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98 Cards in this Set
- Front
- Back
Rat bite fever Rx
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Penicillin G or tetracycline
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Post chemo fever Rx
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hospitalize --->
broad spectrum atbtcs ->if no response: antifungal |
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Bacteremia in a baby
1) Rx 2) Bugs you are trying to cover |
Rx = ampicillin + cefotaxime
Coverage: Group B strep, Listeria, E. coli |
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Hep. B window period, what do you check?
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Core Ag and IgM Ab +
Note surface antigen and surface antibody cancel each other out and can not be used for detection in window period |
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Which generation of antibiotic is cefaDROXIL
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First Generation Cephalosporin
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Which generation of antibiotic is cefaLEXIN
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First Generation Cephalosporin
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Which generation of antibiotic is cefaLOTIN
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First Generation Cephalosporin
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Which generation of antibiotic is cefaZOLIN
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First Generation Cephalosporin
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Which generation of cephalosporin?
cefaDROXIL cefaLEXIN cefaLOTIN cefaZOLIN |
First generation
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Second generation antibiotics w/o anerobic coverage
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ceFALCOR
ceFUROXIMINE |
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cefoTETAN
ceFOXITIN |
Second generation Cephalosporin with anerobic coverage
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Which generation of antibiotic is cefoTETAN
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Second generation antibiotics with anterobic coverage
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Which generation of antibiotic is ceFOXITIN
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Second generation antibiotics with anerobic coverage
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ceFIXIME
cefoTAXIME |
Third generation cephalosporin w/o psuedomonal coverage
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Thrid generation cephalosporins(2) w/ antipseudomonal coverage
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cefoPERAZONE
cefTAZIDIME |
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Methylene chloride (paint remover) intox. can cause?
How do you detect it? |
carbon monoxide poisoning
Use co-oxymeter |
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CD4 < 200...Next Step?
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PCP prophylaxis
TMP/SMX, dapsone or |
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CD4 < 50 ...Next Step?
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MAI prophylaxis = azithromycin weekly
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Toxo Ig G + and CD4 < 100 ... Next Step
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TMP/SMX OR dapsone + pyrimethamine + leucovorin
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TB contact OR PPD > 5 mm + HIV
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INH + vit B6 for 9 m
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Vaccines to give HIV patient
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Pneumococcal 2 dose
Influenza q 1 y. Hepatitis B |
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Mefloquine S.E.
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Bradycardia
Neuropsychiatric symptoms Prolonged QT |
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Causes(6) of avascular necrosis of femoral head and how to dx?
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Causes:
Pancreatitis Alcoholism Fat embolus Sickle cell anemia Air emboli Steroids Dx = MRI, SPECT |
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Pyogenic granuloma Rx
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shave, electrodesiccate base, send it to pathology evaluation
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Osler-Weber-Wendu
aka Hereditary Hemorrhagic Telangiectasia |
Epistaxis
+ GI bleeding, + Polycystic kydneys |
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Von-Hippel-Lindau dis.
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Cavernous hemangiomas
+ Hemangioblastomas in CNS & retina, + Renal cell ca |
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Sturge Weber Syndrome Symptoms(3)
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facial port wine stain
+seizure +ocular changes |
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Caplan syndrome
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Rheumatoid nodules in the lungs
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Felty syndrome
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splenomegaly
+neutropenia +severe R.A. |
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Ash leaf macules (hypopigmented), calcified intracranial nodules,
epilepsy, low inteligence, adenoma sebaceum |
Tuberous sclerosis
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Cronic pruritic papulovesicular lesions on extensor surfaces, post.
hairline Name? Treatment? |
Dermatitis herpetiformis
Rx = Dapsone |
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Pemphigus vulgaris Rx
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Rx = immediate high dose corticosteroid
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Vitiligo Rx
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Topical Steroids and Phototherapy
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Blistering in a sun
exposed area + milia Name? Dx? |
Porphyria cutanea tarda
Dx = urine prophirin level + hepatitis panel |
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Hypert. urg. in pregnancy Rx
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Hydralazine & Labetalol
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Aortic dissection rx?
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Nitroprusside + labetalol/metoprolol
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Achantosis nigricans causes (4)
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DM
hypOthyroidism Cushing's Addison's Malignancy |
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Vascular tumor, purplish lesions, extravasation of erythrocytes
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Kaposi Sarcoma
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Pseudoclaudication + worse with hyperextending movements + better with leaning forward + normal ankle-brachial index
Name? How to Dx? |
Lumbar stenosis
Dx = MRI of the lumbar spine |
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Knee ligament injury Dx
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MRI
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Erythema Nodosum rx
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NSAID
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Melanoma suspicion, next step?
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Excisional biopsy
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Miliaria is?
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Heat rash
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Name of disease?
Cause? Treatment? |
Erythema multiforme minor
Herpes Simplex Rx: Acyclovir |
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Indinavir (HIV drug) S.E.
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Kidney Stones
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Painless, beefy-red lesion
Diagnoses? Rx? |
Granuloma inguinale
Rx: TMP/SMX |
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In pheochromocytoma, serotonin syndrome, cocaine Rx?
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IV phentolamine
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Doxorubicin (Adriamycin) S.E.
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cardiac toxicity, myelosuppression
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Vincristine S.E.
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motor, sensory and autonomic neuropathy
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Bleomycin S.E.
