2012 1. Trigeminal Neuralgia Mrs. Smith, aged 57, suffers from sudden, brief, severe, recurrent episodes of left-sided stabbing pain over her left cheek and forehead. She describes it as electric shock-like pains that are triggered when brushing her teeth or…
2015 SAMP 1. Barrett esophagus (squamous -> columnar epithelium @ distal esophagus): 56yo smoker, 3xETOH/d, with worsening reflux. Rx PPi List 4 risk factors for developing Barrett esophagus Cigarette smoking chronic reflux symptoms / GERD Hiatal Hernia Increasing age (>50yo),…
`1) Parkinson’s dz a) Classic Triad: Tremor, Rigidity, Akinesia b) Yes, Parkinson’s dz can be hereditary c) Neurotransmitter: Dopamine – decreased d) Tx & 2 s/e: Levodopa – Orthostatic HoTN, N/V, dyskinesia, psychiatric disturbances Bromocriptine – pedal edema, pleuropulomonary reaction, retroperitoneal fibrosis…
A chronic inflammatory dz of CNS characterized by relapsing remitting, or progressive neurologic symptoms due to inflammation, demyelination and axonal degeneration Clinical features Relapsing remitting (RRMS) 85% (0.4-0.6 relapses /yr, highest in the 1st year) – most go on to…
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,…
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…
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…
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…
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…
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…
Preparing for the CCFP Exam 2015 