Classic/Relevant Treatments Flashcards
absence seizures
ethosuximide
acute gout attack
NSAIDs, colchicine, GCs
acute promyelocytic leukemia (M3)
all-trans retinoic acid
ADHD
methylphenidate, CBT, atomoxetine
alcoholism
disulfiram, acamprosate, naltrexone, supportive care
alcohol withdrawal
long-acting benzos
anorexia
nutrition, pychotherapy, mirtazapine
anticoagulation during pregnancy
heparin
arrhythmia in damaged cardiac tissue
class IB antiarrhythmic (lidocaine, mexiletine)
B12 deficiency
vB12 supplementation (work up cause w/ Schilling test)
benign prostatic hyperplasia
alpha1-antagonists, 5alpha-reductase inhibitors, PDE-5 inhibitors
bipolar disorder
mood stabilizers (eg, lithium, valproic acid, carbamazepine), atypical antipsychotics
breast cancer in postmenopausal woman
aromatase inhibitor (anastrazole)
Buerger dz
smoking cessation
bulimia nervosa
SSRIs, CBT
Candida albicans
topical azoles (vaginitis); nystatin, fluconazole, caspofungin (oral/esophageal); fluconazole, caspofungin, amphotericin B (systemic)
carcinoid syndrome
octreotide
Chlamydia trachomatis
doxycycline (+ ceftriaxone for gonorrhea coinfection), erythromycin eye drops (prophylaxis in infants)
chronic gout
xanthine oxidase inhibitors (eg, allopurinol, febuxostat)
chronic hepatitis B or C
IFN-alpha (HBV and HCV); ribavirin, simeprevir, sofosbuvir (HCV)
chronic myelogenous leukemia
imatinib
Clostridium botulinum
antitoxin
Clostridium difficile
oral metronidazole; if refractory, oral vancomycin, fidaxamicin
Clostridium tetani
antitoxin
CMV
ganciclovir, foscarnet, cidofovir
Crohn dz
corticosteroids, infliximab, azathioprine
Cryptococcus neoformans
fluconazole (in AIDS pts)
cyclophosphamide-induced hemorrhagic cystitis
Mesna
depression
SSRIs (first-line)
diabetes insipidus
desmopressin (central); HCTZ, indomethacin, amiloride (nephrogenic)
diabetes mellitus type 1
dietary intervention (low carb) + insulin replacement
diabetes mellitus type 2
dietary intervention, oral hypoglycemics, and insulin (if refractory)
DKA
fluids, insulin, vK
Enterococci
vancomycin, aminopenicillins/cephalosporins
erectile dysfunction
sildenafil, tadalafil, vardenafil
ER + breast cancer
tamoxifen
ethylene glycol/methanol intoxication
fomepizole (alcohol dehydrogenase inhibitor)
Haemophilus influenzae (B)
rifampin (prophylaxis)
generalized anxiety disorder
SSRIs, SNRIs (first-line); buspirone (second-line)
granulomatosis w/ polyangiitis (Wegener)
cyclophosphamide, corticosteroids
heparin reversal
protamine sulfate
HER2/neu + breast cancer
trastuzumab
hyperaldosteronism
spironolactone
hypercholesterolemia
statin (first-line)
hypertriglyceridemia
fibrate
immediate anticoagulation
heparin
infertility
leuprolide, GnRH (pulsatile), clomiphene
influenza
oseltamavir, zanamavir
Kawasaki dz
IVIG, high-dose ASA
Legionella pneumophila
macrolides (eg, azithromycin)
long-term anticoagulation
warfarin, dabigatran, rivaroxaban and apixaban
malaria
chloroquine, mefloquine, atovaquone/proguanil (for blood schizont), primaquine (for liver hypnozoite)
malignant hyperthermia
dantrolene
medical abortion
mifepristone
migraine
abortive therapies (eg, sumatriptan, NSAIDs); prophylaxis (eg, propranolol, topiramate, CCBs, amitriptyline)
multiple sclerosis
disease-modifying therapies (eg, beta-interferon, natalizumab); for acute flares, use IV steroids
Mycobacterium tuberculosis
RIPE (rifampin, INH, pyrazinamide, ethambutol)
Neisseria gonorrhoeae
ceftriaxone (add doxycycline to cover likely concurrent C. trachomatis)
Neisseria meningitidis
PCN/ceftriaxone, rifampin (prophylaxis)
neural tube defect prevention
prenatal folic acid
osteomalacia/rickets
vD supplementation
osteoporosis
calcium/vD supplementation (prophylaxis); bisphosphonates, PTH analogs, SERMs, calcitonin, denosumab (tx)
patent ductus arteriosus
close w/ indomethacin; open or maintain w/ PGE analogs
pheochromocytoma
alpha-antagonists (eg, phenoxybenzamine)
Pneumocystis jirovecii
TMP/SMX (prophylaxis in AIDS pt)
prolactinoma
cabergoline/bromocriptine (dopamine agonists)
prostate adenocarcinoma/uterine fibroids
leuprolide, GnRH (continuous)
prostate adenocarcinoma
flutamide
Pseudomonas aeruginosa
antipseudomonal PCNs, aminoglycosides, carbapenems
pulmonary arterial HTN (idiopathic)
sildenafil, bosentan, epoprostenol
Rickettsia rickettsii
doxycycline, chloramphenicol
schizophrenia (negative sx)
atypical antipsychotics
schizophrenia (positive sx)
typical and atypical antipsychotics
SIADH
fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline
sickle cell dz
hydroxyurea (increased fetal hemoglobin)
Sporothrix schenckii
itraconazole, oral potassium iodide
stable angina
sublingual NTG
Staphylococcus aureus
MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal PCNs)
MRSA: vancomycin, daptomycin, linezolid, ceftaroline
Streptococcus bovis
PCN prophylaxis; evaluation for colon cancer if linked to endocarditis
Streptococcus pneumoniae
PCN/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)
Streptococcus pyogenes
PCN prophylaxis
temporal arteritis
high-dose steroids
tonic-clonic seizures
levetiracetam, phenytoin, valproate, carbamazepine
Toxoplasma gondii
sulfadiazine + pyrimethamine
Treponema pallidum
PCN
Trichomonas vaginalis
metronidazole (pt and partner)
trigeminal neuralgia (tic douloreux)
carbamazepine
ulcerative colitis
5-ASA preparations (eg, mesalamine), 6-MP, infliximab, colectomy
UTI prophylaxis
TMP/SMX
warfarin reversal
FFP (acute), vK (chronic)