An abscess on the skin is often red, swollen, and painful. It is the body’s way of walling off infection. Often the best way to help get rid of the infection is by incision and drainage. The provider will start by numbing the skin around the abscess. Then using a small scalpel an incision into the abscess will be made, allowing the discharge from the infection to drain out. Depending on the size and location of the abscess it may need to be packed with a gauze material to promote healing.
Many rectal complaints require the provider to take a closer look at the rectum and anus. The anoscopy is the tool and procedure that allows the provider to view these areas better.
A Nursemaid’s elbow is a partial dislocation of the elbow which occurs when the lower part of the arm slips out of its normal position at the elbow joint. It is also called a radial head dislocation. It is very common in young children when they have had someone pulling on their arm or swinging them by the arm. The provider will determine if this is the cause of pain and inability to move the arm. X-rays of the elbow are often ordered to evaluate the elbow joint prior to treatment. The provider will then manipulate the arm back into the proper position. The arm pain is resolved and full range of motion restored.
A cyst is usually a benign (harmless) “lump” under the skin. It is a collection of oil and skin debris that is walled off by a sac. The provider will start by numbing the skin around the cyst. Then using a small scalpel the provider will make an incision in the skin overlying the cyst. A tool similar to tweezers will be used to pull the cyst out of the skin. Depending on the size of the cyst, packing or sutures may be needed to ensure proper healing.
Lesions can include moles, skin tags, and other abnormal growths on the skin. The provider will begin by numbing the area surrounding the lesion. The lesion can be removed by burning, freezing, or using a scalpel to cut it off. The provider will determine the best method and if the lesion needs to be sent to a lab for a biopsy
The ears naturally make earwax (cerumen) to protect the ear. Occasionally too much wax builds up and blocks the ear canal causing discomfort, decreased hearing, or just obstructs the providers view when trying to evaluate for an ear infection. The earwax is removed with a special tool called a curette. If the wax is very packed or hard it may need to be irrigated with medication to soften the wax and flush it out of the canal.
Fiberglass splinting is indicated for fractures, unstable dislocations, and for some sprains and strains. The purpose of the splint is to immobilize the bones and/or ligaments to allow them to heal. The fiberglass will be wet and then applied to the site of the injury. It is formed around the body to hold the area in proper alignment. An ACE bandage is wrapped around the fiberglass to hold it in place. The fiberglass hardens within 15 minutes. This splint can be easily removed for showering.
Fluorescein eye stain is used to visualize scratches or foreign bodies on the surface of the eye. The provider will first use medicated eye drops to numb the eye. Next a moistened paper strip with fluorescein will be applied to the eye that will temporarily color the eye orange. The fluorescein stain will stick to any abnormalities. A florescent light will be used by the provider to visualize the dye. Then the provider can remove the foreign body or determine if the cornea (surface of the eye) is scratched or damaged in any way.
Foreign bodies are commonly removed from the eyes, nose, extremities, or just about any part of the human body. Depending on the location, different approaches may be taken to remove the foreign body.
A hemorrhoid is a varicose (swollen or dilated) vein in the anal region. Occasionally they develop a blood clot. The provider must then remove this clot. After examining the anus and rectum, the provider will numb the area with medication. A scalpel will be used to make an opening in the hemorrhoid and the clot will be removed.
A joint injection is a corticosteroid that provides pain relief by reducing inflammation. The corticosteroid is injected into the joint with a needle. This is typically indicated when swelling and/or pain in a large joint is not improving after rest, ice, compression, elevation, and anti-inflammatory medication. A fracture, infection, or ligament/tendon tear must be ruled out first.
The laceration will first be cleaned and any debris removed. The provider will use an injectable medication to numb the laceration before suturing. The suturing process consists of a curved needle and a specific thread that are used to close the wound.
Toenail removal is indicated when an ingrown nail becomes infected, continues to grow into the skin, or can even be indicated for chronic fungal infection under the nail. The toe is cleaned and numbed. A special tool is then used to cut and remove the nail.
A subungual hematoma is when blood builds up underneath the nail. It usually occurs with acute trauma to a finger or toe. The build up of blood can cause pain due to intense pressure. The provider can drain this blood by using a devise to make an opening in the nail.
Liquid nitrogen is applied briefly to the wart. This will cause a cool sensation. Depending on the size of the wart it may need multiple treatments, meaning the patient might have to return in 2 weeks for repeat treatments. The liquid nitrogen kills the virus that is causing the wart to grow.
After a laceration is sutured, cyst removed, or an I & D of an abscess is done; the provider will have the patient return to make sure the wound is not infected. If the wound is infected the appropriate treatment will be determined. The provider may also want to see a patient back for a wound check after an already existing infection in order to ensure the infection is getting better and not worse. Sometimes a cyst or abscess requires packing after treatment in order for the wound to heal from the inside out. In this situation the wound may need to be repacked with the sterile medicated gauze. The repacking consists of removing the old packing with forceps, cleaning the wound, and then putting in more packing.
