Showing posts with label Family medicine. Show all posts
Showing posts with label Family medicine. Show all posts

26 September 2012

Hyponatremia



Hyponatremia
James Yost, MD, MS, MBA
http://www.fpm.emory.edu

Approach to Hyponatremia
Selim Krim, MD
https://www.ttuhsc.edu

Hyponatremia
Rozina Mithani
http://www.stritch.luc.edu

Approach to Hyponatremia
http://www.medicine.uci.edu/

Vasopressin Receptor Antagonists
Alicia Notkin
http://medicine.med.nyu.edu

Hyponatremia
Tad Kim
http://medinfo.ufl.edu

Diagnosis and Treatment of Hyponatremia
Thomas DuBose,M.D.
http://intmedweb.wfubmc.edu

Hyponatremia
Darrell Laudate
https://medicine.med.unc.edu

Nephrology Board Review
Sidharth Shah, MD.
http://www.med.unc.edu

Delirium
Marcella Pascualy, MD, Heidi Combs, MD
http://depts.washington.edu

Fluids & Electrolytes
http://www.bu.edu/

Electrolyte Abnormalities
Justin A. Glass, MD
http://www.fpm.emory.edu

Exercise and Fluid Replacement
http://www.castonline.ilstu.edu

344 free full text published articles on Hyponatremia

Read more...

09 July 2012

Aphthous Stomatitis - canker sores



Ulcerative Lesions of The Oral Cavity
SAM J. CUNNINGHAM, MD,PhD, FRANCIS B. QUINN, JR., MD,FACS
http://www.utmb.edu/

Recurrent Aphthous Stomatitis
Ahmad Al Saad
http://dental.case.edu

Major Aphthous Stomatitis
http://student.ahc.umn.edu

Recurrent Aphthous Stomatitis
Charles Davis, Jr., MD
http://medschool.umaryland.edu/

Herpes Stomatitis
Justin A. Glass, MD
http://www.fpm.emory.edu/

Oral Manifestations of Pediatric HIV Infection
http://www.hawaii.edu/

Digestive Diseases
https://sharepoint.btc.ctc.edu/

Mucous Membrane Disorders
Michael Hohnadel, D.O.
http://www.atsu.edu/

Evaluation of the Child with Recurrent Infections
Armando G. Correa, MD
http://www.bcm.edu/

Aphthous Lesion
http://student.ahc.umn.edu

Aphthous stomatitis
Don Spencer, MD
http://www.unc.edu/

Digestive Tract: Let’s Get to the Bottom of it
By: Diana Blum RN MSN
http://faculty.mccneb.edu


68 free full text published articles

Read more...

29 April 2012

Male Infertility



Male Infertility
Male Infertility.ppt

Infertility: the role of the family doctor
Carroll Haymon, M.D.
Infertility.ppt

Current Management of Male Infertility
Andrew Kramer, MD, MBA
Male_Infertility.ppt

Male Infertility: Definitions
Jeanne O’Brien MD
BoxersvsBriefs.ppt

What is Assisted Reproduction Technology?
Jessica Guerrero
GuerreroJessica.ppt

Objectives for Medical Students Infertility
Infertility.ppt

Infertility
Patricia M. Dillon, Professor Unn Hidle
Infertility.ppt

Human Genetics Concepts and Applications
Johnny El-Rady, University of South Florida
lecture_ppt.ppt

Global Infertility & the Globalization of Assisted Reproductive Technologies (ARTs): Middle Eastern Perspectives
Marcia C. Inhorn, PhD, MPH
ARTs.ppt

Drugs for Disorders and Conditions of the Male Reproductive system
Drugs for Disorders of the Male Reproductive system.ppt

Male Obesity and Semen Analysis Parameters
Joseph Petty, MD, Samuel Prien, PhD, Amantia Kennedy, MSIV, Sami Jabara, MD
Petty.ppt

Sperm Chromatin Proteomics identifies conserved fertility factors
D.S. Chu, H. Liu, P. Nix, T.F. Wu, E.J. Ralston, J.R. Yates III, B.J. Meyer
fertility factors .ppt

Infertility, In Vitro Fertilization (IVF) and Genetic Testing
Michele Evans, M.D.
MicheleEvans.ppt

Your Infertility Patient. . .
InfertilityStudent_lecture.ppt
200 free Published articles

Read more...

