FAMILY MEDICINE AQUIFER Study guides, Class notes & Summaries

What disease can hyperthyroidism unmask? - ANSWER Diabetes Unmasks glucose intolerance and adversely effects glucose and lipid management What diseases are associated with T1D? - ANSWER Hashimotos Graves *autoimmune diseases* What is a key component of HHS treatment? - ANSWER Fluid replacement In many cases several liters

Increased risk of breast cancer - ANSWER first degree relative with breast cancer, menarche before age 12, monopause after 45, advanced age of first pregnancy, advanced age, increased weight, increased breast density When to stop Pap smears - ANSWER ages 65-70 who have had 3+ normal paps in the past 10 years. not sexually active, hysterectomy for benign disease mammogram screening according to the USPSTF - ANSWER biennnial testing from ages 50-74 for normal risk

C)*Venous Doppler of the lower extremity should tell you with good sensitivity and specificity if DVT is present.* Elevated white blood cell count might make you consider cellulitis. However, a normal white count would not rule it out, nor is a leukocytosis specific enough to give you the diagnosis. D-dimer is a small protein fragment present in the blood after a blood clot is degraded by fibrinolysis. It is a relatively sensitive, but poorly specific test for the presence of DVT. While a...

Mr. Brown is a 42-year-old male accountant with a significant past medical history of obesity who presents to his primary care physician after one week of lower back pain. After moving into a new home three days ago, he woke up the next morning with bilateral lower back pain without any radiation. He denies any recent trauma, fever, chills, numbness, tingling, or incontinence. He has not had any urinary frequency or dysuria. He takes no medications and has no significant past medical histor...

You are seeing a 55-year-old female with a past medical history of hypertension, diabetes, and gout. She has no complaints today and is here to manage her chronic conditions. She is taking her medications, which include lisinopril 10 mg daily, metformin 500 mg twice daily, and allopurinol 100 mg daily. She is trying to focus on her diet in an effort to lose weight. She smokes a pack of cigarettes every day, and she is worried that quitting will make her gain weight and worsen her diabetes. ...

Ddx for knee pain: -patellofemoral pain syndrome -iliotibial band tendonitis -ACL sprain -MCL sprain -LCL sprain -meniscal tear -septic arthritis -osteoarthritis -gout/pseudogout -popliteal cyst

First-degree Relative - ANSWER FHx Risk Factor for BCx - No Breast Self Exams - Insufficienct evidence for clinical breast exams - Mammography > 40 - ANSWER USPSTF Breast Recommendations (3) 40 - ANSWER When USPSTF recommends starting mammograms - CBE every 3 yrs until 40 - Annually after 40 - ANSWER ACS Breast recommendations - Cervical cancer starts screen at 21 - 21-29 q3y - 30-65 q5y if HPV co-tested or q3y cytology alone - ANSWER USPSTF Cervical cancer recs

Depression screening - ANSWER Grade B recommendation Screen all adults for depression Breast exams - ANSWER Self: not recommended; those who do self breast exams are 2x more likely to undergo breast biopsy w/ benign results; no evidence of decreased mortality Clinical: don't recommend for screening in asymptomatic patients due to low sensitivity and high false positive rates

A 52-year-old female presents with one month of progressive dyspnea on exertion, a productive cough of clear sputum, bilateral leg swelling, and orthopnea. She has had no chest pain or fevers. She has a history of poorly controlled hypertension and 30-pack- years of smoking. Before beginning her physical exam, you determine that her pre- exam probability of heart failure is moderate. On exam, you find a jugular venous pulse and pressure (JVP) of 12 cm with positive hepatojugular reflux, reg...