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Osteomyelitis: Cellulitis r/o Osteomyelitis

2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

#Cellulitis r/o Osteomyelitis, condition, stable. The most common cause is strep or staph. H&P performed. Probed to bone? At ___cm? Labs: Imaging:  CXR shows _____; MRI ____ Admit to Med/Surg Treatment Vancomycin + Zosyn. Elevate extremity. F/u BCx. Consult...

Motion Sickness Treatment

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

Scopolamine patch is the most effective medication for motion sickness. The patch is more effective than the oral scopolamine. Scopolamine 1.5 mg transdermal patch; apply 1 patch to mastoid at least 4 hours before travel, then every 3 days(72 hours) as need....

CYANOTIC HEART DISEASE IN A NEWBORN – 5 TS

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

Differential diagnosis for cyanotic heart defects in a newborn: Tetralogy of Fallot Transposition of the great vessels Truncus arteriosis Tricuspid atresia Total anomalous pulmonary venous return Watch these great videos on Khanacademy website for cyanotic heart...

Dizziness or Vertigo

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

-Differential diagnosis, reviewed. -AAFP 2017 Algorithm for dizziness.   Reference Am Fam Physician. 2017 Feb 1;95(3):154-162. http://www.aafp.org/afp/2017/0201/p154.html

Secondary Hypertension

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

-This patient likely has secondary hypertension. -History and physical exam -The Causes of Secondary Hypertension, reviewed. -BPs have been repeated for accuracy. -Diet and drug-related causes reviewed. -2017 AAFP Algorithm reviewed. Diagnostic studies: -TSH, ECG, UA...

Alcohol Withdrawal Treatment in the Hospital

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

-Rule out other possible dx: CNS infection, CNS bleed, metabolic d/o, drug overdose, liver failure, and GI bleed that can mimic or coexist with alcohol withdrawal. Consider CT head and lumbar puncture. -Evaluate patient for complications of alcohol abuse and alcohol...
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