Cynaps Chat · Preview
Cynaps Chat · Preview
Ready for OPD
Morning clinic
Diabetes targets in frail patients?
Relax the target. HbA1c below 8.0% suits older adults with complex health. In very frail patients, don’t rely on HbA1c; aim to avoid hypoglycaemia and symptomatic highs.ADA
Good afternoon
Ward round
When is D-dimer unreliable?
It rises with age, pregnancy, cancer, infection, surgery and trauma. Use it only to rule out a clot when clinical probability is low or intermediate, and over 50 use an age-adjusted cut-off of age × 10 µg/L.ESC
Good evening, Dr. Iyer
Evening OPD
Fever with an eschar in a farmer. First-line treatment?
Doxycycline is the drug of choice. Start on clinical suspicion, without waiting for serology; azithromycin in pregnancy.ICMR
Hello, night owl
Night emergency
Potassium 6.8 with peaked T waves. First steps?
IV calcium now to protect the heart, then insulin with glucose to shift potassium into cells. Recheck potassium and the ECG.UK Kidney Association
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