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Primary Care

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HPV vaccination for adults 27 to 45yrs

Neuros Medical Verified User October 6, 2018 Primary Care Comments Off 4694 views

FDA has recently approved the HPV vaccine (Gardasil 9) for adults, both men and women, aged 27 to 45 yrs. Dr Marks who is the director of FDA states that the vaccine has the potential to prevent more than 90% cases of cancers caused every year from the virus. CDC statistics report 14 million americans are affected every year; of which 12,000 are diagnosed and 4000 die from cervical cancer. The effectiveness of Gardasil was studied by a study of approximately ...

Acromegaly

Neuros Medical Verified User October 1, 2018 Primary Care Comments Off 3351 views

Definition: It is a Hormonal Disorder that develops due to hypersecretion of GH in adulthood, after the epiphyseal closure of bones, which cause an increase in size (girth) of bones, including that of face, hands and feet Incidence: Annual incidence= 3-4cases/million population Prevalence= 60-70 cases/million population Male=female Mean age of presentation Males-42yrs, Females-44yrs Pathogenesis: There are several reasons for overproduction of GH. ...

Using POC BNP to rule out Heart failure

Neuros Medical Verified User September 28, 2018 Primary Care Comments Off 2328 views

A meta analysis was recently done to assess the diagnostic accuracy of POC BNP testing in patients with chronic heart failure, especially in an ambulatory setting. This was against any relevant standard of care interventions like ECHO, clinical examination or combination of both. At thresholds of >100 pg/ml the sensitivity of BNP was 0.95. At levels <100, it ranged from 0.46 to 0.97 and specificity of 0.31 to 0.98. So ...

High Dose PPI + Aspirin in Barrett’s Esophagus

Wiz MD Verified User September 26, 2018 Primary Care Comments Off 1555 views

Esophageal carcinoma is the 6th most common cause of cancer with Barrett’s esophagus contributing to be the biggest risk factor. A randomized trial performed studied role of high-dose PPI and aspirin for improving outcomes in patients with Barrett’s esophagus. Patients with 1 cm or more of Barrett’s esophagus at 84 different centers in UK and Canada were randomized 1:1:1:1 using a computerized schedule to receive high-dose ( 40 mg ...

Glascow Coma Scale

Neuros Medical Verified User September 24, 2018 Primary Care Comments Off 4784 views

Glascow Coma scale is a neurological scale which aims to give a reliable and objective way of assessing the level of consciousness of a person

APGAR score

Neuros Medical Verified User September 24, 2018 Primary Care Comments Off 3061 views

APGAR score stands for Appearance, Pulse, Grimace, Activity and Respiration. An APGAR score of <7 at 5 mins requires repeated scoring every 5 mins for upto 20 mins to check for improvement.

Step up management of Asthma

Neuros Medical Verified User September 22, 2018 Primary Care Comments Off 4847 views

Common causes of Chronic abdominal pain

Wiz MD Verified User August 27, 2018 Primary Care Comments Off 1367 views

In adults the common cause of chronic abdominal pain: Carcinoma In children, the common cause of chronic abdominal pan: Irritable bowel syndrome References: 1. Chronic Abdominal pain in children. Pediatrics 2005;115;812 2. Chronic Abdominal pain. Kapural 2015. ISBN: 9781-4939-1991-8

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