Classic/Relevant Treatments Flashcards by Tyler Barnes

Acute gout attack

NSAIDs, colchicine

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Absence seizures

Ethosuximide

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Acute promyelocytic leukemia (M3)

All-trans retinoic acid

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ADHD

Methylphenidate, amphetamines

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Alcohol use disorder

AA + disulfiram, naltrexone, or acamprosate for patient. Al-Anon for patient’s family

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Alcohol withdrawal

Benzodiazepines

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Anorexia

Nutrition, psychotherapy

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Anticoagulation during pregnancy

Heparin

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Arrhythmia in damaged cardiac tissue

Class IB antiarrhythmic (lidocaine, mexiletine, tocainide)

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B12 deficiency

Vitamin B12 supplementation (work up with Schilling test)

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Benign Prostatic Hyperplasia

Tamsulosin, finasteride

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Bipolar disorder

Lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)

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Breast cancer in postmenopausal women

Aromatase inhibitor (anastrozole)

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Buerger disease

Smoking cessation

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Bulimia nervosa

SSRIs

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Candida albicans

Amphotericin B (systemic), nystatin (oral thrush), azoles (vaginits)

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Carcinoid syndrome

Octreotide

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Chlamydiia trachomatis

Doxycycline (+ceftriaxone for gonorrhea coinfection), erythromycin eye drops (prophylaxis in infants)

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Chronic gout

Probenacid (underexcretor), allopurinol (overproducer), febuxostat

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Chronic hepatitis

IFN-alpha

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Chronic myelogenous leukemia

Imatinib

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Clostridium botulinum

Antitoxin

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Clostridium difficile

Oral metronidazole; if refractory, oral vancomycin

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Clostridium tetani

Antitoxin + vaccine booster + diazepam

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CMV

Ganciclovir

Crohn disease

Corticosteroids, infliximab, methotrexate, azathioprine

Cryptococcus neoformans

Fluconazole (prophylaxis in AIDS patients)

Cyclophosphamide-induced hemorrhagic cystitis

Mesna

Depression

SSRIs (first line)

Diabetes insipidus

DDAVP (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

Diabetes mellitus type I

Dietary intervention (low sugar) + insulin replacement

Diabetes mellitus type 2

Dietary intervention, oral hypoglycemics, and insulin (if refractory)

Diabetic ketoacidosis

Fluids, insulin, K+

Enterococci

Vancomycin/ampicillin + aminoglycoside

Erectile dysfunction

Sildenafil, vardenafil

ER+ breast cancer

Tamoxifen

Ethylene glycol/methanol intoxication

Fomepizole (alcohol dehydrogenase inhibitor)

Haemophilus influenzae (B)

Rifampin (prophylaxis)

Generalized anxiety disorder

Buspirone

Granulomatosis with polyangiitis (Wegener)

Cyclophosphamide, corticosteroids

Heparin toxicity (acute)

Protamine sulfate

HER2/neu + breast cancer

Transtuzumab

Hyperaldosteronism

Spironolactone

Hypercholesterolemia

Statin (first-line)

Hypertriglyceridemia

Fibrate

Immediate anticoagulation

Heparin

Infertility

Leuprolide, GnRH (pulsatile), clomiphene

Influenza

Rimantadine, oseltamivir

Legionella pneumophila

Erythromycin

Long-term anticoagulation

Warfarin

Malaria

Chloroquine/mefloquine (for blood schizont), primaquine (for liver hypnozoite)

Malignant hyperthermia

Dantrolene

Medical abortion

Mifepristone

Migraine

Sumatriptan

MRSA

Vancomycin

Multiple sclerosis

Beta-interferon, immunosuppression, natalizumab

Mycobacterium tuberculosis

RIPE (rifampin, INH, pyrazinamide, ethambutol)

Neisseria gonorrhoeae

Ceftriaxone (add doxycycline to cover likely concurrent Chlamydia

Neisseria meningitidis

Penicillin/ceftriaxone, rifampin (prophylaxis)

Neural tube defect prevention

prenatal folic acid

Osteomalacia/rickets

Vitamin D supplementation

Osteoporosis

Bisphosphonates; calcium and Vitamin D supplementation

Patent ductus arteriosus

Indomethacin

Pheochromocytoma

alpha-antagonists (e.g., phenoxybenzamine)

Pneumocystic jirovecii

TMP-SMX (phrophylaxis in AIDS pt.)

Prolactinoma

Bromocriptine (dopamine agonists)

Prostate cancer/uterine fibroids

Leuprolide, GnRH (continuous)

Prostate carcinoma

Flutamide

Pseudomonas aeruginosa

Antipseudomonal penicillin + aminoglycoside

Pulmonary arterial hypertension (idiopathic)

Sildenafil, bosentan, epoprostenol

Rickettsia rickettsii

Doxycycline, chloramphenicol (associated with aplastic anemia)

Ringworm infections

Terbinafine, griseofluvin, imidazole

Schizophrenia (negative symptoms)

5-HT2A antagonists (2nd generation antipsychotics)

Schizophrenia (positive symptoms)

D2 receptor antagonists (e.g., 1st and 2nd generation antipsychotics)

SIADH

Demeclocycline, lithium, vasopressin receptor antagonists

Sickle cell anemia

Hydroxyurea (increase fetal hemoglobin)

Sporothrix schenckii

Oral potassium iodide

Stable angina

Sublingual nitroglycerin

Staphylococcus aureus

MSSA: nafcillin, oxacillin, dicloxaillin (anti-staphylococcal penicillins); MRSA: vancomycin

Streptococcus bovis

Penicillin prophylaxis, evaluation for colon cancer if linked to endocarditis

Streptococcus pneumoniae

Penicillin/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)

Streptococcus pyogenes

Penicillin prophylaxis

Temporal arteritis

High-dose steroids

Tonic-clonic seizures

Phenytoin, valproate, carbamazepine

Toxoplasma gondii

Sulfadiazine + pyrimethamine

Treponema pallidum

Penicillin

Trichomonas vaginalis

Metronidazole (patient and partner)

Trigeminal neuralgia (tic douloureux)

Carbamazepine

Ulcerative colitis

5-ASA, infliximab, colectomy

UTI prophylaxis

TMP-SMX

Warfarin toxicity

Fresh frozen plasma (acute), vitamin K (chronic)