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30 Cards in this Set

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Cyclophosphamide
Hemmhorrhagic cystitis(acute) & bladder cancer(long term)
Vincristine
Peripheral neurotoxicity
Vinblastine
Bone marrow suppression
Isotretinoin
Vit_A analogue for acne and teratogen
Tetracycline AE
Discolors teeth so avoid in kids and in pregnancy.

Causes photosensitivity as do all cyclines
Amiodarone
-Torsades de points
-Pulmonarty fibrosis
-High LFTs
-High or Low TFTS
Cyclosporine
Immunosuppression & nephrotoxic
Thioridazine
Retinal pigment deposits that may affect vision
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
Presbyopia
Poor near vision as you age b/c you cannot acomadate.
Macular degeneration
-#1 cause of blindness. No Tx.
-See yellow/white spots on fundoscope called drusen
-Lose near sighted & farsighted ability
Retinal detachment
See floaters in the eya and then painless loss of vision. Must refer to opthamologist so he can reattach
Giardia
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
When do NT defects occur? what is the best prevention
1st 30 days of pregnancy. Best prevention is folate in days 1-30.
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***
Drugs causing Auditory disturbances
Aminoglycosides(Amikacin)
Loops(toxic w/ aminoglycosides)
ASA(tinnitus & hearing loss)
Quinine(cinchoinism like ASA)
PTSD
Tx
Psychotherapy >SSRI
Drugs that cause AI disease
SLE: Hydralazine,INH,Procainamide

AI hemolytic Anemia: alpha methyldopa
Caput Succinedinaun vs. Cephalhematoma
Cephalhematoma: Unilateral & get skull x-ray to r/o fx. No Tx

Caput: B/l moulding of head. No Tx necessary
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
Describe the different transplant rejection types and how to manage them.
Hyperacute: Pre-formed Ab mediated & organ immediately turns blue: Remove it.

Acute: T-cell mediated
Chronic: T-cell & Ab mediated
-Use cyclosporine for oth
Criterion for retrograde Urethrogram.
Used to check for urethral injury. Criterion are:
-Boggy or HR prostate
-Blood at urethral meatus
-Scrotal ecchomyosis
-Pelvic Fx
A-fib Sequelae
May cause thrombus that can lead to stroke so must give warfarin.
Migraine vs cluster
Migraine: Unilateral w/ aura and N-V.
Tx; Ergotamine or -triptams

Cluster: Multiple retro-orbital pained short episodes w/ conjunctival injection

Tx: O2
Gram -ve Rods
E.coli
Klebsiella
Pseudomonas
Legionella
H.influenzae
Vaccines to avoid in egg allergy
Influenza & MMR
Diplococci
Gram +=S.Pneumoniae

Gram-ve: Nissiera Gonnhorrheae
Gram +ve rods
Listeria & Bacillus
Mumps
S/S
Tx
Unilateral parotid gland swelling and watch out for possible infertility b/c can infect scrotum/testes.

Tx: NSAID
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.