Muscle Spasm, Neck

Clinic A/P, adults

#Neck muscle spasm Sample Case: Carried a heavy backpack on back and side of Rt neck. PE: Lt  pain and limiting side flexion although frontal flexion and extension is done with some guarding. No E/E/E. Treatment: Physical therapy Voltaren topical gel massage, Flexeril...

Tinea Corporis

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

#Tinea Corporis -Patient has been advised to keep the affected area dry. -Will treat with topical antifungal. Duration of treatment = two weeks or one week after lesion disappears. -Rx: Econazole topical 1% cream. Apply QD x 2wk or one wk after lesion disappears. -F/u...

Urticaria in an 18 mo old, severe

Clinic A/P, adults

Sample Case 18 mo female ED patient with urticaria 2/2 to amoxicillin allergy. -Allergy to amoxicillin discovered 3mo PTE (Prior to encounter) evidenced by a diffuse rash that took three weeks to resolve. -She travelled out of the country and is given amoxicillin...

Vaginitis: Yeast or Candida Vulvovaginitis

Clinic A/P, adults

#Candida vulvovaginitis, uncomplicated. -History and Physical, above. -Symptoms: Vulvar pruritus is the dominant symptom. Vulvar burning, soreness, and irritation are common and may result in dysuria and dyspareunia. The vulva and vagina appear erythematous, and...

Urinary Retention

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

Common Causes -Obstructive causes e.g. BPH -Medications e.g. Pain medications -Spinal pathology Treatment options Acute urinary retention: -Indwelling bladder catheter (Foley), -Intermittent catheterization if the patient can do it. -Catheter removal and trial of...