classic treatments Flashcards by Will Culligan

absence seizures

ethosuximide

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acute gout attack

NSAIDs, colchicine

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acute promyelocytic leukemia (M3)

all-trans retinoic acid

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ADHD

methylphenidate, amphetamines

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alcohol abuse

AA + disulfiram for patient; Al-Anon for family

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alcohol withdrawal

BZDs

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anorexia

SSRIs

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anticoagulation during pregnancy

heparin

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arrhythmia in damaged cardiac tissue

Class 1B antiarrhythmic (lidocaine, mexiletine, tocainamide)

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B12 deficiency

Vitamin B12 supplementation (work up cause with Schilling test)

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BPH

tamsulosin, finasteride

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Bipolar disorder

lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)

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breast cancer in postmenopausal women

aromatase inhibitor (anastrazole)

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Buerger’s DZ

smoking cessation

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bulimia

SSRIs

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candida albicans

amphotericin B (systemic); nystatin (oral thrush, esophagitis)

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carcinoid syndrome

octreotide

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chlamydia trachomatis

doxycycline (+ ceftriaxone for gonorrhea coinfection); erythromycin eye drops (prophylaxis for infants)

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chronic gout

probenecid (underexcretor), allopurinol (overproducer)

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chronic hepatitis

IFN-alpha

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CML

imatinib

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clostridium botulinum

antitoxin

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c. difficile

oral metronidazole; if refractory, oral vancomycin

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c. tetani

antitoxin + vaccine booster + diazepam

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Crohn's DZ

corticosteroids, infliximab

cryptococcus neoformans

fluconazole (prophylaxis in AIDS pts)

cyclophosphamide-induced hemorrhagic cystitis

MESNA

cystic fibrosis

N-acetylcysteine + anti-pseudomonal prophylaxis (tobramycin/azithromycin)

CMV

ganciclovir

depression

SSRIs (first-line)

diabetes insipidus

desmopressin (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

DM1

dietary intervention (low-sugar) + insulin replacement

DM2

dietary intervention, oral hypoglycemics, and insulin (possible)

diabetic ketoacidosis

fluids, insulin, K+

enterococci

vancomycin/ampicillin + aminoglycoside

erectile dysfunction

sildenafil, vardenafil

ER-positive breast cancer

tamoxifen

ethylene glycol/methanol intoxication

fomepizole (alcohol dehydrogenase inhibitor)

haemophilus influenzae (B)

rifampin (prophylaxis)

generalized anxiety disorder

buspirone

heparin toxicity (acute)

protamine sulfate

HER2/neu-positive breast cancer

Trastuzumab

hyperaldosteronism

spironolactone

hypercholesterolemia

statin (first-line)

hypertriglyceridemia

fibrate

immediate anticoagulation

heparin

infertility

leuprolide, GnRH (pulsaitle)

influenza

rimantadine, oseltamivir

legionella pneumophila

erythromycin

long-term anti-coagulation

warfarin

malaria

chloroquine/mefloquine (for blood schizont), primaquine (for liver hypnozoite)

malignant hyperthermia

dantrolene

medical abortion

mifepristone

migraine

sumatriptan

MRSA

vancomycin

multiple sclerosis

B-interferon, immunosuppression, natalizumab

mycobacterium tuberculosis

RIPE: rifampin, INH, pyrazinamide, ethambutol

neisseria meningitidis

ceftriaxone (add doxycycline to cover likely concurrent chlamydia)

neural tube defect prevention

prenatal folic acid

osteomalacia/rickets

vitamin D supplementation

osteoporosis

bisphosphanates; calcium & vitamin D supplementation

patent ductus arteriosus

indomethacin

pheochromocytoma

alpha-antagonists (e.g., phenoxybenzamine)

pneumocystis jirovecii

TMP-SMX (prophylaxis in AIDS pt)

prolactinemia

bromocriptine (dopamine agonists)

prostate cancer/uterine fibroids

leuprolide, GnRH (continuous)

prostate carcinoma

flutamide

pseudomonas aeruginosa

antipseudomonal penicillin + aminoglycoside

pulmonary arterial hypertension (idiopathic)

sildenafil, bosentan, epoprostenol

rickettsia ricketsii

doxycycline, chloramphenicol (especially in context of aplastic anemia)

ringworm infections

terbinafine, griseofulvin, imidazole

schizophrenia (negative symptoms)

5-HT(2A) antagonists (e.g., second-generation antipsychotics)

schizophrenia (positive symptoms)

D2 receptor antagonists (e.g., first- and second-generation antypsychotics)

SIADH

demeclocycline, lithium, vasopressin receptor antagonists

sickle cell anemia

hydroxyurea (^ fetal hemoglobin)

sporothrix schenkii

oral potassium chloride (KCl)

stable angina

sublingual nitroglycerin

s. aureus

MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal penicillins); MRSA: vancomycin

s. bovis

penicillin prophylaxis; evaluation for colon cancer if linked to endocarditis

s. pneumoniae

penicillin/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)

s. pyogenes

penicillin prophylaxis

temporal arteritis

high-dose steroids

tonic-clonic seizures

phenytoin, valproate, carbamazepine

toxoplasma gondii

sulfadizine + pyrimethamine

treponema pallidum

penicillin

trichomonas vaginalis

metronidazole (patient & partner)

ulcerative colitis

5-ASA, infliximab

UTI prophylaxis

TMP-SMX

warfarin toxicity

Fresh frozen plasma (acute), vitamin K (chronic)

Wegener's granulomatosis with polyangiitis

cyclophosphamide, corticosteroids

classic treatments Flashcards

(90 cards)