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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Anti-epileptic drugs (AEDs) & Rifampicin ➡️ Reduce ↓ warfarin effect
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Family Medicine notes
What can you see? DDx?
Here is a lot of lesions to comment on, however, I meant to refer to hypopyon sign
DDx:
Pemphigus vulgaris
Bullous impetigo
DDx:
Pemphigus vulgaris
Bullous impetigo
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Females with recurrent post-coital cystitis (UTI) should have Single dose Abx immediately after intercourse:
💊 Nitrofurantoin 100 mg (also preferred in penicillin allergy)
💊 TMP-SMX 80mg/400 mg
💊 Cephalexin 250 mg
💊 Nitrofurantoin 100 mg (also preferred in penicillin allergy)
💊 TMP-SMX 80mg/400 mg
💊 Cephalexin 250 mg
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