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PANCE Review > Treatment > Flashcards

Treatment Flashcards

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1
Q

Benign essential tremor

A

Beta blocker (propanalol)

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2
Q

Parkinson’s

A

Carbadopa and levodopa

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3
Q

Heart failure

A

ACE
BB
Diuretic
+/- hydralazine, nitro, dig

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4
Q

CHF in ED

A

LMNOP

Lasix 
Morphine 
Nitro 
Oxygen
Position
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5
Q

Dilated cardiomyopathy

A

Same as CHF

ACE, diuretic, +/- BB

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6
Q

Restrictive Cardiomyopathy

A

Tx cause

Amyloidosis (MC)
Sarcoidosis
Hemachromatosis

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7
Q

HOCM

A

BB
CCB
Disopyramide

EtOH ablation
AICD surgery
Avoid dehydration and extreme exertion

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8
Q

Infective endocarditis

A

Vancomycin and Gentamycin unless fungal (ampho)

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9
Q

Pericarditis

A

Med: NSAIDS, aspirin, colchicine

Steroids if refractory

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10
Q

Pericarcial effusion

A

Pericarcial centesis

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11
Q

Constructive pericarditis

A

Pericardectomy

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12
Q

Pulmonary Htn

A

CCB
Viagra
Prostocyclins

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13
Q

CMV

A

Neonates (neurological, hearing loss)
Aids (blindness)
Serololgy, PCR tissue bx (AIDS)

Supportive AIDS
Oral valgancyclovir for sereve

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14
Q

EBV

A

Fever, malaise, pharyngitis, rash, spenomegally

Post cervical nodes

Atypical lymph
Monospot (25% false neg in first week)
Positive IgM

Supportive
Avoid contact sports

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15
Q

Rheumatic fever

A 
Carditis
Polyarthritis
Sydenham chorea
Erythema marginatum
Subq nodules

Fever
Arthralgia
Previous RF
Elevated APRs
Prolonged pr

NSAIDS, antibiotics
Propholaxis: benzathine PNC monthly for 10 years

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16
Q

TB

A

Positive ppd
5mm if immunosupressed

10mm CKD, healthcare

15mm all others

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17
Q

Rabies

A

PEP:
No vaccine, give IG and vaccine
Previous vaccine, give vaccine

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18
Q

Munmps

A

Orchids
Parotid enlargement
MENINGITIS

Live virus vaccine

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19
Q

HIV

A

HIV 1,2 Ab and HIV p24 g
If positive NAT
If reactive confirm with western blot

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20
Q

Rheumatic fever

A

Group A beta strep
Mitral valve

Jones criteria: carditis, poly arthritis, nodules, Erythema marginatum

Fever, Arthralgia, previous infection, APRs elevated, prolonged or

NSAIDS, antibiotics
Ppx, benzathine pnc monthly 10 yr or are 40

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21
Q

TB drugs

A

Isoniazid, peripheral neuropathy (give b6)
Rifampin, orange secretions
Pryazinamide, GI/muscle joint pain
Ethambutol, optic neuritis (red-green loss)

