CardioVascular Services

GastroIntestinal Services

Gynecology Services

Ear, Nose & Throat Services

Respiratory Services

Dermatology Services

Laboratory Services

Injections/Immunizations

Services

Proactive Medicine for Your Tomorrow

For the past several years Dr. Castellanos has chosen to focus on office practice instead of hospital medicine. The goal of this practice is to help patients avoid needing the services of Emergency Room Medicine and Hospital Medicine.

As a Multi-Specialty Practice we provide our patients with the necessary information to proactively prevent and reverse disease and accelerated aging.

We accomplish this by focusing on several medical specialties for the evaluation and treatment of our patients.

Our areas of focus are as follows:

Cardiovascular Services

As the leading cause of death in the United States, cardiovascular disease affects many families right here in our local community. The office of Dr. Castellanos is committed to providing advanced cardiovascular care locally. We know it can make a difference when it comes to saving lives. Our comprehensive services include diagnostic testing and advanced treatment. Best of all, our heart services are provided by people you know who deliver extraordinary care.

Our Cardiovascular Services include:

Vascular Study

Doppler ultrasound is an application of diagnostic ultrasound used to detect moving blood cells or other moving structures and measure their direction and speed of movement. The Doppler effect is used to evaluate movement by measuring changes in frequency of the echoes reflected from moving structures.

In many instances, Doppler ultrasound has replaced x-ray methods such as angiography, as a method to evaluate blood vessels and blood flow. Doppler ultrasound permits real-time viewing of blood flow that cannot be obtained by other methods. Doppler ultrasound has proved a boon in all areas of ultrasound, aiding in the evaluation of the major arteries and veins of the body, the heart, and in obstetrics for fetal monitoring.

24 Hour Holter Monitor & Interruption

A Holter monitor is a machine that continuously records the heart’s rhythms. The monitor is usually worn for 24 – 48 hours during normal activity.

For more info visit: http://www.nlm.nih.gov/medlineplus/ency/article/003877.htm

Treadmill Stress Test

An exercise stress test is a screening tool used to test the effect of exercise on your heart.

For more info visit: http://www.nlm.nih.gov/medlineplus/ency/article/003878.htm

EKG & Monitoring

An electrokardiogram (ECG) is a test that records the electrical activity of the heart.

For more info visit: http://www.nlm.nih.gov/medlineplus/ency/article/003868.htm

 

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Gastrointestinal Services

Gastrointestinal (G.I.) Services specialize in the diagnosis, treatment, and care of digestive disorders affecting the esophagus, stomach, and bowels. G.I. Services also provides treatment for liver diseases, screens for certain types of cancers and if necessary, removes cancerous growths from the colon

Our G.I. Services include:

Sigmoidoscopy

Sigmoidoscopy is a procedure used to see inside the sigmoid colon and rectum.

For more info visit: http://www.nlm.nih.gov/medlineplus/ency/article/003885.htm

Colon Polypectomy

A colon polypectomy is the removal of polyps from the inside lining of the colon, also called the large intestine. A polyp is a mass of tissue. Some types of polyps can develop into cancer. Most polyps can be removed during a colonoscopy or sigmoidoscopy.

For more info visit: http://www.wkhs.com/Cancer/Cancer-Treatment-Services/Surgery/Resection/Colon-Polypectomy.aspx

Colon Biopsy

A colon biopsy is the removal and examination of tissue, cells, or fluid from the colon. If a doctor finds a growth in your colon during a colonoscopy, she’ll remove the growth (if it’s small) or a piece of it (if it’s too big to safely snip off with the colonoscope). A colon biopsy may also be conducted during abdominal surgery.

For more info visit: http://coloncancer.about.com/od/stagesandsurvivalrate1/a/colon_biopsy.htm

 

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Gynecology Services

Our services include all aspects of routine gynecologic care, with a focus on wellness and prevention. Our office diagnoses and treats such conditions as abnormal uterine bleeding, pelvic pain, premenstrual syndrome, endometriosis, fibroids, uterine growths, ovarian cysts, urinary disorders and infertility.

Our gynecology services include:

Pap Smears

The Pap smear, also called a Pap test, checks for changes in the cells of your cervix. The cervix is the lower part of the uterus (womb) that opens into the vagina (birth canal). The Pap test can tell if you have an infection, abnormal (unhealthy) cervical cells, or cervical cancer.

For more info visit: http://www.nlm.nih.gov/medlineplus/tutorials/papsmear/htm/index.htm

or to download a pdf file click: http://www.nlm.nih.gov/medlineplus/tutorials/papsmear/og029106.pdf

Colposcopy

Colposcopy (kol-POS-kuh-pee) is a procedure to closely examine your cervix, vagina and vulva for signs of disease. During colposcopy, the doctor uses a special instrument called a colposcope.

For more info visit: http://www.nlm.nih.gov/medlineplus/tutorials/colposcopy/htm/index.htm

or to download a pdf file click: http://www.nlm.nih.gov/medlineplus/tutorials/colposcopy/og069105.pdf

Cervical Biopsy

A cervical biopsy is a procedure performed to remove tissue from the cervix to test for abnormal or precancerous conditions, or cervical cancer.

For more info visit: http://www.hopkinsmedicine.org/healthlibrary/test_procedures/gynecology/cervical_biopsy_92,P07767/

Endocervical/Endometrial Biopsy

Endometrial biopsy is a procedure in which a tissue sample is taken from the lining of the uterus (endometrium), and is checked under a microscope for any abnormal cells or signs of cancer.

