Guide to private practice in medicine note 2
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Guide to private practice in medicine note 2

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Also known as GP note, "Pol" note, PP note ...

Also known as GP note, "Pol" note, PP note

Medical students/ pre-interns/ Family physicians use various notes to guide their general practice at the begining, specially drug doses, common treatments for common diseases etc. These "guides" have been used by many seniors but need to be careful revision before prescribing. Hope to update once I go through them completely.

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    Guide to private practice in medicine note 2 Guide to private practice in medicine note 2 Document Transcript

    • Guide to private practice- note 2 Table of contents: 1. Pyrexia back Pyrexia …………………… 2 Placebo……………………..3 Respiratory…………………4 Asthma……………………..4 Inhalers……………………..5 LRTI………………………..6 Cough………………………7 URTI……………………….8 Cold………………………...9 Sinusitis…………………...10 Catarrhal…………………..11 GIT………………………..12 Toothacel………………… 12 Halitosis…………………...13 Apthus ulcers……………...14
    • LOA……………………….15 Gastritis……………………16 GORD…………………….. 20 Abdo fullness…………...…21 Diarrhea…………………...22 Constipation……………….23 PR bleeding………………..24 Anal fissures……………… 25 Hemorrhoids……………….26 Anti warm …………………27 Anti emetics………………..28 GUT………………………..29 UTI…………………………29 Calculi……………………...30 CNS………………………...31 Fits………………………….31 Numbness…………………..32 Vertigo……………………...33 Migraine……………………34 CVS………………………………..35
    • Hypertension………………………35 Mus skel…………………………...36 Joint pain…………………………..36 OA………………………………...37 Gyn………………………………...38 Menorrhagia ………………………38 Oligomenorrhoea…………………..39 Dysmenorrhoea…………………….40 Post ponement……………………...41 Contraception………………………42 Vaginal candidiasis………………...43 Trichomonasasis …………………..44 Dermat……………………………..45 Itching …………………………….45 Eczema……………………………..46 For an uncertain lesion……………..47 Aluham……………………………..48 Dandruff……………………………49 Hair loss…………………………….50 Allergy……………………………...51
    • Acne………………………………...52 Chicken pox………………………...53 Burns………………………………..54 ENT…………………………………55 Ot externa…………………………...55 Ot media ……………………………56 Oral candidiasis……………………..57 Earache……………………………...58 Eye…………………………………..59 Injections…………………………….60 Suppositories………………………...61 Pyrexiaback
    • Respiratory Asthma back Inhalers back LRTI back PCM Tab strength;500mg tab ADULT 2 tab qds ( 1g ) 12-6 1 tab qds <6…>15Kg ½ tab qds 2 tea spoon <6…>15Kg ¼ tab qds 1 tea spoon Remarks Syrup; 120 mg in 5 ml Max dose; 60 mg/kg/D Mefenamic acid Tab strength;500mg tab ADULT 2 tab qds 12-6 1 tab qds <6…>15Kg ½ tab qds 1 tea spoon <6…>15Kg ¼ tab qds ½ tea spoon Remarks Syrup; 125mg in 5 ml Max dose;
    • Cough back URTI back Tonsillitis Erythromycine Tab strength; ADULT 500mg tds 12-6 250mg tds <6…>15Kg 1 tea spoon bd <6…>15Kg ½ tea spoon bd Remarks Syrup; 125mg in 1 tea spoon Max dose; Roxythromycine Tab strength; ADULT 150 mg bd 12-6 75 mg bd <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Cold back Antihistamine + Dexa Piriton Tab strength; 4mg ADULT 1 tab bd 12-6 ½ tab bd <6…>15Kg 1 tea spoon <6…>15Kg ½ tea spoon Remarks Syrup; Max dose;
