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78 Cards in this Set
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PCP Treatment |
TMP-SMX If toxicity - switch to Clindamycin + Primaquine OR Pentamidine |
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PCP Prophylaxis |
TMP-SMX If rash or neutropenia from use - switch to Atovoquone or Dapsone If you are G6PD deficient = don't use Dapsone |
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Erchinolosis |
Leukopenia Thrombocytopenia Elevated AST/AST (no jaundice) Tx = Doxycycline |
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Babesia |
Tick bite leading to jaundice and possibly renal failure, elevated ESR and possibly thrombocytopenia Tx = quinine-clindamycin OR atovaquone-azithromycin |
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Laryngomalacia |
Most common cause of chronic stridor Worse in supine position and with crying Dx = confirm with laryngoscopy (omega shape) Tx = spontaneously resolves but increased risk of GERD. If symptoms develop, PPI |
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PID Treatment |
Inpatient = Cefoxitin/Cefotetan + Doxycycline. If cannot tolerate then Clindamycin + Gentamicin Outpatient = Ceftriaxone + Doxycycline + Metronidazole. If cannot tolerate then Levofloxacin and Metronidazole. |
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Gallbladder Antibiotics |
Ciprofloxacin + Metronidazole OR Ampicillin + Gentamicin + Metronidazole |
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N.Gonorrhea Testing? |
May see negative cultures But can do NAAT which of mucosal sites and genital tract |
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When SAAG is very low, how do you prophylaxis against SBP? |
TMP-SMX OR Norfloxacin |
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Antibiotic to use in pancreatic necrosis? |
Penem's Also remember to do a needle biopsy |
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Antibiotics to use in diverticulitis? |
Ciprofloxacin and Metronidazole OR Beta-lactam/lactamase combinations |
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Whipple disease treatment? |
Ceftriaxone, TMP-SMX |
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Tropical Sprue treatment? |
TMP-SMX, Tetracycline |
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What to do when HCT <30 in older and patient with CAD and bleeding? |
Packed RBCs Also do when Hb < 9 in variceal bleeding |
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CENTOR Criteria |
History of Fever No cough Lymphadenopathy Tonsilar Exudate |
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Pharyngitis Treatment? |
Penicillin or Amoxicillin If rash to penicillin --> Cephalexin If anaphylaxis to penicillin --> Clindamycin or Macrolide |
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Cryptosporidoiosis Treatment? |
Treat underlying AIDS Nitazoxanide |
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Acute Hepatitis C Treatment? |
Interferon + Ribavirin + ---Previr |
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Chronic Hepatitis C Treatment? |
---Fovir ---Vudine Entecavir |
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L. Venereum Treatment? |
Doxycycline |
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Chancroid Treatment? |
Azithromycin (single dose) |
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Pyelonephritis Treatment? |
Ceftriaxone - complicated/unstable Ciprofloxacin - uncomplicated/stable Ampicillin + Gentamicin - if culture results known Ceftriaxone + Gentamicin - if pregnant |
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HACEK (Endocarditis) Treatment? |
Ceftriaxone |
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Viridian's Strep (Mutans) (Endocarditis) Treatment? |
Ceftriaxone |
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Staph Epidermidis or Resistant (Endocarditis) Treatment? |
Vancomycin |
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Enterococci (Endocarditis) Treatment? |
Ampicillin + Gentamicin |
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Bartonella Treatment? |
Azithromycin |
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Prophylaxis Against Endocarditis? |
Amoxicillin If penicillin allergic --> clindamycin, azithromycin or clarithromycin |
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Toxoplasmosis Treatment and Prophylaxis? |
Treatment = Sulfadiazine + Pyrimethamine Prophylaxis = TMP-SMX |
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Bacillary Angiomatosis Treatment? |
Oral Erythromycin Caused by Bartonella |
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Idinavir side effect? |
Nephrolithiasis |
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Protease Inhibitors (--Navir) side effect? |
Hyperlipidemia and Hyperglycemia |
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Didanosine side effect? |
Pancreatitis and peripheral neuropathy |
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Zidovudine side effect? |
Anemia |
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Trichinella Triad? |
Periorbital Edema Myositis Elevated eosinophils |
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Antibiotic to use in Sickle Cell? |
Ceftriaxone Levofloxacin Moxifloxacin |
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Fanconi Anemia Symptoms? |
See chromosomal breaks on genetic analysis Congenital Aplastic Anemia Short Stature Abnormal thumbs Hypogonadism |
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Aplastic Anemia Treatment |
Supportive Young = BMT Old (>50) = Antithymocyte globulin and cyclosporine/tacrolimus |
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Polycythemia Vera Treatment |
Phlebotomy and Aspirin for Thrombus Prevention Hydroxyurea to reduce cell count Allopurinol to prevent uric acid rise Antihistamines |
