deck 15 Flashcards
problem with trazodone
sedation + orthostatic hypotension
other problem with bupropion
aggravates insomnia
med that can worsen gout
HCTZ
med that can improve gout
losartan
optimal hemoglobin range for patients with chronic normocytic anemia
10-12
vocal cord dysfunction presentation
tightness of throat + choking sensation + SOB + coughing
- symptoms worse with inspiration
rhonchi suggests..
HF
TTP over shin + trace edema over area of tenderness…
stress fracture
initial imaging of suspected stress fracture
plain films
contraindication to metformin..
creatinine greater than 1.5
med for DM patients with CKD
glipizide (glyburide has an active metabolite excreted by kidneys)
therapy for drug-eluting stent
clopidrogel + aspirin for 12 months
arrhythmia associated with methadone
torsades
cross allergen with latex
avocados
other GERD findings
- need to clear throat
- nocturnal wheezing
mgmt of small pneumo
repeat CXR in 1-2 days
best test for genital HSV
PCR (assuming ulcer)
how to determine anticoagulation for Afib
CHADS 2!
CHADS 2 stands for…
CHF Hypertension Age greater than 75 DM Previous stroke/TIA *stroke is worth 2 points
interpreting CHADS 2
4 or more = high risk (warfarin
2-3 = moderate risk (warfarin)
less than 1 = low risk (aspirin)
leading cause of cancer death in the US
lung
initial therapy of choice for RA
DMARDS – methotrexate
fluticasone
low dose glucocorticoid
treatment of choice for pneumocystis pneumonia
bactrim + *adjunctive corticosteroids for any patient with Po2 less than 70
management of scaphoid fracture
thumb spica
two doses of varicella vaccine are recommended for…
kids
bilateral nipple pain with and between feedings in breastfeeding women usually due to…
candida
bartonella abx
azithromycin
enlarged tongue (macroglossia) think…
primary amyloidosis
allergic rhinitis presentation
clear rhinorrhea + nasal congestion + watery, itchy eyes
allergic rhinitis treatment
intranasal corticosteroids are mainstay of treatment
contraindications to mirena
uterine anomalies, postpartum endometritis, untreated cervicitis, and current pelvic inflammatory disease.
management of small-volume, low grade prostate cancer
observation
SMA artery embolization presentation
sudden severe abdominal pain + vomiting + diarrhea + pt with cardiac source of emboli + separate source of embolization (eg pulseless arm
- often normal abdominal exam
threshold for platelet transfusion
10,000
only osteoporosis drugs known to prevent hip fracture
zoledronic acid, risedronate, alendronate
1st line agents for ovulation induction in PCOS
metformin
clomiphene
adjunctive treatment for venous ulcers
compression + aspirin or ptenoxifylline
COPD exacerbation
O2 + abx + bronchodilators + systemic corticosteroids (oral or parenteral)
initial sign of anaphylaxis
Pruritus around mouth and on palms of hands and soles of the feet.
other features of anaphylaxis
flushing of face and neck + rhinitis and conjunctivitis + angioedema of oral mucosa + urticaria + dyspnea and bronchospasm + hypotension
indications for pneumovax under 65
chronic cardiac or pulmonary disease, diabetes mellitus, anatomic asplenia, chronic liver disease, or kidney failure; and health-care workers
pneumovax for healthy people
single dose over age of 65
proven benefits of palliative care
- improved QOL + mood
- less depression
- reduces aggressive end-of-life care + health care costs
