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    EBM PGI Macarubbo

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    Ching Macarubbo
    This document contains two clinical scenarios asking about the best diagnostic tool for acute appendicitis in pediatric patients and the incidence of liver damage in diabetes patients prescribed metformin. For the first case, a CT scan is more accurate than an ultrasound for diagnosing acute appendicitis in pediatric patients. For the second case, systematic reviews have found metformin is safe for the liver, with little to no incidence of liver damage reported in diabetes patients prescribed metformin.

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    EBM PGI Macarubbo

    Uploaded by

    Ching Macarubbo
    36 views1 page
    This document contains two clinical scenarios asking about the best diagnostic tool for acute appendicitis in pediatric patients and the incidence of liver damage in diabetes patients prescribed metformin. For the first case, a CT scan is more accurate than an ultrasound for diagnosing acute appendicitis in pediatric patients. For the second case, systematic reviews have found metformin is safe for the liver, with little to no incidence of liver damage reported in diabetes patients prescribed metformin.

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    This document contains two clinical scenarios asking about the best diagnostic tool for acute appendicitis in pediatric patients and the incidence of liver damage in diabetes patients prescribed metformin. For the first case, a CT scan is more accurate than an ultrasound for diagnosing acute appendicitis in pediatric patients. For the second case, systematic reviews have found metformin is safe for the liver, with little to no incidence of liver damage reported in diabetes patients prescribed metformin.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    36 views1 page

    EBM PGI Macarubbo

    Uploaded by

    Ching Macarubbo
    This document contains two clinical scenarios asking about the best diagnostic tool for acute appendicitis in pediatric patients and the incidence of liver damage in diabetes patients prescribed metformin. For the first case, a CT scan is more accurate than an ultrasound for diagnosing acute appendicitis in pediatric patients. For the second case, systematic reviews have found metformin is safe for the liver, with little to no incidence of liver damage reported in diabetes patients prescribed metformin.

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    PGI Joianne Obias Macarubbo July 10, 2021

    Family and Community Medicine

    EBM CASE SCENARIOS

    1) 1You are in your 1st day of duty in the Pedia ER. The first case decked to you is a 12-year old boy
    complaining of lower abdominal pain, nausea and voting. The resident on duty is suspecting acute
    appendicitis and asks you which is the better diagnostic tool – a CT scan or an Ultrasound?

    Focused Clinical Question

    How accurate is a CT scan compared to an Ultrasound in diagnosing Acute Appendicitis in


    Pediatric patients?

    P 12-year old boy complaining of


    lower abdominal pain, nausea and
    vomiting
    I CT-scan
    C Ultrasound
    O Better diagnostic tool for acute
    appendicitis in pediatrics
    M Systematic Review

    2) Your 58 year old Tito who was recently diagnosed with diabetes and was prescribed with Metformin
    500 mg 3x a day. He doesn’t want to take his medications fearing it would damage his liver. You
    explained to him that it is needed to control his blood sugar. He asked you that he will believe you if you
    will show him “proof” that Metformin is safe for the liver. You decided to look for an article to appease
    him.

    Focused Clinical Question

    In patients diagnosed with diabetes mellitus prescribed with metformin, what is the incidence of
    liver damage?

    P 50-60 years old, male with


    Diabetes Mellitus
    I Metformin
    C No treatment
    O Metformin effects on the liver
    M Systematic Review

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