Treatments Flashcards
Miscarriage
Tranexamic acid
Misoprostol
D+C if incomplete and add ppx azithromycin or doxycycline
Abortion
Mifepristone of misoprostol vaginal or buccal (up to 10wks)
Rh Ig as needed
D+C up to 14 wks
Intrahepatic cholestasis of pregnancy
Ursodeoxycholic acid
HELLP
If plt<50 give steroids
-if falling below this or coagulate consider transfusion
If plt <20 transfuse, then deliver immediately
PPH
Oxytocin
Tranexamic acid
Carboprost
Misoprostol
Ergotamine
Infertility
Clomiphene citrate, tamoxifen (SERM for anovatory cause)
Metformin (PCOS)
Gonadotropin
Bromocriptine (lower prolactin)
Tuboplasty or lysis or adhesion for women
IVF or ICSI or IUI
Sperm or ova donation
Adoption
PCOS
Metformin
Combined OCP
Spironolactone
Weight loss BMI<35 or 10%
Metropolis for infertility (nonsteroidal aromatics inhibitor)
Intrahepatic cholestasis of pregnancy
Ursodeoxycholic acid
Early delivery 36wks
Follow LFT 6wks postpartum
DM in pregnancy
Metformin
Glyburide
Insulin
Empiric treatment for tuberculosis
Rifampin
INH
Pyrazinamide
Ethambutol
Plus vitamin B6
Thoracic outlet syndrome
PT
NSAID
Surgery if tumor
Vertigo symptomatic management
Antihistamines
Benzodiazepines
Antiemetics
BPPV
Epley maneuver
Sermons maneuver
Ménière’s disease
Betahistine
Diuretic
Limit Na, caffeine, ETOH, smoking
Vestibular neuritis and labyrinthitis
Methylprednisone
Pemphigus vulgaris
Systemic steroids
Cover erosions with antibiotic ointment
Actinic keratosis
5 fluorouracil
Imoquimod
Diclofenac
Cryo
Cutaneous T cell lymphoma
In Africa population, probiotic plaques and lymphadenopathy
UVA/UVB, high potency steroids, retinoids, chemo
A Fib rate control
BB
CCB
Digoxin (adjunct)
DCCV
Procainamide
A Fib rhythm control
Flecainide
Sotalol
Dronedarone
Amiodarone
Epistaxis
Nasal ribbon packing
Silver nitrate
Balloon tamponade
Lidocaine soaked gauze
Nasal tampon or sponge
Thrombogenic foams/gels
Electrocautery for ENT
DC ASA/antiplatelet 5-7d, NSAIDS 3-4 days, continue warfarin
Antistaph if double packing and remove in 3 days
Dupytren’s contractures
Corticosteroid injection
Collagenase injection
Open fasciotomy 
Mallet finger/extensor tendon rupture
Finger splints in DIP extension for six weeks, restart treatment if flexion at any points
Raynaud’s phenomenon
Warmth
Exercise
CCB
Bacterial tracheitis
1-3 days URTI symptoms before worsening strider, dyspnea, high, fever, toxic, poor response to nebulize epinephrin steroids
Lateral neck, x-ray to look for steeple sign
Airway, oxygen
IV antibiotics to covers staph aureus GAS Spnemo HIB (CTX)
ICU
Retropharyngeal/per toner abscess
Torticollis, drooling, high, fever, neck pain
Neck x-ray to look for bulging posterior pharynx
CT
Intubation
I&D
IV antibiotics
Epiglottitis
Drooling, sniffing position, toxic, fever, hot potato voice, no barky cough
Neck x-ray for thumb sign
Intubate
IV. Cortical steroids.
IV antibiotics
I see you
COPD first line
LAMA LABA SABA
NMS
Symptoms include high temp, rigidity, aLOC, autonomic dysfunction
From dopamine withdrawal
- discontinue neuroleptic (antipsychotic)
- dantrolene
- benzos
- bromocriptine
- follow CK
- supportive care and treat high temp
Child car seat
- <2 year rear facing
- <18kg front facing 5 point harness
- <9yr booster seat
- <13 backseat only
HTN in CKD patient
edema: thiazide and loop diuretics
No edema: thiazide diuretics, CCB
Universal: ACEi and SGLT2i
NV in T1
Diclectin first line (sedating)
Gravel
Zofran
Maxran
IV steroids in T2
OTC: antacids, pepcid, ginger, vitamin B6, acupressure bands
Alcohol use disorder
Naltrexone (safe when drinking)
Acampeosate, disulfiram (not safe while drinking)
Topirimate and gabapentin as second line
Rosacea
PO: doxycycline, metronidazole, azithromycin, tretinoin
Topical: metrogel, azelaic acid, retinol, sulphur, ivermectin, retinol
Recurrent vasovagal events
Fludrocortisone
Midodrine
Preeclampsia prevention
ASA and calcium
Interstitial cystitis
Bladder training, avoid causative foods
Heat and ice on bladder
Stress management
PT
TCA, antihistamine
Cannabis hyperemesis syndrome
Haldol
Ativan
Capsaicin
IVF
