Health care continues to make strides in the industry by incorporating technological innovation to capture consumer demand and financial growth. Over the past 10 years, significant technology advances in health care include developing electronic health records, patient portals, self-service kiosks, remote monitoring devices, genome sequencing and telemedicine. The topics covered include visit how-to's, presenting yourself professionally, displaying empathy and treating the whole person in the virtual platform. Practice management topics include benefits of telemedicine, billing and coding, reimbursement, and legal consideration. Multiple tables display various topics, including different types of telemedicine, different virtual platforms, CPT codes to code the visit and billing modifiers associated with telemedicine.
{"title":"TELEMEDICINE DURING A PANDEMIC WITH OSTEOPATHIC CONSIDERATIONS","authors":"D. Rhoads","doi":"10.33181/12052","DOIUrl":"https://doi.org/10.33181/12052","url":null,"abstract":"Health care continues to make strides in the industry by incorporating technological innovation to capture consumer demand and financial growth. Over the past 10 years, significant technology advances in health care include developing electronic health records, patient portals, self-service kiosks, remote monitoring devices, genome sequencing and telemedicine. The topics covered include visit how-to's, presenting yourself professionally, displaying empathy and treating the whole person in the virtual platform. Practice management topics include benefits of telemedicine, billing and coding, reimbursement, and legal consideration. Multiple tables display various topics, including different types of telemedicine, different virtual platforms, CPT codes to code the visit and billing modifiers associated with telemedicine.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41729260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DO David McGarry, Oms-Iii Marija Rowane, Do LhD MSMEd Faap Facop Facoi Fccp Robert Hostoffer
{"title":"Intranasal Manifestation of Granulomatous Disease in Common Variable Immunodeficiency","authors":"DO David McGarry, Oms-Iii Marija Rowane, Do LhD MSMEd Faap Facop Facoi Fccp Robert Hostoffer","doi":"10.33181/12057","DOIUrl":"https://doi.org/10.33181/12057","url":null,"abstract":"","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"12 1","pages":"42-44"},"PeriodicalIF":0.0,"publicationDate":"2020-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41623090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dominik Soós, DO Alexander Cobb, D. Patel, DO Hemalata Mandiga, A. Ghose, D. Clark
A no-show appointment is clinically defined as a scheduled appointment in which a patient fails to attend without prior notification to the provider or staff. In primary care clinics, no-show rates have been shown to range from 15% to 30%. Smaller studies have shown that interventions including phone calls, emails or text message reminders can reduce no-show rates.1–9 Our retrospective review sought to evaluate a similar intervention performed at the Multispecialty Residency Clinic (MSC). A test of two proportions was performed to evaluate the effect of a 24-hour reminder phone call. The no-show rate before initiating a 24-hour phone call was 17.8%, and following the intervention this rate improved to 16%, an observed reduction of 1.9% with a 95% confidence interval (CI) from 0.1% to 3%, p = 0.003. New patient encounters, established patient visits and cancellations were analyzed as secondary endpoints to further evaluate the effects of a reminder phone call. Our retrospective analysis is the largest to date regarding the effectiveness of utilizing phone call reminders to reduce no-show rates in the setting of a residency clinic and has confirmed a significant 2% reduction in no-show appointments.