    • Cetricine Tab strength; 10mg ADULT 10mg mane 12-6 5 mg mane <6…>15Kg 1 tea spoon <6…>15Kg ½ tea spoon Remarks; combine- prit,noct+cetri,mane Syrup; Max dose; Loratidine Tab strength; 10mg ADULT 10mg mane 12-6 5 mg mane <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Sinusitis back Co-amoxyclov + steam inhal+ decongetions+ Mefen Co-amoxyclov Tab strength; 625mg,375mg ADULT 625mg tds 12-6 375mg tds <6…>15Kg 1 tea spoon <6…>15Kg ½ tea spoon Remarks;nova- cla375+amox 250 ok Syrup; Max dose; Solvin Tab strength;8 mg ADULT 1 tea spoon, 8mg tds 12-6 ½ tea spoon, 4 mg tds <6…>15Kg ¼ tea spoon, 2mg tds <6…>15Kg ¼ tea spoon Remarks Syrup; Max dose; Mefenamic acid Tab strength;500mg tab
    • ADULT 2 tab qds 12-6 1 tab qds <6…>15Kg ½ tab qds 1 tea spoon <6…>15Kg ¼ tab qds ½ tea spoon Remarks Syrup; 125mg in 5 ml Max dose; Catarrhal back Decongestions + piriton Decon Adult,Pead ADULT 2 drops sos 12-6 1 drop sos <6…>15Kg 2 drops sos pead <6…>15Kg 1 drop sos pead Remarks Syrup; Max dose; Cetricine Tab strength; 10mg ADULT 10mg mane 12-6 5 mg mane <6…>15Kg 1 tea spoon <6…>15Kg ½ tea spoon Remarks; combine- prit,noct+cetri,mane Syrup; Max dose;
    • Nasivion Adult,Pead ADULT 2 drops sos 12-6 1 drop sos <6…>15Kg 2 drops sos pead <6…>15Kg 1 drop sos pead Remarks Syrup; Max dose; Beta -sol Tab strength; ADULT 2 drops sos 12-6 1 drop sos <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Piriton Tab strength; 4mg ADULT 1 tab bd 12-6 ½ tab bd <6…>15Kg 1 tea spoon <6…>15Kg ½ tea spoon Remarks Syrup; Max dose; Nasal sprays Cycotide Tab strength; ADULT 2 puffs sos 12-6 1 puff sos <6…>15Kg <6…>15Kg
    • Remarks Syrup; Max dose; Afrine Tab strength; ADULT 2 puffs sos 12-6 1 puff sos <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Fexopenadine Tab strength; 60mg,120,180 ADULT 120mg daily 12-6 60mg daily <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; GIT Toothache back Lignocaine cottn swab Diclofenac/ Brufen/ Mef + pcm+metronidazole Diclofenac Tab strength; ADULT 50mg tds 12-6 25mg tds <6…>15Kg 12.5mg tds <6…>15Kg 6.25mg tds Remarks Syrup; Max dose;
    • Brufen Tab strength;400mg 200mg ADULT 400mg tds 12-6 200mg tds <6…>15Kg 100mg tds 1 tea spoon <6…>15Kg 50mg tds ½ tea spoon Remarks Syrup; Max dose; Mefenamic acid Tab strength;500mg tab ADULT 2 tab qds 12-6 1 tab qds <6…>15Kg ½ tab qds 1 tea spoon <6…>15Kg ¼ tab qds ½ tea spoon Remarks Syrup; 125mg in 5 ml Max dose; Metronidazole Tab strength; 400mg ADULT 400mg tds 12-6 200 mg tds <6…>15Kg <6…>15Kg Remarks; S/E Syrup; Max dose; Halitosis back Chlorhexidine mouth wash sos Metronidazole mouth wash sos
    • Aphthous ulcers back Dentogel tds before and after meals Kelalog Orripaste Ulcer heal LOA back Neutroplex Tab strength; ADULT 12-6 <6…>15Kg 1 tea spoon bd <6…>15Kg ½ spoon bd Remarks Syrup; Max dose; Peritol Tab strength; ADULT 12-6 <6…>15Kg 1 tea spoon bd <6…>15Kg ½ spoon bd Remarks Syrup; Max dose; Eat-more Tab strength; ADULT 12-6 <6…>15Kg 1 tea spoon bd <6…>15Kg ½ spoon bd Remarks Syrup; Max dose; Hunger tone Tab strength; ADULT 2 tea spoon bd
    • 12-6 1 tea spoon bd <6…>15Kg ½ tea spoon bd <6…>15Kg ¼ tea spoon bd Remarks Syrup; Max dose; Livitone Tab strength; ADULT 2 tea spoon bd 12-6 1 tea spoon bd <6…>15Kg ½ tea spoon bd <6…>15Kg ¼ tea spoon bd Remarks Syrup; Max dose; Lycine/bio-Lycine125/= Tab strength; ADULT 2 tea spoon bd 12-6 1 tea spoon bd <6…>15Kg ½ tea spoon bd <6…>15Kg ¼ tea spoon bd Remarks Syrup; Max dose; Gastritis back Antacids Syrups Tablets Belcid Tab strength; ADULT 2 tea spoon bd 12-6 ½ tea spoon bd <6…>15Kg ¼ tea spoon bd <6…>15Kg
