Quicknotes for ER Flashcards

1
Q

tx Gon?

A

ceftriaxone

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2
Q

tx chalymdia?

A

doxy or azith if prego

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3
Q

tx vaginal candidiasis

A

fluconazole

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4
Q

tx of trichomonas vaginalis

A

metro + partner

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5
Q

tx gardnella vaginalis

A

metro or clindamycin

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6
Q

tx of animal bites? what are you treating? cat scratches?

A

pasturella or bartonellla = augmentin or bactrim

cat scratches = azith

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7
Q

bugs for human bites? tx?

A

S.aureus, GAS, Eikenella Corrodens, Bacteriodes

Augmentin

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8
Q

HIV >200 bugs + tx

A

thrush, TB, leukopenia = bactrim > dapson

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9
Q

HIV <200 bugs + tx

A

PCP pneumo = bactrim

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10
Q

HIV <100 bugs + tx?

A

toxo = bactrim > pyrimethamine

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11
Q

HIV <50 bug +tx?

A

MAC = azith

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12
Q

tx of otitis media

A

augmentin

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13
Q

tx of otitis external

A

cipro drops

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14
Q

tx of sinusitis?

A

amox

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15
Q

tx of pharengitis?

A

augentin

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16
Q

tx of cellulitis?

A

cephalxin for GAS and clindamycine for staph

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17
Q

CAP tx?

A

ceftriaxon + azith

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18
Q

HAP tx?

A

vanc, pip/tazo

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19
Q

tx PCP pneumo

A

bactrim

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20
Q

Bronchitis tx

A

azith > doxy/moxi

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21
Q

tests for 1,2,3 sphilis

A

1: darkfeild 2: RPR/VDRL or FTA 3 lumbar VDRL/RPR

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22
Q

H. Ducrei

A

o H.Ducrei: lymphadno+ulcer painful = azith or cipro

23
Q

Herpes ulcers

A

o Herpes = multiple ulcers that hurt = acyclovir

24
Q

Lymphogranuloma ver ulcers

A

o Lymphogranuloma ven/c.trachomatis = single ulcer that does lhurt but lymphadno that hruts = doxy

25
Q

1 syphilis ulcers

A

o 1 syphilis = ulcers + lymph but nothing hurts

26
Q

endocarditis bugs for GI cancer, IVDU, peridonal infection, gingival implants?

A

 S.Bovis = gut/cancer of the gut
 S.aureus = IVDU = Mitral regurge
 E.Corrodens = mouth/peridonal infec
 Viridan = Gingical implants

27
Q

tx of endocarditis for native valve vs prosthetic?

A
	Native Valve = Vancomycin!
	Prosthetic:
•	<60d: vanc + gent + cefepime
•	60-1y: vanc + gent
•	1+y: vanc+gent+ceftriax
28
Q

ENdocardidits valve vs rheumatic fever valve?

A
  • Endocarditis valve = Mitral regurge

- Rheumatic Fever valve = Mitral Stenosis

29
Q

only 2 murmers taht are diastolic?

A
  • Diastolic Murmers = MS & AR  all the rest are systolic
30
Q

tx of parkinsons tremor

A

benztropine

31
Q

tx of essential tremor

A

BB

32
Q

tx of restless leg syn

A

d-ag =prampexa

33
Q

BPPV vs Labyrinthitis vs Menieres

tx?

A
  • BPPV = otolith/vertigo & rotatry nystagmus = Epley Maneuver
  • Labyrinthitis/Vestibular Neuritis = after infec, NV & hearing probs, resolves in months = Meclizine
  • Menieres = >30min, like BPPV, vertigo, hearing loss, fullness, tinnitus = diuretics + low sault
34
Q

1,2, hyper PTH?

A
  • Primary Hyper PTH = autonomous gland

- 2 hyper PTH = renal failure

35
Q

Hyperkalemia EKG?

A
  • Hyperkalemia = wide QRS + Sine waves = everything gets bigger
36
Q

H.Pylori tx

A
  • H.Pylori = Amox/metro, clarithro, PPI OR Metro, tetra, bism, H2
37
Q

Drug induced lupus

A
  • Drug Induced Lupus = Hydralazine, procainamide, isoniazid and amethyldopa
38
Q

feltys syndrome

A
  • FELTYS SYNDROME: RA + enlarged spleen + low WBC count
39
Q

Scl 70 ab

A

systemic scleroderma

40
Q

centromere ab

A

crest scleroderma

41
Q

Ro & La ab

A

sjogrens

42
Q

jo & mi ab

A

polymyositis

43
Q

mitochondrial ab

A

PSC

44
Q

CCP ab

A

RA

45
Q

smith ab

A

lupus

46
Q

% a1c decrease and notable side fx for…metformin

A

1-2% lactic acidosis

47
Q

% a1c decrease and notable side fx for…sulfonylureas

A

1-2% weight gain and hypoglycemia

48
Q

% a1c decrease and notable side fx for…pioglitazone

A

1-1.5%, weight gain, CHF, bone fracture, edema, bladder cancer, low risk hypogly

SAFE FOR RENAL FAILURE

49
Q

% a1c decrease and notable side fx for…DDP4(sitagliptin)

A

0.5-0.8%. SAFE IN RENAL FAILURE

50
Q

% a1c decrease and notable side fx for…GLP1(exenatide)

A

0.5-1%, best drug for weight loss!

51
Q

Holosystolic murder and late diastolic rumble in kid murder

A

VSD

52
Q

Wide fixed split murder

A

ASD

53
Q

PCWP =???

A

LAP