{"title":"Evaluation of Clinical No-Show Rates in the Setting of an Outpatient Internal Medicine Residency Clinic","authors":"Dominik Soós, DO Alexander Cobb, D. Patel, DO Hemalata Mandiga, A. Ghose, D. Clark","doi":"10.33181/12051","DOIUrl":"https://doi.org/10.33181/12051","url":null,"abstract":"A no-show appointment is clinically defined as a scheduled appointment in which a patient fails to attend without prior notification to the provider or staff. In primary care clinics, no-show rates have been shown to range from 15% to 30%. Smaller studies have shown that interventions including phone calls, emails or text message reminders can reduce no-show rates.1–9 Our retrospective review sought to evaluate a similar intervention performed at the Multispecialty Residency Clinic (MSC). A test of two proportions was performed to evaluate the effect of a 24-hour reminder phone call. The no-show rate before initiating a 24-hour phone call was 17.8%, and following the intervention this rate improved to 16%, an observed reduction of 1.9% with a 95% confidence interval (CI) from 0.1% to 3%, p = 0.003. New patient encounters, established patient visits and cancellations were analyzed as secondary endpoints to further evaluate the effects of a reminder phone call. Our retrospective analysis is the largest to date regarding the effectiveness of utilizing phone call reminders to reduce no-show rates in the setting of a residency clinic and has confirmed a significant 2% reduction in no-show appointments.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"12 1","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2020-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44898149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam J. Ramsey, A. Mallouk, D. Sharma, Timothy Baxter
Behcet's Disease (BD) is a chronic relapsing and remitting vasculitis with an unknown cause. With its propensity to involve all size arteries and veins and the ability to affect all organ systems, BD can result in significant mortality. BD is commonly referred to as the "silk road" due to the high incidence of BD in the ancient Mediterranean trading route known as "Old Silk Road." A timeline in pictures of oral aphthae is presented to emphasize the need for increased awareness among clinicians to recognize the various manifestations of BD to diagnose and offer prompt, timely treatment. The evidence base for treatment is limited and further studies are needed to ascertain the prevalence and distribution as well as associated genetic factors of BD in the U.S.
{"title":"Timeline in Pictures of Oral Aphthae as a Presenting Symptom for Behcet’s Disease","authors":"Adam J. Ramsey, A. Mallouk, D. Sharma, Timothy Baxter","doi":"10.33181/12056","DOIUrl":"https://doi.org/10.33181/12056","url":null,"abstract":"Behcet's Disease (BD) is a chronic relapsing and remitting vasculitis with an unknown cause. With its propensity to involve all size arteries and veins and the ability to affect all organ systems, BD can result in significant mortality. BD is commonly referred to as the \"silk road\" due to the high incidence of BD in the ancient Mediterranean trading route known as \"Old Silk Road.\" A timeline in pictures of oral aphthae is presented to emphasize the need for increased awareness among clinicians to recognize the various manifestations of BD to diagnose and offer prompt, timely treatment. The evidence base for treatment is limited and further studies are needed to ascertain the prevalence and distribution as well as associated genetic factors of BD in the U.S.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"12 1","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"2020-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43829220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The female athlete triad is a disorder seen in physically active females that manifests as three interrelated syndromes that may or may not occur simultaneously.1,2,3 It is a multi-component disease initiated by an energy deficient state (possibly from an eating disorder), bone mineral density abnormalities and menstrual changes.1,2,3 Prevention and early intervention are important in averting permanent debilitating damage. The cornerstone of treatment is creating a positive net energy availability, which requires a multidisciplinary approach comprised of a licensed physician, nutritionist, exercise physiologist, mental health practitioner, athletic trainer, coaches, the athlete and their parents.
{"title":"Detection and Management of the Female Athlete Triad","authors":"D. Coleman, DO Brett Spain","doi":"10.33181/12044","DOIUrl":"https://doi.org/10.33181/12044","url":null,"abstract":"The female athlete triad is a disorder seen in physically active females that manifests as three interrelated syndromes that may or may not occur simultaneously.1,2,3 It is a multi-component disease initiated by an energy deficient state (possibly from an eating disorder), bone mineral density abnormalities and menstrual changes.1,2,3 Prevention and early intervention are important in averting permanent debilitating damage. The cornerstone of treatment is creating a positive net energy availability, which requires a multidisciplinary approach comprised of a licensed physician, nutritionist, exercise physiologist, mental health practitioner, athletic trainer, coaches, the athlete and their parents.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"36 10","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2020-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41298112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bindu Mayi MSc., A. Raja, Gina Foster-Moumoutjis, Pamela Moran-Walcutt Do, Mayur S. Parmar, Patricia Rose Ms, S. Fatteh
SARS-CoV-2, the newest coronavirus, causes COVID-19, a disease that runs the gamut of symptoms from none too mild to severe to death. The severe cases are most often due to acute respiratory distress. In addition to pulmonary symptoms, the virus causes a wide variety of pathological manifestations involving multiple other systems, including eliciting an exaggerated immune response that contributes to fatalities. The elderly are at the highest risk of severe disease. Higher mortality is seen among males, along with individuals with pre-existing comorbidities such as cardiovascular disease and diabetes, among others. Although pregnancy has not been identified as a risk factor yet, more research is needed to assess vertical transmission and strict perinatal precautions are recommended to minimize infecting newborns. Although COVID-19 in children is less likely to be severe, recent cases, albeit rare, have emerged of a multiorgan inflammatory syndrome, similar to Kawasaki disease. Early diagnosis can be done using molecular tests that detect viral genome, while cases manifesting late symptoms can be detected using serological tests looking for antibodies. Although there are no FDA-approved vaccines or therapeutics for prophylaxis, there are many viable vaccine candidates either in clinical trials or awaiting study in humans. Of the several drugs being considered for treatment, some target the virus, while others address the host factors that facilitate virus infection, from proteases that enable virus entry, to cytokines that elicit a harmful and out-of-control immune response. While we await a standardized prophylactic regimen, it is our collective responsibility to continue engaging in prevention measures.
