Top 55 dx (4) Flashcards

1
Q

Hypothyroid s/sx

A

fatigue
depression
constipation
mild weight gain
dry skin
thick tongue
eyelid edema
bradycardia
goiter
cold sensitivity

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2
Q

hypothyroid rx

A

levothyroxine 25 mcg PO daily

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3
Q

hyperthyroid rx

A

methimazole 5 mg PO, TID

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4
Q

urinary incont. women rx

A

oxybutynin 5 mg PO, qd

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5
Q

urinary incont. men rx

A

myrbetriq 25 mg PO, qd

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6
Q

urinary incont non pharm

A

bladder training
toileting times
pelvic floor exercises
avoid triggers (coffee, alcohol)

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7
Q

UTI uncomplicated, women rx

A

uncomplicated - nitrofurantoin 100 mg BID for 5 days

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8
Q

UTI uncomplicated, men rx

A

uncomplicated - nitrofurantoin 100 mg BID for 7 days

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9
Q

UTI complicated, women rx

A

ciprofloxacin 500 mg BID for 7 days

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10
Q

UTI complicated, men rx

A

ciprofloxacin 500 mg BID for 7 days

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11
Q

vitamin D rx

A

cholecalciferol 6000 units, daily for 8 weeks then 2000 units daily for maintenance

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12
Q

vitamin B12 rx

A

cyanocobalamin 1000 mcg PO once daily

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13
Q

vitamin C rx

A

ascorbic acid 300 mg/day

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14
Q

hoarseness

A

laryngitis -
tylenol
guafenesin 1200 mg BID prn
codeine sulfate 15 mg q4-6H prn

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15
Q

fever, pharyngitis, cervical or general lymphadenopathy, malaise, rash, myalgia - dx and meds

A

mononucleosis -
tylenol
ibuprofen

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16
Q

Vertigo, benign paroxysmal positional - pharm, non pharm

A

Pharm - meds not recommended but can include benzodiazepines, antihistamines, antiemetics

Non pharm - positional maneuvers; self limiting. Usually resolves in 3 weeks.

17
Q

contact dermatitis

A

localized inflammatory response that can be from a wide arrange of irritants

18
Q

localized inflammatory response that can be from a wide arrange of irritants

A

contact dermatitis

19
Q

contact dermatitis management
6

A

avoid triggers
minimize skin irritants
clean skin with luke warm water
moisturizers
OTC vasoline
topical steroid if really bad; low dose on face

20
Q

herpes zoster

A

shingles - from reactivation of varicella zoster virus that causes a painful rash

21
Q

shingles - transmission

A

can be transmitted to those who have not had chickenpox or vaccine via airborne transmission or in contact with rash before crusting

22
Q

shingles - course

A

Overall 2-6 weeks:

rash with pustules in 3-4 days; days 7-10 crusting; scarring may last for months

23
Q

shingles complications

A

postherpetic neuralgia which is pain longer than 90 days post onset of rash

24
Q

shingles tx

A

antiviral within 72 hours of symptoms (valacyclovir or famicyclovir x 7 days); NSAIDs or acetaminophen for pain; severe pain oxycodone

25
shingles at home measurse
keep skin clean and cool calamine lotion for rash oatmeal bath
26
shingles AG
get Shingrix vaccine - 50 years and older, two shots, 2-6 months apart; can get even if you've had or haven't had chickenpox or shingles.
27
Ptyriasis rosea
Self limiting skin condition that causes lesions over trunk and extremities, caused by herpes virus
28
PR assessment findings
Herald patch then generalized rash 1-2 weeks after; salmon colored oval plaques with fine scales, mild pruritis: clears 1-2 months
29
PR DD
Tinea corporis Secondary syphilis Contact dermatitis
30
PR pharm
Oral antihistamine Topical steroid for itching