Varicose Veins
Varicose Veins DIAGNOSTIC SUMMARY • Dilated, tortuous, superficial veins in the lower extremities. • May be asymptomatic or associated with fatigue, aching discomfort, feeling of heaviness, or pain. • Edema, pigmentation, and…
Varicose Veins DIAGNOSTIC SUMMARY • Dilated, tortuous, superficial veins in the lower extremities. • May be asymptomatic or associated with fatigue, aching discomfort, feeling of heaviness, or pain. • Edema, pigmentation, and…
Seborrheic Dermatitis DIAGNOSTIC SUMMARY • Superficial erythematous papules and scaly eruptions on scalp, cheeks, and intertrigo of axilla, groin, and neck. • Usually nonpruritic. • Seasonal, worse in winter. GENERAL CONSIDERATIONS • Seborrheic…
Pneumonia: Bacterial, Mycoplasmal, and Viral GENERAL CONSIDERATIONS Acute pneumonia is the seventh leading cause of death in the United States. It is particularly dangerous in the elderly. It usually…
Periodontal Disease DIAGNOSTIC SUMMARY • Gingivitis: inflammation of the gingiva characterized by erythema, contour changes, and bleeding. • Periodontitis: localized pain, loose teeth, demonstration of dental pockets, erythema, swelling and/or suppuration;…
Pelvic Inflammatory Disease DIAGNOSTIC SUMMARY • Dyspareunia. • Mucopurulent cervical discharge. • Pelvic pain; bilateral adnexal tenderness. • Palpable adnexal mass. • Elevated temperature (>101° F). • Cervical motion tenderness. • White blood cell count 20,000/μL,…
Osteoarthritis DIAGNOSTIC SUMMARY • Symptoms: mild early morning stiffness, stiffness after periods of rest, pain that worsens on joint use, and loss of joint function. • Signs: local tenderness, soft tissue…
Otitis Media DIAGNOSTIC SUMMARY Acute Otitis Media • Earache or irritability • History of recent upper respiratory tract infection or allergy • Red, opaque, bulging eardrum with loss of the normal features…
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…
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…
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…