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Pebble Spot

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  • December 14, 2022

    OpenAthens Library Resources

    Links and information about Navy Medicine OpenAthens Library access.

  • December 13, 2022

    Punch Biopsy

    Consent form, equipment list, and procedure note for punch biopsy.

  • August 20, 2022

    Keratosis Pilaris

    Keratosis pilaris is a very common harmless skin condition appearing as small, whitish bumps on the upper arms and thighs, especially of children and young adults. Individual lesions of keratosis pilaris begin when a hair follicle becomes plugged with keratin, a protein found in skin, hair, and nails. Who’s At Risk Keratosis pilaris can affect…

  • August 18, 2022

    Misoprostol Only Protocol for Management of Early Pregnancy Loss

    This protocol was useful when stationed in Sasebo, Japan, for managing missed abortions. The Japanese clinics did not have access to these medications and could only offer mechanical evacuation. Our clinic only had access to misoprostol (not mifepristone). Before you start this, it’s critical to know your backup plan in case of serious bleeding. Credit…

  • August 3, 2022

    Considering the loss of abortion protection for our sailors, marines, and their spouses

    Background articles and links to information and resources that may be helpful for physicians navigating these new murky waters.

  • August 2, 2022

    Clomiphene (Clomid) to Induce Ovulation

    Adapted (partially verbatim) from LexiComp. How to take it: 50 mg once daily for 5 days. Begin on or about the fifth day of cycle if progestin-induced bleeding is scheduled or spontaneous uterine bleeding occurs prior to therapy. Therapy may be initiated at anytime in patients with no recent uterine bleeding. Contraindications Hypersensitivity to clomiphene…

  • August 1, 2022

    Picky Eating

    Adapted (partially verbatim) from Am Fam Physician. 2015 Aug 15;92(4):274-278. Kids don’t need as much food as you think! One way children start to show their independence is by choosing what they want to eat. You should make meal times as pleasant as possible. The amount of calories and nutrition a child needs is less…

  • July 31, 2022

    How to update Outlook Address Information

    The steps below allow you to update the contact information shown when people find you in the Global Address List (GAL) in Outlook. Go to https://idco.dmdc.osd.mil/idco/. Select your PIV (Authentication) cert to get into ID Card Office Online. Select “My Profile.” Log in (again) using your CAC. Update your “My Profile,” first to verify your…

  • July 17, 2022

    Thumb Sucking Parent Information

    Parent information about managing their children’s thumb sucking.

  • April 28, 2022

    Penile Adhesions in Male Children

    Parent information about the different types of penile adhesions.

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