Blog Archives

Chronic Disease

1 In a patient with a diagnosed chronic disease who presents with acute symptoms, diagnose: – acute complications of the chronic disease (e.g., diabetic ketoacidosis). Compression # in Osteoporosis – acute exacerbations of the disease (e.g., asthma exacerbation, acute arthritis).

Posted in 14 Chronic Disease

Chest Pain

1  Given a patient with undefined chest pain, take an adequate history to make a specific diagnosis (e.g., determine risk factors, whether the pain is pleuritic or sharp, pressure, etc.). Hx: OPQRSTAAA approach: Onset/duration: sudden vs gradual? Hours vs days?

Posted in 13 Chest Pain, 99 Priority Topics, Cancer, FM 99 priority topics


 1  In all patients, be opportunistic in giving cancer prevention advice (e.g., stop smoking, reduce unprotected sexual intercourse, prevent human papillomavirus infection), even when it is not the primary reason for the encounter. This may include demographic features such as

Posted in 12 Cancer, 99 Priority Topics, Cancer, FM 99 priority topics


1 In patients requiring antibiotic therapy, make rational choices (i.e., first-line therapies, knowledge of local resistance patterns, patient’s medical and drug history, patient’s context). H Pylori Infection – 1st line Tx: Amoxicillin 1g bid + Clarithromycin 500mg bid + Pantoprazole

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Posted in 99 Priority Topics, antibiotics, FM 99 priority topics


1 Keep up to date with advanced cardiac life support (ACLS) recommendations (i.e., maintain your knowledge base). 2 Promptly defibrillate a patient with ventricular fibrillation (V fib), or pulseless or symptomatic ventricular tachycardia (V tach). Pulseless VT or VF  CPR

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Posted in 99 Priority Topics, ACLS, FM 99 priority topics

MS – TN 2014

A chronic inflammatory dz of CNS characterized by relapsing remitting, or progressive neurologic symptoms due to inflammation, demyelination and axonal degeneration Clinical features Relapsing remitting (RRMS) 85% (0.4-0.6 relapses /yr, highest in the 1st year) – most go on to

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Posted in FM 99 priority topics, Neuro

Loss of Weight – UpToDate

Loss of Weight Clinically important weight loss is traditionally defined as loss of more than 5 percent of usual body weight over six months. Major causes of weight loss 1) Voluntary weight loss Drugs Rx ↓ obesity: rimonabant, orlistat, phentermine, sibutramine,

Posted in 60 Loss of Wt, 99 Priority Topics, Endo, FM 99 priority topics

Disability – CGS 2011 & NICE

1  Determine whether a specific decline in functioning (e.g., social, physical, emotional) is a disability for that specific patient. Impairment: any loss or abnormality of psychological, physiological, or anatomical structure or function Disability: any restriction or lack of ability to

Posted in 28 Disability, 99 Priority Topics, FM 99 priority topics, Others

Well-baby Care – RBR / CPS2013

1 Measure and chart growth parameters, including head circumference, at each assessment; examine appropriate systems at appropriate ages, with the use of an evidence-based pediatric flow sheet such as the Rourke Baby Record. Chart wt, ht, head circumference on growth scale Correct

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Posted in 99 Priority Topics, 99 Well-baby Care, FM 99 priority topics, OB

Palliative Care – BC guideline 2010

1  In all patients with terminal illnesses (e.g., end-stage congestive heart failure or renal disease), use the principles of palliative care to address symptoms (i.e.., do not limit the use of palliative care to cancer patients). A palliative approach is

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Posted in 70 Palliative Care, 99 Priority Topics, FM 99 priority topics, Geri
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