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42 Cards in this Set
- Front
- Back
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Adult meningitis
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- CTX, vanco, dexamethasone
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Newborn fever
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- assume sepsis, broad spectrum: amp and gent
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Pre-op
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- cefazolin x1
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COPD exacerbation
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- CTX + azithro
- levo |
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TB
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- INH, rifampin, pyrazinadmide, ethambutol
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Cystic Fibrosis
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- tobramycin IV piperacillin
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PNA hospitalized
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- levo
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PCP
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- Bactrim or pentamidine +/- steroid
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pyelo
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- cipro
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H pylori
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- anox/metronidazole, clarithromycin, ppi, bismuth
- if above fails then abx resistance: tetracyclin, metronidazole, ppi, bismuth |
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dog/cat bite
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- IV amp and sublactam
- switch to PO augmentin |
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PID
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inpt:
- cefoxitin and doxy - clinda and gent - unasyn (amp-sublactam) outpt: - CTX x1 + doxy x14d add metronidazole for other possible STD |
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septic arthritis
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- start with CTX + vanco
Narrow: -MSSA: nafcillin, cefazolin - MRSA: vanco - G- bacilli: CTX |
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appendicitis
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- cefoxitin, unasyn or cefazolin + metronidazole
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acute cholangitis
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- amp and gent
- imipenem - levo - zosyn (piperacillin-tazobactam) |
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pancreatitis + fever
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- imipenem
- piperacillin - fluoroquinolone - metronidazole |
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variceal bleed ppx for hospitalization
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- fluoroquinolone x 7-10d b/c increased risk UTI, SBP, PNA, bacteremia
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cellulitis
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- amp-sublactam
- switch to amox |
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staph and strep
PCN allergy Gram neg bacilli |
- staph and strep: oxacillin, nafcillin, cefazolin
- PCN allergy: vanc, linezolid, daptomycin, clinda - Gram neg bacilli: CTX, ceftazidime, gentamicin |
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anti-pseudomonals
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- toramycin, ticarcillin, piperacillin, cefepime, ceftazidime, carbapenem
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pyelonephritis in kid
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- CTX, amp and gent
- no quinolones < 16yo - no nitrofurantoin < 1yo - no ttetracyclines < 7yo |
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Pertussis
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- erythromycin
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Epiglottitis
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- CTX
- rifampin for ppx to household |
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Toxo ppx and tx
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- ppx: spiramycin
- tx: pryimethamine or sulfadiazine |
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neonatal VZV, CMV, HSV, HBV
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- VZV: VariZIg, acyclovir
- CMV: gangcyclovir - HSV: acyclovir - HBV: HBIG, vaccine |
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HIV tx
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- tenofovir/emtricitabine (a combination of two NRTIs) and efavirenz (a NNRTI)
- pregnant women: Zidovudine only |
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UTI in pregnancy
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- amox, cephalexin, nitrofurantoin
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postpartum endometritis
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- clinda and gent (broad spectrum)
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Opportunistic:
- PCP - Toxo - CMV - Crypto - MAC |
- PCP: bactrim
- toxo: pyrimethamine or sulfadiazine - CMV: gangcyclovir (maintenance on valacyclovir) - crypto: amphotericin B followed by fluconazole x2wks - MAC: clarithromycin and ethambutal (azithro for ppx) |
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cysticerocosis
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albendazole
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human bite
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- amp-sublactam
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endocarditis
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- vanco and gentamicin
- ppx for dental: amox or clinda |
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malignant otitis media
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- pseudomonas coverage: cefepime
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Tick born:
Lyme Babesiosis Ehrilichia RMSF |
- lyme: doxy, CNS --> IV CTX, pregnant--> amox
- babesiosis: clinda and quinine - ehrlichia: doxy - RMSF: doxy |
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pyelonephritis
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- outpt: PO cipro
- inpt: amp and gent |
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HIV triple therapy
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- tenofovir (NRTI), emtricitabine (NRTI), efavirenz (NNRTI)
- zidovudine (NRTI), lamivudine (NRTI), efavirenz (NNRTI) - zidovudine (NRTI), lamivudine (NRTI), ritonavir/lopinavir (PI) |
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SBP
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- cefotaxime and lactulose
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diverticulitis
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- cipro + metronidazole
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ovarian ca tx
prostate ca tx |
- ovarian : carboplatin
- prostate: flutamide |
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PSGN
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- PCN
- captopril - furosemide - ASO titer |
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spontaneous abortion
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- D&C
- methylergonovine - doxycycline - pelvic rest |
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s/p PTCA
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- d/c w/ abciximab
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