{"title":"SARS-CoV-2 and COVID-19: A Brief Review for Family Physicians","authors":"Bindu Mayi MSc., A. Raja, Gina Foster-Moumoutjis, Pamela Moran-Walcutt Do, Mayur S. Parmar, Patricia Rose Ms, S. Fatteh","doi":"10.33181/12042","DOIUrl":"https://doi.org/10.33181/12042","url":null,"abstract":"SARS-CoV-2, the newest coronavirus, causes COVID-19, a disease that runs the gamut of symptoms from none too mild to severe to death. The severe cases are most often due to acute respiratory distress. In addition to pulmonary symptoms, the virus causes a wide variety of pathological manifestations involving multiple other systems, including eliciting an exaggerated immune response that contributes to fatalities. The elderly are at the highest risk of severe disease. Higher mortality is seen among males, along with individuals with pre-existing comorbidities such as cardiovascular disease and diabetes, among others. Although pregnancy has not been identified as a risk factor yet, more research is needed to assess vertical transmission and strict perinatal precautions are recommended to minimize infecting newborns. Although COVID-19 in children is less likely to be severe, recent cases, albeit rare, have emerged of a multiorgan inflammatory syndrome, similar to Kawasaki disease. Early diagnosis can be done using molecular tests that detect viral genome, while cases manifesting late symptoms can be detected using serological tests looking for antibodies. Although there are no FDA-approved vaccines or therapeutics for prophylaxis, there are many viable vaccine candidates either in clinical trials or awaiting study in humans. Of the several drugs being considered for treatment, some target the virus, while others address the host factors that facilitate virus infection, from proteases that enable virus entry, to cytokines that elicit a harmful and out-of-control immune response. While we await a standardized prophylactic regimen, it is our collective responsibility to continue engaging in prevention measures.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46357481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Shaw, Do Faafp Katherine A. Lincoln, DO Andrew P. Crow
The current medical landscape highlights that physicians are experiencing an unprecedented epidemic of burnout. National studies show that at least 50% of physicians practicing in the United States are experiencing this harmful, detrimental disorder. This not only leads to personal consequences but potentially adverse patient events. As studies suggest, family medicine physicians are at the highest risk. To evaluate the impact of this effect on its current members and to establish strategies to promote wellness, the American College of Osteopathic Family Physicians (ACOFP) appointed a Task Force on Physician Wellness. Data was collected by a voluntary internal survey between March 21 and April 7, 2019, distributed to all ACOFP members. A total of 133 members completed the survey. Nearly half (47%) of respondents admitted to experiencing burnout symptoms. The factors that influenced burnout the most were the burden of non-clinical/administrative work and the inefficient/burdensome electronic medical record. The most protective elements to combat burnout are having a supportive spouse/partner/family member and recognizing the meaning of their daily work. A transition must occur to focus on health instead of the disease of our physicians. Individual and organizational attention must be placed on the physical, mental and social well-being of physicians. In the creation of this task force, ACOFP has begun to create educational references, provide live CME and generate conversational networks for physician support.
