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