The Red Eye: An Intro to Conjunctivitis
Provider Practice Essentials
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1w ago
Amy Patel, PA-C The red eye is a common complaint seen in the pediatric and adult population. The most common cause of a red eye is conjunctivitis or inflammation of the conjunctiva. Anatomically, the conjunctiva is composed of two parts: palpebral and bulbar. The palpebral layer, also known as the tarsal conjunctiva, lines the inside of the eyelids while the bulbar layer covers the globe over the visible aspect of the sclera. The diagnosis of conjunctivitis is typically due to three causes: viral, bacterial, or allergic. Diagnosis is commonly based on history, symptoms, and physical exam find ..read more
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Pediatric and Teenage Abdominal Pain
Provider Practice Essentials
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3w ago
Pediatric patients and teenagers often experience abdominal pain, which can vary from mild discomfort to also including severe debilitating pain. Determining if the pain is emergent or non-emergent is crucial for addressing it. Non-emergent pain often results from indigestion, constipation, or menstrual cramps and can be treated with over-the-counter medication and home remedies. However, emergency abdominal pain stems from serious conditions like appendicitis or a ruptured ovarian cyst and requires immediate medical attention. Differential Diagnosis by Age Age group Diagnoses any age in ..read more
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COVID Therapeutics
Provider Practice Essentials
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1M ago
It’s been a long 3 years of constant changes with COVID. Most people are tired of hearing about it – especially patients and clinicians. While we seem to be at a point where cases aren’t as frequent or as severe, more “surges” are likely. With this in mind, now is the ideal time to provide an update on what is available for treatment. Home Management of COVID In the outpatient setting the primary treatment for COVID-19 was symptomatic over-the-counter treatment initially for infection. In many cases, this treatment plan remains the same. Ibuprofen and/or acetaminophen for fever, chills, and m ..read more
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Management of Ankle Sprains
Provider Practice Essentials
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2M ago
Payal Shah, PA-C “I fell down 2 stairs and twisted my ankle”. “I was playing soccer and I hit the ball wrong and know my ankle hurts”. Ankle pain is a very common complaint seen in primary care offices, but more often in urgent cares and emergency departments. As with any other chief complaint, the first thing to do is a history and physical. What happened? How many steps did you fall down (if they fell)? Where are you feeling the pain? Does it go down into the foot? Are you able to walk on it? Look at the ankle, is it bruised? Is there point tenderness? Is the patient neurovascularly intact ..read more
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Tibial Plateau Fractures
Provider Practice Essentials
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3M ago
The tibial plateau is the upper part of the tibia (shinbone), which forms a joint with the femur (thighbone), also along with the patella to form the knee joint. Fractures to the tibial plateau are common injuries that can occur from high-impact accidents such as motor vehicle accidents, falls from a height, or sports-related injuries. Types of Tibial Plateau Fractures Tibial plateau fractures are classified based on the pattern and location of the fracture, including: Stable fractures: This type of fracture does not involve any significant displacement of the bone fragments and is less like ..read more
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Trauma
Provider Practice Essentials
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3M ago
Kelsey Bates, APRN When you hear the word “trauma” what immediately comes to your mind? Is it something that you view as more physical, mental or both? In general, the health care industry has a decent grasp on dealing with physical trauma. As for mental trauma, there is room for improvement in terms of how to handle and help heal. This is no secret considering the mental health crisis that is currently going on in our nation. You would think that with all the prescription medications on the market to treat “mood disorders” we would see the mental health issues start to decrease but it is the ..read more
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Health and Wellness: NAD Infusions
Provider Practice Essentials
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3M ago
Lindee Abe, ARNP NAD infusions are an up and coming option for wellness and risk reduction. When I think about the past, present and future of “health” care in the United States, I get a little nervous. Our current “health” care model is primarily focused on “sick” care, not so much “health” care. In school, we are taught all about the various disease processes, what medications to give and protocols to follow. While that information is vital to know, our medical education system, medical system and health insurance companies, in general, need to support and push preventive and wellness care ..read more
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Deep Venous Thrombosis (DVT): Diagnosis and Optimal Treatment
Provider Practice Essentials
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4M ago
Lindsay Portz, PA-C Knowing how to diagnose Deep Venous Thrombosis (DVT) and choosing optimal treatment recommendations is a crucial skill in both the inpatient and outpatient settings. Virchow’s triad of stasis, hypercoagulability, and endothelial injury is the classic triad that causes clot formation. Venous Stasis Immobility of the lower extremities causes blood stasis. Blood usually will pool in the calf veins when a patient is supine. You can prevent venous stasis in your patients with elevation and/or mechanical compression of the lower extremities. Pharmacologic prophylaxis and post-op ..read more
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Human Trafficking
Provider Practice Essentials
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5M ago
Lindee Abe, APRN Every healthcare professional should be aware of human trafficking. Most healthcare providers have had education on the topic. How many of us really consider this as a possibility when we are seeing patients? Maybe this depends on where we work in or what geographic location. I’m sure in some areas it seems less likely to occur, be we should be vigilant when considering human trafficking. This post serves as a review of some of the statistics of human trafficking and our role as healthcare professionals. We have the ability to impact change for these patients and help them get ..read more
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The Mental Health Crisis
Provider Practice Essentials
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5M ago
Kelsey Bates, APRN Why, why, why??? Why is the mental health crisis in America currently at an all-time high? And what can we do to reverse the issue? The answer to both questions is a multifactorial one. Below I’ve listed a few of the general problems and potential solutions, not listed in any specific order. This is not a complete list, but it is a start to some of society’s foundational issues. Causes of Mental Health Issues and Solutions Problem Solution Social media Significantly reduce use or avoid completely Television Reduce viewing time or avoid completely Lack of purpose Fin ..read more
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