Family Misc Flashcards
Difference between bacterial and viral infection
bacterial = more localized (think otitis media)
viral = more systemic
flu = very quick onset, systemic myalgia, FEVER
propranolol
brand name, class, 2 uses, SEs
- Inderal
- nonselective beta blocker
- HTN, headache control (daily control)
Lipophilic –> crosses BBB –> weird dreams
med for RA?
methotrexate
steroids
ddx lower abdominal pain?
- appendicitis
- bowel obstruction (would see air/fluid levels)
- ischemic bowel
- diverticulitis (would see fat streaking on CT)
- renal/kidney/gallbladder stone
vertigo - two types?
- central (vascular)
- positional (otolith or similar)
occlusion of what vessels would give you dizziness?
posterior cerebral NOT carotids
a few maneuvers for knee exam?
- Lachmann’s (anterior drawer)
- McMurray (for lateral/medial meniscus)
- ROM
- patellar crepitis
- bursal effusion
Trazodone
Brand name, class, use, SEs
Desyrel
SARI
TCA, anti-anxiety, sleep aid
orthostatic hypotension, cardiac arrythmia, QT prolongation
NO anticholinergic effects
Lorazepam
Brand name, class, use, SEs
Ativan
-Benzodiazepine (GABA agonist)
anti-anxiety, anxiety with depression, sleep aid
SE: sedating
Duloxetine
Brand name, class, use, SEs
Cymbalta
SNRI
anti-anxiety, MDD, neuropathy/fibromyalgia
SEs
Fluoxetine: brand name? use? class? SEs?
Prozac
SSRI
depression, OCD
Most stimulating of the SSRIs, abnormal dreams, ED, anxiety, anorexia
6 inherent effects of benzodiazepines?
anti-anxiety
anterograde amnesia
sedation
anti-seizure
anti-emesis
muscle relaxation
Clonidine
Brand name, class, use, SEs
alpha-2 agonist (sympatholytic)
hypertension, ADHD, anxiety, menopausal flushing, diarrhea
(clonidine suppression test for pheochromocytoma)
dry mouth, dizziness, hypotension, drowsiness
Atorvastatin
Brand name, class, use, SEs
Lipitor
Statin
lowers cholesterol/TAGs
fever, muscle weakness
Sertraline
brand name, class, use, SEs
Zoloft
SSRI
Ok in preg, also ok for OCD, panic, PTSD
GI side effects
Paroxetine
brand, class, use, SEs
Paxil
SSRI
Strong antianxiety effects.
Best studied SSRI in children.
significant weight gain, impotence, sedation, and constipation.
short half-life –> most likely of all the SSRIs to cause antidepressant discontinuation syndrome.
Preg Category D!
Fluvomaxine
brand, class, use, SE
Luvox
SSRI
anti-depressive, Particularly useful in obsessive-compulsive disorder.
>emesis compared to other SSRIs.
Citalopram
brand, class, use, SEs
Celexa
SSRI
Anti-depr
nausea, dry mouth, and somnolence.
Escitalopram
brand, class, use, SEs
Lexapro
SSRI
anti-depr, GAD
Overall, fewer side effects than citalopram.
Migraine: meds for acute relief?
Mechs?
Sumatriptan (triptans in general)
dihydroertogamine (DHE)
mech: serotonin receptor agonists
Migraine: meds for prophy?
Mechs?
First line: TCAs (amitriptyline), propranolol (b blocker, MOST effective)
Second line: verapamil (ca blocker), valproic acid (antiepil)
Migraine: meds for menstrual-related?
NSAIDs. sometimes estrogen replacement
linked to estrogen withdrawal
