cases Flashcards
uti
“upreg
bactrim ua ucx”
pregnancy
“ectopic labs, bmp, then pap u/a+cx rubellaAb HBsAg RPR/HIVelisa/Chlamydia
q4w visits until 28w, then q2w
vitamins iron folate counseling”
ibd
“esr, sigmoidoscopy with biopsy, stool op/whites/cx, lfts, coags, cbc, bmp
then topical mesalamine=5-asa with immodium, dietary consult”
ectopic
“get coags, ct/ng, lft’s too
mtx or surgery”
ibs
“cbc bmp tsh fobt esr stool-op/wbc/cx+FAT pap
lactose/fiber/loperamide/biofeedback/reassure”
depression
“cbc bmp tsh b12
ssri excercise education”
vaginitis
vaginal ph, wet mount, gram stain, pap, ct/ng, u/a
alzheimers
“donepezil/rivastigmine/galantamine +memantine
vitE if not heart disease
atypical antipsychotic
+-fluoxetine/buspirone”
copd excacerbation
“head of bed up
PEFR, basic labs, EKG
counseling
flu and pneumoccal vaccines”
fibroadenoma
“mammography, fna, maybe ultrasound
counseling, pap smear”
hypertensive emergency
"iv, pulse ox, cardiac and bp monitor ekg, head ct, cbc/bmp/ua cxr-pa stat npo nitroprusside, a-line icu lipids"
foreign body aspiration
“iv, o2, pulse ox
neck and cxr, cbc
scope”
panic attack
“ekg and Dstick
CXR, U/A, Utox in addition to basic’s
benzo, repeat psych exam
counseling, follow-up”
tia
“aspirin after negative HCT
diabetic diet, a1c, lipids, echo, carotid doppler’s, mri’s
pre-op cefazolin”
pid
“wet mount, cervical gram stain and gc cultures, pap, esr, vrdl, hiv
cefoxitin/doxy or clinda/gent, morphine, promethazine, tylenol, NS
NPO, admit!
repeat gential exam, advance diet”
hemophilia
“pt/ptt/bleeding time, then 8/9/11 levels +- LFTs/BMP
give 8 or 9 (hemophilia A or B)
desmopressin, txa
counsel genetics/patient/family, no sports/aspirin”
unstable angina
“LFTs too, PTTs with heparin drip
early metop, fobt
non-emergent angiography if no ongoing pain
GP2b/3a=eptifibatide=integrilyn prior to cath
then echo, lipids, tsh, counsel inc smoking/alcohol, excercise, compliance, diet
aspirin, metop, statin, plavix, nitro”
croup
“cbc, bmp
neck xr, humid air, racemic epi, oral dex
counsel”
asthma
“abg, peak-flow
albuterol, pred -> ipratropium -> fluids, bedrest”
constipation
“cbc bmp mg phos tsh a1c fobt
colonoscopy
metamucil
1w f/u”
appy
“NS, LFTs, UA, ultrasound first, npo
morphine and phenergan
cefoxitin before OR
lap appy”
septic arthritis
“basic labs, ESR, full synovial studies
iv fluids morphine, vanc and ceftri”
dysfunctional uterine bleeding
“preg cbc tsh prolactin coags pap
iron low/low-ocp”
pericarditis
trop, esr, bcx, advil colchicine
splenic contusion
“spine immobilization
type and cross, lipase, etoh, utox, upreg, surg consult
counsel”
cellulitis
“cbc, bmp, x-ray, bcx, wound cx
iv clinda, admit
compliance counseling”
gout
“esr, x-ray
indomethacin”
pcp pna
“bactrim, pred
pneumocystis stain, ldh, g6pd, elisa
cd4 + vl
efv/tenofovir/emtricitabine, flu and pneumococcus vaccine”
renal cell carcinoma
“serum iron, tibs, ferretin
u/a, abdominal ct -> chest ct, admit labs, nephrectomy, pain mgmt”
perfed peptic ulcer
“iv, npo, stop ibuprofen
ng tube
morphine, phenergan, protonix
advance diet after laparotomy”
turner
“karyotype, fsh/lh
full labs, renal+pelvic us, skeletal survey, hearing test
gh therapy, hrt, vitD+Ca, dietary consult, psych consult for IQ”
hypertension
cbc, bmp, ua, ekg, lipids but lifestyle before meds
diverticulitis
npo, unasyn then home with cipro/flagyl
child abuse
bleeding time, chest physio, cps+psych
menopause
“hrt + vitD/Ca
+- pap/mammography/colonoscopy/lipids”
dvt
initial coags and fobt, f/u INR checks
pe
“cbc, trop, abg
stop ocp
check INRs until 2-3”
colon cancer
“LFTs, ESR, miralax
CEA, iron, pre-op labs and abx=cipro/flagyl
counsel smoking/etoh”
mania
“cbc, bmp, tsh, uds
olanzapine, lithium, psych, suicide contract”
pneumococcal meningitis
“head ct before LP, head elevation
stop antiHTN, dex, vanc, ceftri”
cns crypto
“labs, serum crypto antigen
lp w/ cell glucose protein gramstain crypto india fungal culture antigen afb
amphotericin flucytosine for 2w
cd4”
hsv encephalitis
csf hsv too
temporal arteritis
“cbc esr
vitD+Ca and protonix with prednisone aspirin
also f/u dexa scan”
polymyalgia rheumatica
“cbc bmp esr crp rf ana tsh cpk cxr
pred and adjuncts”
ovarian torsion
laparoscopy, ua
ovarian cancer
“cbc, us, ca125, colonoscopy, mammogram, pap
cefazolin, heparin, diet”
sigmoid volvulus
gi consult, colonoscopy prior to laparotomy
cholecystitis
lipase, zosyn, toradol ok
sinusitis
augmentin, tylenol, mometasone
aaa
“stop metop, aspirin
cefazolin”
intusussception
“npo, fluids, ng, labs, axr
barium enema, counsel”
