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Uncomplicated Cystitis

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

-H&P performed. -Risk factors for uncomplicated UTI reviewed. Treatment -Antibiotic choices for uncomplicated cystitis.   References Am Fam Physician. 2011 Oct 1;84(7):771-776....

Pyelonephritis in adults

Clinic A/P, adults, Hospital A/P, Adults, Pharmacy and Therapeutics

Treatment Use local sensitivities to guide your selection of empiric antibiotic regimen. Outpatient Treatment -Ciprofloxacin 500 mg PO twice daily for 7 days -Levofloxacin 750 mg PO once daily for 5 days. -Bactrim DS 1 tab  PO twice daily for 14 days. -Cephalexin 500...

Giant Cell Arteritis (Temporal Arteritis)

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

-Definition: Giant cell arteritis is the most common type of vasculitis in adults, affects medium and large arteries, and can result in blindness. -ESR and CRP. Will get both acute phase reactants because the CRP is more sensitive than ESR and both are combined, the...

Anterior Cruciate Ligament (ACL) Tear

Hospital A/P, Adults, MUSCULOSKELETAL

– -A positive Lachman’s test suggests that the anterior cruciate ligament may be torn. How to perform a Lachman’s test. Have the patient lie supine and be completely relaxed. Make sure that the patient’s hip muscles, quadriceps, and hamstrings...

Calcaneal Apophysitis (Sever disease)

Hospital A/P, Adults, MUSCULOSKELETAL

Background The heel apophysis usually closes by the age of 15. Diagnosis H&P: DDx and Etiology: Risk Factors: Common Presentation: Diagnostic studies: X-Ray is usually normal and so doesn’t help in diagnosis. However, when done may show fragmented or...

Slipped Capital Femoral Epiphysis (SCFE)

Hospital A/P, Adults, MUSCULOSKELETAL

Background SCFE happens most commonly during the adolescent growth spurt (11-13 years of age for girls, and 13-15 years of age for boys). Diagnosis H&P -DDx of hip pain/limping. -Risk factors. -Limited internal rotation of the flexed hip on physical exam...
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