Visual Diagnosis Cases (Signs and Why They Matter)
|
|
|
- Philip Holmes
- 5 years ago
- Views:
Transcription
1 Visual Diagnosis Cases (Signs and Why They Matter) PHM Meeting, July 30, 2016 Kenneth Roberts and Guest Stars: Eric Zwemer, Derek Zhorne, Ann Beach, Adrienne Hoyt-Austin, Adrienne DePorre, and Sangeeta Krishna The presenter has no conflicts of interest to disclose and will not discuss off-label or unapproved use of drugs or devices. 3 Points 1. Think of someone whose observation and exam skills have inspired you. (Tell them so!) 2. See all you can see. Knowledge and reasoning aren t enough. 3. Even if things resolve clinically, the story may not yet be over.
2 WU1
3 WU2 When, just by looking, I make a diagnosis that matters, I feel: 1. Fraudulent, like I have cut corners by not doing tests 2. Good, proud, happy, like I'm a real doctor 3. Guilty, like I am overcharging for my services 4. Don't know/not sure
4 WU3 WU4
5 WU5 2 year old with fever x 1 day Fever (104 o ), irritability PE (last night): cervical node Had urine bag placed Today, peeling where bag was affixed 6
6 6 Cause of his desquamation 1. Scarlet fever 2. Staphylococcal scalded skin syndrome 3. Kawasaki disease 4. Don t know/not sure
7 Kawasaki disease Fever 95% Conjunctival injection 88% Lip/mouth involvement 90% Hand/foot involvement 90% Rash 92% Cervical node 75%
8
9 What is Kawasaki disease? A brand that sells socks for cows When someone gets sick from cows A disease that is deadly to cows A disease one gets from riding cows The disease in which you remember the past, as in Native American times A progressive degeneration of the kawasa gland resulting in prolonged muscle weakness 7 Rash,, strawberry tongue Fever for a few days PE: erythematous rash, bright red lips, prominent conjunctival vessels, strawberry tongue Hands not swollen or red; no node Terrible diarrhea, confusion, and near-fainting
10 7 Eric Zwemer, MD University of North Carolina
11 8 mo with swelling, purpura, fever 1 day history of Hand/foot swelling Purpura ears, legs Low grade fever Not ill appearing Normal platelets, coags, urinalysis 8 8
12 9
13 Cause of these white forelocks 1. Toxicity of particular hair product 2. Vitiligo 3. Waardenburg syndrome 4. Don t know/not sure
14 Most relevant newborn screen: 1. Hearing screen 2. Red reflex 3. Metabolic disease screen 4. Don t know/not sure
15 Waardenburg syndrome Eyes widely spaced: Deafness in 25% Eyes normally spaced: Deafness in 50% Derek Zhorne, MD University of Iowa
16 9 yr old: recurrent facial cyanosis Normal pulse ox Neg consultations Cardiology (nl echo) Vascular surg (nl doppler) Hematology Admitted for imaging 10 10
17 10 11
18 Ann Beach, MD Atlanta, Georgia 12 yr old twins One asymptomatic One dehydrated, weak, hypoglycemic Both well tanned (recent cruise) 12
19 12 Child with large café au lait spots Because you know about neurofibromatosis-- the café au lait spots and even the axillary freckling-- there is eagerness to show you these large café au lait spots
20 13 Did she lose her temper? Child running around shirtless while his mother made key lime pies He kept getting in her way, so she tried to keep him outside-- Or did she lose her 14 temper?
