saif's blog

statins

mild:
mevacor
pravacor

strong:
vytorin
crestor*
..

WBC elevated in pregancy

In preganancy, WBCs are normally elevated a bit because of an increase in neutrophils.

diabetes management

45 y.o. male with uncontrolled diabetes (220 avg) with renal manifestations (proteinuria, creatinine of 1.4... normal is 1.3)

currently taking NPH (35 morning/35 evening)

bp of 182/120

-start on long acting (ACTOS -- 40 units once a day)
-also add regular insulin
-start Metformin?
-start Zestoretic

-start Norvax (calcium channel blocker...already taking zestoretic whcih has ace inhibibitor ... so no point taking lotrel which has an ace inhibitor)

bp + cholesterol + ldl in young male

young male with high bp and cholesterol, LDL.

zestoretic: bp med (ACE inhibitor, also protective of kidneys)

crestor: statin

 Fibrates:  better for triglycerides.

Skin fungal infection

lotrisome (combo of antifungal + antiinflammatory)

pterygium

patient with red eye in only the left eye (medial part only).  

managing htn in young diabetic

toprol xl
Lotrel  -- combo drug for blood pressure that is kinda high

Glucovance

 

Zestoretic -- a diuretic and an ACE inhibitor

Starting Someone on Insulin

.5 - 1 unit /kg2/3, 1/3 evening206 lbs --> 90 kg40 units15 morning, 30 evening

Otitis Externa

treatment:  Neomycin, polymixn B, and hydrocortisone (Cortisporin Otic)

Some Eye Cases

Eye Case 1::
Blepharitis?
16 month old kid (can't talk) comes in with an inflammed upper eye-lid (left side only).  I am thinking its some type of infection (the conjunctiva is not red or has any type of discharge).  After close inspection/plapation, we notice a small nodule (not a chalazion) in the middle of the inflammation.

DX:  insect bite (wasp)

TX: corticosteroid cream

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