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129 Cards in this Set

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African sleeping sickness
Melarsoprol (East) or Eflornithine (West)
Amoebiasis
Metronidazole
Anaerobic infections above the diaphragm
Empirically - Clindamycin
Anaerobic infections below the diaphragm
Empirically - Metronidazole
Ankylosing spondylitis
Indomethacin
Anthrax
Penicillin - but only after it has demonstrated sensitivity to it
Anxiety disorder
SSRI or TCA daily; add benzodiazepines as needed
Aspergillosis
Voriconazole (preferred) or Amphotericin B
Asthma
Depends on the classification, but all include a SABA - albuterol
Autoimmune disorders
Usually steroids
Bacillus cereus
Vancomycin or clindamycin
Bacterial vaginosis
Metronidazole
BPH
5-alpha reductase inhibitors (finasteride, dutasteride, turosteride)
Bipolar disorder
Lithium (there are many options here and monotherapy is no good... usually this is added to another mood stabilizer or antipsychotic)
Blastomycosis
Itraconazole
Campylobacter jejuni
Erythromycin
Candidiasis, systemic
Fluconazole
Chagas disease (early stage)
Nifurtimox
Chlamydia trachomatis
Doxycycline
Cholecystitis
Piperacillin + tazobactam
COPD
Albuterol
CMV retinitis
Ganciclovir + valganciclovir
CHF
Digoxin

For non-exacerbated CHF, those that reduce mortality are: beta-blockers, ACEI/ARBs, Ang II receptor blockers, and spironolactone.

Sometimes loop or thiazide diuretic is added for symptomatic relief.

Aldosterone is the "secret enemy of the heart".
Conjunctivitis, bacterial, non-Chlamydial
Fluoroquinolone eye drops
Conjunctivitis, viral
Nothing... except possibly chilled artificial tears
Cryptococcal meningitis
Amphotericin D + flucytosine
Diabetes mellitus type I
Insulin
Diabetes mellitus type II
Metformin - 1st line
Diarrhea, severe
Ciprofloxacin or levofloxacin + metronidazole
Diphtheria
Erythromycin
Diverticulitis
Metronidazole or ciprofloxacin
DVT
Heparin
Encephalitis
Empirically use acyclovir until CSF results return
Enterobius vermicularis
Mebendazole
Erectile dysfunction
PDE-5 inhibitor
Fungal infections with black molds (dermatiaceous)
Itraconazole
Fusarium sp.
Amphotericin B
Genital herpes
Acyclovir
Giardiasis
Tinidazole
Gonorrhea
Ceftriazone (plus doxycycline for chlamydia)
Gout
Colchicine (usually after NSAIDs)
Hemophilus influenzae
Cefotaxime or ceftriaxone
Herpes keratitis
Trifluridine eye drops
Histoplasmosis
Itraconazole
HIV
2 NRTI +

1 NNRTI or 1 protease inhibitor or 1 integrase inhibitor or 1 CCR5 antagonist

Specifically:
Emcitrabine + tenofovir + efavirenz
Emcitrabine + tenofovir + ritonavir/atazanavir
Emcitrabine + tenofovir + ritonavir/darunavir
Emcitrabine + tenofovir + raltegravir

And if pregnant:
Lamivudine + zidovudine + ritonavir/lopinavir
Hypercholesterolemia
HMG CoA reductase inhibitors (statins) or bile acid sequestrants (weak... not really used much)
Hypertension
Thiazide diuretics
Hyperthyroidism
Radioablation with sodium iodine

