Family Medicine notes
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🆓 Educational notes to medical students, interns, family physicians & any health-care worker who is interested in helping patients efficiently
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A previously healthy 42-year-old man presented with a 20-day history of an expanding, asymptomatic rash on his trunk. The initial lesion had been a red spot on the patient’s left side. 10 days after that spot had first appeared, smaller lesions had developed elsewhere. The patient reported no viral prodrome. The skin examination — including the initial lesion that had appeared — is shown. What is the diagnosis?
Family Medicine notes
A previously healthy 42-year-old man presented with a 20-day history of an expanding, asymptomatic rash on his trunk. The initial lesion had been a red spot on the patient’s left side. 10 days after that spot had first appeared, smaller lesions had developed…
ANSWER: Pityriasis rosea (P.rosea)

On the basis of the finding of a “herald” patch in the patient’s midaxillary line on the left side, a diagnosis of pityriasis rosea was made. Pityriasis rosea is a self-limiting disorder that typically affects children, adolescents, and young adults. The cause of pityriasis rosea remains unclear. It may be related to viral reactivation of human herpes virus 6 or 7.

© NEJM image challenge
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2026_acc_aha_aacvpr_abc_acpm_ada_ags_apha_aspc_nla_pcna_guideline.pdf
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🆕 2026 ACC/AHA Guideline on the Management of Dyslipidemia (DLP)
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Primary Prevention in Adults 30-79

🤯 You could start STATIN if PREVENT score is as low as 3 !!!

📌 LDL of 160 could justify starting of Tx!

🆕 2026 Dyslipidemia (DLP) AHA/ACC guideline
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Managing dyslipidemia (DLP) in patients with diabetes (DM)

📌 Not only those above 40, but as low as 20-year-old if has risk enhancers!

🆕 2026 Dyslipidemia (DLP) AHA/ACC guideline
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Causes and management of Hypertriglyceridemia (↑ TG)

📌 Still you need to focus on ASCVD reduction as a priority especially for non-severe hyperTG

🆕 2026 Dyslipidemia (DLP) AHA/ACC guideline
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Lipoprotein (ApoB) Goals for ASCVD Risk Reduction

🆕 2026 Dyslipidemia (DLP) AHA/ACC guideline
#️⃣ Apo-B
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🆕 FDA approves

💉Insulin Icodec (Awiqli®)

once-weekly basal insulin treatment for adults with type 2 diabetes (T2DM)
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saudi_consensus_statements_on_the_management_of.189.pdf
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🆕🇸🇦 Saudi consensus statements on the management of irritable bowel syndrome (IBS)
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