Antibiotic-associated diarrhea (AAD)

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

-Probiotics (particularly Saccharomyces boulardii) prevent antibiotic-associated diarrhea. NNT to prevent one case of diarrhea is 10.   “A wealth of evidence-based research has established the benefits of probiotics, especially in children. Probiotics,...

Bullying

Clinic A/P, Peds

If you discover a patient is being bullied at school, advise the parents to discuss the situation with school personnel.   Further Reading Pediatrics 2013;132(4):720-729. Bullied children and psychosomatic problems: A meta-analysis. J Fam Pract  ...

Disability Evaluations

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

Completing Disability Forms Understanding the patient’s job requirements and limitations is the foundation. PT and OT are helpful for accurately documenting range of motion and functional limitations. Occupational Therapy referral to help out with filling...

Hypertension

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

Essential Hypertension (New Diagnosis). Secondary Hypertension. Resistant Hypertension. Severe Asymptomatic Hypertension (Hypertensive Urgency). Severe Symptomatic Hypertension (Hypertensive Crisis) Hypertension in elderly patients. Gestational Hypertension....

Infantile hemangiomas

Clinic A/P, Peds

-Usually appear by 4 weeks of age and stop growing by 5 months of age. -“As many as 70% leave residual skin changes, including telangiectasia, fibrofatty tissue, redundant skin, atrophy, dyspigmentation, and scarring.” Treatment Oral propranolol Oral...

Diabetes

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

Prediabetes. Type II, Initial Visit. Type II, Subsequent Visits. Type I Diabetes, initial visit. Type I Diabetes, Chronic. Pearls and Links Diabetes Screening Recommendations. Moderately increased albuminuria (Microalbuminuria) in Diabetes Type 2. Gestational...