Clinic A/P, adults, Clinic A/P, Peds, ENDOCRINOLOGY, Hospital A/P, Adults
Definition: High TSH + high, normal, or low free T4 Diagnosis H&P is consistent with a diagnosis of hypothyroidism. Labs: TSH, free T4, antithyroid antibodies (antithyroid peroxidase and antithyroglobulin), CBC, CMP, lipid panel, and CK. Treatment Levothyroxine...
Clinic A/P, adults, Clinic A/P, Peds
H&P + Dx Exercise? Diet? FHx of premature CAD? Risk factors for ASCVD? Known ASCVD in pt? BMI? xanthoma? xanthelasma? Carotid bruits? Screening recs. Labs: Lipid panel (non-fasting). Baseline LFTs (CMP) and CK. Repeat the lipid panel to confirm HLD. TSH, A1C, CMP,...
Clinic A/P, adults, Clinic A/P, Peds, OB/GYN
Treatment -NSAIDs are 1st-line. Start NSAID at the onset of menstruation and continue for the first 2-3 days of the menstrual cycle. Alternatively, start 1-2 days before the expected onset of menstrual period and continue on a fixed schedule for 2-3 days. Eg. Naproxen...
Clinic A/P, adults, Clinic A/P, Peds, OB/GYN
Diagnosis Definition: Abnormal uterine bleeding (AUB) refers to menstrual bleeding of abnormal quantity, duration, or schedule (i.e. it’s irregular, lasts too long, or too heavy) H&P Distinguish b/n uterine vs. non-uterine bleeding with the H&P....
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Systemic signs and symptoms are more common with Chrohns than with ulcerative colitis. In a pediatric population, “Crohn’s disease is more common than ulcerative colitis”. Check, in adults, Crohn’s is also more common. Perianal manifestations...
Clinic A/P, adults, Clinic A/P, Peds
Diagnosis H&P: Personal or FHx of atopy (asthma, allergic rhinitis, atopic dermatitis)? The 3 phases of eczema present differently. Differential Diagnosis. Diagnostic criteria. Is the severity mild, moderate, severe? Are there secondary infections like impetigo,...
