Circumcision, Bleeding after

Clinic A/P, Peds

-Apply pressure -Chemical cautery with silver nitrate. -Order PT/PTT and CBC (for platelet count). There was an infant who was circumcised in PCP’s clinic. 24 hours later, the child returned with bleeding into the diaper. There had been no bleeding at the time...

Status Epilepticus

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

-New definition of Status Epilepticus, reviewed. To be completed… Attend to the ABCs before starting any pharmacologic intervention Place patients in the lateral decubitus position to avoid aspiration of emesis and to prevent epiglottis closure over the glottis...

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Clinic A/P, Peds, HealthCare, Hospital A/P, Peds

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Metabolic Syndrome

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

Diagnosis Per NCEP ATP III criteria for Metabolic Syndrome. Patient must meet ≥3 of 5 criteria. Treatment -Aggressive lifestyle intervention (weight loss, physical activity, smoking cessation) to reduce the risk of type 2 diabetes and CVD. -Diet: Mediterranean diet (...

Alcohol Use Disorder

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

-Single-question screening three-question AUDIT-C screening used. -Patient meets DSM-V criteria for the diagnosis of alcohol use disorder. Patient indeed has a problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested...

Constipation in kids 1 year and older

Clinic A/P, Peds

Is it mild or severe constipation? For mild, start with educating the patient. Use methylcellulose and psyllium, increased water intake, dietary changes, exercise, etc. Let patients know that increasing fiber intake may cause bloating and flatulence. Patient to...