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CCFP > Treatments > Flashcards

Treatments Flashcards

1
Q

Miscarriage

A

Tranexamic acid
Misoprostol
D+C if incomplete and add ppx azithromycin or doxycycline

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2
Q

Abortion

A

Mifepristone of misoprostol vaginal or buccal (up to 10wks)

Rh Ig as needed

D+C up to 14 wks

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3
Q

Intrahepatic cholestasis of pregnancy

A

Ursodeoxycholic acid

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4
Q

HELLP

A

If plt<50 give steroids
-if falling below this or coagulate consider transfusion

If plt <20 transfuse, then deliver immediately

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5
Q

PPH

A

Oxytocin
Tranexamic acid
Carboprost
Misoprostol
Ergotamine

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6
Q

Infertility

A

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

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7
Q

PCOS

A

Metformin
Combined OCP
Spironolactone
Weight loss BMI<35 or 10%
Metropolis for infertility (nonsteroidal aromatics inhibitor)

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8
Q

Intrahepatic cholestasis of pregnancy

A

Ursodeoxycholic acid
Early delivery 36wks
Follow LFT 6wks postpartum

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9
Q

DM in pregnancy

A

Metformin
Glyburide
Insulin

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10
Q

Empiric treatment for tuberculosis

A

Rifampin
INH
Pyrazinamide
Ethambutol

Plus vitamin B6

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11
Q

Thoracic outlet syndrome

A

PT
NSAID
Surgery if tumor

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12
Q

Vertigo symptomatic management

A

Antihistamines
Benzodiazepines
Antiemetics

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13
Q

BPPV

A

Epley maneuver
Sermons maneuver

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14
Q

Ménière’s disease

A

Betahistine
Diuretic
Limit Na, caffeine, ETOH, smoking

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15
Q

Vestibular neuritis and labyrinthitis

A

Methylprednisone

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16
Q

Pemphigus vulgaris

A

Systemic steroids
Cover erosions with antibiotic ointment

17
Q

Actinic keratosis

A

5 fluorouracil
Imoquimod
Diclofenac
Cryo

18
Q

Cutaneous T cell lymphoma

A

In Africa population, probiotic plaques and lymphadenopathy

UVA/UVB, high potency steroids, retinoids, chemo

19
Q

A Fib rate control

A

BB
CCB
Digoxin (adjunct)
DCCV
Procainamide

20
Q

A Fib rhythm control

A

Flecainide
Sotalol
Dronedarone
Amiodarone

21
Q

Epistaxis

A

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

22
Q

Dupytren’s contractures

A

Corticosteroid injection
Collagenase injection
Open fasciotomy 

23
Q

Mallet finger/extensor tendon rupture

A

Finger splints in DIP extension for six weeks, restart treatment if flexion at any points

24
Q

Raynaud’s phenomenon

A

Warmth
Exercise
CCB

25
Q

Bacterial tracheitis

A

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

26
Q

Retropharyngeal/per toner abscess

A

Torticollis, drooling, high, fever, neck pain

Neck x-ray to look for bulging posterior pharynx
CT
Intubation
I&D
IV antibiotics

27
Q

Epiglottitis

A

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

28
Q

COPD first line

A

LAMA LABA SABA

29
Q

NMS

A

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
30
Q

Child car seat

A
  • <2 year rear facing
  • <18kg front facing 5 point harness
  • <9yr booster seat
  • <13 backseat only
31
Q

HTN in CKD patient

A

edema: thiazide and loop diuretics

No edema: thiazide diuretics, CCB

Universal: ACEi and SGLT2i

32
Q

NV in T1

A

Diclectin first line (sedating)
Gravel
Zofran
Maxran
IV steroids in T2

OTC: antacids, pepcid, ginger, vitamin B6, acupressure bands

33
Q

Alcohol use disorder

A

Naltrexone (safe when drinking)

Acampeosate, disulfiram (not safe while drinking)

Topirimate and gabapentin as second line

34
Q

Rosacea

A

PO: doxycycline, metronidazole, azithromycin, tretinoin

Topical: metrogel, azelaic acid, retinol, sulphur, ivermectin, retinol

35
Q

Recurrent vasovagal events

A

Fludrocortisone
Midodrine

36
Q

Preeclampsia prevention

A

ASA and calcium

37
Q

Interstitial cystitis

A

Bladder training, avoid causative foods
Heat and ice on bladder
Stress management
PT
TCA, antihistamine

38
Q

Cannabis hyperemesis syndrome

A

Haldol
Ativan
Capsaicin
IVF

CCFP (25 decks)

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