Family med treatments Flashcards
4 treatments for SLE
NSAIDs
steroids
immunosuppressants
hydroxychloroquine
Treatment for lyme disease (children and pregnant patients)
Doxycycline
children- amoxicillin or doxy (if used for <21 days)
pregnant- amoxicillin
Only FDA approved tx for fibrocystic breast Disease
Danazol
Tx for suppurative parotitis
Admission for IVF and IV antistaphylococcal abx
(Nafcillin + metronidazole or clinda
Ampicillin/sulbactam)
treatment for salmonella gastroenteritis (for healthy patients and immunocompromised/severe)
- healthy patients- hydration
- Immunocompromised, severe illness (9-10stool/day, etc)-
- Ciprofloxacin or levo
- CI to fluoroquinolones- Cefixime or Bactrim
What gastroenteritis is a common cause of osteomyelits in kids with sickle cell disease
salmonellosis
outpatient tx for PID
Ceftriaxone IM
Doxy BID x14d
+/- metronidazole x14d
inpatient tx for PID
Cefoxitin IV q6hrs + PO doxy BID
tx for sialadenitis`
hydration
warm compresses
massage of the affected gland
sialogogues
+/- dicloxacillin qid
Tx for acute uncomplicated cystitis
TMP-SMX
Nitrofurantoin
Fluoroquinolone x3-5d
Tx for acute uncomplicated cystitis w/ comorbid conditions
TMP-SMX
nitrofurantoin
Fluoroquinolone x7d
Tx for cystitis in pregnancy
Cephalosporines, nitrofurantoin (during 1st trimester- only when needed)
***asxs bacteruria- TREAT
Tx for acute prostatitis
>35: Bactrim of fluoroquinolone (cipro)
<35 (sexually active)- Ceftriaxone, doxy
x4-6weeks
3 Tx for polycythemia vera
hydroxyurea
phlebotomy
aspirin
tx for symptomatic giardiasis
Metronidazole
(tinidazole also 1st line but $$$)
other options- nitazoxanide, albendazole/mebendazole
Tx for latent TB
INH x9mo
Rifampin x4mo
INH/rifapentine x3mo
Tx for N meningitides meningitis
rifampin
Tx for alzheimer disease
1st line= cholinesterase inhibitors (e.g. donepezil)
NMDA antagonists (e.g. memantine) can be adjunt
What are the 3 black box warnings for valproic acid
Teratogenic- NTDs
Hepatic failure
Pancreatitis
tx for orbital cellulitis
broad spectrum abx (e.g. vaco + pipercillin-tazobactam)
surgery
At what CD4 count is an HIV patient susceptible to coccidiodomycosis? What is prophylactic tx
<250
fluconazole
At what CD4 count is an HIV patient susceptible to histoplasmosis
<150
Tx for AOM:
1st line- PCN non-allergic, mild PCN allergy and severe PCN allergy?
PCN non-allergic- Amoxicillin
mild PCN allergy- Cefdinir
severe PCN allergy- Clinda + bactrim
