BOOKS FOR DOCTORS
BOOKS FOR DOCTORS
Therognosis
What patients want during a consultation is appropriate treatment and to know the likely result of the treatment.
This book assists doctors in their choice of treatment and gives a guide to the likely prognosis of the patient’s condition.
The data it contains is available to be used in print or electronically.
THEROGNOSIS
Therapy and Prognosis
FORMAT
Disease [Abbreviation]
(Alternate Name)
Ther: A commonly recognised form of therapy OR other recognised forms of treatment
AND additional therapy that may be required
ADD additional types of therapy if above does not prove effective
1. First step in a therapeutic crescendo or format
2. Second and subsequent steps in a crescendo or format are numbered sequentially
Prec: Precautions that should be observed in the treatment of this disease. For further information on contraindications, precautions, adverse reactions, interactions, use in pregnancy, use in children, dosage and administration consult a pharmacopaea such as MIMS or MIMS Annual
Prog: Prognosis. The expected result of treatment, statistically treated if appropriate
See also Other Relevant Diseases
SAMPLE ENTRIES:-
Schizophrenia
Ther: • Acute:
For control and sedation:
Haloperidol 10-20 mg IV or IM every 2 hours
OR chlorpromazine orally OR thioridazine orally
ADD diazepam IM or IV for agitation
For control without sedation:
Haloperidol orally at night only OR trifluoperazine orally OR olanzapine OR risperidone
• Chronic:
Oral antipsychotics (eg. clozapine, haloperidol, olanzapine, risperidone, thioridazine, trifluoperazine) OR fluphenazine IM monthly for poor compliance
AND psychotherapy in selected patients
AND environmental manipulation
ADD behavioural therapy
Prec: Dystonic reactions to therapy possible - give benztropine IV or IM
Prog: Reasonable control in most cases. Relapses common. No specific cure
Scleroderma
(Systemic Sclerosis)
Ther: Complex. No specific therapy but treat symptomatically with following support:-
- Physiotherapy regularly.
- Avoid cold.
- ACE inhibitor for hypertension.
- Antibiotics for chest and other infections.
- D-penicillamine OR cyclophosphamide for severe skin and deep organ involvement.
- Calcium channel blocker for Raynaud's phenomenon and pulmonary hypertension.
- proton pump inhibitors AND/OR cisapride for gastro-oesophageal reflux.
Other medications that may be useful include low molecular weight heparin, prostacyclin infusions, probucol, colchicine and oxygen
Prog: Five year survival 50% overall. Poorer prognosis with major organ involvement. May
stabilise or regress temporarily before progressing
Scoliosis
Ther: • Adolescent, growth not complete
< 20° - observe
20-30° - brace if progressive
> 30° - brace and/or surgery
• Adult, growth complete
< 45° - no treatment practical
> 45° - surgery
Prec: Careful observation and family cooperation essential.
Prog: Good if detected early.
FOR DOCTORS
FOR THE PUBLIC