facebook noscript
Liver Enzyme Elevations (managing abnormal LFTs)
A typical laboratory finding that I run into on a daily basis is elevated liver enzymes.When I first started practicing, I did not know precisely how...
Allergic Rhinitis: When the Sneezes get you down
Each year, I always look forward to the season change from winter to spring, however, as flu season fades, a new kind of epidemic creeps into urgent...
How to Workup Jaundice in Adults
It was my second rotation of the clinical year of PA school.I was excited to say the least.My preceptor was phenomenal and allowed me to be involved...
Plantar Fasciitis: A Clinical Review
Plantar fasciitis is an inflammation and degenerative change of the plantar fascia, which is the deep tissue located on the plantar region of the...
Interstitial Cystitis
A few months back we had a patient in our clinic that would come into the office every few weeks with symptoms of a UTI.The patient had the classic...
Hemoptysis
When someone says, “I coughed up blood,” it is always something that perks up my ears a bit.This symptom often brings on a host of additional...
Diagnosing and Treating Hypertension in Primary Care
Hypertension is one of the most common reasons for office visits to primary care and urgent care clinics every day in the United States. It is...
Managing Your Patients with Hyperlipidemia
Hypercholesterolemia is one of the most commonly encountered diagnoses in outpatient family medicine. It would be impossible to pick a day on my...
Gout: A Clinical Review
It was a late fall mid-morning when I got a call back to my office. I had a mid-80-year-old patient, that was getting added onto my schedule acutely,...
Antibiotic Overuse/Resistance
A cough …antibiotic.Sore throat…antibiotic.A runny nose…antibiotic.Ear pain…antibiotic.We all have seen patients who will have any of these...