Monthly Archives: March 2015

Loss of Weight – UpToDate

Loss of Weight Clinically important weight loss is traditionally defined as loss of more than 5 percent of usual body weight over six months. Major causes of weight loss 1) Voluntary weight loss Drugs Rx ↓ obesity: rimonabant, orlistat, phentermine, sibutramine,

Posted in 60 Loss of Wt, 99 Priority Topics, Endo, FM 99 priority topics

Disability – CGS 2011 & NICE

1  Determine whether a specific decline in functioning (e.g., social, physical, emotional) is a disability for that specific patient. Impairment: any loss or abnormality of psychological, physiological, or anatomical structure or function Disability: any restriction or lack of ability to

Posted in 28 Disability, 99 Priority Topics, FM 99 priority topics, Others

Well-baby Care – RBR / CPS2013

1 Measure and chart growth parameters, including head circumference, at each assessment; examine appropriate systems at appropriate ages, with the use of an evidence-based pediatric flow sheet such as the Rourke Baby Record. Chart wt, ht, head circumference on growth scale Correct

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Posted in 99 Priority Topics, 99 Well-baby Care, FM 99 priority topics, OB

Palliative Care – BC guideline 2010

1  In all patients with terminal illnesses (e.g., end-stage congestive heart failure or renal disease), use the principles of palliative care to address symptoms (i.e.., do not limit the use of palliative care to cancer patients). A palliative approach is

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Posted in 70 Palliative Care, 99 Priority Topics, FM 99 priority topics, Geri

Red Eye – UpToDate

 Red Eye ddx Lids/orbit/lacrimal system Hordeolum / chalazion Blepharitis Entropion / ectropion FB / laceration Dacryocystitis / dacryoadenitis Conjunctiva / sclera Subconjunctival hemorrhage Conjunctivitis Dry eyes Pterygium episcleritis / scleritis preseptal / orbital cellulitis Cornea FB (including contact lens) Keratitis

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Posted in 79 Red Eye, 99 Priority Topics, FM 99 priority topics, Others

Elderly – TN2014

Geriatric Giants Memory Falls Incontinence Polypharmacy 5 Is of Geriatrics Immobility Intellect Incontinence Iatrogenesis Impaired homeostasis 1  In the elderly patient taking multiple medications, avoid polypharmacy by: – monitoring side effects. – periodically reviewing medication (e.g., is the medication still

Posted in 35 Elderly, 99 Priority Topics, FM 99 priority topics, Geri

GI Bleed – ACG 2012

 1  In a patient with blood in the stools who is hemodynamically stable, use history to differentiate upper vs. lower gastrointestinal (GI) bleed as the investigation differs. UGIB LGIB ClassificationSymptoms Above Ligament of Treitz Vomiting – BRB, coffee ground Meds:

Posted in 41 GIB, 99 Priority Topics, FM 99 priority topics, GI

Dizziness – AAFP 2010

Non-vertiginous dizziness: Syncope Sudden transient LOC due to global cerebral HoTN Cardiac arrhythmias, AS, vasovagal, orthostatic HoTN, hyperventilation, metabolic causes (HoTN, med S/E, caffeine, nicotine) High mortality / Morbidity: CVA, AS, arrhythmias, high ICP If CPR or cardioversion required, then

Posted in 29 Dizziness, 99 Priority Topics, FM 99 priority topics, Neuro

Dehydration – BC Guideline 2010

Dehydration XS intracellular fluid loss (from GI, skin, or kidney) usually due to hypovolemia Highest morbidity and mortality in peds Hypovolemia 1) Hypertonic/hypernatremic GI losses, fever, DM, renal dz Net loss of extracellular water, or gain of sodium 2) Isotonic

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Posted in 22 Dehydration, 99 Priority Topics, FM 99 priority topics, GI

Poisoning – McMaster Module

1 As part of well-child care, discuss preventing and treating poisoning with parents (e.g., “childproofing”, poison control number). Keep items locked and out of reach/sight. Don’t refer to medicine as “candy”. Keep meds in their original containers with safety lids, don’t

Posted in 75 Poisoning, 99 Priority Topics, FM 99 priority topics, Others
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March 2015