Renal and Urologic Problems
Optional Tests • Maximal urinary flow rate. It is tested if greater than 15 mL per second excludes clinically important BOO due to BPH. • Measurement of postvoid residual urine (PVR) by…
Gastrointestinal Problems
Common Gastritis (erosive due to NSAIDs) Esophagitis Peptic ulcer disease Esophagogastric varices with or without portal hypertensive gastropathy Gastroesophageal mucosal tears Cancer (carcinoma, lymphoma, polyps) Dieulafoy lesions (active arterial bleeding…
Disorders of the Nervous System
Table 6.1-2 Pharmacological Treatments for Prevention of Episodic Migraine4,10 • Relaxation training with or without thermal biofeedback, electromyographic (EMG) biofeedback, and cognitive-behavioral therapy may be considered in preventing migraine (Grade A)….
Musculoskeletal Problems and Arthritis
Often presents with acute hypertension and progressive renal failure and proteinuria as well as microscopic hematuria Possible to be normotensive but actually is hypertensive compared with baseline Important to monitor…
Therapeutic Choices
WEB ADDRESSES • American Botanical Council: http://www.herbs.org/ • U.S. Pharmacopeia: http://www.usp.org • Food and Drug Administration (FDA): http://vm.cfsan.fda.gov REFERENCES 1. German Commission E Monographs. Austin, TX: American Botanical Council; 1998. 2. Natural medicines comprehensive database….
Problems of Infants and Children
Figure 4.3-1. An algorithm for the treatment of croup. *, dosage 0.6 mg per kg; ‡, dosage L-epinephrine 1:1,000, see text for dose. (From Skolnik NS. Croup. J Fam Pract…
Family Planning and Maternity Care
STERILIZATION Tubal Sterilization This is a surgical method of preventing the ovum from being fertilized or reaching the uterine cavity by occluding or otherwise interrupting the fallopian tubes. This method…
Dermatologic Problems
REFERENCES 1. Sturchler DA. Exposure—a guide to sources of infection. Chapter 4. Invertebrates. Herndon, VA: ASM Press; 2006:85. 2. Chapel TA, Katta R, Kuszmar T. Pediculosis pubis in clinic for treatment of…
Human Behavior and Problems of Living
TCAs are effective in GAD. Imipramine (Tofranil) has shown efficacy comparable to alprazolam. These have a greater side-effect burden, especially sedation and anticholinergic effects, compared to SSRIs or buspirone, and…
