1-271 of 271
Etiology: Anxiety
-Behavioral theory: a conditioned response to specific environmental
stimuli
-Genetic component: 1st degree relatives increases the likelihood 8-fold
-Biologic theories: Norepi, serotonin, and GABA are poorly regulated; the
ANS inappropriately responds to stimuli; cerebral pathology causes
anxiety; HPA axis highly implicated
,Risk factors: Rotator cuff syndrome
-Advancing age
-Repetitive use of upper extremities/shoulders
-Overhead activity in work/sports
-Shoulder instability
Etiology: Hypertension
-No known cause in 90% of cases of primary HTN
-Secondary causes: renal failure, kidney disease, renal artery stenosis,
Cushing syndrome, hyper/hypo thyroidism, increased ICP, sleep apnea,
oral contraceptives, steroids, cocaine, NSAIDs, decongestants,
sympathomimetics, alcohol, antidepressants, caffeine
Possible complications: Asthma
-Respiratory failure/death from unrelieved bronchospasm
-Steroid dependence
Prevention: Hypertension
, -Maintaining healthy weight and BMI
-Smoking cessation
-Regular aerobic exercise
-Alcohol in moderation (< 1 oz/day)
-Stress management
-Medication compliance
-Assess for and treat OSA
Assessment: Hypertension
-Most are asymptomatic; occipital headache, headache upon waking,
blurry vision, fundoscopic exam (AV nicking, exudates, papilledema), left
vent. hypertrophy, pregnancy w/HTN and proteinuria, edema, and
excessive weight gain
Risk factors: Back pain
, -Obesity
-Sedentary lifestyle > inadequate conditioning
-Smoking
-Preexisting psychological conditions
-Chronic occupational strain with improper lifting techniques
-Exaggerated lumbar lordosis, chronic poor posture
-Leg length discrepancy
-Age > 65
-Job dissatisfaction
Final diagnosis: GERD
-Presumptive DX can be made based on sx of heartburn and regurgitation
-Empiric PPI therapy for 8 weeks should be initiated
-Endoscopy is recommended for patients with GERD that do not respond
to empiric PPI treatment
Follow-up: UTI
-Evaluate children 1 week after initiating treatment
-Education about altering sexual practices in women with UTI from anal
intercourse
-Evaluate children's voiding patterns for regular bladder emptying,
dysfunction, withholding, and constipation
Non-pharm management: Fibromyalgia
Etiology: Anxiety
-Behavioral theory: a conditioned response to specific environmental
stimuli
-Genetic component: 1st degree relatives increases the likelihood 8-fold
-Biologic theories: Norepi, serotonin, and GABA are poorly regulated; the
ANS inappropriately responds to stimuli; cerebral pathology causes
anxiety; HPA axis highly implicated
,Risk factors: Rotator cuff syndrome
-Advancing age
-Repetitive use of upper extremities/shoulders
-Overhead activity in work/sports
-Shoulder instability
Etiology: Hypertension
-No known cause in 90% of cases of primary HTN
-Secondary causes: renal failure, kidney disease, renal artery stenosis,
Cushing syndrome, hyper/hypo thyroidism, increased ICP, sleep apnea,
oral contraceptives, steroids, cocaine, NSAIDs, decongestants,
sympathomimetics, alcohol, antidepressants, caffeine
Possible complications: Asthma
-Respiratory failure/death from unrelieved bronchospasm
-Steroid dependence
Prevention: Hypertension
, -Maintaining healthy weight and BMI
-Smoking cessation
-Regular aerobic exercise
-Alcohol in moderation (< 1 oz/day)
-Stress management
-Medication compliance
-Assess for and treat OSA
Assessment: Hypertension
-Most are asymptomatic; occipital headache, headache upon waking,
blurry vision, fundoscopic exam (AV nicking, exudates, papilledema), left
vent. hypertrophy, pregnancy w/HTN and proteinuria, edema, and
excessive weight gain
Risk factors: Back pain
, -Obesity
-Sedentary lifestyle > inadequate conditioning
-Smoking
-Preexisting psychological conditions
-Chronic occupational strain with improper lifting techniques
-Exaggerated lumbar lordosis, chronic poor posture
-Leg length discrepancy
-Age > 65
-Job dissatisfaction
Final diagnosis: GERD
-Presumptive DX can be made based on sx of heartburn and regurgitation
-Empiric PPI therapy for 8 weeks should be initiated
-Endoscopy is recommended for patients with GERD that do not respond
to empiric PPI treatment
Follow-up: UTI
-Evaluate children 1 week after initiating treatment
-Education about altering sexual practices in women with UTI from anal
intercourse
-Evaluate children's voiding patterns for regular bladder emptying,
dysfunction, withholding, and constipation
Non-pharm management: Fibromyalgia