{"title":"ACOFP Member Survey on Physician Wellness and Preventative Measures for Protection","authors":"D. Shaw, Do Faafp Katherine A. Lincoln, DO Andrew P. Crow","doi":"10.33181/12041","DOIUrl":"https://doi.org/10.33181/12041","url":null,"abstract":"The current medical landscape highlights that physicians are experiencing an unprecedented epidemic of burnout. National studies show that at least 50% of physicians practicing in the United States are experiencing this harmful, detrimental disorder. This not only leads to personal consequences but potentially adverse patient events. As studies suggest, family medicine physicians are at the highest risk. To evaluate the impact of this effect on its current members and to establish strategies to promote wellness, the American College of Osteopathic Family Physicians (ACOFP) appointed a Task Force on Physician Wellness. Data was collected by a voluntary internal survey between March 21 and April 7, 2019, distributed to all ACOFP members. A total of 133 members completed the survey. Nearly half (47%) of respondents admitted to experiencing burnout symptoms. The factors that influenced burnout the most were the burden of non-clinical/administrative work and the inefficient/burdensome electronic medical record. The most protective elements to combat burnout are having a supportive spouse/partner/family member and recognizing the meaning of their daily work. A transition must occur to focus on health instead of the disease of our physicians. Individual and organizational attention must be placed on the physical, mental and social well-being of physicians. In the creation of this task force, ACOFP has begun to create educational references, provide live CME and generate conversational networks for physician support.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"12 1","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48647782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oms-Iv Atif Ghaffar, Oms-Ii Sumrita Bindra, Oms-Iv Ian Persits, DO Shady Geris, Oms-Iii Sara Levy, DO Jose Villanueva, D. Happel, J. Donoghue, D. Yao
Over the last several decades, obesity has become one of the most pervasive issues plaguing the United States. The vast amount of comorbidities associated with obesity, ranging from breathing problems to severe cardiovascular disease, place individuals at further risk of developing adverse effects later in life. Currently, clinicians use tools and indices such as body mass index (BMI), percent body fat (%BF) and waist circumference to classify the obesity level of their patients. In 2018 however, the Obesity Medical Association amended its previous algorithms to include two distinct pathologies that fall within the category of obesity: Fat Mass Disease (FMD) and Adiposopathy. These two diagnoses are now classified under obesity, not otherwise specified ICD-10 Code (E66.9). In this article, we discuss the updated methods to classify, identify and manage patients with these disorders.
{"title":"Update on Office-Based Strategies for the Management of Obesity","authors":"Oms-Iv Atif Ghaffar, Oms-Ii Sumrita Bindra, Oms-Iv Ian Persits, DO Shady Geris, Oms-Iii Sara Levy, DO Jose Villanueva, D. Happel, J. Donoghue, D. Yao","doi":"10.33181/12043","DOIUrl":"https://doi.org/10.33181/12043","url":null,"abstract":"Over the last several decades, obesity has become one of the most pervasive issues plaguing the United States. The vast amount of comorbidities associated with obesity, ranging from breathing problems to severe cardiovascular disease, place individuals at further risk of developing adverse effects later in life. Currently, clinicians use tools and indices such as body mass index (BMI), percent body fat (%BF) and waist circumference to classify the obesity level of their patients. In 2018 however, the Obesity Medical Association amended its previous algorithms to include two distinct pathologies that fall within the category of obesity: Fat Mass Disease (FMD) and Adiposopathy. These two diagnoses are now classified under obesity, not otherwise specified ICD-10 Code (E66.9). In this article, we discuss the updated methods to classify, identify and manage patients with these disorders.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"12 1","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42218973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nonmelanoma skin cancer (NMSC) is the most common cancer in the world. Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are the most common types. SCC lesions are more likely to metastasize when compared to BCC, but due to low risk for metastasis, prognosis for NMSC is excellent. Ultraviolet radiation exposure is the main risk factor for developing NMSC. Merkel cell carcinoma and dermatofibrosarcoma protuberans are rare forms of NMSC. The most common BCC lesions types are nodular, superficial, and sclerosing. Nodular BCC typically consists of papular lesions with a pearly border. Superficial BCC lesions are flat or slightly raised, often red to brown. Sclerosing BCC lesions usually have nondiscrete margins. The gross appearance of SCC is that of an erythematous plaque with scale and/or ulceration. The diagnosis of NMSC starts with gross examination, followed by biopsy. Recommended biopsy techniques include punch, shave, and excisional biopsy. Dermatoscopy should also be used to aid in the evaluation of suspected NMSC and other skin cancers, as it greatly enhances the point-of-care diagnosis of skin malignancies. For low-risk lesions, surgical excision is the cornerstone of treatment, although depending on the clinical situation, curettage and electrodessication or non-surgical modalities may be used. Cryotherapy, topical treatments, photodynamic therapy, or radiation treatment can be used to treat BCC and SCC, but cure rates are lower than with surgical excision. High-risk lesions require specialist referral. All patients treated for NMSC should undergo regular complete skin exams, and counseling on the use of sun protection and avoidance.
