Home Medicine PA Boards 62: Clinical Updates

PA Boards 62: Clinical Updates


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Episode Highlights:
Today we discussed updated guidelines.
1. ACS – dual anti-platelet therapy with aspirin and a P2Y12 receptor blocker is given post ACS
2. Routine oxygen not recommended in ACS
3. Atrial Fib – CHADS score changed to CHA2DS2-VASc score
4.Atrial Fib –  Oral anticoagulation preferred over warfarin
5. Atrial Fib – Aspirin no longer given for a low score
6.Bronchiolitis – No routine use of bronchodilators
7. Breast Cancer – Premenopausal women with positive receptors and at high risk for recurence (chemotherapy treatment and/or <35 years of age) should be treated with ovarian suppression plus exemestane  (Aromatase inhibitor). Tamoxifen monotherapy is no longer recommended for these patients.

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