21 14
22 Adrienne Hoyt-Austin, MD PL-2 Inova-Fairfax, Virginia 3 yo with a rash H/O mild eczema Rash after MMR Admitted with dx of eczema herpeticum Has had 3 days of IV acyclovir HSV cults neg 2 days 15
23 15 14 yr old with limited joint mobility 16 Diabetes since age 3 Admitted for treatment of DKA Claims good control until recent move Limited joint mobility: unable to fully extend fingers
24 16 Her limited joint mobility: 1. Rheumatoid arthritis 2. Diabetes complication 3. Multifocal osteomyelitis 4. Don t know/not sure
25 year old girl Tells you everything in her life is fine Marks on her right hand? Must have scraped knuckles on something She then covers her right hand with her left 17
26 Lesions on her knuckles 1. Dermatomyositis (Gottron sign) 2. Bulimia 3. Boxer injury 4. Don t know/not sure Multiple bouts of bloody diarrhea Siblings with multiple bouts of bloody diarrhea in past year One of the children died Mother s fingernails... 18
27 18 Heavy Metal I like smoke and lightning Heavy metal thunder Racing in the wind And the feeling that I'm under Born to be Wild Steppenwolf
28 Adrienne Deporre, MD Kansas City 16 yo with enlarged joints Treated for JIA x 2.5 years (unsuccessfully) Admitted because of chest pain/shortness of breath CT of chest unremarkable Extensive tests planned for collagen vascular disease 19
29 19 20
30 21 21
31 Sangeeta Krishna, MD Cleveland Clinic 4 yo with painful bumps on feet Afebrile No underlying disease Bumps limited to feet Extremely painful Pool party 4 days ago 22
32 22 2 yr old with pain and a rosy red Months ago: screaming in pain with defecation Perianal redness; no fever Rx: hydrocortisone, nystatin without relief 23
33 23 Cause of his perianal erythema, pain 1. Acrodermatitis enteropathica 2. Group A strep 3. Child abuse 4. Don t know/not sure
34 Infant w/ Shwachman syndrome* Fever last night ED Urine bag placed; U/A negative This AM, lesion in groin where urine bag was * pancreatic insufficiency and neutropenia 24 24
35 Ecthyma gangrenosum with immune compromise 1. Staph aureus 2. Pseudomonas 3. Spider bite 4. Don t know/not sure 25
36
37 26
38 You can see a lot just by looking. Yogi Berra We see what we look for. We look for what we know. Goethe We see what we are prepared to see. Emerson Chance favors the prepared mind. Louis Pasteur 3 Points 1. Think of someone whose observation and exam skills have inspired you. (Tell them so!) 2. See all you can see. Knowledge and reasoning aren t enough. 3. Even if things resolve clinically, the story may not yet be over.
Red Stick ID Visual Diagnosis Questions August 22, 2014
Red Stick ID Visual Diagnosis Questions August 22, 2014 James H. Brien, DO Case #1 The setting is a Pediatric Clinic in San Antonio, Texas on a Saturday in 1989. However, it could have been yesterday in
Kawasaki Disease. 1:45 2:30 p.m. James Nocton, MD Benjamin Goot, MD. Children s Specialty Group. All rights reserved.
Kawasaki Disease 1:45 2:30 p.m. James Nocton, MD Benjamin Goot, MD Disclosures We have no relevant financial relationships to disclose. Objectives Describe the characteristic signs and symptoms of Kawasaki
KAWASAKI DISEASE. What is Kawasaki disease? Causes
What is Kawasaki disease? Kawasaki disease is a form of vasculitis a family of rare disorders characterized by inflammation of the blood vessels, which can restrict blood flow and damage vital organs and
Focus on Visual skills. The Fine Art of Visual Diagnosis. The Fine Art of Visual Diagnosis. The Fine Art of Visual Diagnosis.
The Fine Art of Visual Diagnosis of Pediatric Infectious Diseases Atlanta, GA April 29 30, 2017 James H. Brien, DO The Fine Art of Visual Diagnosis I have nothing to declare. James H. Brien, DO The Fine
Visual Diagnosis: A Review of Pediatric Rashes
Visual Diagnosis: A Review of Pediatric Rashes Frank J. Sloan, MD FAAP Emergency Services Department Thank you to VisualDX for allowing the use of their images for educational purposes. 1 Modern Medicine
Osher Center for Integrative Medicine Pediatric Intake Form Name: Date: Date of Birth: Age: Current Pediatrician:
Pediatric Intake Form Name: Date: Date of Birth: Age: Current Pediatrician: How did you hear about us? What are your goals for this visit? Where would you like to see improvement in your child s health?
