Professional Documents
Culture Documents
USPTFS recommendation
Bacterial vaginosis and bacteriuria in asymptomatic pregnant women TREAT. BUT NOT IN NONPREGNANT WOMEN
Cervical cancer: 21-65 q 3years or 30-65 with HPV q 5 years. If HIV positive: every 6 months.
-cholesterol screen: men >35 yo. Women>45 yo
Centor criteria for sore throat
Myxedema coma
Advance directives: patient mentioned to his neighbor that if something happens to him and something happens to
him, and does not desire life support. Does the neighbors info count? IS ENOUGH AS AN ADVANCE DIRECTIVE
Do not do circumcision: hypospadias/anatomical problem
-urethritis in men: gonococcal (250 ceftriaxone with azithro/doxy) vs. nongonococcal (metronidazole, azithro)
-varicocele vs. hydrocele. Get Doppler
-peyronies disease: painful erection, plaque, get a Doppler
Urinary retention: due to meds, anticholinergics, nsaid, decongestants, neurologic...
Nephrotic syndrome: fluid restriction and decrease sodium
AAP does not recommend routine circumcision but decreases rate of UTI< squamous cell and phimosis and HIV
UTI in children: all males with UTI. VCUG for reflux.
Female <36 mo: get image
Male: image
Syphilis: highest prevalence in Louisiana. Penicillin G IM
Late/latenet: penicillin X3
Neurosyphilis: 14 days IV penicillin
+RPRconfirm with FT-ABS
Vulvodynia: r/o fungal infection. Use lidocaine/TCA/gabapentin. Test with a cotton swab.
Acute interstitial nephritis: caused by NSAIDs
Hypospadias: get u/s, dont circumcise
Herpes zoster: had shingles before then wait 2 years before giving them vaccine.
N&V at end of life: odansetron or metoclopramide (if need to get gut moving)
Aspiration pneumonia: putrid sputum
Splenic infarct: due to trauma. OPSI: overwhelming postsplenectomy infection. Increased risk of malaria
CT colongraphy: prep pt fully, .
Children and firearms: more common in blacks.
DM1 in kids: check hypothyroidism yearly.
HIV patients: more prone to osteoporosis
Needlestick injuries: keep drawing blood, get HIV, hepatitis tests. If they are HIV positiveget HAART for 4 weeks.
Dermis. Net:
Blue nevus
Erythema multiforme
SJS
Scabies
Eczema
Erythema migrans
Squamous cell carcinoma: more likely to recur if on face.
CHADS2 criteria: for afib . .anticoagulate if score>2
Wolff Parkinson white
H. pylori
IBS: rule out CELIAC DISEASE
Statin: dont stop unless LFT rise 3x above normal
AAA: if greater than 5 cm then check often
4-5: check every 6 months
DVT risk: highest with hip fracture/leg fracture. Arthroscopic knee/hip. If someone is preop and they are on
warfarin, and high risk of dvt.then bridge with lovenox. Then start again 24-48 hours later
Cancer associated venous thromboembolism: LMWH superior to Coumadin
Hirsutism: check dhea-s, dhea, 17 hydroxyprogesterone
Depression
Ortho: knee injury associated with trauma-40yo lady playing soccer collided. Pain with thalasse maneuver?
Cruise ship infection: norovirus
Lyme disease
Legg perthes disease
FAMILY PRACTICE. EXAMINATION BOARD REVIEW