Vital FM 2 Flashcards
Fever in the returning traveler is what until otherwise proven?
Malaria
What subtype of malaria can kill in 24-48 hours?
Falciparum malaria
List 5 anti-malarials
Malerone - expensive Doxycycline - photosensitivity Mefloquine - Vivid dreams Primaquine - G6PD Chloroquine - high resistance
What medications do you prescribe for altitude sickness?
Acetazolamide Dexamethasone Nifedapine Sildenafil Salmeterol
Aspirin for primary prevention?
No.
Mixed evidence for stopping it.
Who should you screen for Hep C?
List 4
Endemic nation
Incarceration
IVDU
Blood products
Who do you screen for AAA?
One time U/S 65-80 for men.
No screening for women.
What test do you use to diagnose latent TB?
IGRA
Interfuron gamma release assay
What are 4 drugs to treat TB?
Rifampicin
Isoniazid
Pyrazinamide
Ethambutol
What test do you offer for patients who have walked on the sand in Africa or south east asia with GI symptoms?
Strongyloides serology
Who do you order a strongyloides serology for?
Anybody who walked barefoot in Africa or South East Asia with GI symptoms?
What should you screen immigrant women and children for?
Iron deficiency anemia.
What complication are you worried about with anti-psychotics?
Neuroleptic malignant syndrome
What are 5 symptoms of neuroleptic malignant syndrome
Fever
Autonomic dysregulation (BP, HR, Sweating)
Rigidity
Mental status changes
Send them to the crazy FARM
What are 5 non-pharm steps in treating neuroleptic malignant syndrome?
Stop neuroleptic IV Normal saline Cooling blankets Ice packs DVT prophylaxis
What are two drugs to treat neuroleptic malignant syndrome?
Dantrolene
Bromocriptine
What are 5 types of atypical pneumonia?
PJP TB Mycobacterium avian Influenza Toxoplasmosis
What are 4 things that affect antibiotic choice?
Allergy
Interactions
COPD Co-treatment
Aspiration coverage
What is the most common cause of pneumonia?
S. pneumo
When you diagnose hypertension, what other labs should you order?
Lipids K Na Hgb a1C Urinary albumin ECG/Beta-hcg
Secondary causes of hypertension
Atherosclerotic Bruits Catecholamines (pheo) Drug Endocrine Sleep apnea
ABCDEs
What are 5 non-pharm treatments for hypertension?
Sodium Weight Alcohol Exercise Diet Relaxation
What time should patients take their antihypertensives?
Before bed
What age do you start measuring pediatric BP?
3
What arm do you measure pediatric BP?
Right
What do you do when you diagnoses a kid with essential hypertension?
Labs (as per adults) so lipids kidney function diabetes.
ECHO
Causes of fever that are not infectious. List 5
Pulmonary embolus Stevens-Johnson Cancer Thyroid storm Febrile Neutropenia
What are the symptoms of Kawasaki Syndrome?
Conjunctivitis Rash Adenopathy Strawberry Tongue Hands/Feet - Rash/peeling
“CRASH”
What is the major complication of Kawasaki disease?
Coronary Artery Aneurysm
CRASH call CAA
What do you treat Kawasaki disease with?
ASA and IVIG
KawASAkI
When do you order fasting lipids?
Triglycerides > 4.5
What is the first line treatment for hypertrygliceridemia?
Omega-3’s.
What are three things you ask for in dizziness?
Timing
Triggers
A thorough Exam
TiTrATE
What are three physical exam findings for vertigo?
Orthostatic BP
GAIT
HINTS
Dix-hallpike
What do you treat an upper GI bleed with?
IV PPI
Erythromycin
Octreotide
What are 5 precipitating disorders for suicide?
Drugs/alcohol Access to means Life events New terminal/chronic disease Media
What are 5 predisposing factors for suicide?
Neuropsychiatric disorders Family history Previous attempt Adverse childhood experiences Socioeconomic status
What are 5 medications for acute mania?
Aripiprazole Risperidone Lithium Quetiapine Divalproex
What are 4 medications for maintenance of bipolarity?
Lamotragine
Lithium
Quetiapine
Divalproex
