Treatments Flashcards
GORD
PPI + H2 antagonists + Lifestyles changes
Peptic Ulcers
H-pylori = CLATM ( 2 out of Clarithromycin, Amoxicillin, Tetracycline, Metronidazole + PPI)
No infections = Antacids, Antacids, PPI
Crohn’s
Stop smoking
Corticosteroids
Immunosuppressants - Azathioprine, Mercaptopurine or Methotrexate
Surgical resection
UC
Mesalazine, analgesia, surgical resection
IBS
Lifestyle modification
Infective gastroenteritis
Rehydration
BRAT ( Bananas, Rice, Applesauce and toast)
Pancreatitis
Acute = Fasting, analgesia Chronic = Enzyme replacement
Gallstones
Medical - Ursodiol
Surgical - Cholecystectomy
Hepatitis
B - Vaccine available but treatment mostly symptomatice
Appendicitis
Appendectomy
Bowel Obstruction
Endoscopic stenting or bowel resection if perforation or peritonitis
Hernias
Some left as asymptomatic
Surgical repair
ACS
Acute = MONAC + PCI Chronic = Lifestyle changes, Aspirin/ Clopidogrel + ACEi, B-blockers and Ca-blockers, Statin
Angina
Modify risk factors
GTN spray, B/Ca-Blockers, Aspirin and Statin
AF
Rate control - B-blockers/Digoxin
Rhythm Control - Chemical (Amiodarone) or Electrical (Shock)
Thromboprophylaxis - Warfarin
Hypertension
1) < 55 = ACEi, >55 or Black = Ca-blockers
2) ACEi + Ca-blocker
3) Add Thiazide diuretic
4) Consider Sprinonolactone
DVT
Treatment dose of LMWH
LVF
Acute = Furosemide Chronic = ACEi + B-blockers
CHF
Lifestyle changes
ACEi + B-blockers + Duiretics
Breast Abscess
Advise to continue breastfeeding and give analgesia
Abx - flucloxacillin
If does not settle then FNA and culture
Fibrocystic Disease
Analgesia and well supported bra
Ductal Papilloma
Excision - Microdochetomy or total duct excision
Breast Carcinoma
Excision - Wide local or total mastectomy then Chem/Radiotherapy
Tamoxifen for 5 years post
T1 Diabetes
Insulin
T2 Diabetes
Depending on severity
Lifestyle advice
Metformin + Gliclazide