Immunosuppression

Immunosuppression is defined as: Treatment with glucocorticoids (treatment with the equivalent of 20 mg/day of prednisone for 2 weeks or more, and discontinuation within the previous 3 months) Ongoing treatment with effective doses of 6-MP/azathioprine or...

Nausea and Vomiting in Pregnancy

Stepwise Approach to Nausea and Vomiting During Pregnancy (From ACOG) Step 1: Vit B6 (pyridoxine) 25mg PO q6-8h Step 2: Vit B6 + Doxylamine 12.5mg (half a tablet of 25mg of Unisom) PO q6-8h; OR Diclegis (Doxylamine 10mg + Vit B6 10mg) 2 tabs qhs, maximum 4 tabs (1tab...

Drug Screen, False Positive

Things that can cause a false-positive test for opioids on a urine drug screen Dextromethorphan, diphenhydramine, ibuprofen, and even fluoroquinolones are among the many agents that can cause a false-positive urine drug screen for opioids. Pseudoephedrine can cause a...

Thyroid Nodule

Thyroid nodule -History & PE. Palpate neck. -Patient with palpable nodule (by patient & physician) or incidental nodule discovered on imaging. -Will order Ultrasonography of the neck and TSH. -If TSH is low, will get RAIU to r/o a hyperfunctioning nodule....

Ulcerative colitis (UC)

A 30-year-old female presents to your office as a new patient and requests a refill of sulfasalazine (Azulfidine) tablets for maintaining remission of her ulcerative colitis. The initial presentation of her disease was in her teenage years and involved inflammation of...