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11 Cards in this Set

  • Front
  • Back

Purine Metabolism

Purine shaped plate


Small kid passing XO note = hypoxanthine


XO love letter = Xanthine oxidase (hypoxanthine --> xanthine)


Larger kid passing XO note = Xanthine (xanthine --> uric acid)

Acute gout

Tripping


Fire extinguisher = NSAID first line drug (indomethacin)


Moon face = Glucorticoids (oral prednisone) treat acute gout


Choir sings

Colchicine

Choir sing


Treats acute gout


Spindly palm fronds = prevents microtubule polymerization by binding to intracellular tubulin


First respnders blocked by choir = blocks cytoskeleton of neutrophils, inhibiting neutrophil migration, phagocytosis, and degranulation


Muddy floor = can cause diarrhea

Pseudogout

"Lying" on tablet = Acute treatment is similar to acute gout


Blue rhomboid incense holder= pseudogout is positively birefringent (blue) and forms rhomboid-shaped crystals (Calcium pyrophosphate crystals)

Allopurinol

Pure nun


Manages chronic gout


Grabs both XO notes = inhibits xanthine oxidase


Sweeping up glass = Prevents uric acid deposition in tumor lysis syndrome


Manages Lesch-Nyhan syndrome


Purine beads = inhibits breakdown of purine analogs (6merecaptopurine and azathioprine) increasing risk of toxicity


Sloughed off red mask = can cause Steven-Johnson syndrome


Dress with Eo-slingshot = Eosinophilia and Drug Reaction with Eosinophilia and Systemic Symptoms

Febuxostat

Stopped XO note


Inhibits xanthine oxidase in chronic gout

Tumor lysis syndrome

Shattered cancer crab


Uric acid crytals can form in tumor lysis syndrome after starting cytotoxic chemotherapy


White T-cell crusaders: common in treatment of lymphoma and ALL

Lesch-Nyhan syndrome

Needle in flesh biting at hand


Associated with hyperuricemia


Managed by allopurinol

Probenecid

Probation officer Cid


Uricosuric agent


Manages chronic Gout


Prevents punk from grabing yarn in Aisle = Decreases renal tubular reabsorption of uric acid


Accumulating yarn balls = can increase risk of renal stone formation


Cid's purple pencil = prevents excretion of penicillin and other drugs


Rotten eggs thrown = Sulfa drug

Aspirin

ASA Umpire


Prevents son from grabbing yarn = at high doses aspriin prevent uric acid reabsorption


Little ASA umpire catches yarn = low doese inhibits uric acid excretion

Pegloticase

Holy water just IN CASE


Converts uric acid into water soluble allantoin


Treats chronic goat


Watermelon with bite = can cause hemolysis in G6PD deficiency (bite cells)


Choking kid = can cause anaphylaxis


Ivy veins = must be given via IV