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ET Treatment |
Below 60, Asx, platelets < 1.5 million = nothing Above 60, sx/platelet > 1.5 million = hydroxyurea |
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CLL Treatment |
Fludarabine and Rituximab |
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Hairy Cell Treatment |
Cladribine or Pentostatin |
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Waldenstrom Macroglobulinemia |
Overproduction of IgM Hyper viscosity syndrome (Compare with MGUS which is completely ASX) Treat initially with plasmapheresis No CRAB (hpyerCa, Renal Failure, Anemia, Bone Pain) |
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PNH Treatment |
Prednisone Eculizumab BMT is only cure! |
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Paget Disease Treatment |
Bisphosphonates |
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Psoriatic Arthritis Treatment |
NSAIDS --> Methotrexate --> Inflixamab |
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Reactive Arthritis Treatment |
NSAIDS --> Sulfasalazine |
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Anti Jo Antibodies? |
Dermatomyositis/Polymyositis with lung fibrosis |
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Scleroderma treatment |
Methotrexate slows progression ACEi for renal hypertension PPI for esophageal dysmotility Raynaud with CCB Pulmonary fibrosis with Cyclophosphamide |
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Caplin Syndrome |
RA Pneumoconiosis Lung nodules |
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Hypertensive Medication to use in Gout? |
Losartan |
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Wiskott Aldrich Dysfunction? |
Cytoskeleton Regulation |
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Ataxia-Talengtasia Dysfunction? |
DNA Repair |
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Imaging for Panic Disorder? |
Decreased amygdala volume |
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Imaging for Panic Disorder? |
Decreased amygdala volume |
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Brain changes in PTSD? |
Decreased hippocampus volume |
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How is Botulism caused in Adults and Kids? |
Adults = ingestion of toxin Kids = ingestion of spores |
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Shy Drager |
Multiple System Atrophy Parkinson + Orthostatics Treatment = Fludrocortisone, salt, alpha agonist |
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Most common side effect of Tamoxifen? |
Hot flashes |
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McCune Albright |
Precocious Puberty Cafe Au Lait Multiple Bone Defects |
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Pneumonia in Bone Marrow Transplant Patient? |
CMV - see multifocal diffuse patch infiltrates BAL is diagnostic in most cases May also see upper and lower GI ulcers |
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Treatment of squamous cell cancer of vulva? |
Unilateral = modified vulvectomy Bilateral = radical vulvectomy |
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Migraine with Aura in Pediatrics? |
Severe headache with N/V/Photophobia and Visual aura Treatment = supportive and NSAID |
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Prolonged latent phase? |
20 hours in nulliparous 14 hours in multiparous |
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BPP Results |
0-4 = deliver 6 = repeat in 24 hours 8-10 = good to go |
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Splenectomy and Antibiotics |
Give 2 weeks prior And continue for 3-5 years after/until adulthood (daily) |
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Bronchiectasis vs. Chronic Bronchitis |
Bronchiectasis has a mucopurulent sputum and much more of it, recurrent fever and potential hemoptysis. The sputum in chronic bronchitis is non-purulent. Dx = Bronchiectasis with CT --> sputum analysis Increased risk of Pseudomonas infection in bronchiectasis |
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Rubella vs. CMV |
Rubella deafness = bilateral (unilateral in CMV) Rubella blindness = cataracts (chorioretinits in CMV) Rubella heart problems = PDA (none in CMV) |
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Shen do you give corticosteroids in PCP treatment? |
PaO2 < 70 A-a > 35 |
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After you see a solid testicular mass + U/S confirms potential tumor, what do you do? |
Removal of testes and its associated cord = orchiectomy (High inguinal orchiectomy) |
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Unprovoked VTE |
Age appropriate screening and CXR Do CT for high risk patients (risk factors of malignancy or recurrent multiple site VTE) |
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Transudative fluid pH and glucose |
Around 7.6 (normal pleural fluid pH) Glucose similar to blood glucose |
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Cavernous Sinus Thrombosis |
Intolerable headache Low grade fever Periorbital edema Hypo/hyperesthesia Dx = Magnetic Resonance Venography |
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Iron poisoning in a child puts them at risk for? |
Pyloric stenosis and gastric scarring |
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If fetus is incompatible with life what do you do? |
Allow labor to proceed (spontaneous delivery) |
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Homocysteinuria Diagnostic test? |
Cyanide nitroprusside Hexagon stones |
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HIV Screening Guidelines |
One time screening in 15-65 with p24 and Antibody testing |
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What should patients be tested for before starting methotrexate? |
TB, Hep B, Hep C |
