Chest Pain
Chest Pain General Considerations Chest pain may be the first sign of a medical emergency and needs immediate attention. Always evaluate in person and immediately. When called about a patient…
PSYCHIATRY
Cellulitis
Cellulitis Pathogens Gram-positive cocci, especially Beta-hemolytic Streptococcus or Staphylococcus aureus. Clinical features Most commonly on the lower extremities.Predisposing factors may include tinea pedis of the toe web with fissuring, IV…
EKG Interpretation
EKG Interpretation Determine the rate = 300 divided by the number of large boxes between two successive QRS complexes. Normal rate = 60-100 beats per minute. Bradycardia <60 Tachycardia >100…
Anaphylaxis
Anaphylaxis Clinical features Cutaneous—pruritus, urticaria, angioedema.Gastrointestinal—abdominal cramping, diarrhea.Vascular—hypotension.Respiratory—respiratory distress due to laryngeal edema, laryngospasm, or bronchospasm. Immediate treatment Initiate code blue.Assess airway, breathing, and circulation.Administer epinephrine 0.3-0.5 mg (0.3-0.5 ml…
Abdominal Pain
Abdominal Pain Location Differential Diagnosis Left upper quadrant Splenic diseaseMyocardial infarctionDissecting aortic aneurysmPneumoniaPyelonephritisNephrolithiasisPancreatitisHiatal herniaPeptic ulcer diseaseMallory-Weiss tear Epigastrium Peptic ulcer diseaseEsophagitisMyocardial infarctionPericarditisPneumoniaPancreatitisCholecystitisPerforation/obstruction Right upper quadrant HepatitisHepatic tumorCholelithiasisCholecystitisCholangitisPyelonephritisNephrolithiasisPneumoniaPulmonary embolism/infarction Periumbilical GastroenteritisAppendicitisPancreatitisIntestinal…
Suicide and Violence Risk Assessment
Suicide and Violence Risk Assessment Cameron Quanbeck MD Pria Joglekar MD A 76-year-old Caucasian male with chronic obstructive pulmonary disease (COPD), type 2 diabetes, peripheral neuropathy, and osteoarthritis presents with…
Sleep Disorders
Sleep Disorders Julie S. Young MD, MS Kimberly A. Hardin MD, MS, FAASM A 48-year-old man who has been sober for 6 weeks comes to the ambulatory care clinic saying…
Geriatric Psychiatry— Dementias
Geriatric Psychiatry— Dementias Andreea L. Seritan MD Michael K. McCloud MD, FACP Ladson Hinton MD A 70-year-old man of Middle Eastern descent with limited English skills presents to the geriatric…
Cultural Considerations in Primary Care Psychiatry
Cultural Considerations in Primary Care Psychiatry Alan Koike MD, MSHS Hendry Ton MD, MS David Gellerman MD, PhD Sergio Aguilar-Gaxiola MD, PhD Russell F. Lim MD A 35-year-old Hmong woman…
Personality Disorders
Personality Disorders Shannon Suo MD Maga Jackson-Triche MD, MSHS Mark Servis MD A 21-year-old female college student presents to your continuity clinic. She has been the patient of one of…