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22
Q

MAC

A

AIDS pts
fever, wt. loss anorexia, diarrhea

Azithro, clarithro, rifabutin, Ethambutol

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23
Q

Leporacy

A

Rifampin, dapasone, clofazimine

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24
Q

Cholera

A

Still culture

Doxy, aggressive rehydration

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25
G and C
NAAT of urine | 250 mg ceftriaxone, 2 g azithro
26
Salmanella
Pea soup Typhi causes constipation Rose spots on trunk Still culture Fluids, K, cipro, ceftriaxone
27
Shigella
Daycare Bloody diarrhea Stool culture Cipro
28
Botulism
Diplopia, dry mouth, dysphagia, dysphonia Descending paralysis, fixed dilated pupils Hypotonicity Clinical Anti toxin A, B, E (w,e,n)
29
Tetanus
IG and vaccine if bad wound and never or under vaccinated Only vaccine if minor wound
30
Lyme
Summer Bullseye Flu like sx Arthritis and muscle pain, Neuro sx bell's pausey Disseminated Doxy ceftriaxone or pnc g in Neuro disease
31
RMSF
Fever, myalgia Petechial or purpuric palms and soles Leukocytosis, proteinuria, hematuria, thrombocytopenia Sero test (difa) Doxy (even in kids)
32
Syphilis
Torch Chancre VLDR Rash on plans and soles, condylomata lata, argyll-robertson pupils, tabes dorsalis Late stage: aortitis, aneurysms, aortic regurg
33
Cryptococcosis
Cryptococcus neoformans Immuno compromised H/A, AMS, meningitis India ink prep Fluconozole or ampho for neuro
34
Histoplasmosis
Most patients asymptomatic Ranges from flu-like symptoms to multi-organ disease mediastinitis, eye, CNS RIA, DNA probes Cxr: military pattern Itraconazole Ampho
35
Pneumocystis Jiroveci
Fever, dyspnea, non-productive cough Bilateral Interstitial disease without Hilary adenopathy Low O2, gallium uptake, tissue stains via bronch Bactrim
36
Hookworms
``` Southeast Tunneling GI bleed, blood tinged sputum Guac positive O and p ``` Pyrantel, albendazol
37
Round worms
Contaminated soil GI distention Albendazole
38
Whip worm
Prolapse O and p
39
Pinworms
Scotch tape
40
Malaria
Recurring fever, chills, spenomegally Parasites on red blood smear Falciparum is continuous, cerebral, and Blackwater fever Atovaquone Doxy, ppx
41
Toxoplasmosis
Immuno supressed Strep-like ``` Serololgy Ct scan (ring enhancing lesions) ``` Pyrimethamine and sulfadiazine
42
Fibromyalgia
Tylenol, NSAIDS, exercise, ssri, sleep
43
Gout
Uric acid crystals Negative birefrengence Indomethacin, colchicine Allopurinol for ppx Probenacid if not tolerated
44
Pseudo gout
Cpp crystals Positive birefrengence Indomethacin, colchecine
45
PMR
Multiple joint stiffness, shoulder often first Elevated ESR often >100 Must evaluate for temporal arthritis! H/A, elevated ESR, temples ttp, pain in jaw, vision changes Temporal artery bx Tx both with steroids
46
Reactive arthritis
Joint pain following a respiratory or GI infection Chlamydia, campylobacter, shigella, salmonella, and yersenia Uveitis, urethritis, arthritis Balantitis, keratoderma Elevated ESR and CRP ``` Tx cause NSAIDS Steroids DMARDs Optho referral ```
47
Rheumatoid arthritis
Methotrexate Antimalarials Biologics
48
SLE
Joint pain, swelling Fever, wt. Loss, fatigue Mylar rash, discord rash, mucosal ulcerations, Alopecia, officer is, raynauds, livedo reticularis, Raynauds ANA non specific Hydroxychloroquinine Methotrexate Steroids
49
Sjhogrens
Dry sx Salivary gland bx Manage sx
50
Tension H/A
Ibuprofen, NSAIDS, caffeine, Tylenol Amitryptylene, ssri, anti convusant
51
Migraines
