DECISION POINT

The patient's wife, who is now present, asks via teleconference, "Doc, I read that you can't stop TB medicine. My husband has been off it for 10 days. Won't his TB become resistant? When do we start the medicine again?"

This is a difficult clinical decision: Balancing the risk of DILI recurrence versus the risk of untreated or resistant TB.

What is your plan?

  • "His liver function has improved. Let's restart the 4-FDC, and also we will give the hepatoprotector supllement. We must treat his TB."
  • "Just switch all his drugs to second-line medicines like Levofloxacin and stretopmycin. The anti tuberculosis drug standard drugs are too dangerous."
  • "The risk is too great. Stop all OAT permanently. His cough is better anyway."
  • "We must restart the drugs, but we will use the anti tuberculosis drug with no heaptotoxic effect,"

Map: Yellow Skin and Worsened Cough (1129)
Node: 21501
Score:

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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Simvastatin (Statin)
  • Enfermedad hereditaria
  • Preparación incorrecta del medio desprovisto de nutrientes
  • Οι μεταβολές του pH μπορούν να οδηγήσουν στη μετουσίωση του αμύλου
  • Live specimens
  • Καπέλο πάρτυ.
  • Equipamiento de Seguridad del Laboratorio
  • Provide structured education on medication use, explain the benefits of regular low-impact exercise, and involve the patient in goal setting
  • Το pH επηρεάζει τον ιονισμό του αμύλου
  • Dopamine agonist
  • 1/10
  • Το pH επηρεάζει τον ιονισμό της αμυλάσης
  • Labetalol (third generation beta-blocker)
  • Educate red-flag signs and refer immediately for an in-person visit
  • Εστίαση στους Καρυότυπους
  • Παραπεμπτικό σε ενδοκρινολόγο
  • DECISION POINT

Reminder

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