    • Remarks; 2 spoons in 1st week, 1 in next week Syrup; Max dose; Mucaine Tab strength; ADULT 2 tea spoon bd 12-6 ½ tea spoon bd <6…>15Kg ¼ tea spoon bd <6…>15Kg Remarks;2 spoons in 1st week, 1 in next week Syrup; Max dose; Dygine Tab strength; ADULT 2 tea spoon bd 12-6 ½ tea spoon bd <6…>15Kg ¼ tea spoon bd <6…>15Kg Remarks; 2 spoons in 1st week, 1 in next week Syrup; Max dose; Ulgel Tab strength; ADULT 2 tea spoon bd 12-6 ½ tea spoon bd <6…>15Kg ¼ tea spoon bd <6…>15Kg Remarks; 2 spoons in 1st week, 1 in next week Syrup; Max dose; Zydacid Tab strength; ADULT 2 tab tds 1st week, 1 tab 12-6 <6…>15Kg <6…>15Kg Remarks Syrup; Max dose;
    • Aludox Tab strength; ADULT 2 tab tds 1st week, 1 tab 12-6 <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; PPI back Omeprazole Tab strength; 20mg ADULT 20mg bd/ nocte 12-6 20 mg daily <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Pantaprazole Tab strength; 20mg, 40mg ADULT 20-40-mg daily 12-6 20 daily <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; H2 R blockers back Famtodine Tab strength; 40mg,20mg ADULT 20-40mg bd 12-6 10-20mg bd <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Ranitine Tab strength; 150mg ADULT 150mg bd 12-6 75mg bd
    • <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Cimetidine Tab strength; 200mg ADULT 200mg tds 12-6 100mg tds <6…>15Kg <6…>15Kg Remarks; impotence Syrup; Max dose; Triple therapy back Omeprazole 20 bd + ………….4 week amoxy 1g bd + metro 400 tds……….. 1 weak GORD back Gastritis + vomiting Domperidone Tab strength; 10mg ADULT 10mg tds ½ before meals 12-6 5mg <6…>15Kg 1 tea spoon <6…>15Kg ½ tea spoon Remarks; Galactorrhoea Syrup; Max dose;
    • Abdo fullness back Anti flatulents; Belcid antifltulent 1 tea spoon tds Mucaine 1 tea spoon tds Diarrhea back Jeevani Watery;…. Furosolidine Mucoid;…….furo/ metro Bld/muc;……both Furazolidine Tab strength; 100mg ADULT 100mg 12-6 50mg
    • <6…>15Kg 25mg 1tea spoon <6…>15Kg ½ tea spoon Remarks Syrup; Max dose; Metronidazole Tab strength; 400mg ADULT 400mg tds 12-6 200 mg tds <6…>15Kg <6…>15Kg Remarks; S/E Syrup; Max dose; Ciprofloxacine Tab strength; ADULT 500mg tds 12-6 <6…>15Kg <6…>15Kg Remarks; over 18 years only Syrup; Max dose; Anti diarrohials Buscopan Tab strength; 10mg ADULT Stat 4 tabs, 10mg tds 12-6 5 mg tds <6…>15Kg No <6…>15Kg N0
    • Remarks Syrup; Max dose; Propanthaline Tab strength; 15mg ADULT 15mg tds 12-6 <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Lomotil 1 tab tds Constipation back Dulcolux 5mg nocte Dulcolax Tab strength; 5 mg ADULT 5 mg nocte 12-6 <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Lactulose Tab strength; ADULT 2 tea spoon 12-6 1 tea spoon
    • <6…>15Kg ½ tea spoon <6…>15Kg ¼ tea spoon Remarks Syrup; Max dose; PR bleeding back Metro Anal fissures back Metro gel/tab Hemorrhoids back Pilocaine gel sos Xyprost same Lignocaine gel metro lactulose