NSAIDS, tylenol, tryptans, antiemetics BB, CCB, ace/arb, dhe, dexamethasone
52
Cluster H/A
Severe pain, unilateral, ocular as, trigeminal neuralgia High flow O2 Triptans Verapamil, low dose prednisone
53
TIA
Stroke workup Carotid endartectomy Anti-platelet for 90 days Risk factor reduction
54
Ischemic stroke
Stroke workup Tpa within 4.5 hr Thrombectomy within 6 to 24 hrs Carotid endartectomy Anti-platelet for 90 days Risk factor reduction
55
Sub arachnoid hemmorage
Manage bp, reverse anticoag, shunt, clip anneurism, nimodipine
56
Bacterial meningitis
Pathogen directed antibiotics
57
Acyclovir
Acyclovir if HSV encephalitis | Benign and self-limited
58
Huntington disese
No cure, tx movement with terabenzanine and other neuroleptics Fatal in 15-20 yrs
59
Parkinsons
Levodopa/carbadopa | Amantafine, benzotropine, COMT inhibitors
60
Seizure
Valproate, carbamazapine (CI in pregnancy)
61
Focal neuropaty
Activity modification | Anti-inflamatories, steroids
62
Cerebral pausey
Supportive, may sulfate in preterm labor
63
Concussion
Remove from activity, full exam, monitor 24 h, tx sx, admit GCS <15, a normal CT, seizures Remember 2nd impact syndrome
64
Dementia
All types acetylcholine esterase inhibitors AD: N-methyl-D aspartic acid and vit E Lewy Body: dopamine agonist Vascular: controlled BP
65
Delerium
Tx conservatively
66
Altered level of Consciousnee
ABC, monitor, tx cause
67
GBS
Immune-mediated demylienation Ascending paralysis In pt. Plasma pharesis, IV If, monitor
68
MS
Relapsing remiting: high dose steroids Primary progressive Secondary progressive Disease mod agents: glatiramir, fingolimod, natilizumab (multifocal leukoencephalopathy)
69
Tourette
Pt. Ed Dopamine agonist (fluphenazine, pimozidel Botox
70
Syncope
Tx. Directed at cause
71
Presbycusis
Age related hearing loss High frequency Hearing aids
72
Noise induced SNHL
Notched audiogram
73
Acoustic neuroma
Slow growing benign tumor CN 8 Unilateral loss, balance, tinnitus Surgery, radiation
74
Sudden SNHL
Occurs within 72 hrs Dizziness, fullness, vertigo Emergency Labrinthitis Autoimmune Vascular Prednisone
75
External auditory canal foreign body
Remove if possible to get on the first try Consult ENT if perf or touching TM Don't remove batteries
76
Articular hematoma
ID
77
Otitis externa
Topical AB | ciprodex
78
OE fungal
Very itchy Suspect if refractory to AB Acetic acid drops Clotrimazole dropsa
79
Malignant OE
ENT emergency
80
Austrian tube disfunction
Nasal steroids
81
OM with effusion
Nasal steroids | Tubes
82
AOM
Amoxicillin | Macrolide in PN allergic or Bactrim
83
Mastoiditis
Emergency | AB and surgery
84
Cholesteatoma
Retraction pocket of following perf Surgical excision
85
TM perf
Non ototoxic ear drops (quinilones) Keep dry Check in 1-2 months Tympanoplasty
86
Bullous myringitis
Mycoplasma, H flu, step pneumo Macrolide clarithro Maybe opiates
87
Otosclerosis
Shapes fuse to TM Stapedectomy Hearing aids
88
Tinnitus
Pt. Education Background noise Avoid caffeine/nicotine
89
Meinerers disease
Increased endolymphatic pressure SNL hearing loss Diuretics, restrict Na, meclizine surgery
90
Labyrinthitis
Vertigo lasting days, imbalance for weeks Tx with meclizine or diazepam, if SNL steroids
91
Nasal FB
Remove, tx infection if present
92
Nasal vestibulitis
Infection of nasal hair follicles | Bactroban, keflex, found a, amox
93
Nasal mucositis
Saline nasal spray and, TOPICAL AB
94
Epistaxis
Ant. Kesselbachs Posterior, woodruffs Manual compression Afrin Cautery (anesthetized, decongest, TOPICAL AB) Cocaine
95
Allergic rhynitis
IgE mediated Nasal steroids Antihistamines Leukotriene inhibitors
