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SAEM Clinical Images Series: An Unusual Foreign Body

ALiEM - Pharm Pearls

A 61-year-old female with a past medical history of hypertension, hyperlipidemia, type 2 diabetes, and normal pressure hydrocephalus s/p VP shunt (last revision nine months ago) presented to the Emergency Department (ED) for evaluation after noticing a “string” coming out of her anus today. Abdomen : Soft, nontender, nondistended.

Diabetes 152
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SAEM Clinical Images Series: Penile Lesion with a Poor Prognosis

ALiEM - Pharm Pearls

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. The patient was recently admitted to the hospital eight days prior to presentation for purulent urethral discharge where he received a course of topical antibiotics and was discharged. 2018 May 9;13:158-163.

Hospitals 152
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SAEM Clinical Images Series: Bulge in the Belly

ALiEM - Pharm Pearls

A 45-year-old male status-post right nephrectomy secondary to a renal mass presented to the emergency department with right-sided flank pain. Additionally, cardiovascular co-morbidities, such as obesity, hypertension, and diabetes, can increase the risk. 2018 Apr;22(2):353-361. Epub 2018 Jan 27. PMID: 32310432.

Diabetes 152
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SAEM Clinical Images Series: Blue is Bad

ALiEM - Pharm Pearls

66 year-old-male with a history of type 2 diabetes and hypertension presented as a transfer for rapid progression of lower extremity pain, swelling, and blue-purple discoloration of the entire limb with concern for a possible necrotizing infection. 2018 Sep 25;11(3):355-357. He had no known thromboembolic risk factors.

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Developing a holistic approach to cardio, metabolic and renal disease

European Pharmaceutical Review

Cardiovascular diseases (CVDs) continue to present a significant health concern worldwide. Empagliflozin is an oral, once daily, highly selective sodium-glucose cotransporter 2 or SGLT2 inhibitor… It was originally developed for type 2 diabetes because it improves glycaemic control,” explained Dr Clark. Key clinical developments.

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Dry Eye

RX Note

Historically, dry eye disease (DED) has been classified into 2 general groups: Aqueous deficient DED Decreased tear production due to Sjogren's syndrome, older age and diabetes mellitus. However, it is now believed that both mechanisms are present in most patients, although one may be predominant.

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Useful Pharmacy Books

RX Note

The drugs available at Malaysia is not available at US drug market and hence would not be covered in this book, such as benserazide/ levodopa combination (Madopar) in Parkinson disease and gliclazide in diabetes management. Key information in pharmacy is presented in an easy-to-understand format. The laboratory values are not in S.I.