Practice-updates
ADA: Diabetes Journals: Published June 2023Diabetes mellitus (DM) is one of the most important causes of
CKD. Moreover, both DM and CKD are important risk factors for cardiovascular
disease (CVD). Metformin is still the first-line drug for DM management. The
concern, of course, is an increased risk of metformin-associated lactic
acidosis (MALA)...
Thyroid disease can be broadly
categorised as thyroid dysfunction (hypothyroidism, hyperthyroidism) and
structural disease (goitre, nodules and cancer). Management is often
straightforward, but there are pitfalls that may lead to misdiagnosis,
overdiagnosis and inappropriate treatment. This article reviews the approach to
common thyroid proble...
Journal of the European
Academy of Dermatology and Venereology: JEADV: Published: May 2023Atopic dermatitis (AD) is the most common recurrent chronic
inflammation in the skin in both children and adults. It is characterized
by an itchy rash with typical localization and often requires daily treatment
with emollients and/or topical corticosteroi...
Lippincott Williams
& Wilkins (LWW): Hepatology Journal: Published on May, 2023This new American Association for the Study of Liver Diseases
(AASLD) Guidance document reflects many advances in the field pertinent to any
practitioner caring for patients with NAFLD and emphasizes advances in
noninvasive risk stratification and therapeutics.The mo...
The Journal of Urology:Clomipramine is a tricyclic
antidepressant (TCA) that has been found effective at a daily dose of 25 mg or
50 mg for premature ejaculation (PE) in multiple studies. Additionally, TCAs can carry
significant side effects such as dizziness, dry mouth, and constipation. As a result, on-demand treatment is
greatly preferred, e...
Obstetrics and Gynecology Journal: Published on October 2021Endometriosis affects 6–10% of reproductive-aged women and is
associated with significant morbidity.Clinical manifestations are broad and can include
dysmenorrhea, nonmenstrual pelvic pain, dyspareunia, dyschezia, and
infertility. The wide range of presentations hinder the ability...
International Journal of Research in Dermatology: Published
on February, 2021Dermatophytic infections are the
most prevalent fungal infections, which affect majority of the global
population. Indian climate, especially the hot and humid conditions contribute
majorly to dermatophytosis. Azoles are the most commonly used
antifungal agents due t...
Pityriasis versicolor (PV), also
known as tinea versicolor, is caused by Malassezia species.
This condition is one of the most common superficial fungal infections
worldwide. This may be triggered by various
factors, including humidity and high temperature, hyperhidrosis, familial
susceptibility, and immunosuppression. Consequently,...
Pain is
defined by the International Association for the Study of Pain (IASP) as ‘an
unpleasant sensory and emotional experience associated with, or resembling that
associated with, actual or potential tissue damage’.Most pain
is short-lived, resolving when the painful stimulus is removed or when tissue
healing has occurred: this is called acu...
Puberty menorrhagia is defined as excessive bleeding in amount (>80ml)
or in duration
(>7days) between menarche and
19 years of
age.The most common cause of puberty menorrhagia
is anovulatory cycles. Other causes include infection, bleeding disorders, and endoc...
NICE GUIDANCE:Indications for tests for thyroid
dysfunctionConsider tests for thyroid
dysfunction for adults, children and young people if there is a
clinical suspicion of thyroid disease, but bear in mind that 1 symptom alone
may not be indicative of thyroid disease.Offer tests for thyroid dysfunction
to adults, children and young people with...
Take Home Messages:Women who were younger at the time
of their first menstrual period are more likely to report chronic pain in
adulthood, according to a study published in PAIN journal.Researchers study to examine
associations between age at menarche and chronic pain among women aged 30 to 99
years.Early menarche is associated with
pain...
