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Depression in General Medical Setting: General guidelines on biological treatments
One of the most frequent mental health issues seen in primary care is depression, which is also a major contributor to disability globally. Depression is most effectively treated as a chronic illness since it is frequently a recurrent or chronic condition. Additionally, patients with depressive disorders who are medically unwell are more likely to experience chronic depression or less full recovery. Many, if not most, depressed people can benefit from antidepressant drugs and psychotherapies, but millions of patients in primary care do not receive adequate treatment. A systematic, population-based approach is necessary for the effective management of depression in the primary care setting. This approach includes systematic case finding and diagnosis, patient engagement and education, use of evidence-based treatments, such as medications and/or psychotherapy, and close follow-up to ensure that patients are receiving the care they need.
About the Speaker
Dr. Shaju George
Consultant Psychiatrist Dubai Community Health Centre, Oud Metha.
Upcoming Case Discussions
Diabetic Polyneuropathy
Diabetic polyneuropathy is a common complication of diabetes mellitus, characterized by nerve damage throughout the body due to prolonged high blood sugar levels. Symptoms can vary widely, including numbness, tingling, burning pain, weakness, and loss of sensation, typically starting in the feet and gradually spreading to other areas. Diagnosis involves a thorough medical history, neurological examination, and nerve conduction studies. Management focuses on glycemic control through medications, lifestyle modifications, and pain management strategies such as analgesics, anticonvulsants, and antidepressants. Additionally, addressing risk factors such as smoking, hypertension, and dyslipidemia is crucial. Regular monitoring for complications such as foot ulcers and autonomic dysfunction is essential for preventing further nerve damage and improving quality of life.
H. pylori Treatment with PYELRA®: Best Practices
PYLERA® is a medication used for the treatment of Helicobacter pylori (H. pylori) infection, a common cause of stomach ulcers and gastritis. It contains a combination of three active ingredients: bismuth subcitrate potassium, metronidazole, and tetracycline. This combination works synergistically to eradicate H. pylori bacteria and reduce associated symptoms. Treatment with PYLERA® typically involves taking multiple capsules four times a day for a specified duration, as prescribed by a healthcare provider. It is important to follow the treatment regimen as directed and to discuss potential side effects
Ulcerative colitis: Diagnosis & Management
Ulcerative colitis is diagnosed through a combination of clinical evaluation, laboratory tests, imaging studies, and endoscopic examination of the colon. Key diagnostic tests include stool studies to rule out infections, blood tests for inflammatory markers like C-reactive protein and fecal calprotectin, and colonoscopy with biopsy to visualize the colon and confirm the diagnosis. Imaging studies like CT scans or MRI may be used to assess disease severity and complications such as toxic megacolon or perforation. Management of ulcerative colitis involves a step-wise approach, starting with anti-inflammatory medications like aminosalicylates for mild to moderate disease.Immunosuppressants such as corticosteroids, thiopurines, or biologics (e.g., anti-TNF agents) are used for moderate to severe disease or if patients do not respond to first-line therapy. Regular monitoring of disease activity through symptom assessment, blood tests, and endoscopic evaluation is crucial for disease management and to prevent complications.
Postpartum Haemorrhage (PPH)
Postpartum hemorrhage (PPH) is a significant complication following childbirth, characterized by excessive bleeding within 24 hours of delivery. It's a leading cause of maternal mortality globally. PPH can occur due to various factors, including uterine atony (failure of the uterus to contract), trauma during childbirth, retained placental tissue, or coagulation disorders. Prompt recognition and intervention are crucial to prevent severe consequences. Management typically involve uterine massage, administration of uterotonic medications, uterine artery embolization, or, in severe cases, surgical interventions like hysterectomy. Timely and effective management strategies are essential to reduce maternal morbidity and mortality associated with PPH.
Management of Pulmonary Fibrosis
Pulmonary fibrosis is diagnosed through a combination of medical history, imaging studies (like high-resolution CT scans), pulmonary function tests, and sometimes lung biopsies. Treatment often involves medications such as corticosteroids, immunosuppressants (like azathioprine or mycophenolate), and antifibrotic drugs (such as pirfenidone or nintedanib) to slow disease progression and manage symptoms.Supplemental oxygen therapy is commonly prescribed to relieve shortness of breath and improve oxygen levels in the blood. This program combines exercise training, education, and breathing techniques to improve overall physical condition and quality of life. Patients with pulmonary fibrosis should receive vaccinations against influenza and pneumococcal pneumonia to reduce the risk of respiratory infections. In severe cases, lung transplantation may be considered for eligible patients to improve survival and quality of life. Treatments like nutritional support, psychological counseling, and palliative care can provide comprehensive support and symptom management.
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Dr. Shaju George's Talks on Assimilate
- 6th-December-2022,TIME : 4PM to 5PM
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One of the most frequent mental health issues seen in primary care is depression, which is also a major contributor to disability globally. Depression is most effectively treated as a chronic illness since it is frequently a recurrent or chronic condition. Additionally, patients with depressive disorders who are medically unwell are more likely to experience chronic depression or less full recovery. Many, if not most, depressed people can benefit from antidepressant drugs and psychotherapies, but millions of patients in primary care do not receive adequate treatment. A systematic, population-based approach is necessary for the effective management of depression in the primary care setting. This approach includes systematic case finding and diagnosis, patient engagement and education, use of evidence-based treatments, such as medications and/or psychotherapy, and close follow-up to ensure that patients are receiving the care they need.