ACS: Tox, Geriatrics, Skin Lesions Flashcards
Anxiolytic drugs aka
anti anxiety
Anxiolytic drug names
-zine, -pine: Thorazine, chlorpromazine, benzodiapzepine, haldol
Anxiolytic drug effects
schizo -> aimless wandering -> Tremor (pseudo parkinsonism) -> tardive dyskinesia (extra motion before intended motion)
Tranquilizers
Entry level anti anxiety drugs, librium and valium: causes falls in elderly.
Psilocybin
Hallucinogenic mushroom (sprinkled in street drugs)
Muscarine
poisonous mushroom (mistaken for food)
Blood thinners caution
Internal hemorrage is potential concern, avoid Vit K1
Blood thinner drug names
Heparin, coumadin, warfarin, asprin, dicumerol, Vit C &E “-ins thin the blood”
Barbituates
“Sleeping pill”, respiratory depressant, constrict pupils (miosis)
Organophosphates
Insecticide, blocks cholinesterase, sauses runny eyes and nose, salavate, lacrimate, urinate, defecate = SLUD
Atropine
antidote for organiphosphates and carbamates, too much causes dry eyes, nose, mouth
Anabolic steroids
causes liver damage, and early epiphyseal plate closure in children
Carbon tetrachloride and choloform
causes acute liver failure (even if inhaled)
cyanide
low head while firing pottery, vomit, stops electron transport chain (arsinic also)
lead
basophilic stippling, verve tissue damage, paint, smelter, ceramics, Tx EDTA
Mercury
crayons, toys, paint
Petrolium distallates
ipecac
Carbon dioxide poisoning
uncommon
Carbon monoxide
MC from motors cigarettes,
Nitrogen oxide
cigarettes and plants
Nitrous oxide
anesthetic
Long term use of coirticosteroids
adrenals and bone loss
Ionizide
ANS dysfunction
L-dopa
parkinsonism
Monamine oxide inhibitors (MAO) (Depression drug)
prevets breakdown of neurotransmitters, increases availability fo synapses, certain foods cause nypertension, 6 months to take effect
Tricyclics (elavil) (Depression drug)
for depression, takes 6 months to take effect
Prozac (Depression drug)
Inhibits serotonin uptake, a few days to take effect, causes homicidal tendancies
Lithium carbonate (Depression drug)
manic depressive
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
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.
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
Streptomyosin
(antibiotic) hearing problems
Tetracycline
(antibiotic) yelow teeth, avoid dary and sun, binds with calcium
Penicillin
(antibiotic) causes anaphylactic shock, rash
Amoxicillin
(antibiotic) stunts gi neurotransmitters and diminishes brain maturation (autism connection)
Levaquin
(antibiotic) causes tendon tears and ruptures
Acyclovir
herpes (lysine, valtrex)
allopurinol
chronic gout and chochicine (acute gout) - purine metabolism (organ meats, wine, cheese)
antabuse
disulfiram - turns to aldehyde in gut when alcohol is ingested
Dilantin
taken to decrease seizure activity
digitalis
styrengthens heart contractions
Propranolol
“-ol” = beta blocker, migranes, heart arrhythmias, etc
Ritalin
add
Tagamet
taken for ulcers
Lipitor
Decreases blood cholestorl
vioxx/celebrex
Cox-2 inhibnitor
Glucosamine and chondroiting sulfate
taken for disc/joint pain
MC endocrine cause of carpal tunnel
hypothyroidism
Presbyopia
lense elasticity (farsighted)
Presbycusis
male, high tones, (sensorinural)
Macular degeration
irreversable, painless, central field loss
MC cause of conduction loss
cerumen (ear wax)
Which comes first: fall or bone break
bone break then fall and fall can cause bone break (determine which)
stroke
tear of intima Face, Arm, Speech, Time = FAST
Seborrheic keratosis
“barnacles of old age” insignificant
Lichenification and leukoplakia
pre-cancerous (chew tobacco)
Constipation
need for fiber and fluid in elderly is increased
Osteroporosis
DEXA bone density
Prostate
PSA is not specific, (DRE is specific)
Arterial insufficiency
pale, think skin, smokers
Venous insufficiency
rubor, staisis dermatitis
Everything in system decreases except
Increases: Fat, ESR, Residual volume, Stays the same: Blood glucose and calcium and WBC
MC blindness
cataracts
Macule (size, shape, example)
<1cm, flat freckle
Papule (size, shape, example)
<1cm, raised/solid, wart
Vessicle (size, shape, example)
<0.5cm, raised/serous, herpes
Pustule (size, shape, example)
<0,5cm, raised/pus, acne
Birthmark (size, shape, example)
large, flat, mongolian
Nodule (size, shape, example)
large, raised/solid, arthritis
Bullae (size, shape, example)
large, raised/serous, pemphigus
Furuncle (size, shape, example)
large, raised/pus, boil
Basal cell cancer
MC cancer, Waxy pearly, indurated, rodent ulcer
Squamous cell cancer
Irregular, flaky (actinic keratosis)
Melanoma
Pigmented multicolor, most invasive skin cancer
Precancerous
actinic keratosis (yellow), leukoplakia (white)
Folliculitis
irritated hair follicles (groin, neck)
Psoriasis
“silver scales, pitted nails, occurs on extensors” (most significant featuer is psoriatic paques) 15% joint involvement, hyperuricemia
Eczema
(contact dermatitis) Flexors, remove agent (touching contaminated things)
Pediculosis
lice (nits)
Scabies
“furrow and burrow with all their mites”
Tinea capitis
ringworm on head
Lyme disease
spirochete carried by deer tick, erythema migrans (blotchy) central clearing in 2-3 weeks
Erysipelas
(Strep) shiny red fessicles, fever, patches
Pityriasis rosea
Herald (mother) patch, 10-30yro, fatigued, post viral, comes on fase, recedes slowly
seborrheic Dermatitis
Scaly, oily, itchy, erythema, paonful (skinalgia), binds hair (cradle cap), blepharitis Tx: shampoo (sulpher and asprin), steriod cream
Dermatomyositis
Rash (heliotrope i.e. avoids sun) attacks eyelids (where SLE does not)
SLE
Butterfly rash (malar) heliotrope (i.e. avoids sun)
Acne vulgaris - rosacea -
Vulgaris - young, Rosacea - “Nosey Rosey” rhinoplasty -> deep infection -> damage
Impetigo
Staph and strep: primary (vesicle and bulla), secondary is crusty (very contagous)
Tinea Versicolor
Subcutaneous fungus causing white patches (summertime)
Vitiligo
patchy abscene of melanin (can progress)
Lichenification
thickened epidermis induced by scratching (washboard)