Medical condition SELF Mother Father Sibling (list brother or sister) Anxiety Bipolar disorder Heart Disease Depression Diabetes High Cholesterol
PRE-EVALUATION FORM Medical condition SELF Mother Father Sibling (list brother or sister) Anxiety Bipolar disorder Heart Disease Depression Diabetes High Cholesterol High Blood Pressure Obesity Heart Defect
Address Street Address City State Zip Code. Address Street Address City State Zip Code
Male Initial Visit Intake Form PATIENT INFORMATION Today s Date Last Name Mid Initial First Name Date of Birth Address Home Phone Social Security Number Street Address City State Zip Code Cell Phone E-mail
PATIENT INTAKE AND HISTORY FORM
PATIENT INTAKE AND HISTORY FORM (Please print) Name Date of Birth Race: American Indian or Native Alaskan Asian Black/African-American Native Hawaiian or Other Pacific Islander White Refused to report/unreported
Past Medical History. Chief Complaint: Patient Name: Appointment Date: Page 1
Appointment Date: Page 1 Chief Complaint: (Please write reason, symptoms, condition or diagnosis that prompts your appointment) Past Medical History PERSONAL SKIN HISTORY YES NO Yes - Details Melanoma
/ / - - / / Age: USF Cutaneous Oncology Program. Skin Cancer Questionnaire. Patient Information: Fax completed forms to:
Page 1 of 8 Patient Information: Last Name: First Name: Initial: Address: Address (cont.) : City: State: Zip Code: Phone: - - Social Security Number: Date of Birth: - - Age: Sex: Female Male Email Address:
PATIENT INFORMATION Last Name: First Name: Middle: Date of Birth: EMERGENCY CONTACT INFORMATION PRIMARY INSURANCE INFORMATION
PATIENT INFORMATION Last Name: First Name: Middle: Date of Birth: Gender: SSN: Race: Marital Status: Address Line: City: State: Zip Code: Home Phone: Work Phone: Email Address: Cell Phone: Primary Care
Please mark the severity of your pain on the following line: On your worst days with a W On your average days with an A On your best days with a B
Today s Date: NEUROSURGERY Name: (Last) (First) (MI) Age: Birth Date: Female Male Dominant hand: Right Left Pharmacy- Name: Phone: Location: What are you being seen for today? Location of pain (indicate
Bridges Family Wellness PC. New Patient Intake. Bridges Family Wellness Intake Form SE Lake Rd, Suite 102 Milwaukie, OR
New Patient Intake Bridges Family Wellness Intake Form Full Name: * What is your birthdate? MM/DD/YYYY * What is your gender identity? * Home address: * Cell Phone * Other Phone number(s): Emergency Contact
What do you believe is causing your most important health concern?
Intake form Name Today s Date Date of Birth Address City Phone Postal Code Email Primary Health Care Provider Emergency Contact Phone Note: By providing your email address you are giving us consent to
Childhood Contagious Diseases)5(
Childhood Contagious Diseases)5( Children have maturing immune systems and are often in close proximity to one another, such as in day-care centers, classrooms, and on school buss. This makes the transmission
*521634* Sleep History Questionnaire. Name of primary care doctor:
*521634* Today s Date: Sleep History Questionnaire Appointment Date: Please answer the following questions before coming to your appointment. Please arrive 15 minutes early with this packet filled out.
PATIENT SURVEY FOR ADMINISTRATIVE USE ONLY. TO BE COMPLETED BY STUDY COORDINATOR.
PATIENT SURVEY FOR ADMINISTRATIVE USE ONLY. TO BE COMPLETED BY STUDY COORDINATOR. DATE OF VISIT: / / PATIENT ID: REGULAR PROVIDER: SITE OF VISIT: Cleveland Houston Manhattan Pittsburgh Thank you for agreeing
CHILDHOOD C 3 HANGE CARE TOOL: PROVIDER REPORT
Date: / / Patient s Project ID# For use as-needed in clinic visits A SURVEY TO LEARN ABOUT A PATIENT S NEEDS AND ABILITIES: Health care providers of children and adolescents aged 5 to 2 How is this patient
Sound View Acupuncture and Chinese Herbs 5410 California Ave SW, #202, Seattle, WA
Sound View Acupuncture and Chinese Herbs 5410 California Ave SW, #202, Seattle, WA 98136 206.200.3595 Today s date Name Legal name (if different) Phone (primary) (secondary) Address City State Zip Email
Tips for Teaching ARISE Life Management Skills...3. Introduction...6 Lessons...7. Introduction...12 Lessons Introduction...19 Lessons...
