Obesity

Clinic A/P, adults

-BMI reviewed. -Comprehensive high-intensity (12 to 26 sessions/year) lifestyle interventions, including a combination of diet (food choices & reduced caloric intake), exercise, and behavioral modification discussed with the patient. -Nutritionist/dietician...

Sports or Preparticipation Physical Evaluation

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

AKA: Sports and Exercise Clearance, Sports Physical Evaluation, Preparticipation Physical Evaluation (PPE). -See History. -Normal vital signs. Normal vision, hearing. -Heart (CV) and lung exam are normal. Normal femoral pulses (to r/o aortic coarctation)....

Undescended Testicle (Cryptorchidism)

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

Background Undescended Testes (UDT) is the most common genital disorder identified at birth. Diagnosis Palpate testes for quality and position at every well-child visit. Cryptorchidism (detected at birth) vs. newly diagnosed (acquired) cryptorchidism after 6 months...

Asplenia / Fever in a Splenectomy Patient

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

Asplenic patients should get antibiotics for any episode of fever Asplenic patients who develop a fever should be given parenteral antibiotics immediately. Due to the increased risk of pneumococcal sepsis in asplenic patients, vaccinations against these particular...

Anemia, Iron Deficiency

Clinic A/P, adults

Diagnosis H&P: Risk Factors: Common Presentation: DDx Treatment Ferrous Sulfate 325 mg PO three times daily if enteral therapy is possible (and the patient can absorb iron). IV iron – Iron sucrose (Venofer) if oral iron is inadequate. Take oral iron with...

Vitamin B12 (Cobalamin) deficiency

Clinic A/P, adults

Oral dissolvable B12 (No need for shots) Kirkland Signature Sublingual B-12 5000 mcg Quick Dissolve B‑12 5000 mcg. Highly bioavailable methylcobalamin. Get it from Costco or on Amazon. Put under the tongue, don’t swallow, don’t suck, don’t dissolve...