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SAEM Clinical Images Series: Insidiously Contracted Hand

ALiEM - Pharm Pearls

Risk factors for the development of Dupuytren’s contracture include northern European descent, age greater than 50 years, and diabetes. A progressive condition, Dupuytren’s is best managed through Hand Surgery referral provided there is no evidence of superinfection. Case Question: What are the risk factors for this condition?

Diabetes 148
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Clinical Inertia

RX Note

Summary When discussing clinical inertia, overtreatment (usually of elderly people) and "failure to de-intensify therapy" should not be overlooked in the overall clinical management.

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Generic pill could be alternative to oral antivirals in COVID-19

pharmaphorum

The antidepressant fluvoxamine given as a twice-daily regimen for 10 days to acutely symptomatic patients with COVID-19 who also had at least one risk factor such as diabetes, cardiovascular disease, underlying respiratory conditions such as chronic asthma and obesity.

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Dengue Fever

RX Note

Treatment Outpatient management is appropriate for patients with presumptive diagnosis of dengue in the absence of warning signs or coexisting condition (pregnancy, infancy, old age, diabetes, renal failure, underlying haemolytic disease, obesity or poor social situation). Take plenty of fluids and watch for signs of dehydration.

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Learning in Outpatient Pharmacy

RX Note

One example I commonly see is the use of metformin in gestational diabetes mellitus. Clinical Management At my hospital, more elderly patients are prescribed with donepezil compared to memantine. When a certain dosing is commonly prescribed at our facility, we may not question it further upon encounter.

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How to Improve Communication between Patient and Doctor?

Viseven

doctors may use the same virtual connection tools to offer continuing support and education about illness management to chronically unwell patients. In this method, clinical personnel interacts with caregivers formally.

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Learning Module

RX Note

Why is caffeine preferred over theophylline in the management of apnoea of prematurity ? Can metformin be continued in diabetes during pregnancy ? Essentials Drug Basis List down 3 references for Brand name searching Dosing (neonate, paediatric and adult - obese , renal or hepatic impairment ) or administration (e.g.