ARISE Life-Skills for Middle School - Volume 4 Instructor s Manual Table of Contents Tips for Teaching ARISE Life Management Skills...3 SECTION ONE: Health care is self-care Introduction...6 Lessons...7
Non-Communicable Diseases
Lesson 5.1 Non-Communicable Diseases By Carone Fitness Non-communicable diseases are illnesses that are not contagious. These diseases are often considered chronic diseases. Chronic diseases are long-term
Bahl & Bahl Medical Associates PATIENT MEDICAL HISTORY
Bahl & Bahl Medical Associates PATIENT MEDICAL HISTORY NAME: _ DATE: Please complete the following questionnaire as completely as possible. 1. MEDICAL HISTORY Please list all current and prior health problems,
The exact cause of sarcoidosis is unknown. However, gender, race, and genetics can increase the risk of developing the condition:
What is sarcoidosis? Sarcoidosis is an inflammatory disease in which granulomas, or clumps of inflammatory cells, form in various organs. This causes organ inflammation. Sarcoidosis may be triggered by
Sepsis what you need to know. Adult information leaflet
Sepsis what you need to know Adult information leaflet Sepsis is a life-threatening condition. It can happen when the body develops an which then affects the organs. If it is not treated quickly, sepsis
Renal Remission and Hypertension Consultants PLLC
Past Medical History. Please provide us with the list of your medical problems. Please indicate year of onset or when you became aware of it and year of resolution (if resolved) 1 2 3 4 5 6 7 8 9 10 11
Outreach and Working With Your PEDIATRICIAN
Outreach and Working With Your PEDIATRICIAN Studies show you get only about 15 minutes of face time with your pediatrician during an average well visit Finding A Pediatrician When trying to find local
Bacterial Infections in Pediatric Dermatology. Patrick McMahon, MD Children s Hospital of Philadelphia
Bacterial Infections in Pediatric Dermatology Patrick McMahon, MD Children s Hospital of Philadelphia Fill In The Blank When you see on the skin, you think of a bacterial skin infection SEND SWABS VIRAL
RHEUMATOLOGY PATIENT HISTORY FORM
!! RAMOS RHEUMATOLOGY, PC RHEUMATOLOGY PATIENT HISTORY FORM Date: / / NAME: Birthdate: / / Last First M. I. Age: Sex: F M Marital status: Never married Married Divorced Separated Widowed Partnered/significant
Living with #HIV. What you need to know. What is HIV? Platinum Health offers unlimited HIV tests, treatment, counselling and support.
Living with #HIV What you need to know What is HIV? HIV is the virus that causes AIDS. Your health is our Number 1 Priority Platinum Health offers unlimited HIV tests, treatment, counselling and support.
Chapter 1 Introduction
Chapter 1 Introduction Chapter 1-1 Chapter Highlights 1. This Manual is for You 2. What is Scleroderma? 3. Who gets Scleroderma? 4. What are the Early Symptoms of Scleroderma? 5. Is All Scleroderma the
DEPARTMENT OF MEDICINE Outpatient Intake Form
NAME: Last First Middle Initial Date of Birth: ADDRESS: HOME PHONE: WORK PHONE: Did someone refer you here? Yes No If yes, please give name: Main reason for your visit today: MEDICAL HISTORY: (Please check
WELCOME TO OUR OFFICE
WELCOME TO OUR OFFICE Name: Today s Date: First Middle Last Gender: Male Female Date of birth: Age: Home Address: City: State: Zip: Home Phone:( ) Cell Phone:( ) Occupation: SSN: Employer: Time of employment
Fever and rash in children. Haider Arishi MD Consultant, pediatrics and infectious diseases Director, infection control program
Fever and rash in children Haider Arishi MD Consultant, pediatrics and infectious diseases Director, infection control program objectives To understand importance of fever and rash. To discuss the clinical
EVALUATION OF A SICK CHILD WITH FEVER
EVALUATION OF A SICK CHILD WITH FEVER Learning objectives At the conclusion of this learning activity, participants should be able to; Discuss the different etiologies of acute illness in a child Identify
Adult Asthma My Days of Living in Tension with Asthma are Over!
Published on: 9 Jul 2014 Adult Asthma My Days of Living in Tension with Asthma are Over! Introduction This is a recent picture, taken when we went on a family picnic. We climbed up this big hill and I
What else do I need to know about antidepressant medicines?
MEDICATION GUIDE Bupropion (bue-proe-pee-on) Hydrochloride Extended-Release Tablets (SR), 200 mg Read this Medication Guide carefully before you start taking bupropion hydrochloride extended-release tablets
CASE-BASED SMALL GROUP DISCUSSION MHD II
MHD II, Session 11, Student Copy Page 1 CASE-BASED SMALL GROUP DISCUSSION MHD II Session 11 April 11, 2016 STUDENT COPY MHD II, Session 11, Student Copy Page 2 CASE HISTORY 1 Chief complaint: Our baby
Eastern Body Therapy
2310 Eastern Body Therapy 6th Avenue San Diego, CA 92101 (619)772-4002 Personal Information Name Date of injury/illness Address: Apt. City State Zip Home phone: ( ) Work Phone: ( ) E-mail: Social Security
GoPrivateMD General Information & History
Date: Date of Birth: Age: Sex: Male Female Address: City: State: Zip: Telephone: Email: PREFFERED PHARMACY NAME & LOCATION: PRIMARY PHYSICIAN: SPECIALISTS: INSURANCE GoPrivateMD will not bill your insurance.
