Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/81

Click to flip

81 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
pseudomonas
aminoglycosides (amikacin, gentamycin), ureidopenicillans (piperacillan, ticarracillin), quinilones (ciprofloxacine), aztreonam, ceftazidime, cefipime, imipenam,
lithium nephrogenic DI
amiloride
nephrogenic DI
indomethacin, hctz
COPD
chronic:anticholinergics I.e. ipratropium, beta agonists, 2nd line theophyliine; acute exacerbation steroids
lymes disease
doxycycline; pregnant women use amoxicillin; late disease use ceftriaxone
rocky mountain spotted fever
doxycycline
erlichiosis
doxycycline
reiters
erythromycin (for chlamydia coverage) and nsaids for arthritis
catch scratch disease(b.hensai)
azithromycine x5 days, others: 7-10 days of clarithromycin, bactrim, rifampin, doxycycline
whooping cough (bordetella pertusis)
erythromycin x14 days; regardless of immunization status
PCP
bactrim; w/pa02<70 bactrim + oral prednisone; alt. to bactrim is pentamidine
scarlet fever
penicillin; alt. includes erythromycin, clindamycin or 1st gen cephalasporins
legionella
gran neg rod; rx w/erythromycin
cryptococcus meningitis
encapsulated yeast - use amphotericin and flucytosine
psammoma body seen in:
serous cystedenocarcinoma, papillary thyroid cancer, mesothelioma, meningioma
absence (petit mal seizures)
ethosuximide, valproic acid, or alt clonazepam, lamotrigine
partial seizures
phenytoin w/alt phenobarbitol
hypopit
glucocorticoids, thyroid hormones
Graves dx
radiactive ablation, surgery, ptu
Graves in pregnancy
PTU
thyrotoxicosis
sometimes iodinated contrast agents to control sever hyperthyroid
menieres dx
thiazide diuretics, antihistamines, and/or surgery
eps
benztropine
acute dystonia
benzotropine, diphenhydramine (anti-cholins and anti-histamines)
neuroleptic malig syndrome
dantrolene
akathisia
beta-blockers
thyroid nodule or breast lump
FNA (stick it)
spherocytosis
give folate; splenectomy can help
ESRD anemia
epo and iron
HIT
cease heparin; switch anticoag rx to danaparoid or lepiridan
cauda equina syndrome
medical emergency: dexamethasone stat, mri(preferred) or ct myleogram stat, followed by radiotherapy
laryngomalacia
dx w/lazy or rolling epiglottisl; resolves by 18mos; rx in newborn is sitting up 30 minutes after feeds
dresslers syndrome
rx w/nsaids, and if refractory then a short course of steroids
thyroid storm
beta blockers, PTU, iodine (ptu must be on board first)
proximal radius frx
often requires open reduction and fixation
midshaft humerous
think radial nerve and brachial artery; order of ops is closed reduction of bone; if needed open reduction, repair of artery, repair of nerve
oligohydramnios
af index<5; consider delivery asap
bpp=6
stress testl; if abnorm deliver; if suspicious repeat next day
bpp=4
steroids if needed for pulm maturity; deliver asap
bpp<4
deliver asap
variable decels
if limited try oxygen and shifting pt to left lateral position; then try trendenlurg w/elev of presenting part
DUB premenopause
most common cause of premenstrual bleeding; usually caused by annovulation; rx w/high dose conjugated estrogens to stop bleeding followed by D&C; w/25 days of conj. Estrogen,10-15 days medroxyprogesterone, 5-7 days of nothing
scaphoid frx
cast immobization of forearm to prevent non-union, avn, and eventual osteoarthritis
chlaymydia
doxycycline 7-10 days, erythromycin x1 dose
Delerium tremens
chlordiazepoxide
signs of ischemic colitis post-op
consider colonoscopy, then f/u re-exploration if needed
tumour lysis syndrome
allopurinol can decrease urate nephropathy
afib
<48 consider electrical cardioversion or chemical cardioversion
afib rate control
beta-blockers, aminoglycosides(dig), diltiazem/verapamil; cardizem only used for atrial arythmias
afib rhythm control
sotalol, amiodarone, procainamide, flecinide
afib w/chf
digoxin
afib w/hyperthyroidism
beta-blocker
stable pt w/vent arrythmias
amiodarone (1st), lidocaine, verapamil
unstable w/afib or vent arrythmia
cardioversion
supraventricular tachy
adenosine; carotid message
stable symptomatic brady
atropine
unstable symptomatic brady
transcutaneous pacing
asymptomatic pvc
observation
chlam trachoma of eye
follicular conjunctivitis and corneal neovascularization (pannus formation); rx w/oral tetracyclin or erythromycin
pancreatic pseudocyst
in general no drainage unlist persists after 6wks, size greater than 5 cm or gets secondarily infected
alzeihmers
use reversible anticholinesterase including donepezil, rivastigmine, galantimine, and tacrine
None
rhabdomyalisis
watch K closely and treat accordingly, osmotic diuretics w/bicarb
organophospate poisoning
atropine and pralidoximine
chlamydia conjunctivits in neonate
oral erythromycin to less pneumonia chance
gonnococcal conjunctivitis in neonate
oral ceftriaxone
ascites 2ndary to cirrhosis
primary cause is hyperaldosteronism; spirinolactone is preferred rx; often used in conjunction w/lasix
esophageal foreign bodies
endoscopic removal
PCP pneumonia
bactrim; add steroids in severe cases w/PO2 < 70 or A-A gradiant > 35
variant angina
diltiazem; beta blockers and aspirin can worsen vasospsm
stones
protein and NA restriction; can use thiazide diuretic
neutropenic fever
broad coverage +antipseudomanas = ceftazidem, cefipem, imimpenam, meropenam, aminoglyc+antipseudo
allergic conjunctiivitis
rx w/topical antihistamines
gout (overproducing, 24hr urine>1g)
allopurinol (less common)
gout (oversecreting)
probenicid, sulfinpyrazime
None
toxo prophylaxis
bactrim
toxo treatment
sulfadiazene and pyramethamine
neurocystersicosis rx
albendizole
very mild parkisons
amantidine;
mild parkinsons w/resting tremor
benzotripine(anticholinergic)
strongyloides stercoralis (roundworm)
ivermectin / thiobendizole (soil proximity; goes to liver)
diabetic foot ulcer with infx/fever
IV cefotetan; amoxicilin/sulbactim