Menú
SkillsMP ha recopilado 858 skills de dromlakhani/MD2SKILL. Abre una skill para revisar su origen y sus detalles.
Mostrando 40 de 858 skills recopiladas.
For a person with confirmed islet autoantibodies (early-stage type 1 diabetes), state the numerical progression risk to Stage 3 T1D by stage and age, set the age-stratified monitoring frequency (metabolic and HbA1c), apply the ≥10% longitudinal HbA1c rise →…
Idioma del texto original: inglés
Order and confirm islet autoantibody screening for early-stage type 1 diabetes — which antibodies to test (GAD65, IAA, IA2, ZnT8), sample types (capillary dried blood spot, venous), the mandatory two-sample two-method confirmation protocol, and how to…
Idioma del texto original: inglés
Classify a person with a positive islet autoantibody screen into a specific stage of type 1 diabetes (At Risk / Stage 1 / Stage 2a / Stage 2b / Stage 3a / Stage 3b / Stage 4) using the international consensus staging framework based on autoantibody count and…
Idioma del texto original: inglés
Decide whether a person with confirmed early-stage type 1 diabetes qualifies for teplizumab (Tzield) — the anti-CD3 disease-modifying antibody that delays progression from Stage 2 to Stage 3 T1D — and outline the 14-day intravenous course, expected benefit,…
Idioma del texto original: inglés
Distinguishes BPPV from its key mimics at the bedside — postural hypotension, vestibular paroxysmia, vestibular migraine, central positional vertigo, and chronic unilateral vestibular hypofunction — using history, trigger patterns, nystagmus characteristics,…
Idioma del texto original: inglés
Screens any dizzy patient for features that mandate urgent neuroimaging or neurology referral — distinguishing benign peripheral dizziness from a central or life-threatening cause. Use when a patient presents with dizziness and you want to quickly rule out…
Idioma del texto original: inglés
Classifies a patient's dizziness into one of four categories — vestibular/vertigo, presyncope, disequilibrium, or nonspecific — using history, timing, triggers, and associated symptoms. Use when a patient presents with dizziness, giddiness, lightheadedness,…
Idioma del texto original: inglés
Differentiates peripheral from central causes of vestibular dizziness using nystagmus characteristics, Dix-Hallpike findings, hearing loss, and brainstem signs. Use after vestibular dizziness is confirmed and you need to decide whether this is a benign…
Idioma del texto original: inglés
Diagnose monogenic and syndromic obesity in children and adolescents using a structured step-by-step algorithm. Use this skill whenever a clinician suspects a genetic cause of obesity, asks about leptin deficiency, MC4R mutation, POMC deficiency, PCSK1…
Idioma del texto original: inglés
Advises adjusting testosterone dose based on serum levels and clinical response: reduce dose if total testosterone consistently exceeds the normal range, escalate if hypogonadal symptoms persist despite sub-mid-normal levels. Triggered when a clinician…
Idioma del texto original: inglés
Advises against obtaining testosterone levels during acute illness as results may be unreliable. Triggers when a patient is febrile, infected, or otherwise acutely unwell and the clinician questions whether to draw testosterone now or delay testing until…
Idioma del texto original: inglés
Advises against testosterone therapy in men with biochemical recurrence after prostate cancer treatment due to very limited data and potential risk of progression. Consider when a patient has a rising PSA after definitive therapy and the clinician evaluates…
Idioma del texto original: inglés
Testosterone monotherapy is not an effective treatment for clinical depressive disorders in hypogonadal men and should not be used for that purpose. Consider this when a patient presents with depressive mood and low testosterone, questioning whether…
Idioma del texto original: inglés
The guideline recommends against using testosterone therapy alone to prevent or treat diabetes in men with hypogonadism. Clinicians should consider this recommendation when contemplating testosterone to improve HbA1c or insulin resistance and questioning…
Idioma del texto original: inglés
This skill advises against initiating testosterone therapy in men who express a desire for future fathering, as exogenous testosterone suppresses spermatogenesis and can lead to infertility. It is triggered when a patient reports wanting children and the…
Idioma del texto original: inglés
Recommends against using testosterone monotherapy solely to reduce fracture risk in hypogonadal men with high fracture risk. Triggered when a clinician considers osteoporosis management and asks whether testosterone will prevent fractures or if testosterone…
Idioma del texto original: inglés
The skill advises against using testosterone therapy alone for weight loss or cardio-metabolic improvement. It triggers when a clinician considers prescribing testosterone for obesity or diabetes and questions whether testosterone alone will aid weight loss…
Idioma del texto original: inglés
This skill advises against initiating testosterone therapy in eugonadal men with normal serum testosterone and no symptoms of deficiency. It is triggered when a clinician questions whether to prescribe testosterone for a patient with normal labs and no…
Idioma del texto original: inglés
Contraindicates testosterone therapy in men with metastatic prostate cancer because of insufficient safety data and risk of rapid progression. Triggers when a patient has metastatic disease and low testosterone and the clinician wonders "can I use…
Idioma del texto original: inglés
This skill advises against universal testosterone screening in asymptomatic men, recommending testing only when specific clinical indications are present. Trigger phrases include 'should I screen everyone for low T', 'is universal testing appropriate', or…