DO YOU HAVE ADRENAL FATIGUE?
John B. DeCosmo, DO, PA 4800 4 th Street North, Saint Petersburg, Florida 33703 (727) 498-6488, Fax: (727) 362-6772 drdecosmo@gmail.com DO YOU HAVE ADRENAL FATIGUE? A complete list of your current symptoms
Past Medical History. Chief Complaint: Appointment Date: Page 1
Appointment Page 1 Chief Complaint: (reason, symptoms, condition or diagnosis that prompts your appointment) Past Medical History EYES Yes No Yes Details Glaucoma EAR, NOSE AND THROAT Hearing difficulty
New Patient Questionnaire. Name DOB Date
Medical History (This refers to medical problems that have already been diagnosed or treated. Please explain how this is treated, such as diet, medication, surgery, etc.) Condition Abnormal Pap smear Alcohol
MEDICATION GUIDE BuPROPion Hydrochloride Extended-Release Tablets, USP (SR) (byoo-proe-pee-on)
MEDICATION GUIDE BuPROPion Hydrochloride Extended-Release Tablets, USP (SR) (byoo-proe-pee-on) Read this Medication Guide carefully before you start taking Bupropion Hydrochloride Extended-Release Tablets,
Jennifer Teitelbaum Palmer M.D Keswick Road Suite 100 Baltimore MD 21211
PERSONAL INFORMATION - Please fill out this form as completely as you can. Please print your answers. Today s Date First Last Birthdate Social Security Number Ethnic Identity Gender Identity Marital Status
Known CDs Signs and symptoms Causes Treatment options
S2- Focus Group discussions Rural males Epilepsy Diabetes Known CDs Signs and symptoms Causes Treatment options Asthma. Only affects children but not adults Seizures, a crying bird triggers the yabwe,
AMGEVITA (adalimumab)
AMGEVITA (adalimumab) Patient Alert Card for your child This card has important safety information about AMGEVITA. Please be sure to: Show this card to all of your child s healthcare providers (HCPs).
4/14/2010. Theoretical purpose of fever? Andrea Marmor, MD, MSEd Assistant Clinical Professor, Pediatrics UCSF April 13, 2010
Andrea Marmor, MD, MSEd Assistant Clinical Professor, Pediatrics UCSF April 13, 2010 Parental touch? Absence of fever more reliable than presence. Axillary and tympanic Vulnerable to environmental and
DEPARTMENT OF MEDICINE Outpatient Intake Form
NAME: Last First Middle Initial Date of Birth: ADDRESS: HOME PHONE: WORK PHONE: Did someone refer you here? Yes No If yes, please give name: Main reason for your visit today: MEDICAL HISTORY: (Please check
Review of Systems NAME: DATE OF BIRTH: DATE COMPLETED: Dear Patient,
LOS ANGELES CANCER NETWORK NEW PATIENT HEALTH QUESTIONNAIRE NAME: DATE OF BIRTH: DATE COMPLETED: Dear Patient, In order to offer optimal care for you, we need to understand your complete health status
Help protect your child. At-a-glance guide to childhood vaccines.
Help protect your child. At-a-glance guide to childhood vaccines. Why vaccines matter. Thanks to widespread vaccination programs, several diseases that can infect our children have been eliminated. But
Help protect your child. At-a-glance guide to childhood vaccines.
Help protect your child. At-a-glance guide to childhood vaccines. Why vaccines matter. Thanks to widespread vaccination programs, several diseases that can infect our children have been eliminated. But
Infectious Disease. Chloe Duke
Infectious Disease Chloe Duke Learning Objectives Essential - Causes, recognition and Treatment of: Meningitis Sepsis Purpura Important Cervical Adenopathy Tonsillitis and Pharyngitis Otitis Media Pneumonia
Help protect your child. At-a-glance guide to childhood vaccines.
