Clinic A/P, adults, Clinic A/P, Peds
If a patient has had a severe anaphylactic reaction to eggs in the past, he/she can only get the Recombinant trivalent influenza vaccine. The Recombinant influenza vaccine is made without using eggs. The other flu vaccines are all prepared using eggs. Live attenuated...
Clinic A/P, adults, Clinic A/P, Peds
-Patient with bright red blood in his semen. -History and Physical done. -He is sexually active. -No history of coagulopathy -No other genitourinary symptoms. -PE of the penis, testes, and DRE are normal. -In this sexually active male < 40 years of age, will get GC...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
“Diffuse parenchymal lung disease may be idiopathic, but there are a number of identified causes such as environmental or occupational exposures. Many collagen vascular diseases and medications used to treat them can induce interstitial lung disease. Common...
Clinic A/P, adults, Clinic A/P, Peds
-Sleepiness, Cataplexy. -Some patients may also have vivid hallucinations when falling asleep or waking up. Treatment -Improve nighttime sleep (both quality & quantity). Sleep hygiene + Sodium oxybate. These improve daytime alertness and cataplexy. -Scheduled...
Clinic A/P, Peds, Hospital A/P, Peds
Child Abuse Pearls Posterior or posteromedial rib fractures in a child should be assumed as child abuse until proven otherwise. Notify CPS or send to the ER for appropriate workup. Neglect is the most common form of child abuse in the U.S. Neglect > Physical abuse...
