Proctologic Conditions

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

  Proctologic Conditions Anorectal anatomy • Anorectal region: — Anus: extends from 3 to 4 cm above anal verge and merges with rectum — Rectum: 12 to 18 cm in length — Anal verge:…

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Urticaria

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

  Urticaria DIAGNOSTIC SUMMARY • Urticaria (hives): well-circumscribed erythematous wheals with raised serpiginous borders and blanched centers that may coalesce to become giant wheals. Limited to the superficial portion of the…

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Magraine Headache

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

  Magraine Headache DIAGNOSTIC SUMMARY • Recurrent, paroxysmal attacks of headache. • Headache typically is pounding and unilateral but may become generalized. • Attacks often preceded by psychological or visual disturbances (auras) accompanied…

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Inflammatory Bowel Disease

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

  Inflammatory Bowel Disease DIAGNOSTIC SUMMARY • Intermittent bouts of diarrhea, low-grade fever, and right lower quadrant pain • Anorexia, weight loss, flatulence, and malaise • Abdominal tenderness, especially right lower quadrant, with…

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Vaginitis and Vulvovaginitis

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Vaginitis and Vulvovaginitis

  Vaginitis and Vulvovaginitis DIAGNOSTIC SUMMARY • Increased volume of vaginal secretions. • Abnormal color, consistency, or odor of vaginal secretions. • Vulvovaginal itching, burning, or irritation. • Introitus may show patchy erythema, and…

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Diabetes Mellitus

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

  Diabetes Mellitus DIAGNOSTIC SUMMARY • Elevated blood glucose determination — Fasting (overnight): venous plasma glucose ≥126 mg/dL on at least two separate occasions — After ingestion of 75 g glucose: venous plasma…

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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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