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…
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;…
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…
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…
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,…
