Attention doctors on Reddit who work in clinics: What are the most prevalent cases you encounter, and what methods do you use for diagnosis and treatment?
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Attention doctors on Reddit who work in clinics: What are the most prevalent cases you encounter, and what methods do you use for diagnosis and treatment?
As a doctor working in a clinic, I commonly encounter various cases. Some of the most frequent include:
Upper Respiratory Infections (URIs): Patients often present with symptoms like cough, nasal congestion, and sore throat. Diagnosis typically involves a thorough history and physical exam. Most URIs are viral, so treatment focuses on symptomatic relief, such as recommending rest, hydration, and over-the-counter medications for fever and discomfort. Antibiotics are not prescribed unless there’s a clear bacterial infection.
Hypertension: Many patients come in for routine check-ups or due to elevated blood pressure readings. I diagnose hypertension through consistent blood pressure monitoring and assessment of risk factors. Treatment may include lifestyle modifications (diet, exercise) and medications if lifestyle changes aren’t sufficient.
Diabetes Management: Patients often return for management related to type 2 diabetes. Diagnosis is confirmed with fasting blood glucose tests or A1C levels. Treatment involves dietary counseling, exercise recommendations, and medication management, which can include oral hypoglycemics or insulin depending on the case.
Skin Conditions: Conditions like eczema, psoriasis, and acne are common. Diagnosis is generally made through visual examination, and treatment may include topical treatments, lifestyle changes, or systemic medications for more severe cases.
Anxiety and Depression: Many patients present with symptoms related to mental health. Diagnosis can involve standardized screening tools and assessment of symptoms and history. Treatment may include therapy referrals, lifestyle changes, and potentially medication like SSRIs.
Joint Pain: Patients of all ages sometimes present with joint pain, which could be due to arthritis, injuries, or other conditions. Diagnosis usually involves a physical examination and sometimes imaging studies. Treatment may include anti-inflammatory medications, physical therapy, or referrals to specialists.
In all cases, a thorough understanding of the patient’s medical history and lifestyle can greatly inform the diagnosis and treatment. Follow-ups are also crucial to ensure effective management and to adjust treatments as necessary.