Others Flashcards
Essential tremor
Management
propranolol is first-line
primidone is sometimes used
Alcohol withdrawal tx
Benzos - chlordiazepoxide, lorazepam
Carbemazepine
Pancreatic cancer Tumour marker
CA 19-9
Alpha-feto protein (AFP) Tumour marker
Hepatocellular carcinoma, teratoma
Colorectal cancer Tumour marker
Carcinoembryonic antigen (CEA)
S-100 Tumour marker
Melanoma, schwannomas
Bombesin Tumour marker
Small cell lung carcinoma, gastric cancer, neuroblastoma
Atovaquone + proguanil (Malarone)
GI upset
Chloroquine
Headache
Contraindicated in epilepsy
Taken weekly
Doxycycline
Photosensitivity
Oesophagitis
Mefloquine (Lariam)
Dizziness
Neuropsychiatric disturbance
Contraindicated in epilepsy
Taken weekly
Pregnant malaria
Chloroquine
proguanil - + folate supplements
First line osteoporosis
Alendronate
2nd line osteoporosis
risedronate or etidronate
strontium ranelate and raloxifene if cannot tolerate bisphosphonates
Raloxifene
SERM
Only reduces the risk of vertebral fractures
Increased VTE
May decrease breast ca
Strontium ranelate
Last line osteoporosis
Increased VTE and CVD
Denosumab
inhibits RANK ligand > stops maturation of osteoclasts
SC every 6 months
Bone protection on steroids?
> 65/ previous fragility fracture
vit D / calcium/ alendronate
< 65 - do a DEXA - T score < 1.5 – bone protection
0-1.5 rpt 1-3 years
Stopping bisphosphonates
at 5 years
if no fractures - BMD and FRAX
If T score > 2.5 – can stop
Then recheck BMD and FRAX at 2 years
Difference between T score and Z score
T score - BMD vs 30 yr old
Z is age matched
Threadworms
Enterobius vermicularis
Mebendazole