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...
Pneumonia: Knowing Your Limits
Along with working in an outpatient family medicine office, I typically work a couple of evenings in our rural town’s local urgent care.In this...
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...
Hand Foot and Mouth Disease (pediatrics)
Hand, foot, and mouth disease, which will be referred to as HFM for the remainder of this article, is a very common viral illness seen in young...
Rheumatoid Arthritis: A Clinical Review
Boutonnieres and swan necks…. sounds perhaps like a new store to shop for clothing to the layman. However, these terms pop a red flag in the minds...
Tick bites: Who needs doxycycline?
As the summer rolls in, my schedule in primary care starts to shift yet again, as it seems to with the seasons. Not only do I see more acute injuries,...