Infertility – Semen Analysis

Clinic A/P, adults

include info on interpreting the test etc.

Hot Flashes (Vasomotor Symptoms) in menopausal or perimenopausal women

Clinic A/P, adults

-History and Physical done, as above. -Counseling: “Although estrogen is the most effective treatment for hot flashes, nonhormonal alternatives such as low-dose paroxetine, venlafaxine, and gabapentin are effective alternatives.” -Will start low dose...

Chrohns and Ulcerative Colitis (IBD)

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

Systemic signs and symptoms are more common with Chrohns than with ulcerative colitis. In a pediatric population, “Crohn’s disease is more common than ulcerative colitis”. Check, in adults, Crohn’s is also more common. Perianal manifestations...

Niacin deficiency (pellagra)

Clinic A/P, adults

  A patient with dementia, dermatitis, and diarrhea. Niacin = Vitamin B3 Isoniazid treatment causes both deficiency of Niacin and Pyridoxine (Vit B6). Watch out for Niacin deficiency in patients on isoniazid.   Folate (vitamin B9) deficiency typically...

Vitiligo

Clinic A/P, adults

Check Topical tacrolimus 0.1%, applied twice daily, is the first-line therapy for patients with vitiligo affecting less than 20% of the patient’s body. Patients with 20-25% involvement may benefit more from narrowband UVB or oral PUVA therapy. However, patients should...

Gout

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

Definition: Results from precipitation of monosodium urate crystals in a joint space. Diagnosis -H&P. -Definitive diagnosis: Joint aspiration of synovial fluid, examination under polarized light microscopy to identify negatively birefringent uric acid crystals....