96
Nasal polyposis
Surgical if obstructive Samters triad: sinusitis, asthma, polyps Avoid asprin
97
Vasomotor rhynitis
Similar tx as allergic
98
Rhinitis medicamentosa
Stop attending agent, switch to steroids
99
Viral rhinitis
Supportive
100
Chronic sinusitis
Consider structural abnormality
101
Viral pharyngitis
Tx supportive with OTC meds
102
Strep pharyngitis
Amoxicillin, pen VK, augmentin | Azithro, clinda
103
Acute tonsilitis
If bacterial AB, if viral supportive
104
Peritonsillar abcess
ID, amoxicillin or clinda
105
Parotitis and siladenitis
Tx cause | Sialogoues and warm compresses
106
Sialolithiasis
Sialogoues, tx with surgery if obstructive
107
Oral candidiasis
Oral nystatin 5cc swish and swallow qid | Fluconazole
108
Squamous papilloma
Caused by HPV Can become squamous cell Biopsy
109
Leukoplakia
Precancerous Bx Monitor Smoking cessation
110
Aphthous ulcers
Benign and self limiting
111
Oral herpes simplex
Tx antivirals within 72 hrs
112
Acute laryngitis
Tx with voice rest and fluids, smoking cessation
113
Essential Hypertension
Goal >150/90 for >60 Goal <140/90 all others <60 (CVD, diabetes) Non black Thiazide, ace or arb, CCB Black Thiazide, CCB Renal (Ace or ARB)
114
Hypertensive urgency
BP > 180/120 with no target organ damage Reduce 25% over several hours with labetelol, clonidine, nitrates, hydralizine
115
Hypertensive emergency
BP >180/120 with target organ damage Papilledema, neuropathy, seizures, AMS Gradual reduce 10% 1hr and 15% over 3-12 no less than 160/110 with IV nitropruaside, hydralazine, nitro, nicardipine
116
Metabolic syndrome
``` Waste circumfrence Htn FBG >110 HDL<40 in men and <50 in women Tri >150 ``` Need 3 or more
117
Stable angina
Exertional Normal ekg Releived with nitro
118
Unstable angina
At rest Lasts longer than stable Not as well controlled with nitro Aspirin, BB, statin Also use these meds with stable angina
119
NSTEMI
cardiac enzymes not elevated ST depression, T wave inversion, possible Q waves Possible stent Aspirin and plavix, BB, CCB, ace, statin, nitro
120
STEMI
Elevated enzymes and ST elevation PCI <3h from sx onset and 90 mins from door to balloon Plavix, aspirin, statin, BB, CCB, ACE, Nitro
121
Types of MI
``` RCA: Inferior: II, III, AVF LCA: Lat: I AVL, V5-V6 LAD: Ant: V2-V4 RCA: Post: VI-V2 LAD: Ant lat: V2-V6 ```
122
Prinzmetal Angina
CCB avoid BB Possible stent
123
AAA
Surgical repair if >5.5 or cm per yr, sx, or rupture
124
TAA
Surgical repair if >5.5, cm / yr or 4.5-5 if ED or Marfans
125
Aortic dissection
``` DeBakey I: to aortic arch (<65 y/o) DeBakey II: confined to ascending aorta DeBakey III: descending (elderly) Stanford A is ascending (surgery) Stanford B is descending (meds) ``` Tx with surgery (tube graft)
126
PAD
Asprin +- plavix, statin, BB, ace ABI<0.9 Doplar Angiography is gold standard
127
Arterial exclusive disease
Pain, Palos, pulslessness, poikilothermia, paralysis CTA, doplar, MRA Thrombectomy, thrombolytic, stent
128
Varicose veuns
Compression hose, tx ulcers, ablation, sclerotherapy, vein stripping
129
Phlebitis
NSAIDS, warm compresses, extremity elevation
130
DVT
Ultrasound | Anticoagulate for 3 months lovenox, warfarin, xarelto, elequis
131
PE
Spiral CT Pulm angiography GS S1Q3T3 for for pulmonale Anticoag >3 months lovenox, warfarin, xarelto, elequis IVC filter if unable to tolerate
132
Esophagitis
Candida, GERD, pill, radiation EGD Tx cause
133
Achalasia
Loss of ganglion cells in Auerbach plexus Dysphagia And regurg of non-digested, non-acidic food Birds been on barium swallow Dilation, botox, esophagotomy