Help protect your child. At-a-glance guide to childhood vaccines. 40976_CDCupdate.indd 1 Why vaccines matter. Thanks to widespread vaccination programs, several diseases that can infect our children have
Inner Balance Acupuncture
Patient Information Inner Balance Acupuncture 274 Southland Drive, Suite 101, Lexington, KY 40503 859-595-2164 www.acupunctureky.com Name: Today s date: Age: Male Female Marital status: Date of Birth:
Banner Health Center
Banner Health Center Coumadin Education Class Anticoagulation Clinic Please turn cell phones off. Thank you! The History of Coumadin 1920s: cattle deaths due to anti-clotting agent found in clover Mid-1940s:
Hiv rashes on black people
Hiv rashes on black people 28-8-2017 You can also get HIV rashes if you have. People with HIV have an increased incidence of. This version of How to Identify an HIV Rash was. 22-2-2017 Rashes are one of
Mistakes people make. when seeing a doctor for osteoarthritis knee pain.
5 Mistakes people make when seeing a doctor for osteoarthritis knee pain. Are you sabotaging your own chances for having a successful appointment about your knee pain? Avoid these common mistakes to get
Understanding Pain. Teaching Plan: Guidelines for Teaching this Lesson
Understanding Pain Teaching Plan: Guidelines for Teaching this Lesson Lesson Overview This one-hour lesson plan is about pain and how your workers should respond to and care for residents with pain. You
CA: Hi, my name is Camille, and I will be interviewing you today. Would you please introduce yourself?
Interviewee: Ying Li Interviewer: Camille Alvarado Date of Interview: April 17, 2007 Location: Worcester, Massachusetts Transcriber: Randylin Bourassa, The Salter School Interpreters: Nicole Heart and
Please be sure to check with your insurance company to make sure that Dr. Kohli is covered under your plan.
Dear You are scheduled for an appointment with Dr. Manoj Kohli at Christie Clinic in the Department of Rheumatology on at. Please check in on the first floor. The office is located on the 2 nd floor of
What is the most important information I should know about bortezomib? What should I discuss with my healthcare provider before receiving bortezomib?
1 of 5 6/10/2016 3:46 PM Generic Name: bortezomib (bor TEZ oh mib) Brand Name: Velcade What is bortezomib? Bortezomib interferes with the growth of some cancer cells and keeps them from spreading in your
Where There Is No Doctor 2017
DOSAGE BLANKS for giving medicines to those who cannot read (see p. 64) DOSAGE BLANKS for giving medicines to those who cannot read (see p. 64) DOSAGE BLANKS for giving medicines to those who cannot
Amarillo Surgical Group Doctor: Date:
Office Visit Information (General Surgery) Amarillo Surgical Group Doctor: Date: Patient s Information Name: Last First Middle Social Security #: Date of Birth: Age Gender: [ Male / Female ] Marital Status:
OU Children s Physicians Pediatric Arthritis Center
Please complete the following questionnaire for your child: Patient Name: Birth Date: Parent/Caretaker Name: Primary Care Physician (Full Name, City, & State) Mother s Occupation: Fathers Occupation: Name
Name: Date: Referring Provider: What is the nature of your current gynecologic or urologic medical problem (use the other side if necessary).
Name: Date: Referring Provider: Age: D.O.B. Race/ ethnicity: What is the nature of your current gynecologic or urologic medical problem (use the other side if necessary). We are interested in learning
Select the appropriate option and/or provide an answer to each of the items below: Age. Married Separated Divorced Widowed Single Partner
OVERVIEW OF HISTORY Patient s Name Patient is from (city, state, country) Patient's Age & DOB Patient Marital Status Patient's Gender Patient's Ethnicity Age Birthdate Married Separated Divorced Widowed
UNDERSTANDING SYSTEMIC LUPUS ERYTHEMATOSUS
UNDERSTANDING SYSTEMIC LUPUS ERYTHEMATOSUS Stacy Kennedy, M.D.,M.B.A. October 20, 2012 Agenda What is lupus Who is affected Causes of lupus Symptoms and organ involvement Diagnosis Treatment Pregnancy
AUTOIMMUNE DISORDERS IN THE ACUTE SETTING
AUTOIMMUNE DISORDERS IN THE ACUTE SETTING Diagnosis and Treatment Goals Aimee Borazanci, MD BNI Neuroimmunology Objectives Give an update on the causes for admission, clinical features, and outcomes of
Ea Medical Weight Loss Services Solutions for permanent weight loss PATIENT HISTORY. When did you first become overweight? (Your age then) or Year
PATIENT HISTORY Name: Age: Date: When did you first become overweight? (Your age then) or Year How did your weight gain start? Describe any circumstances: What do you think is the cause of your weight
NURSING PROCESS FOCUS: Patients Receiving Amphotericin B (Fungizone, Abelcet)
NURSING PROCESS FOCUS: Patients Receiving Amphotericin B (Fungizone, Abelcet) ASSESSMENT Prior to administration: Obtain complete health history including allergies, drug history, and possible drug interactions.
