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Clinical Notes
Risk stratification of pulmonary embolism
๐Ÿ”ป๐Ÿ”ป
ููŠ ุญุงู„ุฉ ุงู„ุงู†ููƒุดู† ูˆู‚ุจู„ ุฃู† ุชุถู‡ุฑ ุงู„ู†ุชูŠุฌู‡ ููŠู‡ ุฃุดูŠุงุก ู†ุฑูƒุฒ ุนู„ูŠู‡ ุนู†ุฏ ุฅุฎุชูŠุงุฑ ุงู„ู…ุถุงุฏ ุงู„ุญูŠูˆูŠ
๐Ÿ”ป
ุฃูˆู„ุงู‹ ุฃุณุฃู„ู‡ ู…ุนูŠู†ุฉ ูŠุฌูŠุจ ู…ุนุฑูุชุฉ
โœ…(1) prior knowledge of colonization or infections,
โœ…(2) previous antimicrobial exposure,
โœ… (3) the site of infection and the most likely pathogens, and
โœ… (4) local antibiogram and resistance patterns for important pathogens

๐Ÿ”ธุซุงู†ูŠุงู‹ ู†ุฑูƒุฒ ุน ุนูˆุงู…ู„ ู…ุนูŠู†ู‡ ู…ู†ู‡ุง
๐Ÿ”ธ
Severity and acuity of the disease, local epidemiology and antibiogram,
patient history,
host factors,
factors related to the drugs used, and the necessity for using multiple agents.
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Which one of the following fluoroquinolones provides activity against MRSA?

Which one of the following fluoroquinolones provides activity against MRSA?
Anonymous Quiz
29%
Levofloxacin
38%
Moxifloxacin
19%
Delafloxacin
14%
Levofloxacin
โœ”๏ธWhich of the following statins is most affected by grapefruit juice?
Anonymous Quiz
44%
A. Simvastatin
11%
B.Pitavastatin
11%
C. Pravastatin
34%
D. Rosuvastatin
ู„ุฅุธู‡ุงุฑ ุงู„ุชูุณูŠุฑ ุน ุงู„ุฅุฌุงุจุฉ ุงู„ุตุญูŠู‡ ุงู„ุถุบุท ุนู„ู‰ ุงู„ุนู„ุงู…ุฉ
๐Ÿ”ปุชุฐูƒุฑ ุงุฏูˆูŠู‡ ุงู„ุงุณุชุงุชูŠู† ู‡ู†ุงูƒ ู†ูˆุนูŠู†
1๏ธโƒฃ Hydrophilic statins, such as rosuvastatin and pravastatin,
ูˆู‡ุฐู‡ ุชูƒูˆู†
water-soluble
ูˆุชู…ู„ูƒ ู…ูŠุฒุฉ ุฃู†ู‡ุง ๐Ÿ”บ
less muscle penetration, which results in a lower risk of muscle-related side effects.
ู ุชุนุชุจุฑ ุงู‚ู„ ุงุฏูˆูŠู‡ ุชุนู…ู„ myopathy
ุจูŠู†ู…ุง
2๏ธโƒฃlipophilic statins, such as simvastatin, fluvastatin, pitavastatin, lovastatin, and atorvastatin,
ุชูƒูˆู† ุฃูƒุซุฑ ููŠ ๐Ÿ”บ
more lipid-soluble and can easily enter cells, including muscle cells, which increases the risk of muscle-related side effects.
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๐Ÿ’ ๐Ÿ”นA patient was recently discharged from the hospital following a myocardial infarction. One of the medications they were started on was rosuvastatin 20 mg once daily.

When should lipid levels be reassessed?
Anonymous Quiz
14%
A. 7-14 days
40%
B. 4-6 weeks
18%
C. 6 months
28%
D. Every 3-12 months
๐Ÿ”ป๐Ÿ”ปA 48-year-old patient with type 2 diabetes is established on metformin with an A1c of 8%. She is interested in weight loss. Which medication is the most appropriate to recommend?
Anonymous Quiz
52%
A. Semaglutide
23%
B. Glipizide
10%
C. Insulin glargine
16%
D. Pioglitazone
Treatment pulmonary embolism in patient with hemodynamically stable
Treatment pulmonary embolism in patient with Hemodynamic instability
NOAC ( Apixaban ,Rivaroxaban) drugs in pulmonary embolism
2024/09/27 07:19:05
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