SP Encounter #1 Flashcards Preview

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Flashcards in SP Encounter #1 Deck (15)
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1

Tx for otitis media

Amoxicillin

2

Tx for otitis externa

Aminoglycosides / Ciprofloxacin

3

Tx for chronic otitis media

Ofloxacin

4

Tx for pharyngitis

Penicillin
Amoxicillin
If PCN allergic, give cephalosporin
If anaphylactic, give macrolide or clindamycin

5

Meniere's Dz Tx

Salt restriction and diuretics

6

DDX for fatigue

Cancer
Hypothyroid
Anemia
Mononucleosis
Malabsorption
Depression
Diabetes
Sleep apnea
Anxiety

7

Anemia PE findings

Conjunctiva have pallor
Nail beds have pallor
SOB; tachycardia
Delayed cap refill
Petechiae
Jaundice

8

Diabetes PE findings

Edema
Hair/nail changes
Eye exam
Diminished peripheral pulses
Gait

9

Tx for hyperthyroidism

Methimazole
PTU
Radioactive Iodine Ablation
Surgical Removal
Come back in 4-6 wks to recheck TSH and free T4
May give Beta Blocker as adjunct

10

Risk factors for thyroid cancer

Head/neck radiation
Fam hx of thyroid cancer
irregular borders
> 1.5 cm
Hoarseness, vocal cord paralysis
Rapid growth
Calcifications
Dysphagia

11

Common causes of anemia

PCOS
GI bleed
Menses
Pregnancy
Drugs

12

Symptoms of anemia

Dyspnea on exertion
SOB
Palpitations
Fatigue

13

Labs for Iron Deficiency

Low MCV
Low Iron
Low Ferritin
High TIBC
High Platelet

14

Stepwise Tx for Asthma

1. SABA
2. Low dose ICS
3. Low dose ICS + LABA
4. Med dose ICS + LABA
5. High dose ICS + LABA
6. High dose ICS + LABA + oral CS

15

Stepwise Tx for COPD

1. SABA (or ipratropium)
2. LABA (or tiotropium)
3. ICS