Preview of Starting Page…..

Hypertension

Presentation: Most are not symptomatic, Occipital Headaches, headache on awakening in am, burry vision, 

Diagnostic studies: EKG, fasting lipid profile, fasting blood glucose, CBC, CMP, and urinalysis.

Diagnosis: > 140/90 mm Hg start on B/P medication.

Non-pharmacologic Management: 

1. Lifestyle modifications: diet and exercise 30 minutes aerobic exercise 5 days per week. 
2. Limit alcohol 
3. stop smoking 
4. stress management. 

Pharmacologic Management: 

1. hydrochlorothiazide (HCTZ) 25 mg/day 
2. ALTERNATIVE Amlodipine besylate 5 mg /day. I
3. lisinopril 10mg/day complicated HTN

Follow up: 

1. 2-4weeks 

Referral:

1. Cardiology if EKG is normal……….. continue

Preview of Last Page…..

Integumentary DD:

Contact Dermatitis Differential Diagnoses:

Allergy versus Irritant Contact Dermatitis; Eczema; Contact Urticaria Syndrome; Drug-Induced Bullous Disorders; Drug-Induced Photosensitivity; Seborrheic Dermatitis; Tinea Corporis

Drug Eruption/ Allergic Reaction to Med DD: viral exanthems {Measles (rubeola), Rubella, Erythema infectiosum/5^th disease (human parvovirus B19), Roseola infantum or exanthem subitum (human herpesvirus 6 or 7), mono (EBV or CMV), HIV infection}; bacterial exanthems {Scarlet fever, Mycoplasma infection}, rashes associated with systemic diseases {Juvenile idiopathic arthritis and adult-onset Still disease}, and cutaneous diseases { Acute cutaneous lupus erythematosus}

Ingrown Nails (toenail= unguis incarnatus or onychocryptosis) DD:

Paronychia (tender bacterial or fungal nail infection); Foreign body; Nailbed Injuries; Bunion; Cellulitis; Group A Streptococcal (GAS) or staph aureus Infections; Subungual exostoses; Periungual fibroma; Onychomycosis; Amelanotic melanoma; Osteomyelitis; Herpetic Whitlow; Paronychia; Pyogenic granuloma

Note: paronychia is NOT the same as onychocryptosis. Paronychia is a fingernail or toenail area skin infection, which usually affects the cuticle/sides of the nail. Acute paronychia –sudden onset, fingers, short lasting. Chronic paronychia – lasts longer; fingers or toes; doesn’t get better or keeps coming back.

End of Document Preview