Medicine-Pediatric Services

Office Procedures Performed by the Physician and Nurses by the Medicine-Pediatrics Department:

The procedures performed in this department are the same as those provided in the Internal Medicine Department and the Pediatrics Department.

Office Procedures Performed by the Physician, Nurse Practitioner and Physician Assistants of the Internal Medicine Department Include:

Physical Examination: involves a thorough history and physical examination of the patient to determine to presence or absence of physical problems. Includes wellness counseling. Monitoring Laboratory tests.Weekly/Monthly Injections

• Allergy

• Vitamin B-12

Diagnosis and management of acute and chronic diseases.

Blood pressure evaluation.

Gynecological Examination: involves a thorough examination of the breast and female genitourinary system. Usually includes a pap smear of the cervix.

Review of various ancillary procedures:

• Dexa Scan - a simple procedure used to measure bone density. Bone density is very important in identifying people at risk of bone injury and osteoporosis.

• X-rays - a procedure used to diagnose illness or injury which involves using small amounts of electromagnetic waves.

• CAT Scan (Computerized axial tomography) - use of a computer to produce from x-ray data, a cross-sectional view of the anatomical part being investigated.

• MRI Scan (Magnetic resonance imaging) - a type of diagnostic radiography using electromagnetic energy. This technique is valuable in providing soft tissue images of the central nervous and musculo-skeletal systems.

• Ultrasound procedure - uses ultrasound to produce an image or photograph of an organ or tissue for diagnostic and therapeutic purposes.

• Mammography - x-ray examination of the breast.

Sigmoidoscopy: a small, soft bendable tube is inserted into the anus to examine the lining of the rectum and lower colon (bowel).

Skin Tag Removal: the skin tag is lifted with tweezers and the provider usually uses scissors to cut the flap away from the surrounding skin. The provider may also use a small cautery device to remove the skin tag.

Electrocardiogram (ECG or EKG): a record of the electrical activity of the heart. It is used to diagnose cases of abnormal heart rhythm and heart muscle damage.

Pulse Oximetry: a pulse oximeter measures the amount of oxygen in the blood without use of needles. It is placed on the patient's finger.

Removal of impacted cerumen: dried cerumen (ear wax) can become pressed together so tightly that it cannot be removed easily. A provider can remove impacted cerumen by using special instruments and/or an ear flushing procedure.

Services Performed by the Internal Medicine Nursing Staff:

• Interviewing and collecting data
• Nursing advice and teaching.
• Weight, height and blood pressure check.
• Dressing change, ear flushes, bladder catheterizations, etc.
• Diabetes Education - provides education on the treatment and management of diabetes, including training the patient on how to monitor their own blood sugar levels, insulin shots, diet and meal planning and exercise therapy.
• Allergy Shots.
• Vitamin B-12 shots.
• Protime/INR laboratory testing.
• Administration of various medications and immunizations.
• Comfort patients.

Office Procedures Performed by the Physician, Nurse Practitioner of the Pediatric Department Include:

Well child examinations - involves a thorough history and physical examination of the patient to determine the presence or absence of emotional, physical and developmental problems. Includes wellness counseling.

Monitoring laboratory tests which include:

• Screening blood test for anemia.
• Screening urine for a variety of substances ie; blood, bacteria, sugar, protein, etc.
• Screening blood test for lead poisoning.

Review of various ancillary procedures:

• X-rays - imaging used to diagnose illness or injury which involves using small amounts of electromagnetic waves.
• CAT Scan (Computerized axial tomography) - use of a computerized x-ray to produce a cross-sectional view of the anatomical part being investigated.
• MRI Scan (Magnetic resonance imaging) - a diagnostic radiography using electromagnetic energy. This technique is valuable in providing soft tissue images of the central nervous and musculoskeletal systems.
• Ultrasound procedure - uses sound waves to produce an image or photograph of an organ or tissue for diagnostic and therapeutic purposes.

Diagnosis and management of acute and chronic diseases.

Gynecological Examination: involves a thorough examination of the breast and female genitourinary system.

Audiometric Screening: involves the use of an audiometer to test the ability of a human ear to detect sounds over a range of frequencies.

Bladder Catheterizations: a small flexible tube is inserted through the urethra (tube leading to the bladder) to collect urine from the bladder. This procedure is used to assist patients who cannot urinate on their own and to obtain a urine specimen without urethral contamination.

Treatment of dislocated elbow: involves manipulating the bones back into the proper alignment.

Inhalation Treatment: the patient receives medication by breathing in the medication. A machine called a nebulae breaks up liquid medication into a fine cloud-like mist that the patient inhales.

Removal of foreign objects: the provider removes objects from a patient's nose, eyes, external ear canal, feet, etc. These procedures typically occur in the office and without anesthesia.

Removal of impacted cerumen: cerumen (ear wax) can become pressed together so tightly that it cannot be removed easily. A provider can remove impacted cerumen using special instruments and/or an ear flushing procedure.

Suturing and suture removal: a physician may choose to repair a simple wound by sewing the wound edges with sterile thread in the office or in the emergency room. Most patients come to the office to have sutures removed after the wound has healed.

Wart removal: Depending on the type and location of the wart, a provider may use a variety of methods to remove it. Applying chemicals to the wart, freezing the wart with liquid nitrogen, burning it off with electricity, numbing the skin and scraping the wart off represent some of the most common wart removal techniques.

Services Performed by the Pediatric Nursing Staff:

• Interviews and collecting data.
• Pediatric advice and teaching.
• Weight, height, and blood pressure check.
• Administration of immunizations.
• Administration of medications
• Allergy Shots
• Dressing changes, ear washes, throat cultures, bladder catheterizations, etc.
• Comfort patients.