditis=a common, transient condition that usually presents after a recent viral illness such as an upper respiratory infection. Typically affects young and middle-aged women. Symptoms include an acute, very painful...

Constipation, Opiate Induced

Lubiprostone is an effective medication approved for the treatment of opiate induced constipation. Opiates bind delta, kappa and mu receptors. Although all three receptors are related to pain mitigation, these are all also linked to decreased gastrointestinal...