How Is Lupus Diagnosed?
Fever with no known cause Red rashes, most often on the face Chest pain when taking a deep breath Hair loss Pale or purple fingers or toes Sensitivity to the sun Swelling in legs or around eyes Mouth ulcers
Objectives. Types of HIV Tests. Age Appropriateness of Tests. Breastfeeding and HIV Testing. Why are there different tests for different ages?
Objectives At the end of the lesson participants will be able to: Identify the types of HIV tests available in Botswana State who should be tested Identify which tests are used for infants and children
Case Presentation. By Eman El Sharkawy Ass. Professor of cardiology Alexandria University
Case Presentation By Eman El Sharkawy Ass. Professor of cardiology Alexandria University 6m old baby girl Past history : - At the age of 2m attack of fever, diarrhea, mouth ulcers, difficult breast feeding
Dexamethasone is used to treat cancer. This drug can be given in the vein (IV), by mouth, or as an eye drop.
Dexamethasone Other Names: Decadron About This Drug Dexamethasone is used to treat cancer. This drug can be given in the vein (IV), by mouth, or as an eye drop. Possible Side Effects (More Common) Increased
What do I need to tell my doctor BEFORE I take this drug?
PATIENT & CAREGIVER EDUCATION Durvalumab Brand Names: US Imfinzi Brand Names: Canada Imfinzi What is this drug used for? It is used to treat cancer in the bladder or urinary tract. It is used to treat
MEDICATION GUIDE SUBOXONE (Sub OX own) (buprenorphine and naloxone) Sublingual Tablets (CIII)
MEDICATION GUIDE SUBOXONE (Sub OX own) (buprenorphine and naloxone) Sublingual Tablets (CIII) IMPORTANT: Keep SUBOXONE in a secure place away from children. Accidental use by a child is a medical emergency
Definition Chronic autoimmune disease The body s immune system starts attacking itself Can affect most organs and tissues in the body Brain, lungs, he
LIVING WITH SYSTEMIC LUPUS ERYTHEMATOSUS Stacy Kennedy, M.D.,M.B.A. Rowan Diagnostic Clinic Salisbury, N.C. May 11, 2013 Agenda What is lupus Who is affected Causes of lupus Symptoms and organ involvement
PATIENT QUESTIONNAIRE Boise Location 7272 W. Potomac Drive Boise, ID (208)
PATIENT QUESTIONNAIRE Boise Location 7272 W. Potomac Drive Boise, ID 83704 (208)884-2922 ***Questionnaire MUST be completed PRIOR to arrival for appointment*** Today s Date / / / / Last First MI DOB Referring
Glucose Electrolytes Ferritin Blood ph. Possible Results White Bright pink Clear White. Bright pink; fades to light pink. Light Pink fades to clear
What Does It Test For? Very Low Low Glucose Electrolytes Ferritin Blood ph The glucose test An electrolyte Ferritin is a protein The blood ph test The liver is an White blood cells measures the test measures
JUST FOR KIDS SELECTED IMPORTANT SAFETY INFORMATION
JUST FOR KIDS For children ages 6-17 with moderately to severely active Crohn s disease or ulcerative colitis (UC) who haven t responded well to other therapies SELECTED IMPORTANT SAFETY INFORMATION REMICADE
Joseph S. Weiner, MD, PC Patient History Form
Date: / / NAME: Last First M. I. Age: Sex: q F q M Birthdate: / / What specific questions or goals do you have for this appointment? Please list the names of other clinicians you have seen for this problem:
What do I need to tell my doctor BEFORE I take this drug?
PATIENT & CAREGIVER EDUCATION Pembrolizumab Brand Names: US Keytruda Brand Names: Canada Keytruda What is this drug used for? It is used to treat cancer. What do I need to tell my doctor BEFORE I take
Let s get clear about what a Diarrhea Flare is
Before we begin, we need to go through a couple of disclaimers. 1) We re clearly not Doctors and don t claim to be. In fact, we don t want to be although we used to be very sick and now we re not, that
Caspian Acupuncture -- Health History Form Anita Tayyebi EAMP, LAc. 652 SW 150 th St Burien WA 98166
Frist Name Last: Date Phone (H) (C) (W) E-mail Address City State Zip Age DOB Place of Birth _ Marital/Partnership Status Preferred Gender Pronoun _ Profession Family Physician Telephone # Referred By
For the Patient: Cyclosporine injection Other names: SANDIMMUNE I.V.
