Family Medicine notes @fm_notes Channel on Telegram

Family Medicine notes

@fm_notes

🆓 Educational notes to medical students, interns, family physicians & any health-care worker who is interested in helping patients efficiently

Family Medicine notes (English)

Welcome to the Family Medicine notes channel, also known as @fm_notes! This Telegram channel is dedicated to providing educational notes to medical students, interns, family physicians, and any healthcare worker who is interested in helping patients efficiently. Whether you are a seasoned professional looking to brush up on your knowledge or a student eager to learn more about family medicine, this channel is the perfect resource for you. Family medicine is a crucial field in healthcare, focusing on providing comprehensive and continuous medical care for patients of all ages. It encompasses a wide range of medical areas, including preventive care, chronic disease management, acute illness treatment, and more. The notes shared on this channel cover various topics related to family medicine, from diagnostic guidelines to treatment protocols, to help you stay informed and up-to-date in your practice. By joining @fm_notes, you will have access to valuable resources that can enhance your understanding of family medicine and improve your patient care skills. The educational notes are curated to be informative, practical, and easy to understand, making them suitable for both beginners and experienced healthcare professionals. Whether you are studying for exams, preparing for clinical rotations, or simply looking to expand your knowledge, this channel has something for everyone. Our community is made up of passionate individuals who share a common goal of providing high-quality healthcare to patients. By connecting with like-minded professionals and learners on this channel, you can engage in discussions, ask questions, and exchange insights to further enrich your learning experience. Together, we can support each other in our journey to becoming competent and compassionate healthcare providers. Join us at Family Medicine notes (@fm_notes) today and start exploring the world of family medicine with a supportive and knowledgeable community. Let's learn, grow, and make a positive impact on the lives of our patients together!

Family Medicine notes

24 Dec, 15:05

🫁 🆕 COPD Management based on GOLD 2025 Guidelines:


🆕 Roflumilast (PDE-4 inhibitor) & Ensifentrine (PDE-3 and -4 inhibitor) were added

© Pyrls
1,735
Family Medicine notes

22 Dec, 13:18

Surprise! 😮

✅💉FDA approves Tirzepatide for OSA 😴🛌
2,042
Family Medicine notes

11 Dec, 02:46

DM management
2,570
Family Medicine notes

27 Nov, 08:22

😂 🎥

💉Tirzepatide (Mounjaro®) for Obstructive Sleep Apnea (OSA) 🛌 and Obesity

© NEJM [SURMOUNT-OSA trial]
N Engl J Med 2024;391:1193-1205
2,926
Family Medicine notes

24 Nov, 19:16

Q1: What is the mechanism of action (MOA)?

Answer: ✅ non-ergot dopamine agonist (D2 & D3 mainly)


Q1: Give 2 indications for this medication

Answer:
✅ 1. Parkinson's disease (PD)
✅ 2. Restless Leg Syndrome (RLS)
2,542
Family Medicine notes

19 Nov, 04:58

🫁 Asthma pathophysiology

© 🎨 McKenzie-young
3,071
Family Medicine notes

18 Nov, 03:57

📄 Review Article: Management of Patients with Gout and Kidney Disease
2,862
Family Medicine notes

18 Nov, 03:55

🫘 Management of Gout & CKD

© Kidney360 4(9):p e1332-e1340, September 2023.

H/T @JasmineNephro on 𝕏

#️⃣ Nephrology - Nephro

Full paper is below👇🏻
2,896
Family Medicine notes

10 Nov, 18:10

Electrolyte and acid-base disorders in patients with cancer

© Am J Kidney Dis. 82(6):743-761. Published online October 17, 2023.

