Lactose Intolerance

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

Diagnosis Common symptoms: Bloating, flatulence, and abd. pain. Children may have diarrhea as well and adolescents may have nausea/vomiting. Cause: Caused by lactose malabsorption. Patients have low levels of lactase in the duodenum and so cannot digest the...

Tuberculosis, Latent TB Infection

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

Diagnosis -H&P that is consistent with latent TB. -Prior BCG Vaccination: No -Patient screened positive. -Test interpretation explained to the patient. -Risk factors for acquiring TB reviewed w/ patient. -Risk factors for developing TB also reviewed / patient....

Pediatric emergencies in the Outpatient Setting

Clinic, Clinic A/P, Peds

Pediatric Emergencies in the Clinic Setting Respiratory emergencies, Seizures, infections (especially in young infants), and Shock/dehydration are reported most often, and Serious traumatic injuries have also been noted. In a survey of 1000 randomly selected,...

Delirium (Confusional States / Altered Mental Status)

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

Diagnosis Definition: Delirium vs. dementia. Diagnosis is made clinically using the Confusion Assessment Method (CAM). The first step in the diagnosis delirium is to r/o underlying medical causes. H&P performed. Meds reviewed. No focal or lateralized neurologic...

Total Parenteral Nutrition (TPN)

Hospital A/P, Peds

Things that decrease the likelihood of catheter-related complications in TPN patients. -Ultrasound-guided placement of the catheter into the internal jugular vein:  Studies show that ultrasound-guided placement of the catheter into the internal jugular vein is...

Cirrhosis with Ascites

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

-Abdominal paracentesis Treatment -D/c alcohol and consider Baclofen treatment to increase abstinence. -D/c all medications that can decrease renal perfusion (NSAIDs, Beta-blockers, ACE-I, ARBS) -Treat any underlying liver disease when possible. -Sodium-restricted...