Blog Archives

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

Fractures – TN2014

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

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Posted in 40 Fractures, 99 Priority Topics, FM 99 priority topics, Rheum

Lacerations – TN 2014

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

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Posted in 56 Lacerations, 99 Priority Topics, FM 99 priority topics, Others

Pneumonia – AFP 2011

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

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Posted in 74 Pneumonia, 99 Priority Topics, FM 99 priority topics, Resp

Meningitis – CID 2004

Meningitis: Inflammation of the meninges surrounding the brain & spinal cord Peak age: 6-12 mo, 90% <5yr Common Organisms 0-4wk: GBS, E Coli, Listeria monocytogenes, Klebsiella 1-23mo: GBS, E Coli, S. Pneumo, N. Meningitidis, H. Influenzae >2yr: S. Pneumo, N.

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Posted in 62 Meningitis, 99 Priority Topics, FM 99 priority topics, Neuro
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