Circumcision, visit for procedure

Clinic A/P, Peds

Order for procedure verified. History and Physical performed. Baby is doing well. Feeding, voiding, stool well. No fever or illness. Informed Consent obtained. Time of the last feeding:____ Upon arrival in the procedure room, the patient’s band was checked and...

Failure to thrive (Weight Faltering)

Clinic A/P, Peds

Definition -Definition of FTT: Weight below the 5th percentile for sex and corrected age/weight for length below the 5th percentile/ BMI for age below the 5th percentile OR a fall in weight by two major percentiles on a growth curve (AAFP 2016). Other authorities go...

Conjunctivitis, Bacterial

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

Bacterial Conjunctivitis -History of eye morning matting present. -No red flags such photophobia (elicited via pupillary constriction) and anisocoria (greater than 1mm). -No vision loss (indication for prompt referral to ophthalmology). -Don’t wear contact...

Molluscum Contagiosum

Clinic A/P, adults, Clinic A/P, Peds, DERMATOLOGY

#Molluscum contagiosum – Treatment with Cantharidin (a topical blistering agent): Will use the blunt wooden end of a cotton swab to apply Cantharidin directly to the lesions without touching the surrounding skin. Will then cover the lesion with tape or a bandage...

Systemic Lupus Erythematosus (SLE)

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

Diagnosis -H&P. Med review for meds known to cause drug-induced lupus. -Need ≥4 of 11 ACR criteria to diagnose SLE.  Having ≥4 criteria diagnoses SLE with 95% specificity and 85% sensitivity (AFP). -Algorithm for the diagnosis of SLE from the AAFP -H&P (esp....

Celiac Disease

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

Diagnosis Anti-TTG IgA (i.e. Anti-Tissue Transglutaminase IgA) is the first test you do. It is 1st-line. It has a sensitivity of 95% and specificity of 95%. You may add a total IgA because patients with IgA deficiency are at risk of a false negative. In IgA deficient...