A Case of Recurrent Dissociative Episodes in a Patient with Congenital Defects

Case Report Marie, a 30 year old American-born Hispanic female, was first seen in the emergency room with suicidal ideation (the impulse to jump in front of an oncoming car), depression, anxiety, and distress about always getting attacked so much

Quality of Care Assessment at a Resident-based Primary Care HIV Clinic

A quality improvement study based in a primary care resident-based HIV clinic, the Kendig Clinic, was conducted within Jefferson Family Medicine Associates. The study objectives were to • Determine the percentage of the clinic patients meeting each quality measure • Compare these calculated clinic measures to known national averages • Use the data to determine areas to target for future quality improvement initiatives.https://jdc.jefferson.edu/cwicposters/1019/thumbnail.jp

The Treatment of a Borderline Patient Complicated by Involvement with a Charismatic Religious Cult: A Case Report

Introduction Although much has been written about cults in recent years, many questions remain. Do cults recruit subjects by brainw ashing them or do individuals gravitate to cults to fulfill unmet needs? This paper will review some essential points of cult phenomena and discuss the treatment of one patient who was involved in a charismatic religious cult

Primary & Secondary Prevention of Cardiovascular Disease in Primary Care

Overview Review historical perspective and complexity of primary CVD prevention Discuss primary & secondary prevention of CAD and the 2019 ACC/AHA guidelines -- Review of the evidence & primary literature Focus on CV risk assessment, DM, ASA/DAPT Practical guidance and management considerations -- CASES- let’s practice and discus

STI & PrEP Updates

Learning Objectives Apply key findings from the DISCOVER trial to PrEP clinical decision-making Understand the gaps in PrEP research for cisgender women and adolescents Understand the use of on-demand pre-exposure prophylaxis Review Current treatment recs and emerging data on Gonococcal and Chlamydial infection Discuss diagnostic and management options for non-gonococcal urethriti

The Use of Light in the Treatment of Depression

INTRODUCTION Light has recently been reported to be a useful treatment in affective illness (1,2, 3, 4, 5, 6). What type of patients respond to this type of treatment ? What is the theoretical mechanism of action of light therapy and what are the implications of this research for the existing theories of affective illness? This review will seek answers to these questions by summarizing the recently reported studies of the effects of light on depression , by reviewing the pertinent contributions from neuroanatomy, endocrinology and circadian rhythm physiology, and, finally, by suggesting some points of integration of these recent findings with existing theories of depression

Using Psychoanalytically Oriented Psychotherapy with the Elderly

Psychotherapy with the elderly, like geriatric medicine, has become a subject of renewed interest. This paper will review some pertinent aspects of the subject and hopefully dispel some myths. A case will be presented where psychoanalytically oriented psychotherapy was employed. In this case, forced termination was necessary after one year due to the therapist graduating from residency

A Case of Pyoderma Gangrenosum

Case Report A 60-year-old man with past medical history of hypertension, post-traumatic stress disorder, major depression, hepatic steatosis, chronic kidney disease, and untreated hepatitis C virus (genotype 1b) initially presented to the outpatient primary care clinic with a chief complaint of an extremely painful right lower extremity ulcer that had developed and grown progressively larger after mild trauma against a metal corner 4 months prior to the appointment. He admitted to picking at the granulation tissue that would develop over the ulcer. He was treating the ulcer with antibiotic ointment. On initial exam, the ulcer was about 2x2 cm, located a few inches above the ankle on the lateral right leg, and associated with some lower extremity edema. His primary care physician was concerned at the time for a venous stasis ulcer. Initial plain films of the leg were obtained, and these did not show any evidence of osteomyelitis. A lower extremity doppler ultrasound did not reveal a deep vein thrombosis that could account for the edema. He had no signs of heart failure, ascites, or volume overload otherwise. He was referred to podiatry and wound care

Epocrates….Is It Useful at the Neonatal Bedside?

Most physicians, including residents and medical students have heard of, and many use, a mobile drug database called Epocrates. The purpose of this review is to evaluate Epocrates as a bedside tool from the perspective of a neonatologist on a busy teaching service