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