Idioma del texto original: inglés
Provides a practical algorithm to estimate free testosterone from total testosterone, SHBG, and albumin using the Vermeulen equation for clinical use when direct measurement is unavailable. Triggers when a clinician needs to assess bioavailable testosterone…
Idioma del texto original: inglés
This skill suggests measuring albumin and SHBG to calculate free testosterone in men with clear dysmetabolic conditions to improve diagnostic accuracy. It is triggered when managing a patient with obesity, diabetes, or metabolic syndrome and questioning…
Idioma del texto original: inglés
Recommends mass spectrometry for research purposes and good-quality immunoassays for routine clinical diagnosis when standardized against an international reference range. Triggers when a clinician orders a testosterone test and asks "which assay should I…
Idioma del texto original: inglés
Considers offering testosterone therapy to men on active surveillance for low-grade prostate cancer when both clinician and patient acknowledge the limited data on cancer progression risk. Triggered when managing a man with low-grade prostate cancer and low…
Idioma del texto original: inglés
This skill advises that testosterone therapy may be reasonable for men on active surveillance for prostate cancer who have hypogonadism when both clinician and patient acknowledge the paucity of long-term safety data. It is triggered when a clinician manages…
Idioma del texto original: inglés
This skill guides clinicians to consider testosterone therapy after definitive radiation or brachytherapy for prostate cancer when the patient shows a good post-treatment response (e.g., stable low PSA) and remains low-risk. It is triggered when a patient…
Idioma del texto original: inglés
This skill suggests testosterone therapy may be considered after radical prostatectomy when postoperative PSA is undetectable and pathology reveals negative surgical margins, negative seminal vesicles, and negative lymph nodes. It is triggered when a…
Idioma del texto original: inglés
Large RCTs show no increased prostate cancer risk with testosterone therapy in men without known prostate cancer and normal PSA, supporting its consideration in this population. This skill is triggered when a clinician evaluates a hypogonadal man with normal…
Idioma del texto original: inglés
Recommends postponing testosterone initiation and pursuing MRI or biopsy when PSA is elevated or a prostate nodule is detected on digital rectal examination; if evaluation shows no cancer, testosterone therapy may be considered. Triggered by clinician…
Idioma del texto original: inglés
Recommends a thorough conversation about options to preserve spermatogenesis and testicular volume when initiating testosterone in men with prior anabolic‑steroid use or ongoing testosterone therapy. Triggers when a clinician plans to start testosterone in a…
Idioma del texto original: inglés
Perform digital rectal examination (DRE) in all men before initiating testosterone therapy to exclude prostate abnormalities or support suspicion of hypogonadism when prostate volume is reduced. Triggered when a clinician considers starting testosterone and…
Idioma del texto original: inglés
Estimates that bariatric surgery can raise serum testosterone by approximately 10 nmol/L in obese hypogonadal patients. Triggered when a clinician considers surgical weight loss for a hypogonadal obese patient and wonders how much testosterone might rise…
Idioma del texto original: inglés
Estimates the expected rise in serum testosterone following a 10% weight loss in obese hypogonadal men, using the approximation of a 2-4 nmol/L increase. Triggered when a clinician discusses lifestyle modification with an obese hypogonadal patient and…
Idioma del texto original: inglés
This skill guides clinicians to maintain hematocrit below 54% before and during testosterone therapy, with particular attention to high-altitude populations to mitigate polycythemia risk. It is triggered when reviewing labs and asking, "Is the hematocrit safe…
Idioma del texto original: inglés
This skill confirms the diagnosis of male hypogonadism by requiring both characteristic clinical symptoms and consistently low total testosterone levels on two separate morning measurements. It is triggered when a clinician evaluates a patient with suspected…
Idioma del texto original: inglés
Recommends evaluating testosterone in men presenting with sexual symptoms (low libido, erectile dysfunction, decreased morning erections), metabolic conditions (obesity, type 2 diabetes, metabolic syndrome), HIV infection, opioid or glucocorticoid use, bone…
Idioma del texto original: inglés
Recommends measuring total testosterone in the morning fasting state (07:00–11:00) using a reliable assay for patients suspected of hypogonadism. Triggered when a clinician orders a testosterone test and questions whether the sample should be drawn fasting…
Idioma del texto original: inglés
This skill guides offering testosterone therapy after radiation or brachytherapy when a patient's PSA has fallen to a low level, typically at 3-6 months post-treatment. It is triggered when clinicians consider initiating testosterone and seek confirmation…
Idioma del texto original: inglés
This skill guides clinicians to consider testosterone therapy in postoperative radical prostatectomy patients who have undetectable PSA and favorable pathology (negative margins, seminal vesicles, and lymph nodes). Trigger when a postoperative patient reports…
Idioma del texto original: inglés
Advises checking for smaller testes, decreased body hair, and gynecomastia as physical clues to hypogonadism. Triggered when evaluating a man with suspected testosterone deficiency who asks what physical exam findings support the diagnosis or whether any exam…
Idioma del texto original: inglés