Family Medicine notes

Side effects of α blockers

🆕 😍 FDA approved Tirzepatide (Zepbound©) “a.k.a Mounjaro” for obesity treatment even without DM.

🚬🚭 Smoking cessation pharmacotherapy with compelling conditions: • 🤰 Pregnant → ✅ NRT • 😞 Depression → ✅ Bupropion • 🫁 COPD → ✅ Bupropion • 🫀 CAD (🚫 NOT in ACS) → ✅ Bupropion, ❌ NRT • 🧠 Seizure or eating disorder → ✅ NRT, ✅ varenicline, ❌ Bupropion

🚬🚭 Smoking cessation pharmacotherapy with compelling conditions: • 🤰 Pregnant→ ✅ NRT • 😞 Depression → ✅ Bupropion • 🫁 COPD → ✅ Bupropion • 🫀 CAD (🚫 NOT in ACS) → ✅ Bupropion, ❌ NRT • 🧠 Seizure or eating disorder → ✅ NRT, ✅ varenicline, ❌ Bupropion

Paradise criteria for tonsillectomy peds/adolescents 7 strep throat ➡️ 1y 5 strep throat ➡️ 2 consecutive years 3 strep throat ➡️ 3 consecutive years

The Stages of Iron Deficiency: Iron depletion = normal hemoglobin and MCV! Iron-restricted erythropoiesis = MVC starts going down but hemoglobin normal. Iron deficiency anemia = MCV and hemoglobin go down © @AaronGoodman33 on X (twitter)

🚨 NORMAL forehead wrinkles = DANGEROUS!!! 🆘

UMNL (stroke) 🆚 LMNL (Facial/Bell’s palsy)

🙅🏻‍♂️ Avoid triptans (due to ↑ BP risk) in: • Familial hemiplegic migraine • Basilar migraine • Ischemic stroke • CAD, Prinzmetal’s angina, uncontrolled HTN • Pregnancy (relative contraindication)

📝 The new DSM-5-TR (2022) have added a new diagnosis “Prolonged Grief disorder” you can read about it

Bereavement 🆚 complicated bereavement 🆚 MDD

Surgery hx → abdominal pain, constipation, bilious vomiting, hyperactive bowel sounds Intestinal obstruction (SBO)

🔪😫❌💩🤮 🩺 🔊💨

Let’s play #Emojical_game 😃, where I put emojies & you try to guess the medical condition

What is this sign? What is the most likely diagnosis?