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Why is Rhogam given? - Rho(D) immune globulin (RhoGAM) is used to prevent the immunological condition known as rhesus disease or hemolytic disease of the newborn. RhoGAM is a solution of IgG anti-D (anti-RhD) antibodies that suppresses the mother's immune system from attacking Rh-positive blood cells that have entered the maternal bloodstream from fetal circulation. In an Rh-negative mother, RhoGAM can prevent temporary sensitization of the maternal immune system to RhD antigens, which can cause Rh disease in the current or subsequent pregnancies. Pt with GERD abrupt stop of PPI, with Barrett's esophagus - This patient is having severe rebound symptoms caused by abrupt cessation of the proton-pump inhibitor (PPI). In addition, he has Barrett's esophagus, which increases the risk of esophageal cancer. Neither an antacid nor an H2 blocker is likely to be effective in controlling his symptoms. This question is a good example of the ethical concept of beneficence Depo-Provera side effect after 5 years - Depo-Provera (contraceptive injection) is a progesterone hormone that causes cessation of periods. One common side effect seen in women who have been taking Depo-Provera for more than 5 years is amenorrhea. As women continue using Depo-Provera, fewer experience irregular bleeding and more experience amenorrhea. By month 12, amenorrhea was reported by 55% of women, and by month 24, amenorrhea was reported by 68% of women. NSAIDs affect which systems: - Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with increased risk of ulcers, perforation, and bleeding of the gastrointestinal tract, heart attacks, cardiovascular damage, strokes, acute interstitial nephritis and kidney injury, and liver damage. It does not affect the lungs or the pulmonary system. Watery diarrhea after hospitalization and Clindamycin therapy - Important risk factors for CDAD and C. difficile colitis are antibiotic therapy and hospitalization. Almost any antibiotic can cause the condition, but the most common are clindamycin, cephalosporins, and fluoroquinolones. Diarrhea can occur during as well as after therapy (5-10 days; up to 10 weeks). Pseudomembranous colitis is a complication of C. difficile colitis. Drug interaction with Levothyroxine - Levothyroxine does not interact with penicillins. But it does have numerous drugs it interacts with such as anticoagulants, tricyclic antidepressants, antacids and calcium, iron, multivitamins, proton-pump inhibitors, estrogens, statins, metformin, and others. Certain foods interfere with absorption (calcium-fortified foods, dietary fiber, walnuts, soy). Patients should