Clinic A/P, adults, Clinic A/P, Peds
“Multiple myeloma can be asymptomatic, but it becomes symptomatic when there is organ damage or other abnormalities, including renal insufficiency, elevated calcium, anemia, and bone disease. The majority of patients have bone pain. Anemia typically occurs...
Clinic A/P, adults, Clinic A/P, Peds
“Laryngoscopy should be performed to visualize the larynx and evaluate for vocal cord pathology in a patient whose hoarseness does not resolve within 3 months (SOR C). If a serious condition is suspected for some other reason, laryngoscopy should be performed...
Clinic A/P, adults, Clinic A/P, Peds, DERMATOLOGY
Graves disease causes Pretibial myxedema (whether it presents as hypo- or hyperthyroidism). Usually, it occurs in the lower legs and results from increased deposition of mucin. Diabetes mellitus can cause necrobiosis lipoidica, a lesion on the lower extremities;...
Clinic A/P, Peds, Hospital A/P, Peds
If you see a 5-week old infant with a fever who was born at 38 weeks, you need to treat the baby as though the baby actually was only 3 weeks old. The same is true for children born say at 36 weeks or so.
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
“Many infections of the respiratory tract have a viral etiology, and when this is the case early antibiotic treatment offers little to no benefit. Once the clinical course of a respiratory illness exceeds the expected length for a viral illness, it may be...
Clinic A/P, adults, Clinic A/P, Peds, ENDOCRINOLOGY
Diagnosis -History and physical. -Screening recommendations reviewed. -ADA’s diagnostic criteria reviewed. -Confirm the diagnosis of pre-DM or DM type 2 by repeating the same test on a different day (per USPSTF). Repeat in 1-2 weeks. -Before starting Metformin,...