{"title":"Diagnosis and Management of Nonmelanoma Skin Cancer","authors":"L. Pérez, Do, Faafp, Facofp","doi":"10.33181/12032","DOIUrl":"https://doi.org/10.33181/12032","url":null,"abstract":"Nonmelanoma skin cancer (NMSC) is the most common cancer in the world. Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are the most common types. SCC lesions are more likely to metastasize when compared to BCC, but due to low risk for metastasis, prognosis for NMSC is excellent. Ultraviolet radiation exposure is the main risk factor for developing NMSC. Merkel cell carcinoma and dermatofibrosarcoma protuberans are rare forms of NMSC. The most common BCC lesions types are nodular, superficial, and sclerosing. Nodular BCC typically consists of papular lesions with a pearly border. Superficial BCC lesions are flat or slightly raised, often red to brown. Sclerosing BCC lesions usually have nondiscrete margins. The gross appearance of SCC is that of an erythematous plaque with scale and/or ulceration. The diagnosis of NMSC starts with gross examination, followed by biopsy. Recommended biopsy techniques include punch, shave, and excisional biopsy. Dermatoscopy should also be used to aid in the evaluation of suspected NMSC and other skin cancers, as it greatly enhances the point-of-care diagnosis of skin malignancies. For low-risk lesions, surgical excision is the cornerstone of treatment, although depending on the clinical situation, curettage and electrodessication or non-surgical modalities may be used. Cryotherapy, topical treatments, photodynamic therapy, or radiation treatment can be used to treat BCC and SCC, but cure rates are lower than with surgical excision. High-risk lesions require specialist referral. All patients treated for NMSC should undergo regular complete skin exams, and counseling on the use of sun protection and avoidance.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45335724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oms-Iv Syna Daudfar, Oms-Iv Natalia Nakajima, Oms-Iv Khristopher Faiss, Oms-V Luke Tegeler, Oms-Iii Jessica Kuo, D. Dreibelbis, DO Edward Goering, DO Emmanuel Katsaros, DO John T. Pham
Joint pain in the elderly is becoming ever more ubiquitous in the primary care setting. Primary care providers, especially in rural communities, may be required to manage patients with rheumatologic conditions because consultation is unavailable. Literature supporting the approach to the diagnosis of joint pain in the elderly population is limited. The purpose of this manuscript is to present a case-based learning opportunity for osteopathic primary care providers, residents, and medical students regarding an elderly male with joint pain. In this manuscript, the authors have presented an advanced organizer to be used in the medical education setting which differentiates patients suffering from joint pain based on timing, the number of joints involved, and the size of the joint affected. We conclude with osteopathic considerations in evaluating an elderly patient with joint pain and the tools available to appropriately evaluate and treat the patient.
{"title":"Approach To Joint Pain In The Elderly For Osteopathic Providers","authors":"Oms-Iv Syna Daudfar, Oms-Iv Natalia Nakajima, Oms-Iv Khristopher Faiss, Oms-V Luke Tegeler, Oms-Iii Jessica Kuo, D. Dreibelbis, DO Edward Goering, DO Emmanuel Katsaros, DO John T. Pham","doi":"10.33181/12033","DOIUrl":"https://doi.org/10.33181/12033","url":null,"abstract":"Joint pain in the elderly is becoming ever more ubiquitous in the primary care setting. Primary care providers, especially in rural communities, may be required to manage patients with rheumatologic conditions because consultation is unavailable. Literature supporting the approach to the diagnosis of joint pain in the elderly population is limited. The purpose of this manuscript is to present a case-based learning opportunity for osteopathic primary care providers, residents, and medical students regarding an elderly male with joint pain. In this manuscript, the authors have presented an advanced organizer to be used in the medical education setting which differentiates patients suffering from joint pain based on timing, the number of joints involved, and the size of the joint affected. We conclude with osteopathic considerations in evaluating an elderly patient with joint pain and the tools available to appropriately evaluate and treat the patient.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44669957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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