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pulmonary fibrosis
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Nephritic syndrome + eosinophilia + asthma, p-anca
Disease Name? Rx? |
Chrug-Strauss
Rx = steroids, cyclophosphamide, azathioprine |
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Nephritis + Nasal/sinus problems, C-ANCA
Name? Rx? |
Wegener granulomatosis
Steroids, Cyclophosphamide, Azathioprine |
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Sarcoidosis Dx =
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Skin, Transbronchial lung biopsy
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How do you decrease risk of aspiration risk during intubation?
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Cricoid pressure
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Community acquired pneumonia Rx =
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Azithromycin OR Levofloxacin
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Sup. vena cava syndr due to ca Rx
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radiation therapy
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Foreign body aspiration in children Rx?
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Rigid bronchoscopy
Methylprednisolone CefaZOLIN |
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Gout Rx
-Over Producers -Undersecreters? |
Overproducers = allopurinol
Underexcreters = probenecid |
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Cauda equina syndr. suspicion =
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MRI ASAP!
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Rash + Joint Pain + 7th Nerve Palsy.... Treatment?
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Deoxycycline or Amoxicillin
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Cardiac Manifestations or Meningitis or Encephilitis Rx?
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IV Ceftriaxone
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Weeping, crusting, oozing and draining of skin Rx?
MRSA Rx? |
Regular Rx: Topic Mucoporin / Bactrin
MRSA: Clindamycin or TMP/SMZ or Deoxycycline |
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Leukocytosis, fever, chills, red hot swollen tender on face.
Diagnosis? Rx? |
Diagnosis: Erysipelas
Treatment: Oxacillin, CLOX, Dicloxacillin, Naficillin |
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Red hot swollen tender on legs
Diagnosis? Rx? |
Diagnosis: Cellulitis
Rx: Oxacillin, CLOX, Dicloxacillin, Naficillin |
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Abscess rx?
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Oxacillin, CLOX, Dicloxacillin, Naficillin
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MRSA patients with Erysipelas, Cellulitis or Folliculitis Rx?
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Vancomycin
Linezolid Daptomycin Tigecycline |
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NO MUCUS Involvement! Caused by drugs. Diagnosis?
What do you rule out? Rx? |
Diagnosis: Erythema Multiforme
R/o Herpes and mycoplasma Rx: Prednisone |
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Drugs(5) that cause rash
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Penecillin
Sulfa Drugs Allopurinol Phenytoin Lamotrigine NSAID |
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Involves mucus membrane. Drug induced.
Diagnosis? Rx? |
Steve-Johnson Syndrome
Rx? IVIG |
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S.E of Cyclophosphamide
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Hemorrhagic Cystitis
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S.E of Cisplatin
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Ototoxicity, Nephrotoxicity
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Bleomycin S.E
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Pulmonary Fibrosis
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Vincristine S.E
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Peripheral Neuropathy
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MEN I
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Pancreatic Tumor
Pituitary Adenoma HyperParatyhroidism |
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MEN IIa
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Medullary Thyroid Cancer
Adrenal(Phechromocytoma) Parathyroid Hyperplasia |
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MEN IIb
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Medulary Thyroid Cancer
Adrenal Pheochromocytoma Neuroma Mucosal/ Marfanoid |
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PPPirates MAP MAN
MEN I, MEN IIa, MENIIb |
Pancreatic Tumor
Pituitary Adenoma HyperParatyhroidism Medullary Thyroid Cancer Adrenal Phechromocytoma Parathyroid Hyperplasia Medulary Thyroid Cancer Adrenal Pheochromocytoma Neuroma Mucosal/ Marfanoid |
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S.E of Statins?
What must you regular check |
Myositis, Elevated Transaminases
Must constantly check AST/ALT, NOT CPK! |
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S.E of NIACIN?
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Glucose Intolerance
Elevated Uric Acid Puritis |
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Gemfibrozil S.E and must be careful co-prescribing with?
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Increased risk of Myositis when combined with Statin
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Eiosinophil Casts
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Allergic Interstetial Nephritis
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White Casts
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Pyelonephritis
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Red Casts
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Glomerulonephritis
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Granular Muddy Brown Cast
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Acute Tubular Necrosis
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Hyaline Cast
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Dehydration
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Broad/Waxy Cast
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Chronic Renal Disease
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Mortality Benefit Drugs in CAD
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B-Blocker
Aspiring Nitroglycerine |
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Mortality Benefit Drugs in Systolic Dysfunction CHF
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ACE/ARB
B-Blocker Spirnolactone Hydralazine/Nitrates Implantable Defibrillators |
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Mortality Benefit Drugs in Diastolic Dysfunction CHF
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B-Blocker
Diuretics |
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CHF Defibrillators Indications
Implatable? Biventricular? |
Implanatable: EF<35%
Biventricular: EF<355 & QRS>120ms |
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Diagnosis?
Treatment? |
Myelofibrosis
Thalidomide/Lenalidomide |
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Angioedema treatment
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1) Intubate
2) Fresh Frozen Plasma 3) Danzol or Stanzol Note: Glucocorticoids DONT work |
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Rx for Staph Aures endocarditis?
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Oxacillin, Nafacillin, Cefazolin
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Viridans Endocarditis Rx?
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Ceftriaxxone
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HACEK Endocarditis Rx?
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Ceftriaxone
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Enterococci Endocarditis Rx?
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Ampicillin & Gentamycin
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Pear shaped CXR
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Pericardial effusion
|
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Boot shaped heart CXR
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Tetralogy of Fallot
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