Classic/Relevant Treatments Flashcards
Absence seizures
Ethosuximide
Acute gout attack
NSAIDs, colchicine
Acute promyelocytic leukemia (M3)
All-trans retinoic acid
ADHD
Methylphenidate, amphetamines
Alcohol use disorder
AA + disulfiram, naltrexone, or acamprosate for patient; Al-Anon for patient’s family
Alcohol withdrawal
Benzodiazepines
Anorexia
Nutrition, psychotherapy
Anticoagulation during pregnancy
Heparin
Arrhythmia in damaged cardiac tissue
Class IB antiarrhythmic (lidocaine, mexiletine, tocainide)
B12 deficiency
Vitamin B12 supplementation (work up cause with Schilling test)
Benign prostatic hyperplasia
Tamsulosin, finasteride
Bipolar disorder
Lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)
Breast cancer in post-menopausal woman
Aromatase inhibitor (anastrazole)
Buerger disease
Smoking cessation
Bulimia nervosa
SSRI
Candida albicans
Amphotericin B (systemic), nystatin (oral thrush), azoles (vaginitis)
Carcinoid syndrome
Octreotide
Chlamydia trachomatis
Doxycycline (+ ceftriaxone for gonorrhea co-infection), erythromycin eye drops (prophylaxis in infants)
Chronic gout
Probenecid (underexcretor), allopurinol (overproduction), febuxostat
Chronic hepatitis
IFN-alpha
Chronic myelogenous leukemia
Imatinib
Clostridium botulinum
Antitoxin
Costridium difficile
Oral metronidazole; if refractory, oral vancomycin
Clostridium tetany
Anti-toxin + vaccine booster + diazepam
CMV
Ganciclovir
Crohn disease
Corticosteroids, infliximab, methotrexate, azathioprine
Cryptococcus neoformans
Fluconazole (prophylaxis in aids patients)
Cyclophosphamide-induced hemorrhagic cystitis
Mesna (antioxidant)
Depression
SSRIs (first-line)
Diabetes insipidus
DDAVP (central); HCTZ, indomethacin, amiloride (nephrogenic)
Diabetes mellitus type 1
Dietary intervention (low sugar) + insulin replacement
Diabetes mellitus type 2
Diet, oral hypoglycemics, and insulin (if refractory)
Diabetic ketoacidosis
Fluids, insulin, K+
Enterococci
Vancomycin/ampicillin + aminoglycoside
Erectile dysfunction
Sildenafil, vardenafil (PDE inhibitors)
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
Trastuzumab
Hyperaldosteronism
Spironolactone
Hypercholesterolemia
Statin (first-line)
Hypertriglyceridemia
Fibrate
Immediate anticoagulation
Heparin
Infertility
Leuprolide, GnRH (pulsatile), clomiphene
Influenza
Rimantidine, 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
B-interferon, immunosuppresion, 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
Bisphosphanate; calcium and vitamin D supplementation
Patent ductus arteriosus
Indomethacin
Pheochromocytoma
alpha-antagonists (eg phenoxybenzamine)
Pneumocystis jirovecii
TMP-SMX (prophylaxis in AIDS patient)
Prolactinoma
Bromocriptine (dopamine agonist)
Prostate cancer/uterine fibroids
Leuprolide, GnRH (continous)
Prostate carcinoma
Flutamide (silent antagonist of androgen receptor)
Pseudomonas aeruginosa
antiseudomonal penicillin + aminoglycoside
Pulmonary artery HTN (idiopathic)
Sildenafil, bosentan, epoprostenol
Rickettsia rickettsii
Doxycycline, chloramphenicol (associated with aplastic anemia)
Ringworm infections
Terbinafine, griseofulvin, imidazole
Schizophrenia (negative symptoms)
5HT2A antagonists (eg 2nd generation antipsychotics)
Schizophrenia (positive symptoms)
D2 receptor antagonists (eg 1st and 2nd generation anti-psychotics)
SIADH
Demeclocycline, lithium, vasopressin receptor antagonists
Sickle cell anemia
Hydroxyurea (increase fetal Hb)
Sporothrix schenckii
oral potassium iodide
Stable angina
Sublingual nitrogylcerin
Staphylococcus 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, colectemy
UTI prophylaxis
TMP-SMX
Warfarin toxicity
Fresh frozen plasma (acute), vitamin K (chronic)