More study guide Qs Flashcards by Hailey Roberts

RF for suicide

SAD PERSONS 
Sex male
Age > 60
Depression sx
Psych hx (prev. attempt, sexual assult, PTDS, etc.)
Excessive EtOH or drugs
Rationality loss
Single
Organized plan
No social support
Sick

also
imuplsivity
access to weapons

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Sx mania

DIG FAST
Distractilitiy
Insomnia/decreased need for sleep
Grandiosity
FLight of ideas
Activity/agitation
Speech 
Taking risks

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low potency typical antipsychotics

chlorpromazine (Thorazine)

thioridazine

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SE atypical antipsychotics

WEIGHT GAIN
less EPS
less anticholinergic

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SE high potency typical antipsychotics

EPS
TD
NMS
less anti-cholinergic

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Initial sx of NMS

AMS - agitated delirium with confusion rather than psychosis

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tx for acute dystonia form high-potency neuroletpics

benztropine, benadryl

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sCa, sPhos, ALP, and PTH in Paget disease

sCa nL
sPhos nL
ALP increased
PTH nL

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sCa, sPhos, ALP, and PTH in osteomalcia/rickets

sCa decreased
sPhos decreased
ALP nL
PTH increased

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sCa, sPhos, ALP, and PTH in CKD

sCa decreased
sPhos increased
ALP nL
PTH increased

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sCa, sPhos, ALP, and PTH in primary PTH

sCa incrased
sPhos decreased
ALP increased****
PTH increased

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sCa, sPhos, ALP, and PTH in hypoparathyroidism

sCa decreased
sPhos increased
ALP nL
PTH decreased

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med used to treat HTN in pt with pheo

phenoxybenzamine first (alpha blocker) then BB

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reverese benzos with

flumazenil, but may induce seizures

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opioid withdrawal

sweating
dilated pupils
piloerection
yawning
rhinorrhea
flu-like sx

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treatment of amphetamine and cacaine toxicity

benzos
haloperidol
No BB
phentolamine

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SE varenciline

depression

vivid dreams

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complications with longterm MJ use

memory impairement, lung disease, reduction in IQ

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pupils in hallucinogen toxicity

pupillary dilation

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hallucinogen treatment

calm environment
haloperidol
benzos

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tx PCP

benzos

haloperidol

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tx chronic adrenal insuficiency (primary, Addisons)

steroids + fludricortisone

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CAGE

cut down attempts
annoyed
guilty
eye opener

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vitamins alcoholics typically deficient in

B1
B2
B3
B6
B9
B12
C
A

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Wernicke triad

confusion nystagmus/ophthalmoplegia/sluggish pupillary response ataxia

Korsakoff sx

antero and retrogade amnesia confabulation halluncinations (mam bodies)

DTs sx

``` agitation seizures autonomic instabilty fever AH/VH ```

why metformin contraindicated in pt with renal insufficiency

inc risk lactic acidosis

doxepin MOA

TCA

tranylcypromine MOA

MAOi

cellulitis without pus is likely...

betahemolytic strep (pyogenes, GBS)

cellulitis with pus/abscess is likely...

staph. aureus

erysipelas is

infection of upper dermis and superficial lymphatics | raised from skin with clear line of demarcation

tx non-purulent cellulitis

strep PO dicloxacillin cephalexi clinda if severe, IV clinda cefazolin nafcillin

tx puruelnt cellulitis

PO clinda TMP-SMX doxy linezolid if severe, IV vaco

tx nec fasc

immediate aggressive surgical debridement abx: 1. imipenem/meropenem OR pip + tazo (Unasyn) 2. clindamycin (for GAS exotoxin and anaerobe) 3. vancomycin

dry gangrene due to ___, tx

severe ischemia Tx: revascularization, auto-amputuation

wet gangrene due to ____, tx

bact infection in moist tissue, likely to septecemia tx: abx, debridement, poss amputation

gas gangren caused by

clostridium perfengens | crepitus

tx hydraentiis suppuritiva

clean punch biopsy "roofing" topical clinda

isotretinoin SE

``` hepatotoxicity teratogenic dry/crack lips and skin increased TG *** depression *** ```

tx for rosacea

1. topical metronidazole or azelaic acid 2. laser tx for rhinophyma 3. systemic and severe: acne meds

tx of choice for mania with psychosis

mood stabilizer PLUS antipsychotic: - lithium and quetiapine - lithium and haoperidol

adjustment dis with depressed mood differe from MDD

adjustment: starts within 3 mo of identifieable stress, resolves within 6 months after stressor removed, doesn't meet MDD criteria

MVC, HTN, brady, abnL respi, after ACs, next step

Cushing triad of inc ICP - -> - inc HOB - hyperventilate - IV mannitol - consult neurosurgery

tx for DTs

chlordiazepoxide (benzo)

infections associated with increased likelihood of lichen planus

HIV in younger | Hep C in older

erythema multiforme, common offenders

``` PCN sulfonamids anticonvusants OCPs NSAIDs ```

classic presentation of psoriasis

exstensor surfaces red, silvery plaque Auspitz sign (bleeds when touch)

classic presentation erythema nodosum

tender noduesl on shins malasie red subQ fat inflam think SPUD BITS

classic presentation of lichen planus

``` pruritic purple papules plaques polygonal palapble on flexor surfaces ```

EN (erythema nodosum) causes

``` SPUD BITS strep pregnancy unkwnown drugs Behcets dz IBD TB sarcoid ```

APPEARANCE OF PRPHYRIA CUTANEA TARDA

CHRONIC BLISTERING HYPERTRICHOSIS HYPERPIGMENTATION ETOH AND HEPC

PEMPHIGUS VULGARIS

Desmoglein/desmosome ab Antibody Mouth Nikosky - break easily

appearance basal cell carcinoma

pearly with telangiectasias | if ulcer, rolling edges

appearance squamous cell carcinoma

``` papule or ulcer scaling or kerontizing never heals crusty irregular and disorderly painful or painfless ```

type psychoterpahy used to treat phobias, OCD, panic disorder

CBT

purple red lesion on face that does not regress with age

port wine stain Sturge Weber

infant with bright red lesion that regresses over months years

infantile (strawberry) hemangioma

benign, small red papule that appears on skinw ith age

cherry hemangioma

bright red papule with radiating blanching vessels

spider angioma

blue, compressielmass tat ddoes nto regress

cavernous hemangioma, venous malformation

red-pink nodule on child that is often confused with melanoma

spitz nevus

copmlicated infantile hemangioms: tx

oral propranolol

hair loss associated with effects of DHEA on hair follicles

androgenic alopecia

caused by complete lack of melanocytes

vitiligo

31 F has patches of hypopigmentation on skin, assoc comrob, so order....blood test

TSH

diffuse stress-related hair loss

telogen effluvium

tx alopecia areata

inj steroids | and others

vitamin can be used to treat psoriasis

vit A | topical vit D analogs

what should you do in case of child's parents refusign a clearly lifesaving treatme for their chld in an emergency situation

if emergency: 1. give emergency tx 2. contact court if non-emergency: 1. contact court

have to report

child/elder abuse penetrating assault injury to police STIs, TB, HIV danger to self, danger to others

tx for seborrheic dermatitis

cradle cap -selenium sulfide shampoo topical antifungals

normal bell curve distrubution, what percentage of study population falls within 1, 2, and 3 standard deviations of the mean

1 sd = 68% 2 sd = 95% 3 sd = 99.7%