Random Flashcards
Two antiemetics that can cause EPS (motor symptoms, dystonias, akasthesias, parkinsonism)
Metoclopromide, prochlorperazine
Mycophenylate causes ____ _____ suppresion
Bone marrow suppression
Hypertension, hyoerkalmeia, tremor, neurotoxicity, nephrotoxocoty
Shared SE of tacrolimus and cyclosporine
*** SE that differentiate tacrolimus and cyclosporine
Cyclosporine = hirsutism and gum hypertrophy
Azathioprine toxicity
Diarrhea, leukopenia, hepatotoxicity
Infection 1-6 mo after liver transplant
CMV, aspergillosis, myco tb
Tinnitus, vertigo, sensorineural hearing loss
Meniere disease, due to increased endolymph pressure
*** Gentamicin, loop diuretics, cisplatin SE
Hearing loss
Cough, hyperkalemia, angioedema SE
ACEi
*** Repeat abortions, falsely positive VDRL, abnl blood results
Anti-phospholipid Syndrome, start on LMWH to prevent repeat abortion
Ear pain and drainage, osteomyelitis and fascial nerve palsy, diabetes and pseudomonas
Malignant otitis external
*** Tuning fork heard when placed on mastoid, but not heard when taken off mastoid
Abnormal conduction, follow up with Webber - if lateralizes that means CONDUCTION LOSS
Example of conduction loss
Otosclerosis
What type of hearing loss can result from ototoxic medications (aminoglycosides, titanium-containing, loop diuretics)
Sensorineural
*** PDE5 inhibitor
Sildenafil, used for ED dysfunction
What two medications to avoid when taking sildenafil?
Nitrates and alpha blockers (prazosin, tamsulosin)
*** Tx of malignant otitis external
Target pseudomonas, ciprofloxacin
Low FSG and LH, small testes
Anabolic steroid use
*** Two radiiopaque stones
Struvite (mag phosphate) and calcium phosphate
Complication of nephrotic syndrome
Hypercoagulable state - thrombosis of renal vein etc
*** After HTN treatment, patient becomes altered, arrhythmia, skin flush
Cyanide toxicity
Radiolucent stones, treatment is hydration and alkalization of urine with potassium citrate
Uric acid stones
*** This med increases calcium in the urine, increases frequency of calcium stones
Furosemide
*** Tx for recurrent calcium stones
HCTZ
Calcium > 14
Tx with normal saline and calcitonin
Can hypovolemia lead to acute tubular necrosis
Yes, would see muddy brown casts on microscopic amaylsis of urine
Fatty casts
Nephrotic syndrome
RBC casts
Glomerulonephritis
WBC casts
Pyelonephritis and interstitial nephritis
HIV associated nephropathy
FSGS
*** Two ways to correct acutely elevated potassium (>7)
Calcium gluconate or insulin and glucose
