ACS: Tox, Geriatrics, Skin Lesions Flashcards

1
Q

Anxiolytic drugs aka

A

anti anxiety

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2
Q

Anxiolytic drug names

A

-zine, -pine: Thorazine, chlorpromazine, benzodiapzepine, haldol

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3
Q

Anxiolytic drug effects

A

schizo -> aimless wandering -> Tremor (pseudo parkinsonism) -> tardive dyskinesia (extra motion before intended motion)

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4
Q

Tranquilizers

A

Entry level anti anxiety drugs, librium and valium: causes falls in elderly.

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5
Q

Psilocybin

A

Hallucinogenic mushroom (sprinkled in street drugs)

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6
Q

Muscarine

A

poisonous mushroom (mistaken for food)

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7
Q

Blood thinners caution

A

Internal hemorrage is potential concern, avoid Vit K1

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8
Q

Blood thinner drug names

A

Heparin, coumadin, warfarin, asprin, dicumerol, Vit C &E “-ins thin the blood”

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9
Q

Barbituates

A

“Sleeping pill”, respiratory depressant, constrict pupils (miosis)

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10
Q

Organophosphates

A

Insecticide, blocks cholinesterase, sauses runny eyes and nose, salavate, lacrimate, urinate, defecate = SLUD

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11
Q

Atropine

A

antidote for organiphosphates and carbamates, too much causes dry eyes, nose, mouth

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12
Q

Anabolic steroids

A

causes liver damage, and early epiphyseal plate closure in children

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13
Q

Carbon tetrachloride and choloform

A

causes acute liver failure (even if inhaled)

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14
Q

cyanide

A

low head while firing pottery, vomit, stops electron transport chain (arsinic also)