For the Patient: Cyclosporine injection Other names: SANDIMMUNE I.V. Cyclosporine (sye kloe spor een) is a drug that may be used to treat certain types of cancer. It may also be used to suppress your immune
From. The Department of Pediatrics Dr. Mehtas Hospital
From The Department of Pediatrics Dr. Mehtas Hospital Case history A 12 yr old girl : Fever 5 days Redness of eyes & erythematous rashes over the body for 2 days Past: Febrile fits at 9 mo. Of age Afebrile
Third Visit Posttest
Test code 03C Patient s name: Third Visit Posttest Patient s birth date: Your name and relationship to patient: Today s date: Please mark only one answer for each of the following questions: 1. Which one
Wellness Along the Cancer Journey: Cancer Types Revised October 2015 Chapter 7: Skin Cancer
Wellness Along the Cancer Journey: Cancer Types Revised October 2015 Chapter 7: Skin Cancer Cancer Types Rev. 10.20.15 Page 56 Skin Cancer Group Discussion True False Not Sure 1. People with darker skin
46825 (260) $UPONT
Be wise. Immunize. Keeping track of the shots your children receive can be confusing. This is an important responsibility that is shared by you and your immunization providers. This booklet contains the
Silver Child Development Center New Patient Questionnaire. Relation (circle) Biological Mother Stepmother Adoptive Mother
Silver Child Development Center New Patient Questionnaire Today s Date Mother s Name First Last Date of Birth Relation (circle) Biological Mother Stepmother Adoptive Mother Foster Mother Other Father s
Preface of the special issue: Recent CMV Research
Himmelfarb Health Sciences Library, The George Washington University Health Sciences Research Commons Pediatrics Faculty Publications Pediatrics 2014 Preface of the special issue: Recent CMV Research Kayla
MEDICATION GUIDE SUBOXONE (Sub OX own) (buprenorphine and naloxone) Sublingual Film for sublingual or buccal administration (CIII)
MEDICATION GUIDE SUBOXONE (Sub OX own) (buprenorphine and naloxone) Sublingual Film for sublingual or buccal administration (CIII) IMPORTANT: Keep SUBOXONE in a secure place away from children. Accidental
UnityPoint Clinic - Cardiology
UnityPoint Clinic - Cardiology Date Completed: Appointment Date: Name: Age: Birthdate: / / FIRST MIDDLE INITIAL LAST Referred by: Family Dr.: Reason for visit: Describe briefly, include date of onset:
Medicare Annual Wellness Visit Patient History
Grace Health Medicare Annual Wellness Visit Patient History Name Date Birthdate Languages Spoken Date of Last Wellness Visit Do you have an advance directive or living will? Yes Don t Know Want Information
A. Please include any medications (herbal, prescription, or Over-the-counter) and any supplements that you are currently taking.
New Patient Questionnaire Please complete this and bring it with you to your visit. If you have it completed five days or more prior to your visit, please mail or fax it to our office. Most recent treating
Caudal epidural. Information for patients Pain Management Service
Caudal epidural Information for patients Pain Management Service As part of your treatment it has been suggested that you may benefit from a caudal epidural. It is difficult to say how much this treatment
Bevacizumab (Avastin ) treatment for Neurofibromatosis Type 2 (NF2) Information for patients
Bevacizumab (Avastin ) treatment for Neurofibromatosis Type 2 (NF2) Information for patients This booklet has been written to give you more information about bevacizumab (commonly known as Avastin). This
[Agency Name & Agency Phone Number] Patient Name
![[Agency Name & Agency Phone Number] Patient Name](/thumbs/77/75926615.jpg "[Agency Name & Agency Phone Number] Patient Name")
857 Last Update 9/10 [Agency Name & Agency Phone Number] MY EMERGENCY PLAN I hurt I have trouble breathing I have fever or chills I fell New pain OR pain is worse than usual Unusual bad headache Ears are
If you want to learn more about this study, you are welcome to read the full consent form and the patient handbook.
What is this research study about? You are being asked to be in this study because you are at increased risk of getting type 1 diabetes. You have already been assigned to a treatment group and have completed