An Accu Check is used to check blood sugar levels by pricking the tip of the finger with a small needle. The blood is then dropped onto a testing strip in a glucometer that will read the blood sugar level in a matter of seconds. This is indicated for diabetic patients and any other patient that has symptoms of low or high blood sugar.
An EKG is a device that can read the electrical activity of the heart. Pads attached to the machine are placed in proper position on the skin. It takes less than a minute to take an electrical picture of the heartbeats. This allows the provider to detect a heart attack, rhythm abnormalities, structure damage, or electrolyte abnormalities. There is no pain associated with this procedure.
This is done to screen for blood in the stool. After a rectal exam or from a stool sample, a smear is placed on the card and developer dropped on top. The card will be read to see if the stool is positive for blood. This should be done routinely on three separate cards to screen for colon cancer.
Blood pressure and heart rate should remain relatively stable no matter the position of the body. Orthostatic blood pressures are done to check this. The technician will check the blood pressure and heart rate in three different positions: laying, sitting, standing. This helps the provider determine different causes of dizziness and vascular disease.
A PPD is a method used to test if someone has been infected with Tuberculosis (TB). The PPD liquid is injected underneath the first layer of skin forming a hive like bump. The site on the forearm must be read by a health professional in 48-72 hours to determine if the patient has been exposed to TB. This test should not be done if you have had the tuberculosis immunization.
This test measures your blood’s ability to clot. It is required to effectively control certain medications such as Coumadin. This test may only be performed during a specific office visit dedicated to Coumadin maintenance.
A rapid strep test is indicated in a patient with a sore throat. Often the patient will have a fever and swollen glands as well. The tonsils or back of the throat are swabbed to collect the bacteria. The swab is placed in a test tube with a solution and test strip. The strip will change colors within 10 minutes if the strep bacteria is present.
Spirometry measures how much and how quickly you can move air out of your lungs. For this test, you breathe into a mouthpiece attached to a recording device(spirometer). The information collected by the spirometer may be printed out on a chart. These tests an help diagnose lung diseases, measure the severity of lung problems, and check to see how well treatment for a lung disease is working.
A breathing treatment may be needed for asthma, bronchitis, and bronchial spasms(coughing spells). An oxygen mask is attached to a device that contains liquid medications. Each medication has a different way of opening up the airways, making breathing easier. This treatment can last 10-30 minutes.
This test is performed for all ear complaints. A small plastic device is place at the opening of the ear canal and the machine records a graph. This helps to determine a pressure change in the eardrum(tympanic membrane), a perforation, ear infection, or variety of other ear problems.
A urine dip is used when the provider suspects a urinary tract infection, a kidney stone, or there is unexplained abdominal pain or fever present. It also checks for certain disease processes like high blood pressure, diabetes, kidney disease, and lupas. The patient urinates in a cup provided. Then a test strip is dipped into the urine. This strip has multiple pads that change colors alerting the provider to abnormalities.
The urine pregnancy test is done by testing the urine for a specific hormone that is present during pregnancy. A small amount of urine is placed on a testing strip. The strip will detect the hormone. This test only takes about 5 minutes.
A vision screen is done for any complaint of the eyes. The patient stands 20 feet away from an eye chart and read lines of letters or pictures.
A Pap exam will include routine lab studies Pap smear, BD affirm, urinalysis, HCG and GC Chlamydia.
This vaccine is given at 2, 4, 6, and 15 months of age then again at 4-6 years of age. It protects against diphtheria (a bacteria that causes a severe throat infection), tetanus (the cause of lock jaw), and pertussis (the cause of Whooping cough).
This vaccine provides immunity to human papilloma virus (HPV). This virus is the number one cause of cervical cancer. It is given in a series of 3 immunizations. It should be given to females over the age of 9. Ideally it should be given prior to intercourse, however, any female between age 9 and 28 can benefit from this immunization.
Hepatitis A is a virus that causes liver disease. It is a 2 vaccine series given 6 months apart to anyone over the age of 1.
Hepatitis B is another virus that causes liver infection. It is a series of 3 vaccines. The first immunization is usually given in the hospital immediately after birth. The second is given at 2 months and the final immunization at 6 months. Any person in a career that exposes them to needle sticks should have this immunization. If it is not known if this immunization was given, a simple blood test can check for immunity.
Hib is the bacteria that most commonly causes meningitis and pneumonia in children. It is given at 2, 4, 6, and 12 months of age.
This vaccine protects the patient from multiple strands of the predicted flu virus for that year. It should be given annually around September.
