2565; 2021; questions (quizzes) & answers, Q&A, notes, guide lines ... ;

AAFP recommends (as of 2020) ... e.g.

- Aspirin is no longer recommended for primary care prevention;

- corticosteroid treatment for COPD exacerbations (respiratory disorder signs & symptoms increase in severity), optimal dose is NOT KNOWN yet;

- muscle relaxant treatment with ibuprofen dose is no longer recommended for acute low back pain;

acromioclavicular; e.g.

acromioclavicular (acromion + clavicle) joint dislocation, a.k.a. shoulder disorder can be cured by either conservative intervention treatment (Tx), or surgical procedure; successful Recovery after 1 year;

Acute Colonic Diverticulitis; e.g.

CT (abdomen) . high sensitivity and specificity for Dx and initial Tx; Also see: Specialties GE;

Bidirectional endoscopy; e.g.

colonoscopy and esophago gastro duodenoscopy, i.e. bidirectional endoscopy: can evaluate celiac disease (helicobacter pylori) with iron deficiency anemia; Also see: Specialties GE;

Chronic Obstructive Pulmonary Disease (COPD) e.g.

American Academy of Family Physicians (AAFP) . Guideline . short duration oral route Rx of antibiotic AND corticosteroids;

American Thoracic Society . Guideline . Long Acting Muscarinic Antagonist (LAMA) and Long Acting Beta Agonist (LABA) should be a combination chiryoyaku Therapeutic ... ;

U.S. Department of Defense (DoD) and Veterans Affairs (VA) . Guideline . mono-therapy with LAMA;

Dx SARS-CoV-2 Infection; e.g.

antigen tests, prompting AVG. sensitivity 68.9%, and perform best (rapid point of care) in symptomatic Pt;

molecular tests, prompting AVG. sensitivity 95.1%, and perform best (rapid point of care) in symptomatic Pt;

PCR (Polymerase Chain Reaction) tests, 100% traditional test, and perform best in symptomatic Pt;

Also see: (Anti Virus . COVID-19) ;

ID . HIV Infection; e.g.

intravenous Zidovudine (Retrovir) should be administered to pregnant female with HIV RNA viral load > 1000 copies / mL;
mother with HIV infection, then infant born should be taken HIV nucleic acid test;
must administer anti-retroviral post-exposure prophlyaxis (action taken to prevent disease) within 6 hours from the delivery (all infants born if mother is HIV positive);

lung cancer screening; e.g.

Pt (age > 65 year), having diseases (e.g. allergic rhinitis, gastro esophageal reflux, osteoarthritis) with smoking history, should do Tx for lung cancer screening with low dose Computed Tomography (CT);

Pain Management . acute pain . wrist; e.g.

topical NSAID is recommended;

Pain Management . chest pain; e.g.

45% of chest pain patients in ER are musculoskeletal related ones;
costochondritis (inflammation of cartilage, connecting rib to the breastbone (sternum)) presents chest pain;
if prognosis (Dx) of costochondritis is correct, then 90% of patient (Pt) are cured within 3 weeks;

Pain Management . CRPS; e.g.

Complex Regional Pain Syndrome (CRPS), inciting events, often by injury or surgery; patient (Pt) 's affected area (burning pain, skin color changes) i.e. defining CRPS characteristics;
occupational therapy and physical therapy are recommended;

Pain Management . neck pain; e.g.

if Sport Medicine, non-benzodiazepine muscle relaxant is recommended;
if Sport Medicine, Cyclooxygenase-2 inhibitor, Non-Steroidal Anti-Inflammatory Drugs (NSAID), and Oxycodone are not recommended;

pre-diabetes; e.g.

Pioglitazone is more effective than Placebo, for preventing diabetes; Thiazolidinediones (TZD) in pre-diabetes Pt (Patient); ciglitazones are a.k.a. TZD, heterocyclic compounds consisting of 5 member C3NS ring; Name: (Pioglitazone, Rosiglitazone);

Remark: if type 2 diabetes already, Actos (Pioglitazone) does not reduce incidence like Metformin;

Rheumatology (Gout: second gout flare-up Tx), recommended management Tx of the American College of Rheumatology is (Allopurinol 100 mg per day, and Colchicine low dose);

CME;

Gene Therapy System;

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