Primary Care

Acromegaly

Neuros Medical Verified User October 1, 2018 Primary Care Comments Off 3505 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 2465 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 1711 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 4943 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 3200 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.

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