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…
Fractures Description 1) Integrity of skin / soft tissue Closed: skin / soft tissue over and near fracture is intact Open: skin / soft tissue over & near # is lacerated or abraded, # exposed to outside environment Signs: continuous…
Lacerations – Hx What is the cause? How clean are the surroundings? Was a bite involved? Human/canine / feline? How long ago did it occur? Any FB may remain deep in the wound? Any underlying compound #? Tetanus immunization status…
Community-acquired pneumonia (CAP) Pulmonary parenchyma infection Not hospitalized within 14 days of onset OR hospitalized <4days prior to onset Typical Pneumonia: S. Pneumoniae, Moraxella catarrhalis, Haemophilus influenzae, Staph aureus, GAS Atypical pneumonia: mycoplasma pneumoniae, chlamydia pneumoniae, legionella, respiratory viruses (influenza virus…
Preparing for the CCFP Exam 2015 