Headaches, Tension

Clinic A/P, adults

Tension Headaches Meets IDS criteria for Tension Headache (IDS link) No red flags. Tension-like HA. Stay hydrated, Eat a balanced healthy diet, get adequate sleep (b/c dehydration, hunger, and sleep deprivation are common triggers). Limit acute treatment to 9 days per...

Headaches, Migraine

Clinic A/P, adults

Diagnosis Diagnostic criteria reviewed. No red flags. Frequency is less than for chronic migraines. Differential diagnosis reviewed. Labs to order or review: CBC, CMP, TSH, etc. Cause is likely multi-factorial. Treatment -Stay Hydrated: Drink 2-3 liters of water per...

Depression: Major Depressive Disorder (MDD)

AP Peds, Clinic A/P, adults, PSYCHIATRY

Diagnosis Diagnosis is made clinically with help of validated tools like the PHQ-9 H&P: -Common presentation: -Clinical Manifestations -Associated Conditions: -Risk factors: Recent MI, significant, Medical Morbidities, Fam Hx, etc. -Red flags. -Complications: Ddx...

Hypogonadism (Low Testosterone) in Males

Clinic A/P, adults

-Hematocrit should be monitored during testosterone replacement. – Case by Dr. T Pt with testosterone of 6.8. Hx of fatigue, stress, ED/decreased libido, male pattern baldness. *Starting patient on testosterone replacement is like putting a patient on thyroid...

Tennis elbow, (Lateral Epicondylitis)

Clinic A/P, adults, MUSCULOSKELETAL

Tennis elbow / Lateral Epicondylitis / Lateral Epicondylalgia Definition: It’s an overuse tendinopathy of the common extensor tendon origin in the lateral elbow. It’s not an inflammatory condition. Conservative treatment. -Rest: Modify her work routines to...

Headache, unspecified headache type (conservative, non-pharmacological tx)

Clinic A/P, adults

Headache, unspecified headache type (conservative, non-pharmacological tx) HA likely multifactorial. No red flags. Stay Hydrated: Drink at least two liters of water per day (about eight 8oz glasses of water). Control allergies if symptomatic. Perform stress reducing...