Pertussis (Whooping Cough)

Clinic A/P, adults

Background Pertussis has three stages: Catarrhal stage > Paroxysmal stage > Convalescent stage (2-3 weeks). Causative agent: Bordetella pertussis Diagnosis H&P Risk factors: Common presentation: DDx Diagnostic studies: The CDC recommends both a...

ADHD (Attention-Deficit Hyperactivity Disorder) in Children & Adults

Clinic A/P, adults, Clinic A/P, Peds

Diagnosis in Children  -Vanderbilt ADHD Assessment Forms (Both teacher and parent forms). -Coexisting or mimicking conditions, considered. -Labs: CBC, CMP, TSH, 25 hydroxy Vit D level. Treatment -Preschool age ( < 6 years old, i.e 5 years and younger) –...

Polycythemia Vera

Clinic A/P, adults

↑ RBCs, ↑ WBCs, ↑ PLTs HCT > 60%, ↓ EPO Pruritus after shower Platelet dysfunction Sludging of blood, hyperviscosity Death is usually from thrombosis or hemorrhage Treatment: Phlebotomy, hydroxyurea, aspirin WHO criteria for diagnosis of Polycythemia Vera...

Lyme Disease

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

Background Is the most common vector-borne infection in the United States and Europe. NE USA Campers/hikers Ixodes tick harbors Borrelia burgdorferi Stages: Stage I: erythema migrans (pathognomonic), viral-like syndrome Stage II: arthritis, myocarditis, bilateral...

Scoliosis

Clinic A/P, adults

Scoliosis = curvature of the spine in the coronal plane which can be accompanied by a variable degree of rotation of the spinal column. It is diagnosed clinically and radiographically in a child greater than 10 years of age, with a curvature of the spine in the...

Rabies

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

Bat, skunk, raccoon, fox are the four major animal reservoirs of rabies in the U.S. right now. Rabies Postexposure Prophylaxis Rabies immune globulin should be given only to people who have NEVER been vaccinated against rabies previously.  “For people who have...