Classic/Relevant Treatments Flashcards
Ethylene glycol/methanol intoxication
Fomepizole (alcohol dehydrogenase inhibitor)
Neisseria meningitidis
Penicillin/ceftriaxone
Rifampin (prophylaxis)
Clostridium botulinum
Antitoxin
Clostridium tetani
Antitoxin
Staphylococcus aureus
MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal penicillins)
MRSA: vancomycin, daptomycin, linezolid, ceftaroline
Streptococcus pyogenes
Penicillin prophylaxis
Streptococcus pneumoniae
Penicillin/cephalosporin (systemic infection, PNA), vancomycin (meningitis)
Streptococcus bovis
Penicillin prophylaxis; evaluation for colon cancer if linked to endocarditis
Enterococci
Vancomycin, aminopenicillins/cephalosporins
H flu (b)
Amoxicillin +/- clavulanate (mucosal infections), ceftriaxone (meningitis), rifampin (prophylaxis)
Legionella pneumophila
Macrolides (eg azithromycin)
Pseudomonas aeruginosa
Piperacillin/tazobactam, aminoglycosides, carbapenems
Treponema pallidum
Penicillin G
Chlamydia trachomatis
Doxycycline (+ ceftriaxone for gonorrhea coinfection), oral erythromycin to treat chlamydial conjunctivitis in infants
Rickettsia rickettsii
Doxycycline, chloramphenicol
Candida albicans
Topical azoles (vaginitis); nystatin, fluconazole, caspofungin (oral/esophageal); fluconazole, caspofungin, amphotericin B (systemic)
Cryptococcus neoformans
Induction with amphotericin B and flucytosine, maintenance with fluconazole (in AIDS patients)
Sporothrix schenkii
Itraconazole, oral potassium iodide
Pneumocystis jirovecii
TMP-SMX (prophylaxis and treatment in immunosuppressed patients, CD4 <200/mm3)
Toxoplasma gondii
Sulfadiazine + pyrimethamine
Malaria
Chloroquine, mefloquine, atovaquone/proguanil (for blood schizont), primaquine (for liver hypnozoite)
Trichomonas vaginalis
Metronidazole (patient and partner)
Influenza
Oseltamivir, zanamivir
CMV
Ganciclovir, foscarnet, cidofovir
Neisseria gonorrhoeae
Ceftriaxone (add doxycycline to cover likely concurrent C trachomatis)
Clostridium difficile
Oral metronidazole; if refractory, oral vancomycin
Mycobacterium tuberculosis
RIPE (rifampin, isoniazid, pyrazinamide, ethambutol)
UTI prophylaxis
TMP-SMX
Chronic hepatitis B or C
IFN-a (HBV and HCV); ribavirin, simeprevir, sofosbuvir (HCV)
Patent ductus arteriosus
Close with indomethacin; keep open with PGE analogs
Stable angina
Sublingual nitroglycerin
Hypercholesterolemia
Statin (first-line)
Buerger disease
Smoking cessation
Granulomatosis with polyangiitis (Wegener)
Cyclophosphamide, corticosteroids
Kawasaki disease
IVIG, high-dose ASA
Temporal arteritis
High-dose steroids
Arrhythmia in damaged cardiac tissue
Class IB antiarrhythmic (lidocaine, mexiletine)
Pheochromocytoma
alpha-antagonists (eg phenoxybenzamine)
Prolactinoma
Cabergoline/bromocriptine (dopamine agonists)
Diabetes insipidus
Desmopressin (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)
SIADH
Fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline
Diabetes mellitus type I
Dietary intervention (low carb) + insulin replacement
Diabetes mellitus type II
Dietary intervention, oral hypoglycemics, and insulin (if refractory)
Carcinoid syndrome
Octreotide
DKA
Fluids, insulin, K+
Crohn disease
Corticosteroids, infliximab, azathioprine
Ulcerative colitis
5-ASA preparations (eg mesalamine), 6-mercaptopurine, infliximab, colectomy
Hypertriglyceridemia
Fibrate
Sickle cell disease
Hydroxyurea (increases fetal hemoglobin)
Chronic myelogenous leukemia
Imatinib
Acute promyelocytic leukemia (M3)
All-trans retinoic acid
Drug of choice for anticoagulation during pregnancy
Heparin
Heparin reversal
Protamine sulfate
Immediate anticoagulation
Heparin
Long-term anticoagulation
Warfarin, dabigatran, rivaroxaban and apixaban
Warfarin reversal
Fresh frozen plasma (acute), vitamin K (non-acute)
Cyclophosphamide-induced hemorrhagic cystitis
Mesna
HER2/neu + breast cancer
Trastuzamab
Osteoporosis
Calcium/vitamin D supplementation (prophylaxis), bisphosphonates, PTH analogs, SERMs, calcitonin, denosumab (treatment)
Osteomalacia/rickets
Vitamin D supplementation
Chronic gout
Xanthine oxidase inhibitors (eg allopurinol, febuxostat), pegloticase, probenecid
Acute gout attack
NSAIDs, colchicine, glucocorticoids
Neural tube defect prevention
Prenatal folic acid
Migraine
Abortive therapies (eg sumatriptan, NSAIDs), prophylaxis (eg propranolol, topiramate, CCBs, amitriptyline)
Trigeminal neuralgia (tic douloureux)
Carbamazepine
Multiple sclerosis
Disease-modifying therapies (eg Beta-interferon, natalizumab); for acute flares, use IV steroids
Tonic-clonic seizures
Levetiracetam, phenytoin, valproate, carbamazepine
Absence seizures
Ethosuximide
Malignant hyperthermia
Dantrolene
Anorexia
Nutrition, psychotherapy, mirtazapine
Bulimia nervosa
SSRIs
Alcoholism
Disulfiram, acamprosate, naltrexone, supportive care
ADHD
Methylphenidate, amphetamines, CBT, atomexetine, guanfacine, clonidine
Alcohol withdrawal
Long-acting benzodiazepines
Bipolar disorder
Mood stabilizers (eg lithium, valproic acid, carbamazepine), atypical antipsychotics
Depression
SSRIs (first-line)
Generalized anxiety disorder
SSRIs, SNRIs (first line); buspirone (second line)
Schizophrenia (positive symptoms)
Typical and atypical antipsychotics
Schizophrenia (negative symptoms)
Atypical antipsychotics
Hyperaldosteronism
Spironolactone
Benign prostatic hyperplasia
alpha1 antagonists, 5a-reductase inhibitors, PDE-5 inhibitors
Infertility
Leuprolide, GnRH (pulsatile), clomiphene
Breast cancer in postmenopausal women
Aromatase inhibitor (anastrozole)
ER+ breast cancer
Tamoxifen
Medical abortion
Mifepristone
Prostate adenocarcinoma/uterine fibroids
Leuprolide, GnRH (continuous)
Prostate adenocarcinoma
Flutamide
Erectile dysfunction
Sildenafil, tadalafil, vardenafil
Pulmonary arterial hypertension (idiopathic)
Sildenafil, bosentan, epoprostenol