Nausea and Vomiting of Pregnancy

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Nausea and Vomiting of Pregnancy

  Nausea and Vomiting of Pregnancy DIAGNOSTIC SUMMARY • Morning or evening nausea and vomiting occurring during the first trimester of pregnancy. GENERAL CONSIDERATIONS • Nausea and vomiting of pregnancy (NVP) (“morning…

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Lichen Planus

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Lichen Planus

  Lichen Planus DIAGNOSTIC SUMMARY • History: pruritus (can be severe); rash or skin eruption. • Physical examination: skin lesions are flat topped, violaceous to purple, polygonal or oval papules from 1-10…

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Osteoporosis

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Osteoporosis

  Osteoporosis DIAGNOSTIC SUMMARY • Usually asymptomatic until severe backache • Most common in postmenopausal (PM) white women • Spontaneous fractures of the hip and vertebra • Decrease in height • Defined as a T-score…

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Irritable Bowel Syndrome

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Irritable Bowel Syndrome

  Irritable Bowel Syndrome DIAGNOSTIC SUMMARY • Functional disorder of the large intestine with no evidence of accompanying structural defect. • Characterized by some combination of: — Abdominal pain — Altered bowel function, constipation,…

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Menopause

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Menopause

  Menopause DIAGNOSTIC SUMMARY • Last spontaneous menstrual period 12 months prior. • Average age of onset is 51 years. • Symptoms can, but do not necessarily, include hot flashes, night sweats, palpitations,…

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Insomnia

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Insomnia

  Insomnia DIAGNOSTIC SUMMARY • Difficulty falling asleep (sleep-onset insomnia) • Frequent or early awakening (maintenance insomnia) GENERAL CONSIDERATIONSI Insomnia is an extremely common complaint with many causes. Causes of Insomnia* Sleep-Onset…

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Immune Support

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Immune Support

  Immune Support DIAGNOSTIC SUMMARY • Frequent infections • Chronic infections that do not resolve • Cancer GENERAL CONSIDERATIONS The immune system is a complex integration of synergistic segments that are continuously barraged…

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Hyperthyroidism

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Hyperthyroidism

  Hyperthyroidism DIAGNOSTIC SUMMARY • Weakness, sweating, weight loss, nervousness, loose stools, heat intolerance, irritability, fatigue • Tachycardia; warm, thin, moist skin; stare; tremor • Diffuse, nonpainful goiter • Increased thyroxine (T4), free T4,…

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Hair Loss in Women

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Hair Loss in Women

  Hair Loss in Women DIAGNOSTIC SUMMARY • Increased hair loss not diagnosed as alopecia. GENERAL CONSIDERATIONS Physiology of the Hair Cycle There are 100,000 to 350,000 hair follicles on the…

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Fibromyalgia Syndrome

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Fibromyalgia Syndrome

  Fibromyalgia Syndrome DIAGNOSTIC SUMMARY • Affects 2%-13% of population, 80%-90% of which are female. • Chronic widespread pain involving axial pain; pain on left, right, upper, and lower parts of body….

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