Quicknotes for ER Flashcards
tx Gon?
ceftriaxone
tx chalymdia?
doxy or azith if prego
tx vaginal candidiasis
fluconazole
tx of trichomonas vaginalis
metro + partner
tx gardnella vaginalis
metro or clindamycin
tx of animal bites? what are you treating? cat scratches?
pasturella or bartonellla = augmentin or bactrim
cat scratches = azith
bugs for human bites? tx?
S.aureus, GAS, Eikenella Corrodens, Bacteriodes
Augmentin
HIV >200 bugs + tx
thrush, TB, leukopenia = bactrim > dapson
HIV <200 bugs + tx
PCP pneumo = bactrim
HIV <100 bugs + tx?
toxo = bactrim > pyrimethamine
HIV <50 bug +tx?
MAC = azith
tx of otitis media
augmentin
tx of otitis external
cipro drops
tx of sinusitis?
amox
tx of pharengitis?
augentin
tx of cellulitis?
cephalxin for GAS and clindamycine for staph
CAP tx?
ceftriaxon + azith
HAP tx?
vanc, pip/tazo
tx PCP pneumo
bactrim
Bronchitis tx
azith > doxy/moxi
tests for 1,2,3 sphilis
1: darkfeild 2: RPR/VDRL or FTA 3 lumbar VDRL/RPR
H. Ducrei
o H.Ducrei: lymphadno+ulcer painful = azith or cipro
Herpes ulcers
o Herpes = multiple ulcers that hurt = acyclovir
Lymphogranuloma ver ulcers
o Lymphogranuloma ven/c.trachomatis = single ulcer that does lhurt but lymphadno that hruts = doxy
1 syphilis ulcers
o 1 syphilis = ulcers + lymph but nothing hurts
endocarditis bugs for GI cancer, IVDU, peridonal infection, gingival implants?
S.Bovis = gut/cancer of the gut
S.aureus = IVDU = Mitral regurge
E.Corrodens = mouth/peridonal infec
Viridan = Gingical implants
tx of endocarditis for native valve vs prosthetic?
Native Valve = Vancomycin! Prosthetic: • <60d: vanc + gent + cefepime • 60-1y: vanc + gent • 1+y: vanc+gent+ceftriax
ENdocardidits valve vs rheumatic fever valve?
- Endocarditis valve = Mitral regurge
- Rheumatic Fever valve = Mitral Stenosis
only 2 murmers taht are diastolic?
- Diastolic Murmers = MS & AR all the rest are systolic
tx of parkinsons tremor
benztropine
tx of essential tremor
BB
tx of restless leg syn
d-ag =prampexa
BPPV vs Labyrinthitis vs Menieres
tx?
- 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
1,2, hyper PTH?
- Primary Hyper PTH = autonomous gland
- 2 hyper PTH = renal failure
Hyperkalemia EKG?
- Hyperkalemia = wide QRS + Sine waves = everything gets bigger
H.Pylori tx
- H.Pylori = Amox/metro, clarithro, PPI OR Metro, tetra, bism, H2
Drug induced lupus
- Drug Induced Lupus = Hydralazine, procainamide, isoniazid and amethyldopa
feltys syndrome
- FELTYS SYNDROME: RA + enlarged spleen + low WBC count
Scl 70 ab
systemic scleroderma
centromere ab
crest scleroderma
Ro & La ab
sjogrens
jo & mi ab
polymyositis
mitochondrial ab
PSC
CCP ab
RA
smith ab
lupus
% a1c decrease and notable side fx for…metformin
1-2% lactic acidosis
% a1c decrease and notable side fx for…sulfonylureas
1-2% weight gain and hypoglycemia
% a1c decrease and notable side fx for…pioglitazone
1-1.5%, weight gain, CHF, bone fracture, edema, bladder cancer, low risk hypogly
SAFE FOR RENAL FAILURE
% a1c decrease and notable side fx for…DDP4(sitagliptin)
0.5-0.8%. SAFE IN RENAL FAILURE
% a1c decrease and notable side fx for…GLP1(exenatide)
0.5-1%, best drug for weight loss!
Holosystolic murder and late diastolic rumble in kid murder
VSD
Wide fixed split murder
ASD
PCWP =???
LAP