Med Ed Just Treatment

Question 1

Dilated CM?

Answer 1

BB
ACEi
Loop diuretic
Transplant

Question 2

Hypertrophic obstructive CM
HOCM

Asymmetric

Answer 2

Keep ventricle filled
- avoid dehydration (beta block/CCB DV)
- no exercise
(increase diastole by decrease HR)
Alcohol ablation
Myectomy

Question 3

Concentric Hypertrophy

Answer 3

Diastolic HF, can’t relax due to chronic HTN

Avoid dehydration
Rate control: BB/CCB

Control HTN

Question 4

Restrictive CM

- amyloid, sarcoid, hemachromatosis

Answer 4

Diastolic HF, can’t fill, junk in the way
- BB, CCB
- gentle diuresis
Treat underlying disease

Question 5

Treat Meningitis in Adults?

- add what for >60?

Answer 5

Vancomycin + Ceftriaxone

• add ampicillin to cover Listeria
• Listeria = elderly and preggers