Family Medicine notes

ANSWER: ✅ Pityriasis rosea (P.rosea) On the basis of the finding of a “herald” patch in the patient’s midaxillary line on the left side, a diagnosis of pityriasis rosea was made. Pityriasis rosea is a self-limiting disorder that typically affects children, adolescents, and young adults. The cause of pityriasis rosea remains unclear. It may be related to viral reactivation of human herpes virus 6 or 7. © NEJM image challenge

A previously healthy 42-year-old man presented with a 20-day history of an expanding, asymptomatic rash on his trunk. The initial lesion had been a red spot on the patient’s left side. 10 days after that spot had first appeared, smaller lesions had developed elsewhere. The patient reported no viral prodrome. The skin examination — including the initial lesion that had appeared — is shown. What is the diagnosis?

🆕 Hypothyroidism doi: 10.1001/jama.2025.13559

Treatable Traits in Asthma and COPD 🔗 https://www.archbronconeumol.org/es-treatable-traits-in-asthma-copd-articulo-S0300289621002064

How prokinetics work in the GI tract ⏩💡 #4KMedEd 📸: https://onlinelibrary.wiley.com/doi/10.1111/nmo.14774 H/T @drkeithsiau on 𝕏

دورة تكنولوجيا السكري 2025 ‏✨تعرف على: ‏🔺أحدث أنظمة مراقبة الجلوكوز المستمرة ومضخات الإنسولين. ‏🔺تعلم كيفية تحليل بيانات AGP بثقة وتحليل تقارير مضخات الإنسولين. ‏🔺تعلم أنماط هبوط وارتفاع السكر والمنحنيات ودلالاتها. ‏🔺ستتمكن من تطبيق أهداف الوقت في النطاق (TIR). ‏🔺أمثلة لحالات حقيقية وكيفية التعامل معها. ‏🔺فرصة للتفاعل في جلسة أسئلة وأجوبة مع خبراء تكنولوجيا السكري. ‏📅التاريخ: 2025/07/29 ‏📍يوم الأربعاء ‏⏰ ⁦ 8:00 ⁩ - ⁦ 10:30 ⁩ مساءً ‏📲 أونلاين وستكون مسجلة ومتاحة بالموقع ‏✅يوجد شهادة حضور ‏للتسجيل عبر الرابط: خصم 20% عند إدخال كود *AB* https://vistamed.osarh.pro/lesson/4/tech Ad

✅ Flushing 🥵 (S/E of Amlodipine)

👨🏻‍⚕️A real case from the clinic (with changes) A 47-year-old male with chronic history of DM, HTN & DLP Medications: - Metformin XR 750 mg OD - Dapagliflozin 10 mg OD - Gliclazide 30 mg OD - Valsartan 160 mg OD - Amlodipine 10 mg OD - Bisoprolol 5 mg OD - Rosuvastatin 20 mg OD - Fenofibrate 145 mg OD C/O few weeks hx of on/off feeling of hotness in his face so he expose it to cold water to be relieved What do you think that is? And What is the most likely cause? (write your answers below👇🏻)

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Subclinical hypothyroidism © UWorld Regarding our case, we have many reasons to initiate replacement therapy (age + TSH range is moderately high + symptoms + TPO-Abs)

Follow-up Not diagnosed previously with hypothyroidism Not on any meds or supplement Hx: unspecified symptoms (fatigue, Obesity, anxiety, insomnia, constipation) FHx: 3 family members of hypothyroidism (1st degree relatives) These labs are not the first time TSH is always high like this What would you do next?

Not diagnosed previously with hypothyroidism Not on any meds or supplement Hx: unspecified symptoms (fatigue, Obesity, anxiety, insomnia, constipation) FHx: 3 family members of hypothyroidism (1st degree relatives) These labs are not the first time TSH is always high like this What would you do next?

👨🏻‍⚕️A real case from the clinic 30-year-old male with chronic Obesity (BMI 31). He has done random labs and it shows the following: Labs: • TSH 7.3 • Free T4 = 0.75 ng/dl [N 0.70 – 1.48] • Free T3 = 3.04 pg/ml [N 1.88 – 3.18] • HbA1C & lipid profile (normal) What is this condition? How would you manage it? (based on your questions, I will post more information)

Obesity is NOT only about BMI!