Classic/Relevant Treatments Flashcards
absence seizures
Ethosuximide
acute gout attack
NSAID, colchicine, gucocorticoids
acute promyelocytic leukemia (M3)
ALL-trans retinoic acid
ADHD
methylphenidate, CBT, atomoxetine
alcoholism
Disulfiram, acamprosate, naltrexone, supportive care
anorexia
nutrition, psychotherapy, mirtazapine
anti-coagulation during pregnancy
heparin
arrhythmia in damaged cardiac tissue
class IB anti-arrhythmic (lidocaine, mexiletine)
B12 deficiency
vitamin B12 supplementation (work up cause with Schilling test)
Benign prostatic hyperplasia (BPH)
alpha1-antagonists, 5alpha-reductase inhibitors, PDE-5 inhibitors
bipolar disorder
mood stabilizers (lithium, valproic acid, carbamazepine), atypical antipsychotics
breast cancer in post-menopausal women
aromatase inhibitor (anastrozole)
Buerger disease
smoking cessation
bulimia nervosa
SSRIs (fluoxetine)
Candida albicans
vaginitis: topical azoles
oral/esophageal: nystatin, flucanazole, caspofungin
systemic: flucanazole, caspofungin, amphothericin B
carcinoid syndrome
octreotide
chlamydia trachomatis
doxycycline (+ ceftriaxone for gonorrhea co-infection), erythromycin eye drops (prophylaxis in infants)
chronic gout
xanthine oxidase inhibitors (allopurinol, febuxostat)
chronic hepatitis B or C
HBV and HCV: IFN-alpha
HCV: ribavirin, simeprevir, sofosbuvir
chronic myelogenous leukemia
Imatinib
clostridium botulinum
antitoxin
clostridium difficile
oral metronidazole
If refractory: oral vancomycin
clostridium tetani
antitoxin
CMV
Ganciclovir, foscarnet, cidofovir
Crohn disease
corticosteroids, infliximab, azathioprine
cryptococcus neoformans
fluconazole (in AIDS patients)
cyclophosphamide-induced hemorrhagic cystitis
Mesna
depression
SSRIs (1st line)
diabetes insipidus
Central: desmopressin
Nephrogenis: hydrochlothiazide, indomethacin, amiloride
DM1
dietary intervention (low carbs) + insulin replacement
DM2
dietary intervention (low carbs) , oral hypoglycemics, and insulin (if refractory)
diabetic ketoacidosis (DKA)
fluids, insulin, K+
Enterococci
vancomycin, aminopenicillins/cephalosporins
erectile dysfunction
sidenafil, tadalafil, vardenafil
ER+ breast cancer
Tamoxifen
ethylene glycol/methanol intoxication
fomepizole (alcohol dehydrogenase inhibitor)
Haemophilus influenzae (B)
Rifampin (prophylaxis)
generalized anxiety disorder (GAD)
1st line: SSRIs, SNRIs
2nd line: buspirone
granulomatosis with polyangiitis (Wegener)
cyclophosphamide, corticosteroids
heparin reversal
protamine sulfate
HER2.neu+ breast cancer
trastuzumab
hyperaldosteronism
spironolactone
hypercholesterolemia
statins (1st line)
hypertriglyceridemia
fibrate
immediate anticoagulation
heparin
infertility
leuprolide, GnRH (pulsatile), clomiphene
influenza
oseltamivir/zanamivir (directly inhibit virion release)
Kawasaki disease
IVIG, high-dose aspirin
Legionella pneumophila
Macrolides (e.g. azithromycin)
long-term anticoagulation
warfarin, dabigatran, rivaroxaban and apixaban
malaria
for blood schizont: chloroquine, mefloquine, atovaquine,/proguanil
for liver schizont: primaquine
malignant hyperthermia
dantroline (blocks ryanodine receptors–>prevent calcium release into cytoplasm of skeletal muscles)
medical abortion
mifepristone
Migraine
abortive: NSAIDS, Sumatriptan
prophylaxis: propranolol, topiramate, CCBs, amitripthyline
multiple sclerosis
disease-modifying: beta-interferon, natalizumab
acute flares: IV steroids
Mycobacterium tuberculosis
RIPE: rifampin, isoniazid, pyrazinamide, ethambutol
Neisseria gonorrhoeae
ceftriaxone (+ doxycylcine to cover C. trachomatis)
neural tube defect prevention
prenatal folic acid
osteomalacia/rickets
vitamin D supplementation
osteoporosis
prophylaxis: calcium/vit D supplementation
treatment: bisphosphonates, PTH analogs, SERMs, calcitonin, denosumab
patent ductus arteriosus
Close: indomethacin
Open/maintain: PGE analogs
pheochromocytoma
alpha-antagonists (e.g. phenoxybenzamine)
Pneumocytis jirovecii
TMP-SMX for prophylaxis in AIDS patients
prolactinoma
cabergoline/bromocriptine (dopamine agonists)
prostate adenocarcinoma/uterine fibroids
leuprolide, leuprolide (continuous)
Pseudomonas aeruginosa
antipseudomonal penicillins, aminoglycosides, carbapenems
pulmonary arterial hypertension (idiopathic)
sildenafil, bosentan, epoprostenol
Rickettsia rickettsii
doxycline, chloramphenicol
schizophrenia (positive symptoms)
typical and atypical antipsychotics
schizophrenia (negative symptoms)
atypical antipsychotics
SIADH
fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline
sickle cell disease
hydroxyurea (increases fetal hemoglobin)
sporothrix schenckii
itraconazole, oral potassium iodide
stable angina
sublingual nitroglycerin
staphylococcus aureus
MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal penicillins)
MRSA: vancomycin, daptomycin, linezolid, ceftaroline
streptococcus bovis
penicillin prophylaxis; evaluation for colon cancer if linked to endocarditis
streptococcus pneumoniae
systemic infection/pneumonia: penicillin/cephalosporin
meningitis: vancomycin
streptococcus pyogenes
penicillin prophylaxis
temporal arteritis
high-dose steroids
Toxoplasma gondii
sulfadiazine + pyrimethamine
Treponema pallidum
penicillin
Trichomonas vaginalis
Metronidazole for both patient and partner
trigeminal neuralgia (tic douloureux)
carbamezapine
ulcerative colitis
5-ASA preparations (e.g. mesalamine), 6-mercaptopurine, infliximab, colectomy
UTI prophylaxis
TMP-SMX
warfarin reversal
Immediate/acute: fresh frozen plasma
chronic: vitamin K