Anal Fissures

Clinic A/P, adults

#Anal Fissures (AF) -An AF is a longitudinal tear or crack in the skin of the anal canal. -Caused by trauma to the anoderm 2/2 to passing hard stools. May also be caused by Crohn’s. The goal of treatment is to break the vicious cycle of pain > spasm >...

H. Pylori Disease

Clinic A/P, adults

Treatment -Triple Rx: [PPI (standard dose BID)  + Amoxicillin 1g BID + Clarithromycin 500mg BID] all three for 7-14 days. Will do a 10-day course. Will beware of increased clarithromycin resistance. Will consider alternate regiments. -Confirming eradication: Will...

Health Maintenance by Age and Gender

Clinic A/P, adults

For exclusively breastfed infants, iron supplementation should begin at 4 months of age (http://www.aappublications.org/content/early/2010/10/05/aapnews.20101005-1) Age Disease Preferred Test & Intervals Notes  1  2  3  4  5  6  Obesity USPSTF (and AAFP) recommend...

Breast Cancer Screening and Prevention

Clinic A/P, adults

Breast Cancer Screening (General Population) We discussed the USPSTF recommendation of q1-2y mammogram (with or without CBE) and the ACOG, ACS, and ACR recommendations of annual screening mammograms (with CBC and SBE) starting at age 40 and older. She chooses to...

Atopic Dermatitis (Eczema)

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

Diagnosis H&P: Personal or FHx of atopy (asthma, allergic rhinitis, atopic dermatitis)? The 3 phases of eczema present differently. Differential Diagnosis. Diagnostic criteria. Is the severity mild, moderate, severe? Are there secondary infections like impetigo,...

Immune Thrombocytopenic Purpura

Clinic A/P, adults, DERMATOLOGY

Patients are usually not sick, usually normal. Compared with HSP where children are usually sick. Also called idiopathic thrombocytopenic purpura. “idiopathic thrombocytopenic purpura (ITP) is an acquired autoimmune disorder that results in platelet destruction....