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59 Cards in this Set

  • Front
  • Back
drugs that can cause OA
indocine, colchicine, corticosteroids
RA diagnosis criteria
morning stiffness longer than 1 hr
symmetric swelling
swelling of 3 or more joints
hand joint involvement
RA drug Arava(leflunomide)
monitor liver function
RA drug Plaquenil (hydroxychloroquine)
drug of choice for RA
may cause severe vision changes
see eye doctor often
Rheumatrex (methotrexate)
initial DMARD given
can cause birth defects
Etanercept (enbrel)
Infliximab (Remicade)
at increased risk for infection
biologic response modifiers
CPM is prescribed 24-48 hrs after
arthroplasty
with heparin check
ptt
with coumadin check
pt and inr
Avoid high impact exercises after
arthroplasty
normal ankle-brachial index
<1
after amputation what is done to prevent phantom limb sensations
massage site of amputation
abnormal serum acid level
>6 mg/dl
foods high in purine
shellfish, lentils, asparagus, spinach, beef, pork, chick, wine, beer, organ meats, red meat, aged cheese, anchovies, sardines, mussels, venison, herring, lentils, asparagus
allopurinol (zyloprim)
blocks the production of uric acid
probenecid (benemid)
gets rid of uric acid
-contraindicated in renal failure
-inactivated by ASA
FMS diagnosis
11 of 18 tender points upon palpitation
widespread pain noted for 3 months
side effects of Lyrica
dizziness, sleepiness, blurred vision, swelling of hands/feet, dry mouth
Ottawa Rules
assessment protocol for injured ankle or knee before ordering x-rays
age
ability to flex
location of tenderness
ability to bear weight
time frame for fracture hematoma
first 72 hrs
time frame granulation tissue
3-14 days
time frame for callus formation
end of 2nd week
time frame for ossification
3weeks - 6 months
remodeling can last for
up to 1 yr
skin traction
48-72 hrs
5-10 lbs
skeletal traction
5-45 lbs
direct musculoskeletal complications
bone infection, bone union, avascular necrosis
indirect musculoskeletal complications
blood or nerve damage resulting in compartment syndrome, venous thrombosis, fat embolism, and shock
normal intracompartmental pressure
0-15 mmHG
time frame for fat embolism
12-72 hrs
fractures that occur within the hip joint capsule are called
intracapsular fracture
fracture that occurs outside the joint capsule are termed
extracapsular fracture
most intracapsular fractures are associated with
osteoporosis and minor trauma
most extracapsular fractures are associated with
trauma
Management of Osteoporosis
1. sufficient intake of calcium (take with meals but not high fiber)
2. vitamin D is essential for intestinal absorption of calcium (sunlight, dairy products, fatty foods, fish oils, breads, cereals)
3. daily exercise high and low impact
4. avoid smoking
osteosarcoma
very aggressive and metastasizes quickly
s and s of osteosarcoma
gradual onset of pain and swelling around the knee
elevated serum alkaline phosphatase and calcium levels
vitamins used to help with mastalgia
vitamin e, a and b
contraindications for lumpectomy
breast size too large
masses and calc. multifocal
central location of tumor near nipple
Hormonal therapy drug
tamoxifen
side effects of estrogen
nausea and vomiting, fluid retention, headache and breast enlargement
side effects of progesterone
increase in appetite, weight gain, irritability, depression, spotting, breast tenderness
long intervals btwn menses
oligomenorrhea
absence of menstruation
amenorrhea
excessive prolonged bleeding, time length and amount of blood
menorrhagia
metorrhagia
irregular bleeding btwn periods
painful intercourse
dyspareunia
risk factors for cervical cancer
low socioeconomic status
early sex
mult sex partners
hpv
immunosuppression
risk factors for endometrial cancer
estrogen
increase in age
obesity
nulliparity
late menopause
early menarche
smoking
dm
risk factors for ovarian cancer
family hx
hx of breast of colon cancer
nullparity
increased age
increase in number of ovulatory cysts
HRT
infertility drugs
5-a Reductase inhibitors
Proscar or Avodart
must be taken continuously for 3-6 months

side effects: decreased libido, decrease in volume of ejaculation and ED
a-adrenergic receptor blockers
flomax or cardura
smooth muscle relaxation in prostate

side effects: orthostatic hypotension, dizziness, retrograde ejaculation and nasal congestion
Saw Palmetto
GI side effects, increase BP, increase risk of bleeding
after a prostatectomy the patient is catheterized for
1-2 weeks
orchiectomy decreases circulating testosterone by
90%
patient experience ________ symptoms in prostatitis
flu-like symptoms
in prostatitis
do not enter anything into urethra
do not massage prostate during active infection
Oral meds for ED
Viagra, Levitra and Cialis
Side effects of Viagra, Levitra and Cialis
should not be taken with nitrates or foods high in fat

side effects: headaches, facial flushing and diarrhea