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Upper Respiratory Infections
Definition:
- The common Cold is
an upper respiratory infection, usually caused by
a virus
- Nasal drainage and cough can be
productive of clear, yellow or
greenish phlegm. The color of the phlegm is NOT an
indicator of
what
kind of infection you have.
- Symptoms include
runny nose, sore throat, cough, low grade fever
(<101), muscle aches, fatigue, nasal and chest congestion
Treatment:
- Most
respiratory infections are caused by viruses. Antibiotics
will
NOT help you get better
- Rest
- Increase fluid intake, especially water
- Tylenol or Motrin helps with pain and fever
- Robitussin over the counter may help with cough
- Time, the
average cold will make you feel really bad for 4-7 days with
an additional 1-2 week recovery phase
When to consider antibiotics?
- If you have been sick longer than 1-2 weeks
- If you have
other chronic medical problems such as Cancer, Asthma,
Emphysema (COPD)
- If you are elderly
- If you have a high fever (>103)
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Diabetic recommendations:
Glucose levels: 80 - 120
-check daily or more often if recommended by your physician
Hemoglobin A1C: <7.0
-check every 3 - 6 months
LDL: <70
-check every 6 - 12 months
See eye doctor annually to check for retinopathy.
Foot exam:
-daily by patient
-every 3-6 months by your physician
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Health Maintenance Summary:
Colon Cancer Screening:
- fecal occult blood yearly after age 50
- colonoscopy every 10 years after age 50
- screen more often if family history of colon cancer
Breast Cancer Screening:
- mammogram and clinical breast exam every 1-3 years from age 40-50
- mammogram and clinical breast exam annually after age 50
Prostate Cancer Screening:
- consider prostate exam and /or PSA annually after age 50
Cervical Cancer Screening:
- pap smear annually age 21 - 75
- if 3 consecutive normal pap smears may do every three years
- if hysterectomy performed for nonmalignant reasons no more paps needed
Osteoporosis Screening:
- recommend dexxa scan in women over 65
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Pregnancy Plan of care, for uncomplicated pregnancy
8 - 12 weeks:
- first prenatal visit
- sometimes ultrasound to confirm your due date
- OB workup visit with pap, pelvic and labs
16 - 19 weeks:
- consider triple
screen blood test which checks risk for Down's
Syndrome
and other birth defects
18 - 22 weeks:
- ultrasound for anatomy scan
24 - 28 weeks:
- screen for diabetes
- shot of Rhogam if your blood type is Rh negative
34 - 36 weeks:
- vaginal culture for Group B Strep and GC/Chlamydia
37 - 40 weeks:
- weekly visits with your doctor
40 weeks is your due date!
41 - 42 weeks:
- plan to induce your labor if you're still pregnant
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