Ta de Clinicagem tadeclinicagem

Joanne e João Urbano, nosso Joca, convidam o Dr. Igor Brum para conversar sobre as últimas atualizações no manejo de AVC isquêmico.



Referências:

1. Hilkens NA, Casolla B, Leung TW, de Leeuw FE. Stroke. Lancet. Published online May 14, 2024. doi:10.1016/S0140-6736(24)00642-1

2. Huo X, Ma G, Tong X, et al. Trial of Endovascular Therapy for Acute Ischemic Stroke with Large Infarct. N Engl J Med. 2023;388(14):1272-1283. doi:10.1056/NEJMoa2213379

3. Sarraj A, Hassan AE, Abraham MG, et al. Trial of Endovascular Thrombectomy for Large Ischemic Strokes [published correction appears in N Engl J Med. 2024 Jan 25;390(4):388. doi: 10.1056/NEJMx230009]. N Engl J Med. 2023;388(14):1259-1271. doi:10.1056/NEJMoa2214403

4. Strbian D, Tsivgoulis G, Ospel JM, et al. European Stroke Organisation (ESO) and European Society for Minimally Invasive Neurological Therapy (ESMINT) Guideline on Acute Management of Basilar Artery Occlusion. Eur Stroke J. Published online May 16, 2024. doi:10.1177/23969873241257223

Iaaaago Joooooorge apresenta o caso dessa síndrome badalada para João Mendes e nosso ilustre convidado Lucas Barroti discutirem.



Referências

1.⁠ ⁠Morita TCAB, Trés GFS, García MSC, Halpern I, Criado PR, de Carvalho JF. Panniculitides of particular interest to the rheumatologist. Adv Rheumatol. 2019 Aug 1;59(1):35. doi: 10.1186/s42358-019-0077-5. PMID: 31370889.

2.⁠ ⁠Caputo V, Rongioletti F. Panniculitis in the setting of dermato/rheumatologic diseases. G Ital Dermatol Venereol. 2018 Apr;153(2):194-207. doi: 10.23736/S0392-0488.17.05845-X. Epub 2017 Dec 15. PMID: 29249125.

3.⁠ ⁠Pérez-Garza DM, Chavez-Alvarez S, Ocampo-Candiani J, Gomez-Flores M. Erythema Nodosum: A Practical Approach and Diagnostic Algorithm. Am J Clin Dermatol. 2021 May;22(3):367-378. doi: 10.1007/s40257-021-00592-w. Epub 2021 Mar 8. PMID: 33683567; PMCID: PMC7938036.

4.⁠ ⁠Moya FG, Halpern I, Lellis RF. In: Junior WB, Chiacchio N, Criado PR. Tratado de Dermatologia, Volume 1. 4 ed - Rio de Janeiro: Atheneu 2023. Pgs 881-928.

5.⁠ ⁠Kroshinsky D. Erythema Nodosum. In: UpToDate, Connor RF (Ed), Wolters Kluwer. (Accessed on April 29th, 2024).

6.⁠ ⁠Requena L, Kutzner H, Patterson JW. Panniculitis. In: Bolognia JL, Schaffer JV, Cerroni L. Dermatology. 5th ed. New York: Elsevier; 2018. p. 1751-1774.

Nesse episódio de formato diferente, Pedro e Ingrid trazem convidados para falar sobre traqueostomia! Quais os tipos, quando fazer, quais os cuidados e quais as complicações? Tudo nesse episódio!
Um agradecimento especial para:

Rodrigo Kondo da ACP brasil
Mariana Sacchi, especialista em fisioterapia hospitalar pela FMUSP
Karol Kussik, fonoaudióloga doutora em ciências da reabilitação pela FMUSP
e Diego Adão, do podcast Mania de Cirurgia


Referências embreve

Pedro Magno, Luisa Sousa e Caio Bastos falam de 4 clinicagens sobre magnésio:

1. Como investigar hipomagnesemia?

2. Magnésio e outros eletrólitos

3. Quando repor?

4. Como repor?



Referências:

1. Zipursky, Jonathan et al. “Proton pump inhibitors and hospitalization with hypomagnesemia: a population-based case-control study.” PLoS medicine vol. 11,9 e1001736. 30 Sep. 2014, doi:10.1371/journal.pmed.1001736

2. Cheungpasitporn, Wisit et al. “Hospital-Acquired Dysmagnesemia and In-Hospital Mortality.” Medical sciences (Basel, Switzerland) vol. 8,3 37. 1 Sep. 2020, doi:10.3390/medsci8030037

3. ISIS-4: a randomised factorial trial assessing early oral captopril, oral mononitrate, and intravenous magnesium sulphate in 58,050 patients with suspected acute myocardial infarction. ISIS-4 (Fourth International Study of Infarct Survival) Collaborative Group. Lancet. 1995;345(8951):669-685.