#️⃣ Oncology - Nephrology - Internal Medicine (IM) - Home health care (HHC) - Phosphate - Magnesium - Potassium - Sodium
3,057
Family Medicine notes

10 Nov, 17:51

Antidepressant Decision Support Tool: Based on Efficacy & Comorbidities
1,365
Family Medicine notes

07 Nov, 23:27

Indications for Deep Brain Stimulation (DBS):

Movement disorders:
✅ Parkinson's disease (PD)
✅ Dystonia
✅ Essential tremor

Psych:
✅ OCD
❓MDD (resistant)
❓Bipolar disorder
❓Tourette syndrome
❓Eating disorders (e.g., anorexia nervosa)

Pain:
❓Neuropathic pain
❓Cluster headache 🤕

❓Epilepsy

❓Cognitive (Alzheimer’s disease [AD])

—————————————————
✅ = FDA approved
❓= Not FDA approved yet (but promising)



🎨 Andy Rekito

#️⃣ Neurology - Neuro - Neurosurgery - Psychiatry - Pain medicine - Palliative - Anesthesia
1,577
Family Medicine notes

04 Nov, 19:29

Answer: ✅ 🐺 WPW (type of AVRT SVT)
1,876
Family Medicine notes

03 Nov, 19:20

📈 ECG quiz

Spot diagnosis?
(Answer is👇🏻)
1,879
Family Medicine notes

02 Nov, 19:24

🔷 The TSH lags behind in HYPERthyroidism so we use free T4 (FT4) levels to monitor it.

🔷 In hypothyroidism we use the TSH to monitor

© Conrad Fischer ( @SeeFisch on 𝕏) with edit
1,736
Family Medicine notes

02 Nov, 13:41

Scabies rash description: erythematous papules with excoriated tops due to scratching (prurigo papules)
1,847
Family Medicine notes

01 Nov, 21:35

⚠️ important alert in DKA
1,523
Family Medicine notes

01 Nov, 20:54

🆓 helpful website with 2000+ collection of HQ illustration icons 😍

🔗 https://bioart.niaid.nih.gov
1,515
Family Medicine notes

01 Nov, 20:27

Infographic: Changes in lean body mass & muscle health with GLP-1 -based therapies and mitigation strategies 💪🏻

© Diabetes Obes Metab. 2024;26(Suppl. 4):16-27.

H/T ( @maymuhareb on 𝕏)

#️⃣ Obesity - Anti-obesity - Metabolic
1,591
Family Medicine notes

01 Nov, 11:18

Approach to acid-base disorders ( ABG )

© 📖 ONE-PAGERS FOR THE WARDS, by Michael Fralick ( @FralickMike on 𝕏)

#️⃣ Lab interpretation - Emergency - ER - Urgent care
#onepager
1,419
Family Medicine notes

31 Oct, 20:33

🆕 study (just published yesterday!)

💉Semaglutide (Ozempic®) for knee OA with obesity [STEP-9 trial]

© NEJM

🔗 N Engl J Med 2024;391:1573-1583
1,453
Family Medicine notes

31 Oct, 16:00

باللغة العربية Arabic

كتيب تثقيفي متميز "كل ما يهمك عن سرطان الثدي" 🎀

تعمدت نشره في آخر يوم من الشهر ..
فالتوعية بسرطان الثدي لا تنتهي بانقضاء أكتوبر، بل تبدأ به!


#️⃣ التثقيف الطبي - تعزيز الصحة
1,481
Family Medicine notes

31 Oct, 14:03

💊 Antipsychotics

💡 1st generation antipsychotics (typical): most of them ends with -azine

💡 2nd generation antipsychotics (atypical): most of them ends with -apine or -idone

#️⃣ Schizophrenia (SCZ) - Psychiatry - Mental health - pharmacology
1,264
Family Medicine notes

31 Oct, 13:45

💊 Antipsychotics - All you need to know

#️⃣ Schizophrenia (SCZ) - Psychiatry - Mental health - pharmacology
#onepager
1,168
Family Medicine notes

31 Oct, 09:19

Psychotic disorders in one page:

Delusional disorder 🆚 brief psychotic disorder 🆚 schizophreniform 🆚 schizophrenia (SCZ) 🆚 schizoaffective 🆚 MDD with psychotic features