16 July 2011

Smoking Cessation Presentations



Smoking Cessation by Hilary Suzawa
http://www.bcm.edu/medpeds/powerpoints/SmokingCessation.pps

Smoking Cessation Program by Dr. Rasha Salama, Suez Canal University, Egypt
http://www.pitt.edu/~super7/32011-33001/32521.ppt

Smoking Cessation by Kevin Scott Ferentz, MD, Univ. of Maryland School of Medicine
http://medschool.umaryland.edu/minimed/powerpoint/Ferentz.ppt

Smoking Cessation: What Do Young Adults Really Want? by Chimeremma Nnadi (MD, MPH), Craig S. Fryer (DrPH, MPH)
http://www.publichealth.pitt.edu/docs/ReSETRoundtable-Nnadi-YoungAdults-April2009.ppt

Cigarette Smoking, Cardiovascular Disease Risk, and Implementation Strategies for Smoking Cessation
http://www.heart.uci.edu/lectures/Cigarette%20Smoking,%20CVD%20Risk,%20and%20Cessation%20Strategies%201002.ppt

Innovative Approaches to Smoking Cessation Treatment by Scott M. Strayer, MD, MPH,
University of Virginia
http://www.faculty.virginia.edu/sstrayer/Innovative%20Approaches%20to%20smoking%20cessation%20treatment%202005.ppt

Smoking Cessation in Women by Michele D. Levine, Ph.D, Pittsburgh Mind-Body Center
http://pmbcii.psy.cmu.edu/summer_institutes/2007/SI2007_Levine01.pps

Tobacco Free for Recovery by The Smoking Cessation Leadership Center and Rx for Change
http://smokingcessationleadership.ucsf.edu/ASAM.ppt

Nicotine Replacement Therapy In Smoking Cessation
http://intmedweb.wfubmc.edu/download/nicotine.ppt

Mental Illness and Smoking Cessation: What Works  by Douglas Ziedonis, M.D., M.P.H. ,University of Massachusetts
http://smokingcessationleadership.ucsf.edu/Downloads/MH/Pres/WhatWORKS.ppt

Smoking Cessation in Pregnant Women by Cheryl Oncken, M.D., MPH,
University of Connecticut School of Medicine
http://www.hsc.wvu.edu/som/cmed/ophp/ppts/Oncken_9-4-2008.ppt

Smoking Cessation & Information Behavior by Carol Perryman, University of North Carolina, Chapel Hill

Mental Health and Smoking Cessation by Steven A. Schroeder, M.D.,
Smoking Cessation Leadership Center
http://smokingcessationleadership.ucsf.edu/Downloads/MH/Pres/MHSC.ppt

Smoking Cessation Programs in  Addiction Treatment Centers: An Organizational Analysis
by Hannah K. Knudsen, Ph.D., Lori J. Ducharme, Ph.D., Paul M. Roman, Ph.D. The University of Georgia
http://www.uga.edu/ntcs/presentations/2006/asam2006%20Knudsen%20smoking%20cessation.ppt

Read more...

07 April 2011

Polycystic Ovary Syndrome (PCOS) Family Medicine Presentations



Polycystic Ovary Syndrome (PCOS)

PCOS: PolyCystic Ovary Syndrome By Kimberly Dovin, PGY3
http://www.fammed.washington.edu/network/sfm/Didactic%20Handouts/PCOS.ppt

Ovarian Cysts
A Review of Human Polycystic Ovarian Syndrome and Other Species as Models By Beth Spizziri, Christianne Magee
http://www.cvmbs.colostate.edu/bms/PDF/640_TM_ovcystsld.ppt

Polycystic Ovary Syndrome & Metformin
http://www.med.unc.edu/medselect/resources/student-projects/polycystic%20ovary%20syn%20proj.ppt

Metabolic Syndrome In Polycystic Ovarian Syndrome Patients by Presented By:  Brittany Atkins
http://www.uky.edu/~hadleyr/PA2008/Atkins.ppt

Patient Conference PCOS: A Difficult Diagnosis by Kara L. Odom, MD, MPH
http://sfghdean.ucsf.edu/barnett/FCM/PC/0512OdomPCOS.ppt

Infertility: The role of the family doctor by Carroll Haymon, M.D.
http://www.fammed.washington.edu/network/sfm/Didactic%20Handouts/infertility.ppt

From Novice to Knowing: A Primer on PCOS by Kay M. Czaplewski, BSN, RN, BC, CDE, NHA
http://faculty.alverno.edu/bowneps/MSN621/MSN%20tutorials%202007/PCOS%20tutorial.%20Kay%20Czaplewski.ppt

Coagulation/Fibrinolytic Factors in PCOS
http://www.pitt.edu/~super7/4011-5001/4081.ppt

Menstrual Disorders by Oguchi A. Nwosu M.D.
http://www.fpm.emory.edu/Family/didactics/powerpint/Menstrual_Disorders%5B1%5D.ppt

Recurrent Pregnancy Loss by Deepthi Foxhall
http://sfghdean.ucsf.edu/barnett/FCM/MISC/0508FoxhallPregnancyLoss.ppt

Read more...

