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,…
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…
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…
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,…
Immune Support DIAGNOSTIC SUMMARY • Frequent infections • Chronic infections that do not resolve • Cancer GENERAL CONSIDERATIONS The immune system is a complex integration of synergistic segments that are continuously barraged…
