Pathology / Rubins @ Google Books

Rubins Clinical Pathology

Refractory pharyngitis

DDx: Strep A, Strep C, Strep G, HIV acute retroviral syndrome, EBV, Lemierre's syndrome

Group C: Can have rising ASO titers, glomerulonephritis, pharyngitis epidemics. PCN usually effective.
Group G: PCN usually effective, some vanc resistance
EBV: anterior and posterior nodes positive; can develop peritonsillar abscess
Lemierre's syndrome: Fusibacterium necrophorum with septic thrombophlebitis of the IJV

USDA DRI Fe

Daily:
8mg healthy, non-mentruating adult
18mg menstruating female
16mg vegetarians
20mg blood donors

Note: Bone marrow response limited to 20mg per day.

Expect Hgb to improve 1g/dL every 2-3 weeks in compliant patient

FeSO4: 300mg = 60 mg elemental Fe
FeGluconate: 325mg = 36 mg elemental Fe

Add Vit C
Avoid tea/tannins, phytates (bran, cereal), PPI/antacids, H2 blockers

Iron Loss

Non-menstruating females, males: 1 mg / day
Menstruating females: 10mg or more (42mg per cycle possible)
Pregnancy: 700 mg
Whole blood donation: 250mg

DDx Rosacea

Acne
SLE
Polymyositis
Sarcoidosis
Photodermatitis
Drug eruption
Granuloma

Evidence Based Diabetes Care: The ABCs of a visit

A1C: <7.0
BP: <130/80
Chol: LDL<100
D: Diet & exercise
E: Eye @ ophtho
F: Foot exam w/ eyes.
G: GFR>60 or d/c metformin

Tennis Elbow

Interesting exercise for tennis elbow. Results encouraging:



See NYTimes article:

An Easy Fix for Tennis Elbow

Good advice in general for traveling and food

Boil it, peel it, cook it or forget it.

Bedbugs

Two great resources!

A PDF for travelers from Cornell University

What if you've been somewhere there are bedbugs, you're sure of it. How do you keep them away?

From the University of Minnesota, the Beg Bug Exposure Guide

Before you stay in a hotel, Google "Bed Bugs" plus the name of your hotel. Tripadvisor.com often has up-to-date information from recent guests who will not be shy about letting the internet know about infestations.