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Herpes Zoster Oticus (Ramsay Hunt syndrome)

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

CC: Painful sores in the mouth. HPI: Painful sores in the mouth that appeared a few days ago. Pain with eating but patient is able to swallow without difficulty. Now having some pain around his right ear today. No difficulty hearing. Denies URI symptoms....

Thalassemia

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

“This presentation is consistent with β-thalassemia minor trait in a generally asymptomatic patient. Hemoglobin electrophoresis will be abnormal, with HbA2 increased and HbA decreased. The free T4 level is likely to be normal in a patient with a normal TSH level. A...

Statin Use for Primary Prevention of ASCVD

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

“Statin preventive medication: adults ages 40–75 years with no history of CVD, 1 or more CVD risk factors, and a calculated 10-year CVD event risk of 10% or greater. The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e.,...

Adenomyosis

Clinic A/P, adults, Clinic A/P, Peds, OB/GYN

Adenomyosis presents with painful periods painful intercourse chronic pelvic pain heavy menstrual bleeding

Diuretic-Induced Hyperuricemia and Gout

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

“Hyperuricemia is a relatively common finding in patients treated with a loop or thiazide diuretic and may, over a period of time, contribute to new-onset gouty arthritis or, more promptly, recurrence of established gout. Diuretics reduce urate excretion by both...

Salmonella

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

Only treat severe cases   “Salmonella is a common cause of gastroenteritis. Transmission is most often associated with eggs, poultry, undercooked ground meat, and dairy products from contaminated animals, or produce contaminated by their waste. Salmonella...
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