deck 6 Flashcards
(33 cards)
tylenol, NSAID?
NO
tylenol generic name
acetaminophen
ibuprofen is…
advil
motrin is…
ibuprofen
dyslipidemia algorithm
- if LDL-C not achieved or statin not tolerated –> don’t add nonstatin lipid-lowering drug.
- whether to treat with statin really depends on estimating patient’s underlying CVD risk rather than lipid levels.
rales are also called
crackles
rhonchi is another term for…
wheezing
description for lung findings
no wheezing, rales, rhonchi.
rhonchi sound
rattling, signifies pathology in bronchi
gastroparesis presentation
erratic glucose control + nonspecific GI complaints
BP and cholesterol goals for diabetic patients
- BP less than 140/90
- ## moderate intensity statin therapy or high-intensity statin therapy if 10-year cardiovascular risk is greater than 7.5%
aspirin indications for diabetic patients
MI history, stroke or TIA, PAD, claudication, or angina
recommendation for HbA1c measurements
q6 months
other labs to order in diabetics annually
- lipid panel
- spot urine test for albuminuria
- annual foot exam
- annual funduscopis exam
how to differentiate dysuria from STD vs. UTI
abrupt onset –> UTI
- probability of UTI increases significantly if no discharge or irritation.
gradual –> STD
order a UA for healthy woman wit acute cystitis?
order a culture only if complicating factors (unclear ddx, pregnant, med intolerance, underlying complication)
factor that should make you reconsider UTI ddx
absent pyuria
treatment for uncomplicated cystitis/UTI
empiric bacterium x 3 days
low back pain management
conservative management with
1) return to normal activities, exercise
2) weight control
3) acetaminophen or NSAID
drugs to avoid with low back pain management
muscle relaxants and opioids (CNS SE’s and addiction potential)
radiculopathy management
anticonvulsants (gabapentin)
CAGE questionnaire
Have you ever felt you needed to Cut down on your drinking?
Have people Annoyed you by criticized your drinking?
Have you ever felt Guilty about drinking?
Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or get rid of a hangover?
interpreting CAGE questionnaire
1-2 mean should investigated further
depression screen
“Over the past 2 weeks, have you felt down, depressed, or hopeless?”
“Over the past 2 weeks, have you felt little interest or pleasure in doing things?”