#️⃣ Psychiatry - Mental health
#onepager
🔂 repost
1,287
Family Medicine notes

28 Oct, 16:12

iron deficiency anemia (IDA) 🆚 thalassemia trait

🔷 It depends on Mentzer index = MCV/RBC:
🔻<13: thalassemia
🔻>13: IDA

• Whether I have ID or thal trait, I want to optimize my Hb/Hct (evolution selects for an optimal Hb/Hct, not for red cell number or size)
• Hct = MCV x RBC count, so if my MCV falls (say in ID or thalassemia), my bone marrow "wants" to compensate by making more RBCs (via increased EPO)
• In thal trait, my bone marrow is up to the task. It makes more RBCs than normal, maintaining a close to normal Hb/Hct
• In ID, my marrow is missing an essential nutrient for erythropoiesis; thus, RBC count and Hct are lower for the degree of MCV (despite EPO drive)
• ID is associated with a wider RDW than thalassemia

© @WilliamAird4 on 𝕏
1,287
Family Medicine notes

27 Oct, 04:17

🆕📄 Burnout, Depression, and Diminished Well-Being among Physicians 😔👨🏻‍⚕️

© NEJM

#️⃣ Psychiatry - Mental health
1,438
Family Medicine notes

27 Oct, 04:16

Next Steps in Improving Physician Well-Being

© NEJM

Full paper👇🏻
1,351
Family Medicine notes

24 Oct, 23:25

📣 🆕 UPDATE!

CDC Recommends Lowering the Age for Pneumococcal Vaccine to be started @ 50 Years Old

🔗 https://www.cdc.gov/media/releases/2024/s1023-pneumococcal-vaccination.html
1,562
Family Medicine notes

23 Oct, 20:50

💊 OTC: Antihistamines comparison

💡FExofenadine = FEW risk for drowsiness 👍🏻
💡LORatidine = LOW risk for drowsiness 👍🏻
1,414
Family Medicine notes

23 Oct, 18:33

Complications of Crohn's Disease (CD)

🎨 © Body Scientific

Inflammatory Bowel Disease - IBD
654
Family Medicine notes

23 Oct, 11:11

🔴 Approach to Abdominal Aortic Aneurysm (AAA)

© @MatthewHoMD on 𝕏

#onepager
684
Family Medicine notes

22 Oct, 20:14

🆕 Just released yesterday!

🧠 2024 AHA/ASA Guideline for the Primary Prevention of Stroke



📌 Notable updates include:

● New recommendation to consider GLP-1 agonists in certain patients
● Emphasis on social determinants of health and impact on stroke risk
● Gender- and sex-specific recommendations for screening and prevention of stroke
838
Family Medicine notes

22 Oct, 05:19

📹 Interpretation of Hb A1C

Why are there many conditions could affect its level? 🤔

© “CORE IM” podcast

🔗 https://youtu.be/8IC7XkcGMyo?si=yo7fvlEa3Mv0gbbc
959
Family Medicine notes

21 Oct, 01:31

Yesterday (Oct 20th) was the Osteoporosis World Day
Here is a quick recap for screening & management of osteoporosis

© 🇨🇦 2023 Canadian osteoporosis guideline
🔗 https://www.cmaj.ca/content/195/39/E1333

H/T @PanktiMehta24 on 𝕏
1,095
Family Medicine notes

20 Oct, 18:35

🆕 📖 DaleelFM OSCE Mastery, 2nd edition, 2024

(I edited the file by adding chapters on the outlines side)
1,100
Family Medicine notes

20 Oct, 08:52

🤰🏻🩸Abortion types

💡The (I’s) 👀 are always OPEN

Inevitable = open cervix
Incomplete = open cervix
1,222
Family Medicine notes

16 Oct, 21:05

Spot diagnosis?

Answer: ✅ Lichen simplex chronicus (LSC)

© @Beingmediccoo on 𝕏
1,645
Family Medicine notes

16 Oct, 01:47

INFECTION-RELATED CANCERS 🦠🧫🪱

⭐️ High yield for MCQs

© @drkeithsiau on 𝕏
1,797
Family Medicine notes

12 Oct, 23:32

🆕 🇪🇺 2024 European Society of Hypertension (ESH) Guidelines for HTN

*MASTER* Plan for HTN Management
2,861

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