14 March 2010

Infertility: the role of the family doctor



Infertility: the role of the family doctor
By: Carroll Haymon, M.D.

Definitions 
    * Infertility = Inability of a couple practicing frequent intercourse and not using contraception to fail to conceive a child within one year.
    * Infertility affects 15-20% of couples, or 11 million reproductive age people in the U.S.

Causes of infertility 
    * Tubal pathology  35%
    * Male factor   35%
    * Ovulatory dysfunction 15%
    * Unexplained   10%
    * Cervical/other   5%

Counsel patience!
    * In normal young couples:
          o 25% conceive after one month
          o 70% conceive after six months
          o 90% conceive by one year
    * Only an additional 5% will conceive in an additional 6-12 months

Read more...

28 June 2009

GOUT



GOUT
By:
Wayne Blount, MD, MPH
Professor, Emory Univ. S.O.M.

OBJECTIVES

* Identify diagnostic criteria for gout
* Identify 3 treatment goals for gout
* Name the agents used to treat the acute flares of gout and the chronic disease of gout


Why Worry About Gout ?
* Prevalence increasing
* May be signal for unrecognized comorbidities : ( Not to point of searching)
Obesity (Duh!)
Metabolic syndrome
DM
HTN
CV disease
Renal disease

URATE, HYPERURICEMIA & GOUT
* Urate: end product of purine metabolism
* Hyperuricemia: serum urate > urate solubility (> 6.8 mg/dl)
* Gout: deposition of monosodium urate crystals in tissues

HYPERURICEMIA & GOUT
* Hyperuricemia caused by
Overproduction
Underexcretion
* No Gout w/o crystal deposition
THE GOUT CASCADE
* Urate
* Oevrproduction Underexcretion
* Silent Gout Renal Associated
* Tissue manifestations CV events &
* Deposition mortality

GOUT: A Chronic Disease of 4 stages
* Asymptomatic hyperuricemia
* Acute Flares of crystallization
* Intervals between flares
* Advanced Gout & Complications

ACUTE GOUTY FLARES
SITES OF ACUTE FLARES
INTERVALS SANS FLARES
FLARE INTERVALS
ADVANCED GOUT
* Chronic Arthritis
* X-ray Changes
* Tophi Develop
* Acute Flares continue
* Chronic Arthritis
* Polyarticular acute flares with upper extremities more involved

TOPHI
TOPHI RISK FACTORS
RADIOLOGIC SIGNS
X-RAYS
DIAGNOSING GOUT
SERUM URATE LEVELS
GOUT RISK FACTORS
DIFFERENTIAL DIAGNOSIS
* Pseudogout: Chondrocalcinosis, CPPD
* Psoriatic Arthritis
* Osteoarthritis
* Rheumatoid arthritis
* Septic arthritis
* Cellulitis
Gout vs. CPPD
RA vs Gout
REDNECK MEDICAL TERMS
TREATMENT GOALS
ENDING ACUTE FLARES
Acute Flare Med Choices
MED Considerations
PROTECTION VS. FUTURE FLARES
PREVENT DISEASE PROGRESSION
URICOSURIC AGENTS
XANTHINE OXIDASE INHIBITOR
WHICH AGENT ?
NEW AGENTS
URICASE ENZYMES
CASE STUDIES
WHAT ARE J.F.’s RISK FACTORS FOR GOUT ?
HOW WOULD YOU DX GOUT ?
NEXT STEP FOR J.F. ?
IN WHAT STAGE OF GOUT IS M.B. ?
WOULD YOU CHANGE MD’S RX ?
WHAT OTHER ISSUES WOULD YOU CONSIDER ?
CONCLUSIONS

GOUT.ppt

Read more...

Celiac Disease



Celiac Disease
By:Lianne Beck, MD
Assistant Professor
Emory Family Medicine

Celiac disease
* Autoimmune disorder with a prevalence of approximately 0.5 to 1 percent in the United States. (1 in every 100-200 persons)
* Inappropriate immune response to the dietary protein gluten, which is found in rye, wheat, and barley.
* After absorption in the small intestine these proteins interact with the antigen-presenting cells in the lamina propria causing an inflammatory reaction that targets the mucosa of the small intestine.
* Manifestations range from no symptoms to overt malabsorption with involvement of multiple organ systems and an increased risk of some malignancies.
* Most all patients with celiac disease express human leukocyte antigen (HLA)-DQ2 or HLA-DQ8, which facilitate the immune response against gluten proteins
* Concordance rates of 70 to 75 % among monozygotic twins and 5 to 22 % among first-degree relatives.

