عبدالله القرني Abdullah Algarni
عبدالله القرني Abdullah Algarni

@abaidalgarni

9 Tweets 2 reads Jul 15, 2023
Some Q&A from @AFPJournal latest issue (July 2023)
#Abo7aneen #MedTwitter
🤔What Tx are recommended for primary open-angle glaucoma?
🥸Reducing IOP is the *ONLY* Tx proven to stop or slow the progression of vision loss.
✅Topical Rx are the most common Tx.
✅Another first-line Tx is selective laser trabeculoplasty.
🤔What is the preferred Tx for H. pylori infx?
🥸Either:
1️⃣Bismuth quadruple Tx
2️⃣Concomitant Tx
These regimens have similar eradication rates of up to 90%.
🤔What Tx is recommended for hyperarousal or nightmares in pts w/ PTSD?
🥸Prazosin
🤔What initial Tx for menstrual cycle irregularity is recommended for pts w/ PCOS who do not want to become pregnant?
🥸Hormonal contraception (e.g., oral contraceptives) should be used as the initial Tx for:
✅Menstrual cycle irregularity
✅Hirsutism
✅Acne
🤔What strategies help reduce the risk of recurrence of depressive Sx when discontinuing antidepressants?
🥸CBT
🤔Is a FODMAP diet effective for the Tx of IBS?
🥸Yes, FODMAP diet is the most likely to be effective for patients w/ IBS compared w/ other diets.
🤔Does a gluten-free diet reduce Sx of autoimmune thyroid ds?
🥸No evidence of reduction of Sx; but it may decrease TSH and anti-TPO titer level
🤔Is a once-weekly injection of semaglutide a safe and effective way for adolescents w/ obesity to lose wt?
🥸Yes, but 4% developed acute cholecystitis (?? d/t Rx or function wt loss)

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