Gen Med Flashcards
safe anti-HTN in pregnancy
Beta blockers (not atenolol)
CCBs
Hydralazine
Methyldopa
ASCUS on pap
Options?
HPV + only, neg PAP
Next?
Check HPV or repeat Pap in 6-12 months
Repeat PAP and HPV in 6-12 months
Contraindications to combo OCPs
To estrogen containing pills
Uncontrolled HTN Breast cancer VTE Liver disease Migraine with aura
Women > 35 who smoke > 15 cig per day
Pain at superior shoulder
TTP at AC jt
Pain with addiction and abduction beyond 120 degrees
Dx?
AC joint degeneration
Pain with active shoulder abduction
Positive painful arc
Supraspinatus tendinitis
When to screen for lung ca
55-80 yo with 30 pkyr
Quit < 15 years prior
Reasons to decrease statin to moderate intensity
Age>75
CKD
Med interaction (CCB)
BPD 1 depression treatments (2)
BPD 1 manic treatments (10)
Quetiapine, Olanzapine-fluoxetine
Atypical antipsychotics, lithium, 2 AEDs
Pre-op recs
Reasons to get ECG
H/o CAD, arrhythmia, or CAD equivalent
Anterior knee pain
Worse with running, climbing stairs, prolonged sitting
Dx?
Patellofemoral pain syndrome
Lateral knee pain
Worse walking down incline
Weakness of hip abductor and knee extensor/flexor
Iliotibial band syndrome
Acute severe nonpositional vertigo
Persistent
Dx?
Vestibular neuronitis
Acute severe nonpositional vertigo
Persistent
Hearing loss
Dx?
Labyrinthitis
Severe bilateral ocular pain
Radiates to surrounding tissue, worse at night and with eye movement
Photophobia
Tearing
Dx?
Scleritis
A/w autoimmune and inflammatory disorders
Eye redness, irritation
Tearing
Little pain or photophobia
Episcleritis
Gradual bilateral peripheral visual loss
Painless
Increase cup:disc ratio
Increased IOP
Primary open angle glaucoma
Gradual hearing loss
Low pitched sounds
No exposure to loud noises
Otosclerosis
Gradual hearing loss
High pitched sounds
Age related
Prebyscusis
Anterior eye pain
No pain with eye movement
Fever
Preseptal cellulitis