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15
Q

lead

A

basophilic stippling, verve tissue damage, paint, smelter, ceramics, Tx EDTA

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16
Q

Mercury

A

crayons, toys, paint

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17
Q

Petrolium distallates

A

ipecac

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18
Q

Carbon dioxide poisoning

A

uncommon

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19
Q

Carbon monoxide

A

MC from motors cigarettes,

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20
Q

Nitrogen oxide

A

cigarettes and plants

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21
Q

Nitrous oxide

A

anesthetic

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22
Q

Long term use of coirticosteroids

A

adrenals and bone loss

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23
Q

Ionizide

A

ANS dysfunction

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24
Q

L-dopa

A

parkinsonism

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25
Monamine oxide inhibitors (MAO) (Depression drug)
prevets breakdown of neurotransmitters, increases availability fo synapses, certain foods cause nypertension, 6 months to take effect
26
Tricyclics (elavil) (Depression drug)
for depression, takes 6 months to take effect
27
Prozac (Depression drug)
*Inhibits serotonin uptake*, a few days to take effect, causes homicidal tendancies
28
Lithium carbonate (Depression drug)
manic depressive
29
NSAIDS: Ibuprophin - acetaminophen - overdose treatement -
Ibuprophin, GI irritation/bleeding, acetaminophen (tyloenol) - antipyretic and analgesic (liver damage) no mucosal irritation, Overdose treatment - Vomit within 4 hours, N-acetylcystine antidote
30
Salicylates (asprin)
Bleeding, inhibits prostatglandin, chronic use causes tinitus, gi bleeding, and kidney irritation, overdose treatment, vomit within 4 hours, activated charcoal, pump, call poison control.
31
Reyes Syndrome
After viral infection in children ( acute endephalopahty, fatty infiltreation of viscera, hepatometaly. S/S: headache, vomiting, amnesia, rash, seizures, lethargy. Parylsis starts in head and moves distal
32
Streptomyosin
(antibiotic) hearing problems
33
Tetracycline
(antibiotic) yelow teeth, avoid dary and sun, binds with calcium
34
Penicillin
(antibiotic) causes anaphylactic shock, rash
35
Amoxicillin
(antibiotic) stunts gi neurotransmitters and diminishes brain maturation (autism connection)
36
Levaquin
(antibiotic) causes tendon tears and ruptures
37
Acyclovir
herpes (lysine, valtrex)
38
allopurinol
chronic gout and chochicine (acute gout) - purine metabolism (organ meats, wine, cheese)
39
antabuse
disulfiram - turns to aldehyde in gut when alcohol is ingested
40
Dilantin
taken to decrease seizure activity
41
digitalis
styrengthens heart contractions
42
Propranolol
"-ol" = beta blocker, migranes, heart arrhythmias, etc
43
Ritalin
add
44
Tagamet
taken for ulcers
45
Lipitor
Decreases blood cholestorl
46
vioxx/celebrex
Cox-2 inhibnitor
47
Glucosamine and chondroiting sulfate
taken for disc/joint pain
48
MC endocrine cause of carpal tunnel
hypothyroidism
49
Presbyopia
lense elasticity (farsighted)
50
Presbycusis
male, high tones, (sensorinural)
51
Macular degeration
irreversable, painless, central field loss
52
MC cause of conduction loss
cerumen (ear wax)
53
Which comes first: fall or bone break
bone break then fall and fall can cause bone break (determine which)
54
stroke
tear of intima *Face*, *Arm*, *Speech*, *Time* = FAST
55
Seborrheic keratosis
"barnacles of old age" insignificant
56
Lichenification and leukoplakia
pre-cancerous (chew tobacco)
57
Constipation
need for fiber and fluid in elderly is increased
58
Osteroporosis
DEXA bone density
59
Prostate
PSA is not specific, (DRE is specific)
60
Arterial insufficiency
pale, think skin, smokers
61
Venous insufficiency
rubor, staisis dermatitis
62
Everything in system decreases except
Increases: Fat, ESR, Residual volume, Stays the same: Blood glucose and calcium and WBC
63
MC blindness
cataracts
64
Macule (size, shape, example)
<1cm, flat freckle
65
Papule (size, shape, example)
<1cm, raised/solid, wart
66
Vessicle (size, shape, example)
<0.5cm, raised/serous, herpes
67
Pustule (size, shape, example)
<0,5cm, raised/pus, acne
68
Birthmark (size, shape, example)
large, flat, mongolian
69
Nodule (size, shape, example)
large, raised/solid, arthritis
70
Bullae (size, shape, example)
large, raised/serous, pemphigus
71
Furuncle (size, shape, example)
large, raised/pus, boil
72
Basal cell cancer
MC cancer, Waxy pearly, indurated, rodent ulcer
73
Squamous cell cancer
Irregular, flaky (actinic keratosis)
74
Melanoma
Pigmented *multicolor*, most invasive skin cancer
75
Precancerous
actinic keratosis (yellow), leukoplakia (white)
76
Folliculitis
irritated hair follicles (groin, neck)
77
Psoriasis
"silver scales, pitted nails, occurs on extensors" (most significant featuer is psoriatic paques) 15% joint involvement, hyperuricemia
78
Eczema
(contact dermatitis) Flexors, remove agent (touching contaminated things)
79
Pediculosis
lice (nits)
80
Scabies
"furrow and burrow with all their mites"
81
Tinea capitis
ringworm on head
82
Lyme disease
spirochete carried by deer tick, erythema migrans (blotchy) central clearing in 2-3 weeks
83
Erysipelas
(Strep) shiny *red* fessicles, fever, patches
84
Pityriasis rosea
Herald (mother) patch, 10-30yro, fatigued, post viral, comes on fase, recedes slowly
85
seborrheic Dermatitis
Scaly, *oily*, *itchy*, *erythema*, paonful (skinalgia), binds hair (cradle cap), blepharitis Tx: shampoo (sulpher and asprin), steriod cream
86
Dermatomyositis
Rash (heliotrope i.e. avoids sun) attacks eyelids (where SLE does not)
87
SLE
Butterfly rash (malar) heliotrope (i.e. avoids sun)
88
Acne vulgaris - rosacea -
Vulgaris - young, Rosacea - "Nosey Rosey" rhinoplasty -> deep infection -> damage
89
Impetigo
Staph and strep: primary (vesicle and bulla), secondary is crusty (very contagous)
90
Tinea Versicolor
Subcutaneous fungus causing white patches (summertime)
91
Vitiligo
patchy abscene of melanin (can progress)
92
Lichenification
thickened epidermis induced by scratching (washboard)