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…
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:…
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…
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…
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…
Preparing for the CCFP Exam 2015 