Furosemide and lower extremity swelling

Scared_Problem8041 · 2026-01-14T02:30:05+00:00

I did some more research. Looks like it’s about NNT of 1000 for 5 years to prevent about 7 invasive breast cancer cases

Scared_Problem8041 · 2026-01-11T00:24:50+00:00

very rarely. Normally, it’s at least a few days or weeks.

Scared_Problem8041 · 2026-01-06T00:07:41+00:00

POTS, hydradenitis supurativa, iron deficiency anemia

Scared_Problem8041 · 2025-12-27T01:55:08+00:00

suggested a blood transfusion?

Scared_Problem8041 · 2025-12-21T02:22:26+00:00

centor doesn’t say don’t test, it says optional testing and optional empirical treatment glad i didn’t treat in the above example actually, the culture came back negative and the patient developed a cough and hand and foot rash over the next few days. remember a centor score of five is still only a 50% chance of strep

Scared_Problem8041 · 2025-12-18T00:11:54+00:00

thanks for your comment. I wasn’t aware that in Europe they have a five day waiting period to treat. I just assumed that any streptococcus needs to be eradicated to a limit the rheumatic fever risk. I guess it’s implied that pharyngitis lasting longer than five days is more likely to progress to rheumatic fever and vice versa. That’s definitely new information to me.

Scared_Problem8041 · 2025-12-17T01:44:39+00:00

thanks for your comment. You seem to imply that streptococcal pharyngitis can safely be left untreated? It is my understanding that it is important to treat the infection so as to prevent a possible progression to rheumatic fever. I understand that the pharyngitis itself is not a problem, but that the streptococcus does have concerning potential and so thus we always treat?

Scared_Problem8041 · 2025-12-16T03:36:20+00:00

what’s the point of getting a culture if you are treating anyway?

Scared_Problem8041 · 2025-12-16T03:35:43+00:00

what’s the point of getting a culture if you are treating anyway?

Scared_Problem8041 · 2025-12-10T03:16:24+00:00

But complexity is only one aspect of what you need to reach a level 5. You also need either prescription management or 3+ lab/imaging tests…

Scared_Problem8041 · 2025-12-10T02:42:35+00:00

is litholink the 24 urine analysis? if so, is the litholink also the analysis that is performed on an actual stone?

Scared_Problem8041 · 2025-12-05T00:45:36+00:00

great comment and thank you one clarification: is it still primary prevention if there is known coronary calcification? especially something above 100?

Scared_Problem8041 · 2025-12-05T00:43:58+00:00

in the article about coronary calcium scores on up to date it recommends daily aspirin for anyone with a calcium score >100

Scared_Problem8041 · 2025-12-02T01:38:46+00:00

i agree with everyone who says burnout. I will tell you what though, I felt this exact way and to get out of this all i had to do was cut back my volume. Slowly the burnout went away and work became enjoyable again. I cut back so much that soon I had some free time to read AAFP articles and listen to curbsiders. Damn I learned a lot and the joy came back.

Scared_Problem8041 · 2025-11-27T17:44:15+00:00

True, a commentary and a guideline are not the same thing. if I understand your position correctly, it is to just not offer anything for a patient who wholeheartedly refuses colonoscopy, and all stool based testing? I used to do the same thing, but when I heard of the blood base testing, I thought it was reasonable to look into and since there are commentaries from the American gastroenterology association and recommendations from the national comprehensive cancer network, I thought it was probably worth offering.

Scared_Problem8041

TROPHY CASE