Last revised 07/22/2003 Mel Chen

• Cardiology
  • Atrial Fibrillation
    • Rate/Rhythm Control
    • Stroke prophylaxis
  • Ambulatory cardiac monitoring
  • CHF
    • Diagnosis and workup
    • Chronic medical management
    • Diastolic dysfunction
  • Chest Pain evaluation
    Cardiac Stress Testing (with table)
    • Chronic stable angina
  • HTN
    • Hypertension
    • Secondary Hypertension
    • Choosing Medications
  • Palpitations
  • Murmurs/valvular heart disease
    • Endocarditis prophylaxis
    • Aortic Sclerosis
    • Mitral valve prolapse
  • Constrictive pericarditis
  • LE edema
  • Hypertrophic cardiomyopathy

 

• Derm

• Common Skin Infections
• Dermatitis
• Alopecia
• Hirsutism
• Vitiligo
• Acne/Rosacea
• Skin neoplasias
  • Melanoma
  • Actinic Keratoses
• Corns/Calluses
• Warts
• Superficial fungal infections
• Cutaneous/Genital Herpes
• Herpes Zoster
• Urticaria/angioedema
• Pruritis

 

• ENT

• Tinnitus
• Otitis media/externa
• Hearing loss
• Cerumen removal
• Sinusitis
• Allergic rhinitis
• Aphthous stomatitis
• Hiccups
• TMJ dysfunction

 

• Endocrinology

• Diabetes
  • When to start treatment
  • Dietary counseling
  • Choosing oral hypoglycemics
  • Routine diabetic care
  • Managing proteinuria
  • Diabetic neuropathy
  • Diabetic foot
  • CV risk factor management
• Osteoporosis
  • Diagnosis/Screening
  • Treatment
• Paget's disease
• Obesity
• Hypercalcemia
• Thyroid
  • Interpreting thyroid tests
  • Hypothyroidism
  • Hyperthyroidism
  • Solitary Thyroid Nodule
  • Multinodular goiter
• Hyperlipidemia
  • Statin induced myositis
• Glucocorticoid treatment
• Metabolic syndrome
• Metabolic bone disease

 

• GI

• Abdominal pain
• Appendicitis
• Dyspepsia
• GERD
• Biliary disease
• LFT abnormalities
  • Hepatitis serology interpretation
  • Chronic viral hepatitis
  • Hep C
  • Hemochromatosis
  • NASH
• Rectal bleeding
• Hemorrhoids
• Constipation
• Diarrhea
• Inflammatory Bowel Disease
  • IBD cutaneous manifestations
• Irritable bowel disease
• Diverticular disease

 

• Hematology

• Workup of chronic anemia
• Thrombocytopenia
• Monoclonal gammopathy
• Lymphadenopathy
• Pancytopenia

 

• ID

• Symptomatic management of the "cold"
• UTI / bacturia
• Sinusitis
• Pharyngitis
• Bronchitis
• Community Acquired Pneumonia
• Adult Immunizations
• Travel prophylaxis
• STD screening/treatment
• Tb screening / PPD interpretation
• HIV
  • Acute presentation
  • HAART
  • OI prophylaxis

   

• Musculoskeletal
  • Managing osteoarthritis
  • Shoulder pain
  • Elbow pain
  • Wrist/Hand pain
  • Knee injuries
    • Knee pain
  • Foot/ankle pain
    • Plantar fasciitis
  • Neck pain
  • Low back pain
  • Hip pain
  • Muscle cramps
  • Arthrocenteses
  • Physical Therapy

 

• Neurology

• Dizziness / BPV
• Peripheral Neuropathy
• Entrapment neuropathies
• Syncope
• Dementia
  • Using psychotropic drugs in the elderly
• Parkinson's
• Tremor
• Weakness
• Bell's palsy
• Trigeminal neuralgia
• Restless legs syndrome
• Cord compression
• Headache
  • Migraines
  • Tension
  • Cluster
• Stroke/TIA
  • Secondary prevention

   

• Oncology
  • Primary Care of:
    • Breast Cancer Survivors
  • Terminal care issues
  • Pain management
  • Altered mentation in cancer patient
  • Multiple myeloma
  • CLL
  • Bone metastases
  • Colon cancer screening
  • Renal cell cancer
  • Prostate cancer screening
  • Testicular cancer

 

• Ophtho

• Eye pain
• Impaired vision
• Dry eyes / excessive tearing
• Glaucoma
• Diabetic retinopathy
• Transient vision disturbances

  (floaters, flashing lights)
• Red eye

 

• Pharm

• Administration/monitoring of:
  • Metformin
  • Statins
  • Amiodarone
  • Anticonvulsants
    • In pregnancy
  • Plaquenil
  • Antipsycotics
  • Immunosuppressants
    • Prednisone
    • MTX
    • Azathioprine
    • Enbrel/Remicade
• "Alternative" Medications
• Herbal toxicities
• Phytoestrogens
• OTC Medications
• Management of chronic pain
• Grapefruit juice

 

• Psychiatric

• Depression
  • Diagnosis
  • Approach to therapy
  • Choice of antidepressant
• Anxiety / Panic disorder
• Personality disorders/the difficult patient
• The angry patient
• Alcohol-related problems
• Insomnia
• Chronic nonmalignant pain
• ADHD

 

• Pulmonary

• Dyspnea evaluation
• Asthma
  • Asthma and GERD
• COPD management
• Chronic cough
• PFT interpretation
• Solitary lung nodule
• Pulmonary hypertension
• Pulmonary Embolism
• Obstructive sleep apnea
• Restrictive lung disease
• Thromboembolic disease

 

• Renal

• Hematuria
• Proteinuria
  • January 2001
  • August 2001
• Renal insufficiency
• Nephrolithiasis
• Renal artery stenosis
• Hyponatremia

 

• Rheumatology

• Monoarticular arthritis
• Polyarticular arthritis
• Interpreting serologic tests
• Raynaud's
• Fibromyalgia
• Chronic fatigue
• Gout and Pseudogout
  • Asymptomatic hyperuricemia
• Rheumatoid arthritis
• Polymyalgia rheumatica/GCA
• Sarcoid
• Temporal Arteritis
• Inflammatory myositis
• Vasculitis

 

• Urology

• Scrotal masses
• BPH
• Epididymitis
• Erectile dysfunction
• Incontinence

 

• Vascular

• Peripheral Arterial Disease
• Peripheral Venous Disease
• Claudication
• Leg ulcers
• Carotid artery stenosis

 

• Women's Health

• Irregular menses
• Secondary amenorrhea
• PCOS
• Approach to atypical Pap smears
• Contraception
  • OCP choices/differences
• Vaginitis
• Wet Mount Interpretation
• Infertility workup
• Female sexual dysfunction
• Perimenopause issues
  • Post-menopausal bleeding
  • Hormone replacement therapy
• Breast disease
  • Breast mass
  • Galactorrhea
• Mastitis

 

• Other primary care issues

• Approach to chronic illness
  • Patient self-management
• Travel medicine
• Immunizations
• Advance directives
• Admitting to a SNF
• Food/venom allergies
  • Peanut allergy
• Smoking cessation
• Other substance cessation
• Preoperative evaluation
  • Cardiovascular
  • Endocrine
  • Hematologic
  • Pulmonary
  • ID
• Domestic Violence Screening
• Elder abuse screening
• Adolescent medicine
• Obesity
  • Nutrition