(Shelf) Journal Flashcards Preview

(Shelf) Internal Medicine > (Shelf) Journal > Flashcards

Flashcards in (Shelf) Journal Deck (3)
Loading flashcards...
1

Patient is a diabetic with hypertension + evidence of nephropathy based on a urine dipstick showing 1+ protein

 

1st line anti-hypertensive?

ACE inhibitor such as lisinopril

 

ACE inhibitors result in the dilation of the nephron’s efferent arterioles → decreasing filtration pressure, and preventing the progression of diabetic nephropathy

2

60 y.o. Diabetic with no vaccinations in the last 10 years

 

Which 3 vaccines is he due for?

Pneumovax + tetanus + flu

The patient is due for Pneumovax and a yearly flu shot because of the immunosuppessive effect of diabetes. He is also due for a tetanus because as noted in the vignette it has been over 10 years since he has had any vaccinations

3