CARDIOLOGY, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
-This patient likely has secondary hypertension. -History and physical exam -The Causes of Secondary Hypertension, reviewed. -BPs have been repeated for accuracy. -Diet and drug-related causes reviewed. -2017 AAFP Algorithm reviewed. Diagnostic studies: -TSH, ECG, UA...
Clinic A/P, adults, INFECTIOUS DISEASES
Screening and Treating STIs Ordering STD or STI tests Chlamydia DNA probe Gonorrhea DNA probe HIV Test Syphilis (RPR or VRDL) Hepatitis B Testing (if not immunized) Trichomonas RNA PCR (NAAT) is new CDC recommendation. Vaginal Wet prep is okay but misses many true...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
-Rule out other possible dx: CNS infection, CNS bleed, metabolic d/o, drug overdose, liver failure, and GI bleed that can mimic or coexist with alcohol withdrawal. Consider CT head and lumbar puncture. -Evaluate patient for complications of alcohol abuse and alcohol...
Clinic A/P, adults, Hospital A/P, Adults, PSYCHIATRY
Diagnosis Diagnosis is clinical. Use a brief validated screening tools like the GAD-7 scale to assess the severity of symptoms and response to treatment. H&P: Risk Factors: Common presentation: Associated conditions: Diagnostic studies: DDx & Causes:...
Clinic A/P, adults, ENDOCRINOLOGY, OB/GYN
TX: Diet and exercise. Insulin Oral medications lack long-term safety data. But many people use it. Treating GDM improves outcomes for both the mother and infant. These include: -a decreased risk for operative delivery, -large-for-gestational-age infants, -shoulder...
Clinic A/P, adults, Clinic A/P, Peds, ENDOCRINOLOGY
History and Physical. A1C goal for this patient:______ Last HbA1c (needed q3-6mo) was_____ Will screen for Vitamin B12 deficiency annually in patients on Metformin. Last annual dilated retinal exam was____ Last annual diabetic foot exam was____ Last...