    • Lactulose Tab strength; ADULT 2 tea spoon 12-6 1 tea spoon <6…>15Kg ½ tea spoon <6…>15Kg ¼ tea spoon Remarks Syrup; Max dose; Anti worm back after 1 y 1-3 y………. Pyrantel 125mg/ ½ tea spoon repeat after 1 week 3-7y ………. Pyrantel 250mg stat. repeat after 1 week >7y …………mebendazole 100mg bd bd 500mg stat albendazole 400mg stat Anti emetics back Beware of neurological S/E s. Domperidone Tab strength; 10mg
    • ADULT 10mg tds ½ before meals 12-6 5mg <6…>15Kg 1 tea spoon <6…>15Kg ½ tea spoon Remarks; Galactorrhoea Syrup; Max dose; Metoclopramide Tab strength; 10mg ADULT 10mg tds 12-6 5mg tds <6…>15Kg 2.5 mg tds <6…>15Kg [0.25mg/kg/day] Remarks Syrup; Max dose; 500mg/kg/day Cinnarazine Tab strength; 25mg tds ADULT 25 mg tds 12-6 12.5 mg tds <6…>15Kg <6…>15Kg Remarks Syrup; Max dose; Phenergan [promethazine] Tab strength; 25mg,10mg ADULT 10-25mg daily 12-6 12.5mg daily <6…>15Kg 1 tea spoon daily <6…>15Kg ½ tea spoon daily Remarks; <2y not recommended For mortion sickness Syrup; Max dose; GUT
    • UTI back Dysuria; Cipro+ lasix 40 mg 1 tab stat mane Pead Nalidixic acid after 3 months 30mg/kg syrup; 300mg/5ml Trimethoprim ; 1½ months-5months…….25mg bd syrup; 50mg/5ml 6 months to 5 years …….50mg bd Calculi back diclofenac + diazepam buscopan t tab tds
    • CNS Fits back If settled……….rectal diazepam 5 mg Diclofenc sup 12.5mg sup Numbness back B 12 10ml IM 2 ml EOD Vertigo back BP must stematile proclopramide…. 1 tab tds cinnarazine 25mg tds
    • Migraine back pcm mefenamic for 3 days propranalol 40mg bd 3/12 Mefenamic acid Tab strength;500mg tab ADULT 2 tab qds 12-6 1 tab qds <6…>15Kg ½ tab qds 1 tea spoon <6…>15Kg ¼ tab qds ½ tea spoon Remarks Syrup; 125mg in 5 ml Max dose; CVS Hypertension back
    • If high nifedipine soft gel capsule Atenalol 50 mg bd daily 3 days Maintain 25mg bd mane Add HCT 12.5 mg mane Nifedipine (20 mg tab) give 10mg mane Lorsatan 25mg tabs Valsartan 25mg tabs Mus skel Joint pain back Diclof + dexa+ famtodine………..1 week Diclofenac sr 100mg nocte Diclo gel fastum gem Diclofenac Tab strength; ADULT 50mg tds 12-6 25mg tds <6…>15Kg 12.5mg tds <6…>15Kg 6.25mg tds Remarks Syrup; Max dose;
    • OA back Pcm + Nsaids [ibuprofen] + steroids+ gel Brufen Tab strength;400mg 200mg ADULT 400mg tds 12-6 200mg tds <6…>15Kg 100mg tds 1 tea spoon <6…>15Kg 50mg tds ½ tea spoon Remarks castritis Syrup; Max dose; Indomethasine 7.5 mg bd 15 mg bd add glycosamine 1500mg bd daily [carti safe 750mg joint safe] ca lactate 1 tab mane General. Wt reduction exercise
    • Gyn Menorrhagia back 15-25y ; mef acid 500mg tds 5 days 25-35y ; mef+ northesterone [primolute-n] 5mg tds 5 days last 2 days tail off north 35-45y ; primalute only 5 days long standing bleeding or resistant tranexemic acid-250mg tds for 3 days up to 500 mg tds if anaemic iron 1 noct folic 1 mane B Co 1 nocte Vit c 1 nocte Calcivita 1 bd Ferro-vita 1 bd
    • B com IM 2 ml EOD Oligomenorrhoea back Test pregnancy Primalute 5mg tds 5 days Continue with ocp If PCOD reduce weight, do FBS Mithuri 60/= Nordate 120/= Dysmenorrhoea back < 35y; mefenemic 500mg tds 3 days >35y, Northesterone 500mg 3 days with mef
    • Post ponement back Northes 5mg tds start at least 5 days before Max up to 21 days Contraception back DMPA after the first child For 3/12 +5days Date 1 week before that In a menstruating day Otherwise check for pregnancy Shake the vial well…measure BP and weight Emergency Postinor 2 Mithuri 3 tabs repeat after 12 hrs Vaginal candidiasis back
