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Articles

Managing Your Patients with Hyperlipidemia

Hypercholesterolemia is one of the most commonly encountered diagnoses in outpatient family medicine. It would be impossible to pick a day on my schedule and not find at least 30 to 50% of my patients having a statin medication on their medicine list. Many more, one could argue, probably should have a statin medication on their list.This article will review the screening, diagnosis, management, and treatment of hyperlipidemia.By definition, hyperlipidemia is serum total cholesterol greater than...

Apr 19, 2022 | Team Medgeeks

Diagnosing and Treating Hypertension in Primary Care

Hypertension is one of the most common reasons for office visits to primary care and urgent care clinics every day in the United States. It is estimated that one in every three adults in the U.S. has hypertension. Of this population, it is thought that only about 50% of those patients have adequate control of their blood pressure via diet, exercise or pharmacologic therapy. ...

Apr 19, 2022 | Team Medgeeks

Plantar Fasciitis: A Clinical Review

Plantar fasciitis is an inflammation and degenerative change of the plantar fascia, which is the deep tissue located on the plantar region of the foot. The plantar fascia itself is a thick, connective tissue aponeurosis that inserts at the tuberosity of the calcaneus and divides into five tiers, each traveling to a respective toe. ...

Apr 19, 2022 | Team Medgeeks

Allergic Rhinitis: When the Sneezes get you down

Each year, I always look forward to the season change from winter to spring, however, as flu season fades, a new kind of epidemic creeps into urgent care and family medicine offices across the U.S: allergy season. ...

Apr 19, 2022 | Team Medgeeks

Getting pimped during clinical rotations

The act of “pimping” is very common for medical and PA students participating in rotations. Pimping is an age old term used to describe when a preceptor or mentor asks a question “off the cuff” to a student learner. Many students may be overwhelmed by questions, but pimping remains a way of teaching learning points and “pearls” encountered for various diseases processes.The concept of being on the spot can be intimidating for students. When I was a student, I can specifically recall...

Apr 19, 2022 | Team Medgeeks

How to Deliver Bad News as a Clinician

Sometimes it comes when I least expect it, other times it is when I most suspect it. Regardless, the visceral reaction is always the same. I open a CT scan, chest x-ray, or message from a specialist and a lightning bolt of doubt, dread, and despair hits me square in the chest. It’s enough to make you forget to breathe for a second, enough to make all other clinical tasks for the day of instantly lesser importance.It’s a double edged sword because screening for cancer, disease, and other...

Apr 19, 2022 | Team Medgeeks

Pertussis (whooping cough): A Clinical Review

Pertussis, or widely known in communities as whooping cough, is a very contagious and transmissible disease that impacts millions around the globe each year. There are many pearls associated with whooping cough that may be tested on end of rotation exams or encountered via questions on family medicine or pediatric rotations.Whooping cough is very contagious, with humans acting as the host. There is no particular age discrimination, but the very young tend to have more severe disease and are at...

Apr 19, 2022 | Team Medgeeks

Uncertain paths in medicine lead us to success

As the month of May begins, this can only mean one thing for pre-PA students, another CASPA application cycle is upon us. As I continue to help students through their journey of applying to physician assistant programs, I wonder about the parallels one can draw between applying to PA school and practicing medicine each day.For those who are applying for the first time, the journey has just begun with a single step forward. For many of you, this has been your dream for as long as you can recall....

Apr 19, 2022 | Team Medgeeks

Mediterranean Diet (Food and Medicine)

In primary care, I’m constantly asked about what “diet” is the best. Patients want to know how they can lose weight, get fit, and feel better. Numerous diets are available online, in books, and through word of mouth. Many patients ask about the ketogenic diet, the “whole 30” diet, Atkins diet, and many more.My usual response is consistent, I tell patients that I do not believe in the word diet. Personally, I am of the opinion that many diets are unsustainable. Diets that are extremely...

Apr 19, 2022 | Team Medgeeks

Hand Foot and Mouth Disease (pediatrics)

Hand, foot, and mouth disease, which will be referred to as HFM for the remainder of this article, is a very common viral illness seen in young children. HFM is commonly seen in outbreaks and epidemics during the summer and early fall months.The transmission of this virus is via the fecal-oral route and additionally with contact of open skin lesions. The disease is very transmissible and can be seen in outbreaks at schools, day cares, and any other place where close contact is possible.The...

Apr 19, 2022 | Team Medgeeks