Polio is a virus that used to be very common and caused an infection that often ended up in serve paralysis. Due to the use of vaccination against Polio, it is very rare but can occur if not immunized. It is given at 2 and 4 months then again between 6 and 12 months of age.
This vaccine protects against a couple different strands of meningococcal bacteria that causes meningitis. This vaccine is important for school children, military personal, students living in dorms, and other crowded living areas. It is required prior to the start of 6th grade.
This vaccine protects against three illnesses that used to be very prevalent in children. It is given at 1 and 5 years of age.
PCV is the vaccine that protects against strep pneumoniae bacteria that causes pneumonia, meningitis, and sinus infections. This vaccine is given at 2, 4, 6, and 12 months of age and in adults that are immune compromised.
Pneumonia is the leading cause of vaccine-preventable death in the U.S. Anyone over the age of 65 should have the vaccine. Anyone at high risk of getting pneumonia should have the vaccine. This includes, but is not limited to, anyone with sickle cell, HIV, cancer, kidney failure, lung disease, alcoholism, diabetes, or a suppressed immune system.
Rotavirus is a virus that causes severe diarrhea in infants. This is an oral vaccine. It is given at 2, 4, and 6 months of age.
This vaccine is given every 10 years after the Tdap. It is a booster to protect against tetanus and diphtheria. It is also given to anyone who has an open skin injury that has not had a tetanus immunization in the last 5 years.
This is a booster vaccine. It is required prior to the stat of the 6th grade.
Varicella is the virus that causes chicken pox. The immunization is given at 1 and 5 years of age.
Shingles is a very painful skin eruption that occurs from the herpes zoster virus. This is the same virus that is responsible for chicken pox. It is a reactivation of the virus for unknown reasons later in life in those who have had the chicken pox. The chance of having shingles increases with age. The vaccine is given to those at high risk or anyone over the age of 60. The vaccine reduces the chances of getting the shingles by 50%. This is a special order vaccine. Please call or come to the clinic ahead of time to set up an appointment for the shingles vaccination.
This is an injectable medication to help with allergies and allergic reactions.
This is an oral mediation used to help with blood pressure.
This is an injectable steroid most commonly used for asthma.
This is an injectable form of birth control given in the muscle every 3 months.
This is an injectable medication for respiratory distress and severe allergic reactions.
This is an oral cocktail given for upset stomach. It consists of lidocaine, mylanta, and elixir.
This is an injectable steroid given for inflammatory disorders.
This medication is given under the tongue for chest pain.
This is an injectable medication given for nausea and vomiting.
This is an injectable antibiotic for severe infections.
This is an injectable steroid for a variety of problems. It is most commonly used for allergic skin reactions and asthma.
This is an anti-inflammatory medication that is injected for pain relief.
This test is done during a pelvic exam and tests for candida species, gardnerella vaginalis, and trichomonas vaginalis (yeast and bacterial infections).
This is a blood test that is important to check for infection and anemia.
Chlamydia is a sexually transmitted disease (STD). Urine is sent to the lab to be cultured and observed for the growth of the bacteria, Chlamydia.
This is a blood test that includes blood sugar, kidney function, liver function, and electrolytes.
This is a blood test for Valley Fever.
This is a blood test to discover or monitor signs of inflammation in the body.
This is a blood test for mononeucleosis.
This test corresponds to the average blood glucose levels over the previous 90-120 days. It is a tool used in diabetes to monitor blood sugars and keep the disease process of diabetes controlled.
This is a blood test to screen for hepatitis immunity.
This is a blood test to screen for hepatitis infection.
This is a blood test to check for Hepatitis C infection.
This is a blood test to check for herpes infection.
This is a blood test to screen for HIV.
This is a test to check for Human Papilloma Virus. It is collected during the pelvic exam. HPV is the most common cause of cervical cancer.
This is a blood test to check for cholesterol. It should be performed fasting.
Microalbumin is a protein. When found in the urine, it is considered the hallmark of diabetic nephropathy (decreasing kidney function from diabetes).
The Pap smear can detect cancerous or precancerous conditions of the cervix. Most invasive cancers of the cervix can be detected early if women have Pap tests and pelvic examinations.
This is a blood test that measures a hormone from the prostate. It is used to screen for prostate cancer or to monitor for reoccurrence after treatment of prostate cancer.
This is a blood test to screen for syphilis.
This is a blood test to screen for abnormalities in the thyroid or follow thyroid function.
High levels of uric acid in the blood can cause gout. This test will help the provider determine if the cause of a joint pain is gout and treat it appropriately.
This test sends the urine to the lab to grow a specimen and determine the exact cause of an infection and what medications it will respond to.
A swab is placed in the wound and the sample is sent to the lab. The lab will grow any bacteria present and determine what medication will destroy the bacteria.
* Requires 3 business days
* Requires 3 business days