Renal and Urologic Problems
Optional Tests • Maximal urinary flow rate. It is tested if greater than 15 mL per second excludes clinically important BOO due to BPH. • Measurement of postvoid residual urine (PVR) by…
Cardiovascular Problems
The first-line antihypertensive drug classes are thiazide diuretics (TZD), angiotensin-converting enzyme inhibitors (ACEIs), CCBs, and angiotensin receptor blockers (ARBs). β-Receptor blockers no longer enjoy a first-line status in the treatment…
Problems Related to the Female Reproductive System
Figure 13.1-1. Vaginal smears of common vaginitis pathogens. A: Trichomonas vaginalis. B: Candida albicans. (A: Reproduced with permission from Sun T. Parasitic disorders: pathology, diagnosis, and management. 2nd ed. Baltimore,…
Emergency Problems in Ambulatory Care
Monitoring • Pulse oximetry • SaO2 90% or less in adults or 92% or less in children indicates severe airflow obstruction • Oxygenation may decrease with β-agonist inhalant therapy due to increases in…
Gastrointestinal Problems
Common Gastritis (erosive due to NSAIDs) Esophagitis Peptic ulcer disease Esophagogastric varices with or without portal hypertensive gastropathy Gastroesophageal mucosal tears Cancer (carcinoma, lymphoma, polyps) Dieulafoy lesions (active arterial bleeding…
Disorders of the Nervous System
Table 6.1-2 Pharmacological Treatments for Prevention of Episodic Migraine4,10 • Relaxation training with or without thermal biofeedback, electromyographic (EMG) biofeedback, and cognitive-behavioral therapy may be considered in preventing migraine (Grade A)….
Family Planning and Maternity Care
STERILIZATION Tubal Sterilization This is a surgical method of preventing the ovum from being fertilized or reaching the uterine cavity by occluding or otherwise interrupting the fallopian tubes. This method…
Problems of Infants and Children
Figure 4.3-1. An algorithm for the treatment of croup. *, dosage 0.6 mg per kg; ‡, dosage L-epinephrine 1:1,000, see text for dose. (From Skolnik NS. Croup. J Fam Pract…
Dermatologic Problems
REFERENCES 1. Sturchler DA. Exposure—a guide to sources of infection. Chapter 4. Invertebrates. Herndon, VA: ASM Press; 2006:85. 2. Chapel TA, Katta R, Kuszmar T. Pediculosis pubis in clinic for treatment of…
