Category: Cardiology
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Hypertension
1. In those above age 60, Get the blood pressure below 150 sytolic and 90 diastolic. 2. In those below age 60, diabetics, and those with kidney disease, get the blood pressure below 140 sytolic and 90 diastolic. 3. In blacks including those with diabetes, Start with thiazide diuretic or calcium channel blocker (amlodipine). 4.…
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Abdominal Aortic Aneurysm
Screening for Abdominal Aortic Aneurysm is recommended as it is the 13th most common cause of death in the United States. Screening is done by the use of ultrasound which is non-invasive. The most important issues based on U.S. Preventive Services Task Force (USPSTF) recommendations here are: 1. Patients between the ages of 65 to…
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SSB or Anti-La
When ANA is positive, SSB and SSA along with other antibodies are ordered to determine the underlying disease. SSB or Anti-La is a Ribonucleoprotein that is seen in the following conditions: Sjogren’s Syndrome Systemic Lupus Neonatal Lupus SSB Antibodies are rare in other connective tissue diseases and rheumatoid arthritis. SSB presence is associated with: Primary…
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Risk factors for Type 2 diabetes
1. Being overweight and over the age of 45 2. Elevated fasting blood sugar of 126 or higher 3. Positive glucose tolerance test or Gestational Diabetes 4. High blood pressure 5. Elevated cholesterol / Triglyceride 6. Family history of type 2 diabetes or Polycystic ovary syndrome 7. Ethnicity: African American, Asian, Hispanic, Native Americans
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Criteria for diagnosis of diabetes
1. Fasting blood sugar greater than 126. 2. Blood Sugar level of greater than 200 at anytime. 3. Blood Sugar level of 200 with Glucose tolerance test. 4. High HgbA1c level ?? Who to screen: 1. Age of 45 2. Pre-Hypertensive patients: 120-140/80-90 3. Over-weight patients with other risk factors such as high blood pressure,…
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Management of Hypertension
1. In those above age 60, Get the blood pressure below 150 sytolic and 90 diastolic. 2. In those below age 60, diabetics, and those with kidney disease, get the blood pressure below 140 sytolic and 90 diastolic. 3. In blacks including those with diabetes, Start with thiazide diuretic or calcium channel blocker (amlodipine). 4.…
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