DrVirgo
Forum Hero
Topics: 1042
Posts: 3,343
|
This is a good thread and I would like to add to it as well...
To the Moderators, or admin, can this thread be pinned under IM Collective work?
Thanks.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| dr_arc
Forum Senior
Topics: 5
Posts: 156
|
dr in trouble, dr fischer is the best, but uworld is usually more up to date. also i think you should check out the context in which uworld mentioned this. was it simply listing the treatment options as interferon and lamuvidine or did it imply concurrent use of both. please let us know.
|
| DrVirgo
Forum Hero
Topics: 1042
Posts: 3,343
|
Yes, Fischer did mention this:
Hep B: IFN OR Lamivudine
Hep C: IFN AND Ribavirin.
(not sure about the UW Question -didn't get that one yet)
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| young_doc
Forum Guru
Topics: 55
Posts: 732
|
dr in trouble wrote:
in UW they mentioned that for Hep B Rx is IF and lamivudine but acc to DR. Fischer it is IF or lamivudine---what u think?
and...not or. UW is right.
___________________
First Aid is my Bible...
|
| dr_arc
Forum Senior
Topics: 5
Posts: 156
|
hey. just solved a uworld question abt chronic hep B. the explanation clearly mentions it is lamuvidine OR interferon for hep B.it also states that these are of use only when the ALT is elevated. also lamuvidine is better bcos of oral adm. and interferons are less effective in children and IC pts.
so finally it is as dr fischer says.
hep B= lamuvidine OR interferon.
|
| DrVirgo
Forum Hero
Topics: 1042
Posts: 3,343
|
dr in trouble wrote:
in UW they mentioned that for Hep B Rx is IF and lamivudine but acc to DR. Fischer it is IF or lamivudine---what u think?
Yes, UW states that the 2 approved drugs for Hep B are Interferon and Lamivudine.
And EITHER ONE can be used for Chronic Hep B. (Remember that an ALT level of 2X upper limit is required to start these drugs... less than that and it's not useful)...
As for Chronic Hep C:
IFN AND Ribavirin
And another thing to add: IFN is contraindicated in Psych patients... if given a choice, pick Lamivudine.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| gr8doc
Forum Senior
Topics: 8
Posts: 210
|
sunny2 wrote:
Pituitary tumor less then 10 mm is Microadenoma - and microprolactinoma is a prolactin secreting microadenoma - treatment - Cabergoline
Cabergoline is second line only if Bromocriptine fails.
|
| DrVirgo
Forum Hero
Topics: 1042
Posts: 3,343
|
-Getting back to topic:
Rheumatology:
Joint Aspiration –Look for WBC Count
-- <2000/cc = Non-Inflam –DJD or OA
-- 5,000 – 50,000 = Inflam. – RA, Gout, Pseudogout
-- >75,000 = Septic –Gonococcal arthritis
Chronic Gout: do a 24-hr Uric Acid Level:
--If >800 = OverProducer –Tr: AlloPurinol
--If <800 = UnderExcreter –Tr: ProbenEcid
(Colchicine for Acute)
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| gr8doc
Forum Senior
Topics: 8
Posts: 210
|
study_ing wrote:
1. Mini Mental Status Exam score; less than 24 (outta 30) is suggestive of dementia
2.renal stones--6mm ( smaller --expectant, larger--do something!!)
3. abdominal aortic aneurysm 5.5cm or more..risk of repair outweighed by risk of rupture ( reference..ACS ..American college of surgeons)
First of all, my heartiest congratulations for starting this invaluable thread.
Now I have a little correction to be made. You mentioned about the abdominal aortic aneurysm. The wordingsa are different. the risk of watchful waiting far outweighs ( imminent rupture ) the risk of surgery after 5.5 / 6 cm so one should get operated.
I THINK IT WAS JUST A LITTLE MIX UP OF WORDS ON YOUR PART. If you feel that you are right, let me know so that I can still dig in a little more.
|
| DrVirgo
Forum Hero
Topics: 1042
Posts: 3,343
|
*LDH (E) <200
*LDH (E/S) <0.6
*PROTEIN (E/S) <0.5
ALL 3 criteria MUST be fulfilled à it is Transudative Effusion.
If 1criterion is not met à Exudative Effusion.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| DrVirgo
Forum Hero
Topics: 1042
Posts: 3,343
|
study_ing wrote:
2.renal stones--6mm ( smaller --expectant, larger--do something!!)
Renal Stones < 5mm should spontaneously pass
Shockwave Lithotripsy can be used for stones <2cm
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| gr8doc
Forum Senior
Topics: 8
Posts: 210
|
DrVirgo wrote:
Renal Stones < 5mm should spontaneously pass
Shockwave Lithotripsy can be used for stones <2cm
The accepted dimension for renal stones is 7mm. if less than that, expect it to pass, if more than that, definite intervention.
|
| RitaM
Forum Newbie
Topics: 1
Posts: 61
|
MMSE score less than 24 mild dementia.
MMSE score between 10-15 moderate dementia
MMSE score less than 10 severe dementia.
Mild dementia treatable with antidementia drugs like galantamine.
Moderate slightly treatable.
Severe Dementia not treatable.
Better indicator of Alzheimer s is Clock drawing for visuaspatial ability
|
| dr_puma
Forum Junior
Topics: 3
Posts: 49
|
no role of combo in HBV ....only in HCV we use combo of inf and ribavarin
harrison says so!
|
|
| |
| | | | | | | | | | | | | | |
