CASE: 43 yr old female on warfarin for recurrent (x3) unprovoked DVTs. Widely fluctuating INRs over past year (1.25 - 4.75; TTR = 30%). ClCr=55ml/min. What next?

  • Start low-dose vitamin K to stabilize INR. (11%, 8 Votes)
  • Switch warfarin to apixaban 2.5mg BID (36%, 26 Votes)
  • Switch warfarin to rivaroxaban 10mg QD (33%, 24 Votes)
  • Enroll patient in MedSync or adherence program (20%, 15 Votes)

Total Voters: 73

Start Date: April 6, 2023 @ 5:59 AM
End Date: No Expiry

CASE: 52 year old female with type 1 DM, CKD (Stage 3b), and painful peripheral neuropathy. Burning pain in feet, especially at night. Which treatment would you recommend?

  • Topical capsaisin (17%, 17 Votes)
  • Duloxetine (35%, 35 Votes)
  • Nortriptyline (12%, 12 Votes)
  • Pregabalin (36%, 36 Votes)

Total Voters: 100

Start Date: March 6, 2023 @ 3:39 PM
End Date: No Expiry

Case: 71 year old male with DM type 2, HTN, dyslipidemia, BMI=36, and CAC=347 complains of muscle pain after taking simvastatin and again with atrovastatin daily. What next?

  • 2-week holiday then atorvastatin dosing every other day. (19%, 16 Votes)
  • 2-week holiday, switch to rosuvastatin. (67%, 56 Votes)
  • 2-week holiday, switch to ezetimibe. (10%, 8 Votes)
  • Add co-enzyme Q daily. (4%, 4 Votes)

Total Voters: 84

Start Date: February 10, 2023 @ 12:06 PM
End Date: March 6, 2023 @ 3:43 PM

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