Thursday, March 31, 2022
Thursday, March 24, 2022
Wednesday, March 16, 2022
Q: What's the conversion ratio of Metoprolol to Carvedilol?
Answer: About 4:1
Cohen-Solal A, Jacobson AF, Piña IL. Beta blocker dose and markers of sympathetic activation in heart failure patients: interrelationships and prognostic significance. ESC Heart Fail. 2017 Nov;4(4):499-506. doi: 10.1002/ehf2.12153. Epub 2017 Apr 19. PMID: 29154422; PMCID: PMC5695165.
Tuesday, March 15, 2022
Monday, March 14, 2022
Sunday, March 13, 2022
Q: What are the 5 Ds in Medicine?
Answer: At all levels of medical care and preventions (primary, secondary, and tertiary), in general physicians strive to prevent 5 Ds:
Primary prevention: to keep the disease from occurring at all.
Secondary prevention: to detect disease early at the asymptomatic stage and prevent it from progressing.
Tertiary prevention: to prevent further deterioration and complications.
1. Prevention. In: Clinical Epidemiology: The Essentials, 6th ed, Fletcher G (Ed), Lippincott Williams and Wilkins 2020.
2. Grant S Fletcher, Evidence-based approach to prevention: UpTodate: Last updated: Feb 17, 2022. Link: https://www.uptodate.com/contents/evidence-based-approach-to-prevention
Saturday, March 12, 2022
Friday, March 11, 2022
Q: 78 years old male with metastatic esophageal cancer is admitted to ICU with urosepsis. The patient is on a chronic transdermal fentanyl patch from home and requested to continue it.
Fever will __________ the systemic absorption? (select one)
Answer: ATransdermal fentanyl has some weak evidence to show reduced risk of constipation over other narcotics i.e., morphine patch. Also, it does not produce active metabolites.
Thursday, March 10, 2022
- dura mater
- arachnoid mater
- pia mater
Tuesday, March 8, 2022
Monday, March 7, 2022
Sunday, March 6, 2022
Saturday, March 5, 2022
Friday, March 4, 2022
Thursday, March 3, 2022
Q: 22 years old female is admitted to ICU with exacerbation of asthma. Pulmonologist wrote the diagnosis of Samter's triad. What is Samter's triad?
Answer: Although aspirin sensitivity for asthma patients is known for more than a century, five decades ago Samter and Beers added another component to it which came to known as Samter's triad. There is a renewed interest in this triad. Please see references # 2 and 3.
- aspirin sensitivity
- nasal polyps