deck 24 Flashcards
most common cause of death following bariatric surgery
PE
complementary med good for PMS
B6
lean body mass vs fat in old people
Drug distribution is one important factor. In older persons, there is a relative increase in body fat and a relative decrease in lean body mass, which causes increased distribution of fat-soluble drugs such as diazepam
1st step in management of unintentional weight loss in the elderly
CBC, chemistry panel, stool for occult blood, and TSH level.
meds that can cause weight loss
SSRIs, NSAIDs, bupropion, digoxin, and metformin
med for weight gain in its with cachexia with AIDS or cancer
megestrol
macular degeneration RFs
smoking + HTN
pap test with highest risk of cancerous lesion
atypical glandular cells not otherwise specified (AGC-NOS)
drugs from canada?
The FDA has approved more than 90% of the drugs available from Canada. Most of these drugs come from the same manufacturers as drugs in the U.S. Health Canada takes longer, on average, to approve a drug for release than does the FDA, and most drugs discontinued for safety reasons by the FDA between 1992 and 2001 had not been approved for use in Canada.
Bence-JOnes protein
seen in Waldenstrom’s, absent in MGUS
Waldenstrom’s vs. MM
- lytic lesions not seen in Waldenstroms
- marrow biopsy reveals mostly lymphocytes
management of human bites
prophylactic abx if any break in the skin
persistent groin pain in military recruit or runner?
usually stress fracture of right femoral neck (accompanied by limited hip flexion and internal rotation)
osteitis pubis
- occurs in distance runners
- pain in anterior pelvic area + tenderness over symphysis pubis
what you should generally see in PID
abdominal pain + fever
drug with evidence for reducing both vertebral fractures and hip fractures?
- zoledronic acid (teriparatide has evidence for vertebral fracture but not hip)
- bisphosphonates too
when to consider secondary causes of N/V with pregnancy-associated vomiting
after 9 weeks gestation
most common cause of seizures in the geriatric population
CVD
management of patient with persistent SVT w/ no underlying heart disease
adenosine
med contraindicated with statins
clarithromycin or erythromycin (most statins metabolized by CYP3A4, so increases the risk of statin toxicity)
caveat about intranasal decongestants (eg phenylephrine)
- shouldn’t be used for more than 3 days since they cause rebound congestion on drug withdrawal
- when used for several months or more, can cause a form of rhinitis (rhinitis medicamentosa that is really hard to treat)
bony torus
bony outgrowth on palate
geographic tongue treatment
Most cases cause no symptoms so reassurance.
diameter cutoff for melanoma risk
6 mm
DKA severity determined by…
arterial pH, bicarbonate level, anion gap, and mental status
most specific clinical finding for melanoma
evolution - change in size, shape, or color
preferred method of biopsy for any lesion suspicious for melanoma
complete elliptical excision
rash on sacrum or buttocks with blister like lesions
genital herpes (extragenital sites involved in 1/4 of infected women with sacrum and buttocks being frequent locations. Sacral nerve innervation from vaginal area provides a pathway for virus)
Quinolone you can’t use for UTIs
moxifloxacin
most common AE to complicate hospital course in patients 65 and over
drug-related events
best study for confirming diagnosis of urinary tract stone
helical CT scan of the abdomen and pelvis
only downsides of epidurals
an increased duration of the second stage of labor, an increased rate of instrument-assisted vaginal deliveries, and an increased likelihood of maternal fever.