    • Cream both partners both inside and outside Clotrimazole Miconasole Micoral Ketoconazole Vaginal pessaries; candid v 3, 3 tabs on 3 consecative days.bed time Severe v6, 6 days If preg candid CI…… Nystatin pesarries If elderly do FBS If unmarried or resistant Ketoconazole 200mg daily for 1 week Fluconazole 150mg bd 7 days Trichomonasasis back 400mg tds 7 days. Dermat
    • Itching back Anti histamine Piriton 4 mg tds Cetrizine 10mg bd Loratidine 10mg bd Fexofenedine 180mg daily oral sos- under 12 y not recommended Calamine lortion Axial or groin antifungal Ketokonazole 200mg daily Clean underwear Eczema back steroid cream Hydrocortisone 0.5% 1% adult
    • in face 0.5% bd beta methasone cream If wound infected oral anti biotics erythromycine, amoxycilline Erythromycine Tab strength; ADULT 500mg tds 12-6 250mg tds <6…>15Kg 1 tea spoon bd <6…>15Kg ½ tea spoon bd Remarks Syrup; 125mg in 1 tea spoon Max dose; Cream – beclomine bd Enderm bd powerful steroids Even effective for psoriesis Eczema Wash with condis For an uncertain lesion back Enderm
    • Beclomine Betadine cream Aluham back Clotrimazole powder selson shampoo at bed time If severe pulsatile fluconasole 150mg bd 2-3 weeks Dandruff back Inflamm- polytar shampoo keep for 10mins Antifungal ; ketokonazole shampoo. Hair loss back
    • Dandruff rx Vit E 400mic g daily for 2 weeks Biotin-EX 1 month Audace oil hair growth massage for 5 mins 2 drops when bathing Allergy back BP Mild; piriton1 tds + phenagon tds+ dexa 1 tds for 3 days. Moderate; stat 2 dexa+ 2 piriton+ phenagon 25 mg Continue the same mx as above If necessary famtodine If severe hydrocortisone 200mg IM/IV Adrenaline 1;1000 full vial Children ½ vial
    • Acne back Erythromycine cream Irridone not for females Retinoic acid not in pregnancy Oral ; erythromycine 250mg tds 1st week 250mg daily 1 month tetracycline ; same as above doxycycline 100mg daily 3 months Chicken pox back acyclovir [200mg tabs] 5 times daily for 5 days or once in every 5 hour Burns back clean n. saline
    • fucidine net NSAIDs diazepam antibiotics: Eg cloxacilline 500mg tds famotidine ENT Ot externa back genta ear drops chlorampenicol ear drops 3 drops tds for 5 days oral antibiotics amoxy for 5 days for pain nsaids, diazepam Ot media back >18 cipro 500mg bd 5 days cloxa 500mg tds 250mg 1 tea spoon
    • ½ tea spoon if fungal clotrimazole ear drops 2 drops tds Oral candidiasis back cotrimazle mouth paint Earache back look for FB wax infection waxole ear drops 5 drops tds refer to LRH NaHCO3 ear drops 5 drops FB remove Eye back
    • Steroid eye drop; prednisolone 1drops tds +gentamycine 1 drop tds probeta-N 1 drop tds Dexona-E 1 drop tds for 5 days Fexofenadine HCl 120 mg daily 3 days Injections back Phenagon; 25mg IM/IV child; 12.5mg Tramadol ; 50mg capsule tds, oral with anti emetics Injection 50mg, IM/IV eg; Chikun Gunya with anti emetics Tetanus ; no need up to 10 years 1 will protect for 10 years 1st 0, 2nd 6 weeks,3rd 6 months buscopan ; severe abdo pain urinary coli stematil vomiting, vertigo refer IM/IV ranitidine ; severe gastritis 150mg, IM/IV beware of inferior MI diazepam; 10mg
    • Suppositories back diclofenac; 12.5, 25,50,100 domperidone; 10mg 30mg, 60mg dulcolux 10mg sup