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SAEM Clinical Images Series: Insidiously Contracted Hand

ALiEM - Pharm Pearls

A 64-year-old Caucasian male with a history of alcohol use disorder and tobacco use disorder presents with painless bilateral hand contractures that have been worsening for the past several months. Laboratory Data Non-contributory Case Question: What is the diagnosis and initial management? The patient works as a construction worker.

Diabetes 152
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Learning in Outpatient Pharmacy

RX Note

This presents another opportunity for medication counselling. One example I commonly see is the use of metformin in gestational diabetes mellitus. Clinical Management At my hospital, more elderly patients are prescribed with donepezil compared to memantine. The three-times-daily dosing can be found in Lexicomp.

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Learning Module

RX Note

But, what you should know as a pharmacist is never limited to what have been presented here. When a male who had just taken sildenafil presents with acute coronary syndrome , can glyceryl trinitrate tablet be given? Mr A, a 76-year-old man, presents on your admission ward with acute kidney injury. Is statin safe in pregnancy ?

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Contents

RX Note

Threadworm - Night-time perianal itching is the classic presentation Oral Thrush - Unusual in healthy adults Faecal Incontinence - Unintentional passage of stool Pouching Systems - Available as one-piece or two-piece systems Eye Dry Eye - Evidence of superior efficacy among any of the ophthalmic lubricants is lacking.