Risk Factors for Celiac Disease
Dermatitis Herpetiformis
Signs and Symptoms
* Common
o Diarrhea
o Fatigue
o Borborygmus
o Abdominal pain
o Weight loss
o Abdominal distention
o Flatulence
* Uncommon
o Osteopenia/ osteoporosis
o Abnormal liver function
o Vomiting
o Iron-deficiency anemia
o Neurologic dysfunction
o Constipation
o Nausea

Differential Diagnosis of Celiac Disease
* Anorexia nervosa
* Autoimmune enteropathy
* Bacterial overgrowth
* Collagenous sprue
* Crohn's disease
* Giardiasis
* Human immunodeficiency
virus enteropathy
* Hypogammaglobulinemia
* Infective gastroenteritis
* Intestinal lymphoma
* Irritable bowel syndrome
* Ischemic enteritis
* Lactose intolerance
* Pancreatic insufficiency
* Soy protein intolerance
* Tropical sprue
* Tuberculosis
* Whipple's disease
* Zollinger-Ellison syndrome

* Consider testing in symptomatic patients at high risk for celiac disease with any of the following conditions:
o Autoimmune hepatitis
o Down syndrome
o Premature onset of osteoporosis
o Primary biliary cirrhosis
o Unexplained elevations in liver transaminase levels
o Unexplained iron deficiency anemia

Test selectively as part of the medical evaluation when symptoms could be secondary to celiac disease:
o Autoimmune thyroid disease
o Cerebellar ataxia
o First- or second-degree relative with celiac disease
o Irritable bowel syndrome
o Peripheral neuropathy
o Recurrent migraine
o Selective immunoglobulin A deficiency
o Short stature (in children)
o Sjögren's syndrome
o Turner's syndrome
o Type 1 diabetes mellitus
o Unexplained delayed puberty
o Unexplained recurrent fetal loss

SEROLOGY
* Serum immunoglobulin A (IgA) endomysial antibodies and IgA tissue transglutaminase (tTG) antibodies. Sensitivity and specificity > 95%.
* Testing for gliadin antibodies is no longer recommended because of the low sensitivity and specificity for celiac disease.
* The tTG antibody test is less costly because it uses an enzyme-linked immunosorbent assay; it is the recommended single serologic test for celiac disease screening in the primary care setting.
* When the prevalence is low, as in the general U.S. population, the risk of a false-positive result is high even with an accurate test . PPV 49.7%, NPV 99.9%
* Confirmatory testing, including small bowel biopsy, is advised.

SMALL BOWEL BIOPSY
Normal small intestine
Villous atrophy
Normal villi
Patient presents with symptoms of celiac disease
Perform serologic IgA tTG antibody testing
High clinical suspicion?
Low probability of celiac
Evaluation for Celiac Disease
Treatment
COMORBIDITIES
Follow-up
Screening
SORT: KEY RECOMMENDATIONS FOR PRACTICE
Key clinical recommendation Evidence rating
Quiz
Reference

Celiac Disease.ppt

Read more...

Hyponatremia



Hyponatremia
By:James Yost, MD, MS, MBA
Emory Family Medicine

Hyponatremia
* Definition
* Epidemiology
* Physiology
* Pathophysiology
* Types
* Clinical Manifestations
* Diagnosis
* Treatment

* Definition:
o Commonly defined as a serum sodium concentration 135 meq/L
o Hyponatremia represents a relative excess of water in relation to sodium.
* Epidemiology:
* Physiology
o Serum sodium concentration regulation:
+ stimulation of thirst
+ secretion of ADH
+ feedback mechanisms of the renin-angiotensin-aldosterone system
+ renal handling of filtered sodium
+ Aldosterone

* Pathophysiology
Hypovolemic hyponatremia
* Nonrenal loss
* Renal Loss
Euvolemic hyponatremia
Redistributive hyponatremia
* Pseudohyponatremia
* Clinical Manifestations
* Diagnosis
* Laboratory tests
* Treatment
* Symptomatic or Acute
* IV Fluids
* Example:
* Asymptomatic or Chronic

Hyponatremia.ppt

Read more...
All links posted here are collected from various websites. No video or powerpoint files are uploaded on this blog. If you are the original author and do not wish to display your content on this blog please Email me anandkumarreddy at gmail dot com I will remove it. The contents of this blog are meant for educational purpose and not for commercial use. If you use any content give due credit to the original author.

This site uses cookies from Google to deliver its services, to personalise ads and to analyse traffic. Information about your use of this site is shared with Google. By using this site, you agree to its use of cookies.

  © Blogger templates Newspaper III by Ourblogtemplates.com 2008

Back to TOP