Classic Relevant Treatments Flashcards by caleb cadis

Absence seizures

Ethosuximide

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Acute gout attack

NSAIDs, colchicine

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Acute promyelocytic leukemia (M3)

All-trans retinoic acid

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ADHD

Methylphenidate, amphetamines

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Alcohol abuse

AA+ disulfiram for patient and Al-Anon for family

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Alcohol withdrawal

Benzodiazepines

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Anorexia

SSRIs

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Anticoagulation during pregnancy

Heparin

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Anxiety

Buspirone

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Arrhythmia in damaged cardiac tissue

Class 1B antiarrhythmic (lidocaine, mexiletine, tocainide)

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B12 deficiency

B12

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Benign prostatic hyperplasia

Tamsulosin, finasteride

Alpha blocker and 5- alpha reductase inhibitor

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Bipolar disorder

Lithium, valproate, carbamazepine (mood stabilizers)

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Breast cancer in postmenopausal woman

Aromatase inhibitor

anastrazole/exemestane

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Beurger’s disease

Smoking cessation

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Bulimia

SSRIs

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Candida albicans

Amphotericin B (systemic), nystatin (oral thrush, esophagitis)

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Carcinoid syndrome

Octreotide

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Chlamydia trachomatis

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

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Chronic gout

Probenecid (underexcretor), allopurinol (overproducer)

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Chronic hepatitis

IFN-alpha

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Chronic myelogenous leukemia

Imatinib (gleevec)

Inhibits tyrosine kinase of Philadelphia chromosome..

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Clostridium botulinum

Antitoxin

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Clostridium difficile

Oral metronidazole

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Clostridium tetani

Antitoxin + vaccine booster + diazepam

Crohn's disease

Corticosteroids, infliximab

Cryptococcus neoformans

Fluconazole (prophylaxis in AIDS patients)

Cystic Fibrosis

N-acetylcysteine + antipseudomonal prophylaxis (tobramycin/azithromycin)

Cytomegalovirus

Ganciclovir

Depression

SSRIs (First line)

Diabetes insipidus

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

Diabetes mellitus type 1

Dietary intervention (low-sugar) + insulin replacement

Diabetes mellitus type 2

Dietary intervention, oral hypoglycemic (metformin: a biguanide), and insulin (possible)

Diabetic ketoacidosis

Fluids, insulin, K+

Enterococci

Vancomycin/ampicillin + aminoglycoside

Erectile dysfunction

Sildenafil ( PDE5 inhibitor--- keeps cGMP around)

ER-positive breast cancer

Tamoxifen ( a SERM)

Ethylene glycol/methanol intoxication

Femepizole (alcohol dehydrogenase inhibitor)

Folate deficiency

Folate

Haemophilus influenzae (B)

Rifampin (prophylaxis)

Hemorrhagic cystitis

Mesna

Heparin toxicity (acute)

Protamine sulfate

HER2/neu-positive breast cancer

Trastuzumab

Hyperaldosteronism

Spironolactone

Hypercholesterolemia

Statin (first-line)

Hypertriglyceridemia

Fibrate

Immediate anticoagulation

Heparin

Infertility

Leuprolide, GnRH (pulsatile)

Influenza

Amantadine/rimantadine

Legionella pneumophila

Erythromycin

Long-term anticoagulation

Warfarin

Malaria

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

Malignant hyperthermia

Dantrolene

Medical abortion

Mifepristone

MRSA

Vancomycin

Multiple sclerosis

Beta-interferon

Mycobacterium tuberculosis

RIPES (rifampin, INH, pyrazinamide, ethambutol, streptomycin)

Neisseria gonorrhoeae

Ceftriaxone ((aka Rocephin)) | add doxycycline to cover likely concurrent Chlamydia

Neisseria meningitidis

Penicillin/ceftriaxone, rifampin (prophylaxis)

Neural tube defect prevention

folate/ folic acid

Osteomalacia/rickets

Vitamin D supplementation

Pheochromocytoma

alpha-antagonists | phenoxybenzamine

Patent ductus arteriosus

Indomethacin (inhibits prostaglandins)

Pneumocystis jiroveci

TMP-SMX (prophylaxis in AIDS patient)

Prolactinoma

Bromocriptine (dopamine agonists)

Prostate cancer/uterine fibroids

Leuprolide, GnRH (continuous)

Prostate carcinoma

Flutamide

Pulmonary hypertension

Bosentan | Endothelin receptor antagonist

Pseudonomas aeruginosa

Antipseudomonal penicillin (Carben Ticar Piper) + aminoglycoside

Rickettsia rickettsii

Doxycycline, chloramphenicol ( can cause aplastic anemia!!)

Ringworm infections

Terinafine, griseofulvin, imidazole

Schizophrenia (negative symptoms)

5-HT2A antagonists (e.g., olanzapine)

Schizophrenia (positive symptoms)

D2 receptor antagonists

SIADH

Demeclocycline, lithium

Sickle cell anemia

Hydroxyurea (increased HbF)

Sporothrix schenckii

Oral KI

Stable angina

Sublingual nitroglycerin

Staphylococcus aureus

Methicillin/nafcillin

Streptococcus bovis

Penicillin prophylaxis

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 G (benzathine penicillin G)

Trichomonas vaginalis

Metronidazole (patient and partner)

Ulcerative colitis

5-ASA, infliximab

UTI prophylaxis

TMP-SMX

Warfarin toxicity

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

Wegener's granulomatosis

Cyclophosphamide, corticosteroids