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103 Cards in this Set
- Front
- Back
34 year old with easy fatguability
decreased concentration insomnia occasional muscle pain r hand clumsiness decreased memory extensor r hand weakness anemia |
lead poisoning
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treatment for lead poisoning
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succimer
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cause of blurred visionin NKHS
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hyperosmolarity that thickens lenses
hyperosmol, hyper eyewhole |
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diabetes, leading to
infection, leading to fatigue blurry vision decrased volume UA with glucose |
NKHS
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epigastric and R shoulder pain after eathing big meal
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biliary colic 2/2 gallstones
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dx for prostatitis
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midstream urine
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positively birefringent crystals
dx? content? |
pseudogout "positive pseudo"
Ca++ pyrophosphate "CP-PB" |
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calcium oxalate
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renal calculi
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monosodium urate
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gout
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struvite
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renal calculi in UTI by proteus or klebsiella
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chondrocalcinosis
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pseudogout
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6 mos old
regurg after feedings failure to thrive arching of back when regurging diagnosis next step |
acid reflux disease
pH monitoring |
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decreased potassium
alkalosis normotension |
surreptitious vomiting
diuretic abuse Bartters Gitelmans |
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decreased potassium, alkalosis, hypertension
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primary hypoaldo
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how to differentiate surreptitious vomiting from other causes
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decreased urine chloride
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contraindications to breast feeding
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HIV
TB HSV near nipple Malaria Sepsis Eclampsia Nephritis Substance abuse Breast ca |
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incrased calcium, increased/normal PTH
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primary hyper PTH
or Familial hypocalciuric hypercalcemia |
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pneumonitis and colitis in a recent txplnt pt
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CMV
ColitisandpneuMonitisi Vitis |
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tx for disseminated histo
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ampho until negative culture and then itraconazole forever
remember Histo Itro; and A before I |
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lowe grade fever
anorexia decreased wieght oropharyngeal ulcers hepatosplenomegaly decreased platelets |
disseminated Histo
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foods to avoid on warfarin
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vitamin K rich foods (green veggies)
vitamin E rich foods supplements with CP450 interactions K makes warfarin Kome down E makes warfare Eke upwards |
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Hypopigmented plaque with no sensation to pinprick
next step +finding |
leprosy
skin biopsy acid fast bacilli |
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Overdose:
CNS depression arrhythmia hypotenion fever flushing dilated pupils decreased BS urinary retention |
TCA
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is alcohol bad for osteoporosis
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yes
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MG diagnosed
next step |
chest xray to check for thymoma
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2 possible outcomes of HIT
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thrombosis
bleeding |
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patient with blue fingernals/cold extremities for 2 days after exlap/pressors
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vasopression induced
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best muslce blocker to use as anesthetic in patient with liver adn kidney failure
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atracurium
let's cure ium |
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shock and metabolic acidosis 6-72 hours after ingestion
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iron overdose
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toxic level of iron in an overdose
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> or equal to 350
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HNPCC cancers
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colorectal
endometrial hn Poop Pregnant cc |
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HNPCC criteria
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3 relatives (one is a first degree)
2 or more generations 1 is less than 50 yrs 0 FAP |
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Rx for aspiration pneumonia
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clinda
clindAspiration |
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rx for abd infections with gram - anaerobes
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amp-gent-metro
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what can really remove k from the body
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kayexalate
dialysis |
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rx for an agitated old lady
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haldol
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what to avoid in treating an agitated old lady
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benzo
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positive ortolani in newborn. next step?
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u/s of hips
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increased retics
increased bili (-) coombs spherocytes MCHC >36 diagnosis transmission dx |
hereditary spherocytosis
AD osmotic fragility |
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sugar water test is for?
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paroxysmal nocturnal hemoglobinuria
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bugs in CGD
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staph
aspergillus (make catalase) |
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defect in DGD
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oxidative metabolism
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bugs in complement deficiency
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gonococcal/meniococcal
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bugs in t cell deficiency
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viral/fungal
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bugs in SCID
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viruses, fungi, bacteria
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deficit in SCID
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B&T cells
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bugs in B cell deficiency
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encapsulateds
s pneumo h flu giardia |
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osteo 2/2 nail puncture would
bug? generall shich bug? tx for nail would |
pseudomonas
staph aureus debridement and oral/parenteral quinolones |
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crystal induced nephropath in HIV pt.
