Lyme Manifestations
As we have discussed previously, Lyme disease is a hot button topic not only in health care, but also in the community. In a previous article this...
Urinary Tract Infections [UTI]
A common acute concern that is seen in the primary care, urgent care, or emergency department settings is urinary tract infections (UTI). UTIs are the...
End of Life Care
Starting up a conversation regarding advanced directives and end of life care can be very challenging and at times, very awkward. In family medicine,...
Evaluating the thyroid nodule
Something I always wondered when I began practice was how radiologists come up with recommended intervals for repeat imaging. Whether this is for a...
Impaired Fasting Glucose
Pre-diabetes. The term can make a patient exam room quiet and has the potential for emotional responses. Some patients may show disbelief, others...
Syphilis
Communication is the key. It is crucial. This is the case in all relationships regardless if it is at work or with your friends and family. This is no...
Heat Emergencies
As the summer months begin and the temperature continues to rise, I thought it might be reasonable to review heat emergencies. Heat stroke, heat...
Stable Coronary Artery Disease
Since starting practice a common issue that I have seen is chest pain. This is not the active elephant sitting on my chest, sweating bullets, type of...
Bloody Diarrhea Case Study
You are working a shift in the urgent care when you grab the next chart, a 34 year old male with one day history of bloody diarrhea. As you prepare to...
Erenumab: New Migraine Prophylaxis
I recently wrote an article about the diagnosis and preventive treatment of migraine headaches. In that article, we discussed treatment of acute...