GENERAL & FAMILY MEDICINE

Varicose Veins

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

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Seborrheic Dermatitis

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

  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…

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Periodontal Disease

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

  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;…

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Pelvic Inflammatory Disease

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Pelvic Inflammatory Disease

  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,…

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Osteoarthritis

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

  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…

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Otitis Media

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

  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…

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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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