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This document summarizes a workshop on examining the ear given by Dr. Wafa Sheikh. The learning outcomes include how to perform otoscopy, examine a normal ear, diagnose common ear infections in primary health care, and use Rinne's and Weber tests. The document describes how to perform otoscopy in adults and shows photos of different ear conditions like acute and chronic otitis media, serous otitis media, chronic suppurative otitis media, tympanosclerosis, perforated eardrums, attic cholesteatoma, and a foreign body in the ear canal. It includes a pre-test, post-test, and concludes by thanking participants.
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This document summarizes a workshop on examining the ear given by Dr. Wafa Sheikh. The learning outcomes include how to perform otoscopy, examine a normal ear, diagnose common ear infections in primary health care, and use Rinne's and Weber tests. The document describes how to perform otoscopy in adults and shows photos of different ear conditions like acute and chronic otitis media, serous otitis media, chronic suppurative otitis media, tympanosclerosis, perforated eardrums, attic cholesteatoma, and a foreign body in the ear canal. It includes a pre-test, post-test, and concludes by thanking participants.
This 28-year-old man was referred by his GP due to concerns about adult ADHD. He reports symptoms of inattention, hyperactivity, and impulsivity from childhood. Examination finds fidgetiness but no other abnormalities. The clinical picture is strongly suggestive of ADHD based on DSM-5 criteria. Differential diagnoses include other psychiatric disorders, medical conditions, or substance abuse, but ADHD is the most appropriate diagnosis given his history and symptoms. Treatment options include methylphenidate or atomoxetine, along with psychological support and marital counseling.
Stress management is the ability to cope with stress and its negative impacts on one's health and well-being. Stress can be caused by any sort of pressure or challenge in everyday life. Stress management involves a range of techniques, strategies, and therapies that aim to control, reduce, or prevent stress. Stress management can help people improve their mental, emotional, and physical functioning and happiness.
The next step is E) Continue to monitor patient and recheck thyroid function after illness resolve. This clinical presentation suggests Euthyroid Sick Syndrome/Non-thyroidal illness syndrome, which causes changes in thyroid function tests similar to hypothyroidism during acute illness but does not require thyroid hormone treatment. Thyroid function should be reassessed after recovery from the acute illness.
This document discusses infertility and provides guidance on evaluating and managing cases of infertility. It defines primary and secondary infertility according to the WHO. For males, it describes evaluating infertility through a comprehensive history, physical exam, and semen analysis. It outlines initial workup and management based on risk factors and test results. The document then presents a case study of a male patient, Ali, who presents with infertility. It describes evaluating Ali through history, exam, lifestyle counseling, anxiety management, and semen analysis. Based on Ali's mildly abnormal analysis, the document recommends further follow up and investigation.
A 36-year-old pregnant woman presented with severe distress, sadness, inability to cope with circumstances at work and home, loss of interest in normal activities, inability to sleep, and suicidal thoughts. She has a family history of depression in her parents. Her vital signs were normal. She was diagnosed with depression and anxiety disorder during her pregnancy.
This document provides an overview of infertility, including:
- Definitions of primary and secondary infertility
- Burden of infertility globally and in Saudi Arabia
- Risk factors and causes of infertility
- Evaluation of infertility including history, physical exam, lab tests, and diagnostic procedures
- Classification and management of common causes of infertility like ovulatory disorders
The document is intended to guide family physicians in their approach to infertility by defining key terms, identifying evaluation steps, and outlining diagnostic and treatment pathways.
This document provides guidelines for the diagnosis and treatment of postmenopausal osteoporosis from the American Association of Clinical Endocrinologists and the American College of Endocrinology. It outlines key updates to the 2020 guidelines, including stratifying patient risk and the inclusion of new drugs. The guidelines are organized by questions and provide recommendations, such as using FRAX to assess fracture risk, monitoring vitamin D levels, initiating pharmacologic therapy based on risk level, and using follow-up DXA scans and bone turnover markers to monitor treatment response. The overall goal is to reduce fractures and increase or maintain bone mineral density through lifestyle changes and pharmacologic interventions.
Common giatric psychaitric disease convertedWafa sheikh
This document provides information on common psychological disorders in elderly patients. It begins with an overview of depression in elderly patients, including risk factors, clinical presentation, assessment, and management guidelines. It then discusses anxiety disorders and panic attacks in elderly patients. Several case studies are presented, including a 68-year-old female with depression, a 58-year-old female with depression and insomnia, and a 65-year-old male with anxiety disorder and panic attacks. Assessment tools and a 5-step management protocol from the WHO for providing mental healthcare in primary care settings are also covered.
This document discusses mood disorders among adolescents, focusing on generalized anxiety disorder and panic attacks. It provides details of a case study of a 17-year-old female experiencing severe anxiety, panic attacks, sleep disturbances, and conflict at school. The document discusses presentations of anxiety specific to adolescents, evidence-based treatment options including cognitive behavioral therapy and SSRIs, and recommendations for treatment of GAD and panic attacks. Prognosis is generally good with treatment but worsens without intervention.
Schools play a critical role in supporting student health and wellness. They can provide learning opportunities to reinforce healthy behaviors through wellness policies, practices, and effective health education curricula. The Whole School, Whole Community, Whole Child model promotes positive health behaviors and lessens negative ones by accounting for individual, family, school, and community influences on student health and learning. Schools can assess their programs using CDC tools to identify strengths and areas for improvement.
2020 CDC ACIP Updates to the Child/Adolescent and Adult Immunization Recom...Wafa sheikh
The document summarizes updates to the 2020 Child/Adolescent and Adult Immunization Recommendations from the Advisory Committee on Immunization Practices (ACIP). Key updates include: recommending routine Hepatitis A vaccination for children and adolescents ages 2 to 18; use of Tdap for Td booster or tetanus prophylaxis if previously received; catch-up HPV vaccination through age 26; recommending PPSV23 for those 65+; and shared clinical decision-making for some vaccinations between ages 27 to 45 or 65+.
This document provides an overview of common mental illnesses, including prevalence and treatment. It discusses depression, anxiety disorders like generalized anxiety disorder and post-traumatic stress disorder, bipolar disorder, and schizophrenia. It notes that anxiety and depressive disorders are most common in primary care. Three case studies are presented involving major depressive disorder, generalized anxiety disorder, and panic disorder. Treatment options for these conditions like antidepressants and cognitive behavioral therapy are also outlined.
Calgary Cambridge model of consultationWafa sheikh
This document provides an overview of the Calgary Cambridge consultation model. It discusses the importance of consultation models for improving patient care. The Calgary Cambridge model outlines 5 stages of a consultation: initiating the session, gathering information, explanation and planning, closing the session, and optional explanation and planning. Each stage contains specific communication skills and goals to help structure a thorough and patient-centered consultation.
Updated summery 2021 American College of RheumatologyWafa sheikh
This document provides guidelines from the 2021 American College of Rheumatology for the treatment of rheumatoid arthritis. It discusses the diagnostic criteria and pathogenesis of rheumatoid arthritis. It recommends methotrexate monotherapy as first-line treatment for patients with moderate to high disease activity. It provides guidance on modifying or switching treatment for patients not achieving treatment targets. It also offers recommendations for treating specific patient populations and managing safety concerns.