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17 Cards in this Set
- Front
- Back
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live vaccines generally not given in HIV pts
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BCG, anthrax, oral typhoid, intranasal influenza, and oral polio
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live vaccines that can be given to HIV pts
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MMR and varicella, as long as CD4 > 200 and no history of AIDS defining illness
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treatment of refractory hepatic hydrothorax
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transudative effusions in pts with cirrhosis and no cardiopulm disease
refratory is treated with TIPS (transjugular intrahepatic portosystemic shunt) |
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polyuria and polydipsia with low serum osm and inappropriately high urine osm
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SIADH
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things that increase warfarin activity
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P450 inhibitors:
EtOH, Vit E, garlic, ginko biloba, St Johns Wort |
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use of BAL (bronchoalveolar lavage)
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malignancy
opportunistic infection |
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best way to evaluate chronic pancreatitis
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US in pts with jaundice
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presentation of cavernous sinus thrombosis
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headache, low grade fever, periorbital edema, and cranial nerve palsies
usually secondary to infection, treat with IV antibiotics then possible anticoag, glucocorticoids, or surgery |
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PAP smear guidelines
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start at 21 and have one every 2 years until 30
after 30 have a PAP every 3 years as long as they are neg |
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HPV guidellines
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males and females aged 9-26, most effective if given prior to the start of sexul activity
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next step after suspected squamous cell carcinoma of head or neck
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a panendoscopy needs to be done to detect the primary tumor
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HSV esophagits description and treatment
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seen in HIV
well circumscibed ulcers that are small and deep ballooning degeneration esoinophlic intranuclear inclusions treat with acyclovir |
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CMV esophagitis description and treatment
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seen in HIV
large, irregular, linear, shallow, superficial ulcers intranuclear and intracyto inclusions |
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1st, 2nd, and 3rd line treatment of SIADH
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fliud restriction 1st
hypertonic saline 2nd democlocycline 3rd |
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treatment of dermatitis herpetiformis
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dapsone
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pulsus paradoxus: description and causes
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diff of >12 mm Hg in SP during inspiration
caused by cardiac tamponade, tension pneumo, and severe asthma |
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treatment of WPW
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when in a-fib with rapid vent rate, treat with cardioversion or procainamide
AV blockers CONTRA |