Pharmacotherapy - beta-blocker + methimazole or propylthiouracil
Hypothyroidism
L-thyroxine
Influenza
Oseltamavir or zanamivir
Listeriosis
Ampicillin
Lyme disease
Doxycycline
Major depressive disorder
SSRI
Measles
Vitamin A (peds) or ribavirin (adults)
Meningitis - empirically for adult
Ceftriaxone or cefotaxime + dexamethasone + vancomycin
Meningitis - prophylaxis of close contacts
Rifampin - for both N. meningitidis and H. influenzae
Meningococcal meningitis
Penicillin G
Acute MI
Aspirin + heparin + beta-blocker + nitroglycerin + morphine + oxygen
Diarrhea, mild
Loperamide
MRSA
Vancomycin
Myasthenia gravis
Physostigmine or neostigmine
Mycoplasma pneumoniae
Azithromycin
Neuropathic pain
Gabapentin
Osteomyelitis - empirically
Nafcillin or oxacillin
Osteoporosis
Bisphosphonates
Otitis externa
Ofloxacin drops or (polymyxin + neomycin + hydrocortisone drops) or (ciprofloxacin + hydrocortisone drops)
Pancreatitis
Nothing by mouth; IV fluids and opoids for pain control
Parkinson's disease
Dopaminergic agents (levodopa, pramipexole)
PE
Heparin
Peptic ulcer
Omeprazole
Pneumocystis jiroveci
TMP-SMX
Pneumonia - empirically, adult
Ceftriaxone + azithromycin
Prostatitis < 35 yo
Ceftriaxone followed by doxycycline
Prostatitis > 35 yo
Fluoroquinolone or TMP-SMX
Pseudomembranous colitis
Metronidazole
Scedosporium apiospermum
Voriconazole
Scedosporium proliferans
Itraconazole
Seizure, absence
Ethosuximide
Seizure, febrile, ongoing
Phenobarbital
Seizure, generalized, tonic clonic
Phenytoin
Seizure, partial
Carbamazepine
Shigellosis
Azithromycin or any fluoroquinolone
Sporotrichosis
Itraconazole
Status epilepticus
Diazepam
Streptococcus pneumoniae
Penicillin G
Streptococcus pyogenes
Penicillin G or V
Syphilis
Penicillin G
Thrush
Fluconazole
Trichinosis
Albendazole + prednisone
Trichomoniasis
Metronidazole
Trigeminal neuralgia
Carbamazepine
UTI, inpatient
Ciprofloxacin or levofloxacin
UTI, outpatient
TMP-SMX
Vaginal candidiasis
Miconazole
Pseudomonas
Ticarcillin
Carbenicillin
Piperacillin

Ceftazidime
Gonorrhea in a pregnant woman
Ceftriaxone
Azithromycin (a macrolice)
Meningitis in a neonate
Ampicillin + cefotaxime
Otitis media in a child < 2 yo
Amoxicillin
Otitis media in a child > 2 yo
Just analgesics if no fever
Conjunctivitis in a newborn - onset within 1 day
Nothing
Conjunctivitis in a newborn - onset within 2nd - 4th day
IV ceftriaxone
Likely N. gonorrhea
Conjunctivitis in a newborn - onset within 2nd - 16th day with dendritic corneal ulcer
Trifluridine drops and IV acyclovir
Likely HSV
Conjunctivitis in a newborn - onset within 3rd - 10th day without dendritic corneal ulcer
PO erythromycin
Likely C. trachomatis
Prophylaxis against ophthalmia neonatorum
Tetracycline ointment or erythromycin ointment
Diarrhea in a premature baby
(piperacillin + tazobactam) or (ampicillin + sulbactam)
Post-antibiotic use diarrhea
Metronidazole
Travel associated diarrhea
Fluoroquinolones or rifaximin
Prophylaxis for travel-associated diarrhea
Fluoroquinolone, then ammodium with first loose stool
Acute bronchitis
Antitussives +/- inhaled beta-2 agonist
Anthrax prophylaxis
Ciprofloxacin (even in children)
UTI in a pregnant patient
Nitrofurantoin
Human or animal bite
Amoxicillin + consider rabies prophylaxis
Borrelia burgdorferi
Doxycycline
Clostridium difficile
Metronidazole
Hemophilus ducreyi
Azithromycin or ceftriaxone
Neisseria meningitidis
Penicillin G
Pasteurella multocida
Penicillin family drugs
Salmonella typhi
Ceftriaxone or any quinolone
Staph aureus
Oxacillin or nafcillin
Dicloxacillin if on skin
Vancomycin if MRSA
Genital warts
Podophyllin resin or cryotherapy or trichloroacetic acid
GBS prophylaxis for pregnant females
Penicillin G during labor
Staph saphrophyticus
Any cephalosporin or ampicillin-clavulanic acid
Vibrio cholerae
Doxycycline or any fluoroquinolone
Ascaris lumbricoides
Albendazole or mebendazole
Necator americanus
Albendazole or mebendazole
Schistosoma species
Praziquantel
Diphyllobothrium latum
Praziquantel
Adenovirus (severe inf)
Cidofovir + probenecid
Smallpox
Vaccine within 4 days of exposure + cidofovir