For more info visit: http://www.nlm.nih.gov/medlineplus/ency/article/003917.htm

 

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Ear, Nose & Throat Services

Our office performs diagnostic evaluations to determine the cause and extent of Ear, Nose and Throat (ENT) problems. In addition to common screenings (such as hearing tests), we provide other diagnostic tests that help in providing thorough evaluations.

Our ENT Services include:

Audio Test/Screening

An audio test/screening is a painless, noninvasive hearing test that measures a person’s ability to hear different sounds, pitches, or frequencies. Patients who have a tumor in or around the ear may undergo audiometry testing to determine whether hearing loss has occurred or to monitor their hearing before and after surgery. It is also used to evaluate whether hearing aids or surgery may improve one’s hearing.

For more info visit: http://www.mayfieldclinic.com/PE-hearing.htm

Rhinolaryngoscopy

Sometimes areas of the nose and throat are out of the reach of our regular exam tools. In these cases, we may employ the use of a thin, fiberoptic camera (rhinolaryngoscope) to evaluate all of your nasal cavity, throat and larynx. The goal of this procedure is to look for evidence of sinus disease, nasal polyps or enlarged adenoids.

Ear Lavage

Ear Lavage is the process of flushing the external ear canal with sterile water or sterile saline. It is used to treat patients who complain of foreign body or cerumen (ear wax) impaction. The purpose of ear lavage is to remove earwax that is obstructing the ear canal or to remove a foreign object lodged in the ear canal. Ear lavage is most commonly performed on those who experience a wax buildup that has impaired hearing and irritated the outer ear canal.

 

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Respiratory Services

We serve patients of all ages and meet the patient’s care needs by providing diagnostic evaluation, therapy and education to the patient, family, and the public.

Our respiratory services include:

Spirometry

Spirometry (spi-ROM-uh-tree) is a common office test used to diagnose asthma, chronic obstructive pulmonary disease (COPD) and certain other conditions that affect breathing. Spirometry may also be used periodically to check how well your lungs are working once you’re being treated for a chronic lung condition.

Spirometry measures how much air you can inhale and exhale. Spirometry also measures how fast you can exhale. Spirometry values below average indicate your lungs aren’t working as well as they should.

For more info visit: http://www.mayoclinic.com/health/spirometry/MY00413/METHOD=print

Pulse Oximetry

Pulse oximetry is a way to measure how much oxygen your blood is carrying. By using a small device called a pulse oximeter, your blood oxygen level can be checked without needing to be stuck with a needle. The blood oxygen level measured with an oximeter is called your oxygen saturation level (abbreviated O2sat or SaO2). This is a percentage of how much oxygen your blood is carrying compared to the maximum it is capable of carrying. Normally, more than 89% of your red blood should be carrying oxygen.

http://patients.thoracic.org/information-series/en/resources/ats-patient-ed-pulse-oximetry.pdf

 

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Dermatology Services

A complex organ composed of millions of cells, your skin serves as the first line of defense agains infection, environmental factors and more. Our office offers comprehensive care for people of all ages.

Our dermatology services include:

CO2 Laser

Laser surgery uses laser light to remove diseased tissues or treat bleeding blood vessels. Laser surgery may also be used to remove wrinkles, sunspots, tattoos, or birthmarks.

Skin Biopsy

In a biopsy, a doctor or surgeon takes a sample of a lump, a sore, or tissue from a person’s body so experts can examine it and find out exactly what it is. In a skin biopsy, the doctor removes a tiny piece or all of the area that’s affected. This skin tissue is then treated with a special chemical to preserve the sample and sent to a lab, where an expert will examine it under a microscope to determine what it is. Once that is known, your doctor can provide the right treatment for you.

Botox

Botox is a drug made from a toxin produced by the bacterium Clostridium botulinum. It’s the same toxin that causes a life-threatening type of food poisoning called botulism. Doctors use it in small doses to treat health problems, including

  • Temporary removal of facial wrinkles
  • Severe underarm sweating
  • Cervical dystonia – a neurological disorder that causes severe neck and shoulder muscle contractions
  • Blepharospasm – uncontrollable blinking
  • Strabismus – misaligned eyes

For more info visit: http://www.nlm.nih.gov/medlineplus/botox.html

PCA SkinCare Products

Our office offers various products for skin care from the PCA SkinCare line. Visit http://www.pcaskin.com for more info.

 

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Laboratory Services

Should Dr. Castellanos need to order laboratory tests, we can collect your certain specimens’ right in our office laboratory. Some tests are run in-house but the majority are sent to a reference laboratory. A list of our laboratory services include:

  • Venipuncture
  • Finger Stick
  • Urinalysis
  • Quick Strep
  • Lipid Panel
  • Glucose
  • Glycosylated Hemoglobin A1c
  • Pregnancy Test (urine)
  • Pregnancy Test (serum)
  • Occult Blood Test
  • TB Test

 

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Injections/Immunizations

*Our office routinely offers the seasonal flu vaccine. For a complete list of recommended childhood, adolescent, catch-up, and adult immunization schedules please visit www.aafp.org/immunization

Our injection services include:

  • B12
  • Depotestosterone
  • Depo Injections
  • Trigger Point Injections
  • S&I Joint Injections
  • Flu Vaccine

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