Family Flashcards
What are the two most common causes of decreased vision in elderly patients (especially >75)
- Cortical cataracts
2. Macular degeneration
What are side effects of Ginkgo biloba?
Increased bleeding risk, used for memory enhancement
What are side effects of Ginseng
Increased bleeding risk
What are side effects of Black cohosh
Hepatic injury, used for postmenopausal sx
What are side effects of Kava Kava
Sever liver damage
what is dx:
Pt experiences acute onset of flushing, throbbing headache, palpitations, abdominal cramps 30 mins after eating fish at a local restaurant (he has eaten this fish before)
Scombroid poisoning - ingestion of improperly stored seafood (histidine forms histamine)
What is the diagnostic test of choice for osteomyelitis?
MRI: sensitivity > 90%, high negative predictive value
How what is the gold standard for abx selection of osteomyelitis?
bone bx w culture - superficial wound cultures have little predictive value in identifying the underlying path organisms
In a brain dead organ donor, what are 3 factors that threaten organ viability? - What is done to manage this?
- Central DI - volume depletion
- Systemic hypotension (loss of sympathetic tone)
- Hypothermia
Maintain euvolemia w IV fluids and desmopressin, ionotropic/pressor support, Warm air blankets
What is the
1. first line
2. second line
therapy for postherpetic neuralgia
- Tricyclic antidepressants (amitriptyline) - should not be used in older pts or w cognitive impairment
- Gabapentin, pregab
What are recommendations by the American college of cardiology/America Heart Association for patients with diabetes?
Statin therapy for all patients
- 40-75 with Diabetes
- LDL >70 mg/dL
When should bone density screening begin in women without risk factors?
when should it be earlier?
65
earlier if post menopausal w risk factors:
- <127lbs
- chronic steroid use
- smoking,
- malabsorptive dz (ie pancreatic insuff in cys fibrosis)
- parent hx of hip fx, or personal hx of low impact fx
When should you screen earlier for colon cancer?
Screen at 40 or 10 before age of relative w Ca
Risk factors:
1. first degree relative <60 w Ca
2. >/= first degree relatives w Ca at any age
What is the management of a cat bite?
prophylactic augmentin
Which antihypertensive can cause a skin rash?
HCTZ - photosensitivity or dermatitis