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30 Cards in this Set
- Front
- Back
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Cyclophosphamide
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Hemmhorrhagic cystitis(acute) & bladder cancer(long term)
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Vincristine
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Peripheral neurotoxicity
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Vinblastine
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Bone marrow suppression
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Isotretinoin
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Vit_A analogue for acne and teratogen
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Tetracycline AE
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Discolors teeth so avoid in kids and in pregnancy.
Causes photosensitivity as do all cyclines |
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Amiodarone
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-Torsades de points
-Pulmonarty fibrosis -High LFTs -High or Low TFTS |
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Cyclosporine
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Immunosuppression & nephrotoxic
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Thioridazine
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Retinal pigment deposits that may affect vision
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Strabismus
-Types -Dx -Tx |
May be Estropia(in) or Extropia(out) and must correct immediately to prevent blindness.
Dx: Cover test Tx: Patch the good eye |
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Presbyopia
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Poor near vision as you age b/c you cannot acomadate.
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Macular degeneration
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-#1 cause of blindness. No Tx.
-See yellow/white spots on fundoscope called drusen -Lose near sighted & farsighted ability |
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Retinal detachment
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See floaters in the eya and then painless loss of vision. Must refer to opthamologist so he can reattach
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Giardia
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Parasite found in streams of fresh water that infects the proximal small bowel.
Causes profuse foul smelling diarrhea that has a high fat content(steatthorrhea & floats in the bowl)leading to weight loss. Dx: See cysts or trophozoites in the stool. Tx: Metronidazole |
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When do NT defects occur? what is the best prevention
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1st 30 days of pregnancy. Best prevention is folate in days 1-30.
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Drugs increase survival in
-MI -CHF |
MI: "ABA"
ASA:B-Blocker(Carvedilol):ACE ***Not nitrates*** CHF: "ABA" ACE:B-Blocker:Ald Ant(spirolactone) ***Not digoxin*** |
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Drugs causing Auditory disturbances
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Aminoglycosides(Amikacin)
Loops(toxic w/ aminoglycosides) ASA(tinnitus & hearing loss) Quinine(cinchoinism like ASA) |
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PTSD
Tx |
Psychotherapy >SSRI
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Drugs that cause AI disease
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SLE: Hydralazine,INH,Procainamide
AI hemolytic Anemia: alpha methyldopa |
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Caput Succinedinaun vs. Cephalhematoma
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Cephalhematoma: Unilateral & get skull x-ray to r/o fx. No Tx
Caput: B/l moulding of head. No Tx necessary |
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When are paps given? Why?
What is the workup of an abnormal PAP? |
Annually after sexual activity or after age 21.
Looks for HPV 16,18,31 which cause cervical cancer ------------------------------ Pap Workup ASCUS(inflammatory atypia): -Repeat in 6mo ASC-H/LSIL/HSIL/CIS(dysplasia): -Colpo with ectocervical biopsy & endocervical curettage. Biopsy results: CIN I(1/3BM): Repeat Pap 6mo CIN II(2/3 BM) CIN III(>2/3BM) -If on ectocervix do LEEP. If from endocervix do Cold knife cone. SCC- Want kids do CKC, No kids do Radical hysterectomy |
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Describe the different transplant rejection types and how to manage them.
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Hyperacute: Pre-formed Ab mediated & organ immediately turns blue: Remove it.
Acute: T-cell mediated Chronic: T-cell & Ab mediated -Use cyclosporine for oth |
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Criterion for retrograde Urethrogram.
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Used to check for urethral injury. Criterion are:
-Boggy or HR prostate -Blood at urethral meatus -Scrotal ecchomyosis -Pelvic Fx |
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A-fib Sequelae
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May cause thrombus that can lead to stroke so must give warfarin.
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Migraine vs cluster
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Migraine: Unilateral w/ aura and N-V.
Tx; Ergotamine or -triptams Cluster: Multiple retro-orbital pained short episodes w/ conjunctival injection Tx: O2 |
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Gram -ve Rods
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E.coli
Klebsiella Pseudomonas Legionella H.influenzae |
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Vaccines to avoid in egg allergy
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Influenza & MMR
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Diplococci
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Gram +=S.Pneumoniae
Gram-ve: Nissiera Gonnhorrheae |
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Gram +ve rods
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Listeria & Bacillus
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Mumps
S/S Tx |
Unilateral parotid gland swelling and watch out for possible infertility b/c can infect scrotum/testes.
Tx: NSAID |
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Neck masses
-#1 in kid -kid vs. adult -branchial cleftvs thyroglossal duct cysts |
#1 kid=lymphadeniis
In kids masses are benign but in adults they are malignant Branchial cleft cysts are lateral & thyroglossal duct cysts are midline and elevate with tongue protrusion. |