Cause? what is it? |
Indinavir, a protease inhibitor
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no BM in setting of retroperitoneal hemorrhage/vertebral fracture
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paralytic ileus
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who gets rhogam
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Rh negative women
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when is rhogam administered
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at 28 weeks
within 72 hours of any abortion/ectopic/delivery |
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ideal fasting glucose in pregnancy
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75-90
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why can baby born to diabetic mother have hyperviscosity
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polycythemia
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2 most common bugs causing:
sore throat fever difficulty swalloing increased respiratory rate drooling LAD muffled voice tenderness to palpation over larynx |
epiglotitis
H flu (esophagus is like a chimney with a flu) Strep pyo (esophagus on fire) |
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modiabetes med to avoid in ARF, hepatic failure or sepsis
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metformin
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patient hyperkalemic.
Rx that might be at fault |
posassium spring diuretcs like amiloride or spironolactone
ACE NSAIDS |
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first step in tx of hyper Calcemia
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saline rehydration
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arterial occlusion at the bifurcation of the aorta
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Leriche syndrome
|
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bilateral hip,thigh,buttock claudication
impotence symmetric LE atrophy |
Leriche syndrome
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CSF:
increased wbc, increased protein decreased glucose |
bacterial meningitis
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menintgitis with petechiae and purpura
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meningococcal
|
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what turns positive fastest in an MI?
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Myoglobin (1hr)
MI MYO |
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STEMI. First two steps
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aspirin
angioplasty |
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when to use diltiazem in a cardiac patient
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if patient has asthma
|
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when to use ACE in a cardiac patient
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low EF
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when to use clopidogrel
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if aspirin no tolerated
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indications for thrombolytics
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within 12 hours of
ST elevation or new LBBB |
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cause of ED post MI
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anxiety
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V3 V4 V5 ST depressions
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anterior ischemia
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rx for ST depressions
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enoxaparin (a clot is forming)
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rx prior to cath
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tirofiban or clopidogrel
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heart meds that lower mortality
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aspirin
beta blocker |
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first test for endocarditis
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blood culture
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hemorrhagic lesions with focused dots
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Roth spots
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tx for
neovascularizaiton in diabetic retinopathy vitreous hemorrhages copper wiring/AV nicking |
laser photocoagulation
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erythema nodosum associated with
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syphilis
sarcoid pregnancy strep |
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flat painlesss lesions in endocarditis
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Janeway
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painful pea shaped lesions in endocarditis
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oslers
|
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non blancing petechia
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thrombocytopenia
dysfunctional platelets vasculitis |
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vertical pupils
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coloboma
|
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crusty stuff around eyelid
dx bug |
blepharitis
staph |
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why is TCV endocarditis acute
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coagulase pos staph aureus
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subconjunctival petechiae
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endocarditis
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multiple lung abscesses
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septic emboli from IV drug users endocarditis
|
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rx for endocarditis
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vanc (betalactam that makes the whole)
and gent (that kills the ribosome) |
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mechanism of vancomycin Red man
cure? |
histamine release from mast cells
slow down vanc rate |
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likely comorbidity in endocarditis
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complement deficiency due to circulating immune complexes
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strep bovis endocarditis. Next step
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colonoscopy
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Rx if prosthetic valve endocarditis
Next step |
rifampin
TEE to check for leaks around valves 2/2 abscesses |
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bug in homeless, flea bitten person with endocarditis
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bartonella for the fleabitten
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bug from unpasteruized milk in france
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brucella
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airborn bug from uterus/placenta of sheep
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coxiella
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bug from direct contact with small furry animals like rabbits
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francisella
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bug from contact with urine and infected rats that causes renal and liver issues
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leptospirosis
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bug in elderly, neonates, HIV pts and causes meningitis
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listeria
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ppx for endocarditis for dental work
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none
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ppx for endocarditis for colonoscopy
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none
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ppx for endocarditis with prosthetic valve
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none
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ppx for endocartiditis for getting a filling
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none
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ppx for endocarditis with prosthetic valve and dental extraction
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oral amox
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ppx for endocarditis with tonsillectomy
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oral amox
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ppx for endocarditis with cutting the oropharynx
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oral amox
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