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Vaginitis, Atrophic / Genitourinary Syndrome of Menopause

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

-History and physical, above. -Genital s/sx from changes in the vulva, vagina, and lower genital tract that are caused by diminished estrogen. -Pharmacotherapy:  Vaginal estrogen, nonhormonal vaginal moisturizers, as well as ospemifene treatment options discussed with...

Nightmares Associated with PTSD

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

Diagnosis PTSD associated nightmares H&P: Typical presentation: Patient with PTSD appropriately treated with SSRI + CBT with some improvement but still having nightmares and sleep disturbances. DDx Treatment -Prazosin 1-6mg. Start with 1mg and increase as needed...

Spiritual Assessment

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

-ICD -10 Code: Z71.81 Spiritual or Religious Counseling -Use a trusted tool like the FICA Spiritual History Tool or HOPE Questions for Spiritual Assessment. -“A recent review of more than 1,200 studies of religion and health reported that at least two-thirds of...

Elevated Liver Transaminases, Mild

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

-Definition: Mildly elevated liver transaminase levels are defined as levels that are less than 5 times the upper limit of normal. -History and physical performed. -DDx of elevated liver transaminases reviewed. -A repeat CMP in 2-4 weeks done and reviewed, still...

Epididymitis

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

Definition: Inflammation of the epididymis. -Differential Diagnosis. -Etiology and treatment are based on patient age and the likely causative organisms. -Most Common Cause: –Children younger than 14 years: Reflux of urine into the ejaculatory ducts....

Urethritis

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

Urethritis. Read: https://www.uptodate.com/contents/urethritis-in-adult-men
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