GENERAL & FAMILY MEDICINE

Kidney Stones

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

  Kidney Stones DIAGNOSTIC SUMMARY • Usually asymptomatic. • Diagnosed adventitiously or by acute symptoms of urinary tract obstruction. • Excruciating intermittent radiating pain originating in flank or kidney. • Nausea, vomiting, abdominal distension….

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Hypertension

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

  Hypertension DIAGNOSTIC SUMMARY • Borderline high blood pressure (BP): 130-139/85-89 mm Hg • Mild high BP (stage 1): 140-159/90-99 mm Hg • Moderate high BP (stage 2): 160-179/100-109 mm Hg • Severe high…

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Obesity

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

  Obesity DIAGNOSTIC SUMMARY • Body mass index (BMI) >30 • Body fat >30% for women and >25% for men GENERAL CONSIDERATIONS • Obesity is a major contributor to mortality risk. Definition: excessive…

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Hepatitis

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

  Hepatitis DIAGNOSTIC SUMMARY • Prodrome of anorexia, nausea, vomiting, fatigue, flulike symptoms 2 weeks to 1 month before liver involvement depending on incubation period of virus. • Symptoms may occur abruptly…

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Trichomoniasis

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

  Trichomoniasis DIAGNOSTIC SUMMARY • Profuse, malodorous, white to green discharge from vagina. • Discharge usually has a pH greater than 4.5, a weak amine odor, and large numbers of white blood…

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Hypoglycemia

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

  Hypoglycemia DIAGNOSTIC SUMMARY • Blood glucose level <40-50 mg/dL • Normal response curve during first 2-3 hours of glucose tolerance test followed by decrease of 20 mg or more below fasting…

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Senile (Aging-Related) Cataracts

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Senile (Aging-Related) Cataracts

  Senile (Aging-Related) Cataracts DIAGNOSTIC SUMMARY • Clouding or opacity in the crystalline lens of the eye. • Absence or altered red reflex (small cataracts stand out as dark defects). • Gradual loss…

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Uterine Fibroids

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

  Uterine Fibroids DIAGNOSTIC SUMMARY • Majority are asymptomatic. • When symptomatic: vague feeling of discomfort, pressure, congestion, bloating, heaviness; pain with vaginal sexual activity, urinary frequency, backache, abdominal enlargement, and abnormal…

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Menorrhagia

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

  Menorrhagia DIAGNOSTIC SUMMARY • Excessive menstrual bleeding (blood loss >80 mL) occurring at regular cyclical intervals (cycles are usually, but not necessarily, of normal length). • May be caused by dysfunctional…

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