Patients with BPPV may recover more quickly using the Semont-plus maneuver rather than the Epley maneuver.
© JAMA Neurol. 2023;80(8):798-804.
© JAMA Neurol. 2023;80(8):798-804.
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👨🏻⚕️A real case from the clinic
70-year-old male with chronic hx of DM, HTN, Dyslipidemia, RA, BPH on treatment
He presented to the clinic with generalized fatigue.
Labs:
Hb 12, normocytic normochromic
Normal WBC & PLT
Na 142, K 4.2, Ca 11.2, Albumin normal
eGFR 55 (over one year)
no HbA1C or UACR
What do you think?
What would you order?
70-year-old male with chronic hx of DM, HTN, Dyslipidemia, RA, BPH on treatment
He presented to the clinic with generalized fatigue.
Labs:
Hb 12, normocytic normochromic
Normal WBC & PLT
Na 142, K 4.2, Ca 11.2, Albumin normal
eGFR 55 (over one year)
no HbA1C or UACR
What do you think?
What would you order?
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4T score for suspected heparin-induced thrombocytopenia (HIT)
4 or more → ✋🛑 D/C heparin
4 or more → ✋🛑 D/C heparin
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IMG_1106.JPG
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🔷 Colon polyps and the colon cancer (CRC) screening and surveillance:
🔸 Adenomatous (pre-malignant): Tubular (M.C), tubulovillous or villous
🔸 Hyperplastic (benign)
🔸 Serrated (pre-malignant)
Histopath:
📝 Sessile serrated polyps (SSPs) are the most common premalignant SP subtype
📝 Hyperplastic almost means normal/benign .. while adenomatous needs further assessment based on the approach above 👆🏻
🔸 Adenomatous (pre-malignant): Tubular (M.C), tubulovillous or villous
🔸 Hyperplastic (benign)
🔸 Serrated (pre-malignant)
Histopath:
• Serrated / Villous → ↑ risk of cancer 📝 Sessile serrated polyps (SSPs) are the most common premalignant SP subtype
📝 Hyperplastic almost means normal/benign .. while adenomatous needs further assessment based on the approach above 👆🏻
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Family Medicine notes pinned «All musculoskeletal (MSK) X-ray 👆🏻 © @TheRadiologistPage on twitter»
IMG_1382.PNG
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Contraception and anti-seizure meds (AEDs)
IMG_1383.PNG
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🤰Pregnancy and anti-seizure meds (AEDs)
© Can Pharm J (Ott). 2020 Sep 27;153(6):357-360.
#️⃣ Contraception - Contraceptives - OCP - Women health - Neurology - Neuro
© Can Pharm J (Ott). 2020 Sep 27;153(6):357-360.
#️⃣ Contraception - Contraceptives - OCP - Women health - Neurology - Neuro
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🔷 When to refer DM patient to a nephrologist?
• eGFR <30 • Urine Alb/Cr ratio >300 mg/d (nephrotic range albuminuria) • Rapid decline ↓ in eGFR >3 mL/min/1.73 m2 per year • Inflammatory kidney disease (eg, hematuria and/or sterile pyuria) • If the cause of the kidney disease is unclear • Difficult-to-manage complications of CKD (eg, HYPERkalemia, anemia)❤9👍7
🆕🙅🏻♂️ No link between PPI use & dementia or cognitive decline
post hoc analysis of [ASPREE study], including 18,934 community-based adults ≥65
© Gastroenterology 2023;165:564–572
post hoc analysis of [ASPREE study], including 18,934 community-based adults ≥65
© Gastroenterology 2023;165:564–572
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