© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_19 19. Hemorrhoids Run Gan1 (1) Family Medicine, UF Health, Gainesville, FL 32669, USA Run Gan Email: rungan@ufl.edu KeywordsHemorrhoidsInternal and external hemorrhoidsProlapse…
© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_16 16. Bloating Bobby Desai1 and Alpa Desai2 (1) Emergency Medicine, University of Florida, Gainesville, FL, USA (2) Community Health and Family Medicine,…
Fiber/laxatives Psyllium or other soluble fiber Polyethylene glycol Pitfalls 1. Nonsoluble fiber and polyethylene glycol can worsen bloating, gas, and cramping. 2. Wheat bran should be avoided. 3….
Clinical features Comment(s) Epigastric pain Acute myocardial infarction May be associated with shortness of breath and exertional symptoms Elderly patient with risk factors for coronary artery disease. EKG may…
Modification Recommendation Approximate systolic BP reduction, range Weight reduction Maintain normal body weight (BMI, 18.5–24.9 kg/m2) 5–20 mmHg per 10 kg weight loss Adopt dietary approaches to stop hypertension Consume…
© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_11 11. Gastroesophageal Reflux Disease (GERD) Tara Dyson1 (1) Division of Gastroenterology, Department of Internal Medicine, 100277, Gainesville, FL 32610-0277, USA …
Hemoptysis Hematemesis History History Absence of nausea/vomiting Nausea/vomiting Associated hypoxia Hypoxia less common Lung disease Gastrointestinal and/or hepatic disease Sputum appearance Sputum appearance Frothy or clotted Coffee ground Bright red…
Examples of NSAIDs Aspirin Ibuprofen Naproxen Ketorolac Meloxicam Indomethacin Ketoprofen Pitfalls 1. Prescribing to patients at risk for bleeding 2. Prescribing to patients with kidney disease 3. Prescribing…
