30 results
Diabetes Type 2 Medication Management and Titration Algorithm
- First line therapy is metformin and comprehensive lifestyle
line therapy is metformin ... Established ASCVD or CKD ... established ASCVD or CKD
Algorithm for Metformin Prescribing and Dosing in CKD
Dose Initiation - Immediate release:
 • Initial 500 mg
Algorithm for Metformin ... and Dosing in CKD ... maximum dose #Metformin ... Prescribing #Dosing #CKD
Patient factors influencing the selection Of glucose-lowering drugs Other than SGLT2i and metformin in T2D and
than SGLT2i and metformin ... in T2D and CKD. ... cardiovascular disease: CKD ... , #KDIGO2020 #CKD ... Management in CKD
Management of Diabetes Mellitus in Patients With CKD

1. Monitor for changes in BP, serum creatinine, &
Patients With CKD ... FDA recommends, metformin ... patients with T2D, CKD ... 2 diabetes and CKD ... #Diabetes #CKD #
Metformin in Diabetic Kidney Disease
Immediate release:
 • Initial 500 mg or 850 mg once daily
 •
Metformin in Diabetic ... eGFR < 30: Stop metformin ... do not initiate metformin ... annually if on metformin ... #CKD #pharmacology
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... Adult male-RUQ abd ... biliary tree(can be CHD ... or CBD that is ... Syndrome #Liver #POCUS
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct (CBD ... key to finding CBD ... the PV is the CBD ... jchristianfox #CBD ... clinical #ultrasound #pocus
Diabetes Medications Summary Table
Insulin
Lifestyle modifications
Metformin
Sulfonylureas
GLP-1 receptor agonists - ↓ major adverse CV events
TZDs
DPP-4 inhibitors
SGLT2 inhibitors -
modifications Metformin ... Improved outcomes in CKD
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... This time on pocus ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
AKI) What to ask ... - Hx of AKI/CKD ... - BMP, cap, CBC ... 21% - AKI on CKD