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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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General lnternal Medicine I ntimate Partner Violence Screening USPSTF recommends screening for intimate partner violence in women of childbearing age (t+ 46 years) Diagnosis Characteristic fi ndings: o exacerbations or poor control of chronic medical conditions . seeming nonadherence to medications o chronic abdominal pain o sleep or appetite disturbances, fatigue, reduced concentration . depression, anxiety, acute or posttraumatic stress, somatization, eating disorders o suicide attempts and substance abuse . frequent appointment changes o STIs, HIV, unplanned pregnancies o visible bruises or injuries . partner unwilling to leave during examination Assess the risk of homicide, suicide, or serious injury. Inquire about: o escalating threats or abuse and escalating level of fear . stalking . weapons, especially firearms, in the home . sexual assault and abuse during pregnancy . recent separation or abuser's awareness of impending separation Treatment Initiate safety planning. Determine if the patient wants to leave home, return home, or have the abuser removed from his or her household. Refer the patient to a domestic violence advocate. Eye Disorders Red Eye Red eye consists of categories of entities with or without ocular pain and/or visual loss. The combination of red eye, ocular pain, and visual loss warrants emergent referral to an ophthalmologist. Select Snellen visual acuity testing for all patients.
Treatment Initiate safety planning. Determine if the patient wants to leave home, return home, or have the abuser removed from his or her household. Refer the patient to a domestic violence advocate. Eye Disorders Red Eye Red eye consists of categories of entities with or without ocular pain and/or visual loss. The combination of red eye, ocular pain, and visual loss warrants emergent referral to an ophthalmologist. Select Snellen visual acuity testing for all patients. STUDY TABLE: Causes and Treatment of Red Eye lf you see this.. Diagnose this... Do this.. Unilateral then bilateral mucoid/purulent Bacterial conjunctivitis Cold compresses discharge without pain or visual Topical trimethoprim-polymyxin B or disturbance erythromycin for immunocompromised patients, contact lens wearers, health care workers; otherwise, withhold (Continued on the next page) 161