UW 23 Flashcards
Management of cervical radiculopaties
Avoidance of activity that triggers the pain + NSAIDs
Imaging study is not necessary
Breath holding spells
Normal from 6m-5y
Cyanotic: crying followed by cyanosis and loss of conciousness
Pallid: trigger by minor trauma
Depression no responsive to treatment
Switch to another first line antidepressant
SNRIs: velanfaxine, duloxetine
Bupropion: CI in eating disorders and seizure
Mirtazapine:
TCAs and MAO are not first line
Names of SRNIs
velanfaxine, duloxetine
Names of TCAs
Nortriptiline, amitriptyline, desipramine, imipramine, clomipramine
Name of MAOi
phenelzine, tranilcypromine, selegiline
Augmentation therapy for depression
- Increase dose
- Switch to a different first line antidepresant
- Two different antidepresants
- Add a second generation antipsychotic, lithium or toropdothyronine
Catatonia and akinetic mutism
Immobility
Resistance/negativism
Echolalia
Treat with benzo or ECT
Akinetic mutism looks like catatonia but does no have echolalia
Treatment of micoplasma pneumonia
Azitromycin
Hip dislocation (anterior vs. posterior)
Anterior: Abduction and external rotation (hacia afera)
Posterior: Adduction and internal rotation
Can injure the ciatic nerve (knee flexion), peroneal (dorsiflexion) and ankle reflex (tibial)
Macrocytic anemia in alcoholics is due to… (explanation)
Folate deficiency
Decreases intestinal absorption
Reduces hepatic storage
Increses urinary excretion
B12 can develop later, but B9 comes first
Medullary thyroid cancer marker
calcitonin
Trearment for papilary tyroid cancer
Surgery first
Iodine
Treatment of erectile dysfunction and se
Phosphodiesterase inhibitor: sildenafil
Hypotension if mixed with nitrates or alpha blockers (tansulozin)