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Clin Ep Presentations by Presentation 1: Ob Case
Clin Ep Presentations by Presentation 1: Ob Case
PRESENTATION 1
OB CASE
(Interruption)
DRIP: Gusto lang nya malaman kung bakit relevant yung article. Wag mo idiscuss. Bakit
yan yung pinili mo. Convince him that that article is the relevant article and not the
other searches
Okay na nilagay nya yung title ng article cos dun pa lang pwede na nya malaman kung
relevant yun or hindi
● Does it address a prognosis question?
SISON: 22 searches. Pano mo nadisregard the others and bakit yan yung pinili mo. Yun
yung gusto ko malaman. It doesnt mean na if the subj are pregnant and hypertensive
yan na yung tamang article.
CUEVAS: 2 WKS duration na yung hpn. Tapos 2nd trimester na yung px (4-6months).
Why did you identify this as chronic hypertension eh 2 weeks pa lang? (Definition sa ob
is before 20 weeks is chronic na)
Risk for type 2 diabetes and not gestational diabetes yung dapat na hinahanap nyo.
DRIP: write new slides na you could project (answers sa questions namin) so that
everybody is on the same page
*drip starts writing shit* (ito daw yung clinical question summary nung
kay na wendy)
p- pregnant
e- chronic htn
o - dm
Yung sa article hindi match sa clinical question nila kaya nagagalit si drip
P
E - HX HOP HX GDM
O - HTN T2D
SISON: we dont want a subset of gdm kasi hpn disorder lang yung
tinitingnan natin. ang daming subj na hindi lang chronic hpn. madaming
mga other comorbids yung mga searches nyo
3rd question: there are 2 independent var chronic hpn and gdm.
dependent var cvd and type 2 dm. focus is the developnent of type 2
cos of chronic hpn (????????????)
GOLDEN RULE:
🔑 DONT INTERRUPT SI DRIP
🔑 CONSULTATION IS GO TO FACI AND NOT SUBMIT SA ELEAP
🔑 YOU MAY CONSULT DRIP COS SUPERVISOR SYA 😎 (better to cos sya naman
yung pinaka-may say dito)
PRESENTATION 2 - ESCANO-GATCHALLIAN
MED CASE
CUEVAS: Yung clinical questoon is a whether you will add an additional what??? Why
did you accept this artcile when this artcile is a non inferiority not a superiority? If you
read the case scenario the sfx is addressed to the adidition of azirhromycin. Kayo yung
side effects yung inaaddress nyo. In the case scenario may danger na more sfx with
azithromycin. The non inferiority in the case study between beta lactam and beta
lactam azithromycin conbination is a non inferiority of the combination and not the beta
lactam alone? Main idea of adding another drug in the treatment is because it has a
superior or a better effect. Yun yung acceptable scenario. More expense better
outcome. Kung more expense similar or poorer outcome... its not acceptable ina.
Clinical sense.
Treatment is chosen if... (by DRIP) = plus points na yung reason nila for choosing was
not "bec this is the only artcile we found" but bec of 1 and 2
1. Benefit t > c
2. Benefit t = c, harm not increased
*propsed new treatment must be superior to the standard
*first hurdle ii the proposal of a new drug =new benefit, harm is decreased or superior
to the standard
*It was the only artcile we found" < very strong argument daw pala na it was the only
artcile we found. Dapat nagdrop na lang isang term para hindi lang 1 lang yung
lumabas. Para mapakita mo pa din na yun talag ayung best
Be honest na lang daw and say na hindi kayo nakapagprepare. Ayaw daw nya na sa
class nyo hinahanap yung sagot.
++ pts kay claude cos he has all 15 article daw lol (sa 15 how many included dementia
as one of the variable and bakit hindi nyo yun pinili)