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...
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...
Clinic A/P, adults, Clinic A/P, Peds, ENDOCRINOLOGY
History and Physical. A1C goal for this patient:______ Last HbA1c (needed q3-6mo) was_____ Will screen for Vitamin B12 deficiency annually in patients on Metformin. Last annual dilated retinal exam was____ Last annual diabetic foot exam was____ Last...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
*Admit pts with ingestion of a long-acting hypoglycemic agent, recurrent hypoglycemia during observation, and those unable to eat. Admit to intermediate care. Blood glucose Insulin, Proinsulin, C-peptide, Beta-hydroxybutyrate (BHOB), Screen for oral hypoglycemic...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds, PULMONARY & CRITICAL CARE
Acute Respiratory distress 2/2 to Asthma Exacerbation H&P performed. Differential diagnosis. Causes of asthma exacerbation. Peak expiratory flow (PEF): ___ Oxygen saturation: ___ Asthma Severity Classification. Consider CXR, ABG, and CBC and CMP as indicated....
CARDIOLOGY, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Definition and classification of syNCOpe and presyncope. -Neurally mediated syncope vs. cardiac syncope vs. orthostatic hypotension syncope. -Patients with presyncope have similar prognoses to those with syncope and should undergo a similar evaluation” (AFP...
