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…
Approach to Neck Pain Acute <6wk most common: “locked” after quickly rotating the neck is typical of acute torticollis or the “wry neck” phenomenon Sub-acute: 6 weeks to 6 months address yellow flags to reduce the transition to chronic neck…
Low Back Pain Acute <6wk, subacute 6-12wk, chronic >12wk Lifetime prevalence: 90% & 90% resolved in 6wk, <5% become chronic Peak prevalence: 45-60yo Most common cause of chronic disability in <45yo 1) In a patient with undefined acute low-back pain…
Summary: Acute gouty Tx should be initiated within 24hr of onset Established urate-lowering Tx should be continued during an acute attack 1st line: NSAIDS, corticosteroids, or coral colchicine (combination for severe or refractory attacks) Anti-inflammatory prophylaxis for all gout pt…
Gout carries a risk of long-term morbidity and impaired quality of life. Risk factors for gout Male > Female (7x) Age (7% >65yo men, 3% >85 women) hyperuricemia – consider the reasons and possible measures to alleviate it Chronic kidney failure,…
Preparing for the CCFP Exam 2015 