4. Magnesium in Coronaries (MAGIC) Trial Investigators. Early administration of intravenous magnesium to high-risk patients with acute myocardial infarction in the Magnesium in Coronaries (MAGIC) Trial: a randomised controlled trial. Lancet. 2002;360(9341):1189-1196. doi:10.1016/s0140-6736(02)11278-5

5. Ray S, Park KW. Movement Disorders and Other Neurologic Impairment Associated With Hypomagnesemia: A Systematic Review. Neurol Clin Pract. 2023;13(6):e200202. doi:10.1212/CPJ.0000000000200202

6. De las Peñas R, Escobar Y, Henao F, Blasco A, Rodríguez CA; Spanish Society for Medical Oncology. SEOM guidelines on hydroelectrolytic disorders. Clin Transl Oncol. 2014;16(12):1051-1059. doi:10.1007/s12094-014-1234-2

7. Spichler A, Athanazio DA, Furtado J, Seguro A, Vinetz JM. Case report: severe, symptomatic hypomagnesemia in acute leptospirosis. Am J Trop Med Hyg. 2008;79(6):915-917.

8. Porath A, Mosseri M, Harman I, Ovsyshcher I, Keynan A. Dead Sea water poisoning. Ann Emerg Med. 1989;18(2):187-191. doi:10.1016/s0196-0644(89)80112-x

9. Wacker WE, Parisi AF. Magnesium metabolism. N Engl J Med. 1968;278(12):658-663. doi:10.1056/NEJM196803212781205

Rapha, Ênio e Guilherme Kenzzo conversam sobre Transtorno de Ansiedade Generalizada (TAG):

- Quais são os diagnósticos diferenciais?

- Como diagnosticar e acompanhar TAG?

- Como tratar TAG?

Tudo isso nesse episódio!



Referências:

1. Szuhany KL, Simon NM. Anxiety Disorders: A Review. JAMA. 2022 Dec 27;328(24):2431-2445. doi: 10.1001/jama.2022.22744. PMID: 36573969.

2. Penninx BW, Pine DS, Holmes EA, Reif A. Anxiety disorders. Lancet. 2021 Mar 6;397(10277):914-927. doi: 10.1016/S0140-6736(21)00359-7. Epub 2021 Feb 11. Erratum in: Lancet. 2021 Mar 6;397(10277):880. PMID: 33581801; PMCID: PMC9248771.

3. Stein MB, Sareen J. CLINICAL PRACTICE. Generalized Anxiety Disorder. N Engl J Med. 2015 Nov 19;373(21):2059-68. doi: 10.1056/NEJMcp1502514. PMID: 26580998.

4. Stahl, S. M. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Cambridge University Press.

- Jeremy DeMartini, Gayatri Patel, Tonya L Fancher. Generalized Anxiety Disorder. Ann Intern Med. 2019 Apr 2;170(7):ITC49-ITC64. doi: 10.7326/AITC201904020.

5. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.)

6. Slee, April et al. “Pharmacological treatments for generalised anxiety disorder: a systematic review and network meta-analysis.” Lancet (London, England) vol. 393,10173 (2019): 768-777. doi:10.1016/S0140-6736(18)31793-8

7. Brawman-Mintzer, Olga et al. “Sertraline treatment for generalized anxiety disorder: a randomized, double-blind, placebo-controlled study.” The Journal of clinical psychiatry vol. 67,6 (2006): 874-81. doi:10.4088/jcp.v67n0603

8. Guaiana, Giuseppe et al. “Hydroxyzine for generalised anxiety disorder.” The Cochrane database of systematic reviews ,12 CD006815. 8 Dec. 2010, doi:10.1002/14651858.CD006815.pub2

Pedro, Fred e João conversam sobre as principais doenças associadas a enchentes. Tema importante após os eventos climáticos no Rio Grande do Sul.



Referências em breve.