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Metoclopramide 10 mg PO TID
Domperidone 10 mg PO TID
Dimethicone 40 mg PO TID
URINARY TRACT INFECTION
ACUTE UNCOMPLICATED CYSTITIS
>100 CFU/mL
Dx testing
Esomeprazole 20-40 mg OD
Omeprazole 20 mg OD
Pantoprazole 40 mg OD
Lansoprazole 30 mg OD
H2 blockers
Famotidine 20 mg BID/ 40 mg HS
signs of sepsis
RECURRENT UTI
ASYMPTOMATIC BACTERIURIA
Co-amoxiclav, cephalexin
UTI IN MALES
Airway hyperresponsiveness
Recurrent Wheeze
Recurrent Difficult Breathing
Recurrent Chest Tightness
Symptoms occur or worsen in the presence of:
Exercise
Aerosol Chemicals
Pollen
Changes in temperature
Smoke
Leukotriene modifiers
Acute cough
Chest X-ray
Atypical CAP
M. pneumoniae- Particle Agglutination Test
C. pneumoniae- Microimmunoflorescence
Legionella- urine antigen test and direct
fluorescent antibody test
HYPERTENSION
Co-morbities for Low Risk
Grade A
DM
Neoplastic dse in remission
Neurologic,
CHF I
CAD
Immunosuppresion
Grade B
Renal insufficiency
Grade C
COPD
CLD
chronic alcohol abuse
Co-morbities for Medium-High Risk
Uncontrolled DM
Active malignancies
CHF II-IV
Unstable CAD
COPD, IAE
Diagnostic workup:
FBS
U/A
serum Crea
serum K
12 L-ECG
Principles of Treatment
Calcibloc (Nifedipine)
Stage 1 Hypertension
SBP 140-159 or DBP 90-99mmHg
Thiazide-type diuretics
May give ACEI, BB, CCB or combination
Stage 2 Hypertension
SBP >/= 160 or DBP >/= 100mmHg)
2-drug combination for most ( usually thiazidetype diuretic and ACEI, or ARB, or BB, or CCB)
Chronic Complications of DM
Microvascular
Eye disease
Retinopathy (nonproliferative/proliferative)
Macular edema
Neuropathy
Sensory and motor (mono- and polyneuropathy)
Autonomic
Nephropathy
Macrovascular
Cerebrovascular disease
Others
Dermatologic
Infectious
Cataracts
Glaucoma
DIABETES MELLITUS
Criteria for the diagnosis of Diabetes
Symptoms of diabetes:
polyuria
polydipsia
unexplained weight loss
A1C 7.0%*
OBESE
BIGUANIDES
Metformin 500mg OD, BID, TID
optimal dose 1,500mg/day
starting dose: 500mg BID after meals
ELDERLY (>60 YEARS)
SULFONYLUREAS
Glibenclamide 1.25-20 mg OD or in divided
doses
starting dose: 5mg OD 30min before meals
Glipizide 2.5-30 mg OD or in divided doses
Gliclazide 80-240 mg OD or in divided doses
may give
ACE INHIBITORS
may slow down the development of microalbuminuria
Fosinopril 10mg/tab OD
Enalapril 10mg/tab OD