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A two year-old girl is diagnosed with a first case of otitis media.
Which of the following is the best treatment for this patient?Anonymous voting
- Trimethoprim-sulfamethoxazole
- Azithromycin
- Linezolid
- High-dose amoxicillin
👍 1
تفريغ أدوية السكر د طارق المقطري
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إيه الفرق بين
Ezetimibe 🆚 Statins?
🔬 Mechanism of Action:
* Ezetimibe: Acts as a cholesterol absorption inhibitor, specifically targeting Niemann-Pick C1 Like 1 (NPC1L1) protein in the small intestine.
This reduces dietary cholesterol uptake.
* Statins: Function as HMG-CoA reductase inhibitors, acting within the liver to decrease cholesterol synthesis.
📉 LDL-C Reduction:
* Ezetimibe: Provides a modest reduction of LDL-C (low-density lipoprotein cholesterol) by 15-22%.
* Statins: Offer a more potent effect, lowering LDL-C by 30-50%.
⚕️ Clinical Use:
* Ezetimibe: May be used as monotherapy for mild hypercholesterolemia or in combination therapy with statins for patients requiring a more aggressive LDL-C reduction strategy.
* Statins: Represent the first-line treatment for lowering LDL-C due to their efficacy.
💊 Side Effect Profile:
* Ezetimibe: Generally well-tolerated with minimal adverse effects reported.
* Statins: May be associated with muscle aches, fatigue, and, in rare cases, liver dysfunction.
🤔 Considerations for Selection:
* Individual risk factors for cardiovascular disease.
* Baseline LDL-C levels.
* Patient tolerability to medications.
🔚 Conclusion:
Both ezetimibe and statins play a role in managing cholesterol levels. Statins offer a more robust LDL-C reduction, making them the preferred initial therapy.
Ezetimibe serves as a valuable tool for patients with statin intolerance or those requiring additional LDL-C lowering alongside a statin regimen.
The optimal choice depends on individual patient characteristics and should be determined in consultation with a physician.
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Pyridostigmine is drug of choice in treatment of?Anonymous voting
- A. Atropine toxicity
- B. Myasthenia gravis
- C. Alzheimer
- D. Megacolon
❤ 8🤔 5👍 3
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كل ما تريد معرفته عن Fibromyalgia
Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain and a variety of associated symptoms. Here's a concise overview for healthcare professionals:
📌 Core Characteristics:
* Pain: Widespread chronic pain affecting multiple body areas, often described as deep, achy, or burning.
* Tender Points: While no longer the sole diagnostic criteria, specific areas (18 in total) around the neck, shoulders, hips, knees, and chest become tender upon palpation.
🔍 Associated Symptoms:
* Fatigue: A hallmark symptom, often described as profound and persistent exhaustion.
* Sleep Disturbances: Difficulty falling asleep, staying asleep, or achieving restful sleep.
* Cognitive Difficulties ("Fibro Fog"): Problems with memory, concentration, and focus.
* Headaches: Frequent or recurring headaches of varying types.
* Mood Issues: Anxiety and depression are commonly comorbid with fibromyalgia.
🔬 Diagnosis: There is no single definitive test. Diagnosis relies on a comprehensive evaluation, including:
* Detailed history focusing on pain location, duration, and characteristics.
* Physical examination to assess tender points and overall health.
* Exclusion of other conditions that may mimic fibromyalgia.
⚙️ Management: While there's no cure, treatment aims to improve function and quality of life. This may include:
* Pharmacological Therapy: Medications to manage pain, sleep disturbances, and mood issues.
* Physical Therapy: To improve flexibility, strength, and reduce pain.
* Stress Management Techniques: Cognitive-behavioral therapy and relaxation techniques can be helpful.
* Exercise Programs: Regular exercise, tailored to individual capabilities, can significantly improve symptoms.
🌐 Reference ➡️ Clevelandclinic
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