Classic/Relevant Treatments Flashcards
Ethylene glycol/Methanol intoxication
Fomepizole (Alcohol dehydrogenase inhibitor)
Chronic hepatitis B or C
IFN- alpha (HBV and HBC); ribavirin, simeprivir, sofosobuvir (HCV)
Streptococcus bovis
Penicillin prophylaxis; evaluation for colon cancer in liked to endocarditis
Clostridium botulinum
Antitoxin
This bacteria prevents release of acetylcholine
Clostridium tetani
Antitoxin
This bacteria prevents release of the neuroinhibitors GABA and glycine
Haemophilus influenza type B
Amoxicillin +/-clavulanate (mucosal infections), Ceftriaxone (Meningitis),
Rifampin (prophylaxis)
Neisseria gonorrhoeae
Ceftriaxone - 3rd gen cephalosphorin (add doxycycline to cover likely concurrent C. trachoma)
Neisseria meningitides
Penicillin/Ceftriaxone
Rifampin (Prophylaxis)
Legionella pneumophila
Macrolides (ex: Azithromycin)
50S protein synthesis inhibitor
Pseudomonas aeruginosa
Piperacillin/Tazobactam, Aminoglycosides, Carbapenems
Treponema pallidum
Penicillin G
Chlamydia trachoma’s
Doxycyclyine (add ceftriaxone for gonorrhea coinfection),
Oral Erythromycin for chlamydial conjunctivitis in infants
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 schenckii
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)
Streptococcus pyogenes
Penicillin prophylaxis
Streptococcus pneumoniae
Penicillin/Cephalosporin (Systemic infections, pneumonia),
Vancomycin (Meningitis)
Staphylococcus aureus
MSSA: (“nod”) nafcillin, oxacillin, dicloxacillin (anti staphylococcal penicillins);
MRSA: Vancomycin, daptomycin, linezolid, ceftaroline
Enterococci
Vancomycin, aminopenicillins/cephalosporins
Rickettsia rickettsii
Doxycycline, chloramphenicol
Clostridium difficile
Oral metronidazole; if refractory, oral vancomycin
Myobacterium tuberculosis
RIPE (rifampin, isoniazid, pyrazinamide, ethambutol)
UTI prophylaxis
TMP-SMX
Influenza
Oseltamivir, Zanamivir
CMV
Ganciclovir, foscarnet, cidofovir
Patent ductus arteriousus
Close with indomethacin,
Keep open with prostaglandin (PGE) analogs
Stable angina
Sublingual nitroglycerin
Buerger disease
Smoking cessation
Kawasaki disease
IVIG, aspirin
Temporal arteritis
High dose steroids
Granulomatosis with polyangitis (Wegener)
Cyclophosphamide, corticosteroids
Hypercholesterolemia
Statin (first line)
Hypertriglyceridemia
Fibrate
Arrhythmia in damaged cardiac tissue
Class IB antiarrythmic (lidocaine, mexiletine)
Prolactinoma
Cabergoline/Bromocriptine (Dopamine agonists)
Pheochromocytoma
alpha antagonists (phenoxybenzamine), specially before surgical removal
Diabetes insipidus
Desmopressin (ADH) - Central
Hydrochlorothiazide, indomethacin, amiloride - Nephrogenic
SIADH
Fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline
Diabetic ketoacidosis
Fluids, insulin, K (potassium)
DM type 1
Dietary intervention (low carbs) + insulin replacement
DM type 2
Dietary intervention, oral hypoglycemics and insulin (if refractory)
Carcinoid syndrome
Octeotride
Chrons disease
Corticosteroids, infliximab, azathioprine
Ulcerative colitis
5-ASA preparations (mesalamine), 6-mercapturine, infliximab, colectomy
Sickle cell disease
Hydroxyurea (Increases fetal hemoglobin)
Chronic myelogenous leukemia
Imatinib
Acute promyelocytic leukemia (M3)
All-trans retinoid acid
DOC for anticoagulation in pregnancy or renal failure
Low molecular weight heparin
Heparin reversal
Protamine sulfate
Immediate anticoagulation
Heparin
Long term anticoagulation
Warfarin, dagibatran, rivaroxaban and apixaban
Warfarin reversal
FFP (acute), Vitamin K (non acute)
Cyclophosphamide induced hemorrhagic cystitis
Mesna
HER2/neu + breast cancer
Trastuzumab
Osteoporosis
Calcium/Vitamin D supplementation (Prophylaxis); biphosphonates, PTH analogs, SERMs, calcitonin, denosumab (treatment)
Osteomalacia/Rickets
Vitamin D supplementation
Chronic gout
Xanthine oxidase inhibitors (allopurinol, febuxostat); pegloticase; probenecid
Acute gout attack
NSAIDs, colchicine, glucocorticois
Neural tube defect prevention
Prenatal folic acid
Migraine
Abortive therapies (Sumatriptan, NSAIDs) Prophylaxis (Propanolol, topiramate, CCBs, amitriptyline)
Multiple sclerosis
Disease modifying therapies (Beta interferon, natalizumab)
Acute flares, use IV steroids
Degeneration of dorsal column fibers
Tabes dorsalis (3 syphilis) Subacute combined degeneration (dorsal columns, lateral corticospinal, spinocerebellar tracts affected) - Seen in Vit B12 deficiency
Tonic clonic seizures
Levetiracetam, phenytoin, valproate, carbamazepine
Absence seizures
Ethosuximide
Trigeminal neuralgia (tic douloureux)
Carbamazepine
Malignant hyperthermia
Dantrolene
Anorexia
Nutrition, psychotherapy, SSRIs
Bulimia nervosa
SSRIs
Alcoholism
Disulfiram, acamprosate, naltrexone, supportive care
ADHD
Methylphenidate, amphetamines, CBT, atomoxetine, guanfacine, clonidine
Alcohol withdrawal
Long acting benzodiazepine
Bipolar disorder
Mood stabilizers (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
BPH
alpha1 antagonists (tamsulosin, prazosin), 5alpha reductase inhibitors (finasteride), PDE-5 inhibitors
Infertility
Leuprolide, GnRH (pulsatile), clomiphene
Breast cancer in postmenopausal women
Aromatase inhibitor (anastrozole)
ER + breast cancer
Tamoxifen
Prostate adenocarcinoma/uterine fibroids
Leuprolide, GnRH (continuous)
Medical abortion
Mifepristone
Prostate adenocarcinoma
Flutamide
Erectile dysfunction
Sildenafil, tadalafil, vardenafil
Pulmonary arterial hypertension (idiopathic)
Sildenafil, bosentan, epoprosterenol