GI FM NOTES Flashcards
name of the scoring system for pancreatitis?
ranson
biggest risk factors for altitude sickness?
rapid ascent
prior history of altitude sickness
what are the symptoms of the zika virus?
fever
myalgia
pruritis
eye pain
macular rash
how long after returning from a zika virus endemic area should someone avoid conception?
2-6 mo
name complications of malaria
seizure
hemolytic anemia
renal failure
hypoglycemia
coagulopathy
lactic acidosis
name 5 drugs that can cause pancreatitis
-thiazides
-GLP1 agonists
-estrogen
-steroids
-ACEi
-statin
what type of drug is denosumab?
RANK L inhibitor
what type of drug is teriparatide?
PTH analog
name a SERM used for osteoporosis
raloxifine
definition of heat stroke
temp ≥40 + neuro dysfunction
complications of heat stroke
pulmonary edema, seizure, renal failure, rhabdomyolisosi, electrolyte abnomrlaities
what symptoms do you see 12-24 hours from the last alcoholic drink?
increased HR, tremors, anorexia, insomnia
What symptoms may occur 24-72 hours from the last drink?
seizures
what may occur 3-5 days after the last alcoholic drink?
delirium tremens causing disorientation, fever, hallucinations
what medicine can be used to treat cholinergic toxicity?
atropine
DSMV criteria for SUD
Cut down - desire or unsuccesful attempts to cut down
Health/harm - continued use despite impact on health/psych
Excessive use - increasing amounts over time
Withdrawal - or use to avoid withdrawal
Time - increased time spent to procur/use substances
Hazardous use- use when physically hazard (driving)
Activities - decreased social/recreational activities
Tolerance - need increased amounts for intoxication
Craving - strong desires to use
Obligations - failure to fulfill obligations at work, school, home
Personal problems- use despite social/interpersonal problems
what symptoms occur with delerium tremens?
-hallucinations
-agitation
-low grade fever
-diaphoresis
-disorientation
-hypertension
-tachycardia
what PAWSS score requires INPATIENT management of alcohol withdrawal?
4 or more
what are CI to outpatient alcohol withdrawal management?
-hx of seizure during medical management of withdrawal
-concominant opioid/benzo use disorder
-age <19 or >65
-severe liver disease
-uncontrolled comorbidities (HTN, DM)
-hx of drinking non beverage alcohols
what are two medications used for alcohol craving management ?
naltrexone
acomprosate
what are the medications used in acute withdrawal management from alcohol?
-benzo’s
-carbemazapine
-gabapentin
-clonidine
what is the term for someone who consumes more than the recommended alcohol amounts but does not meet criteria for AUD?
An ‘at risk drinker’