134
Esophageal Strictures
``` Schatzkis ring Zenkers diverticulum (proximal esophagus) aspiration Esophageal web (Plummer Vincent syndrome) DIGS ``` All dx with egd and barium swallow All tx with soft diet and dilation
135
Esophageal cancer
Upper 2/3 of esophagus squamous cell Smoking and EtOH Lower 1/3 Adenocarcenoma EGD and bx Surgery, chemo, rad
136
Barrett esophagus
Long standing GERD | 40x increase in esophageal cancer
137
Mallorie weis tear
Superficial esophageal tear Painless hematemisis Self limiting, aged w/thermal coag
138
Boerhaaves Syndrome
Esophageal rupture from forceful vomiting or instrumentation Emergency Hammans crunch Widening of the mediastinum with free air Anti-emetics, abx, surgery
139
Esophageal varacies
Dilated esophageal veins 30% bleed, 30% of those die Bright red upper GI bleed, +/- melna, hypotension, instability Emergent fluids, sleep therapy, banding
140
GERD
Antacid H2 PPI
141
Gastritis
Stop offending agent EGD with biopsy, h pylori testing Antacid, H2, PPI
142
Peptic ulcer disease
H pylori, NSAIDS, secretions issues Duodenal 5× more likely H pylori Clarithro, amox, and ppi
143
GI cancer
Adenocarcinoma Virchow node (supraclavicular) Sister Mary Joseph's nodule (periumbilical) EGD w/biopsy, ct, resection, rads chemo
144
Pylori stenosis
Greater in males 3wk-5mo Non-bilious vomiting Palpable olive mass U/S and surgery
145
Gallbladder
Charcots triad: jaundice, fever, pain Reynolds pentad: above plus hypotension and AMS (septic cholangitis) Corvoisier sign painless jaundice and large palpable non-tender GB (cancer at head of pancreas) Boas sign pain radiating to tip of right scapula Tx Cholecystectomy, ERCP
146
Pancreatitis
Acute: EtOH, gallstones Chronic: EtOH Cullens sign: periumbilicall echimosis Grey-Turner's sign: flank echimosis Lipase>300 Bowl rest, fluids, pain met, NPO Random criteria estimates mortality
147
Pancreatic cancer
CT, u/s with fnb Surgery whipple, chemo, rad Bad prognosis 1 yr 20% 5 yr 7%
148
Vit. A def
Elderly, alcoholics | Night-blindness, dry skin, poor wound healing
149
Vitamin B1 (thiamine)
Alcoholics, poor Wernickes encephalopathy Korsakoff syndrome Beriberi (wet-dry)
150
Vitamin B3 (niacin) def
Pellagra | 3Ds: diarrhea, dermatitis, and dementia
151
Vitamin B12 (coblamin) def
Elderly, vegans, atrophied gastritis
152
Vitamin C def
EtOH and elderly Scurvy Bleeding gums, Petechia, poor healing
153
Vitamin D def
Elderly, women, renal, low sun light, and infants | Ricketts and osteomalacia
154
Vit K def
Increased bleeding, increased prothrombin time PT
155
Phenylketonuria
Screened at birth Enzyme that metabolized protein Tx by reducing protein
156
A flutter
Stable: vagle, BB, CCB Unstable: SCV Definitive: ablation
157
A fibb
Stable: BB, CCB, dig, anticoag Unstable: SCV if new if not anti cost for 3 weeks before Definitive ablation
158
SVT
Stable: adenosine, BB, CCB Wide complex: amioderone Unstable: SCV Def: ablation
159
WPW
``` Delta waves This is wide complex: procanimide AVOID! Adenosine, BB, CCB, and dig Unstable: SCV Definitive: ablation ```
160
V tach
R on T Hypokalemia, hypomag, antiarrhthmic, prolonged QT Stable: this is wide complex, so amioderone Unstable with pulse: SCV Polymorphic (torsades): mag Unstable no pulse: defib and CPR
161
Vfib
Unsyncronized CV
162
2nd degree AV block
Type 1 wenkebach Going drop Type 2 sustained prolonged PR with drop Tx with atrophied if sx brady
163
1st degree AV block
Prolonged PR>0.2 s | Atropine if sx brady
164
Third degree AV block
Transcutaneous pacing | Perm pace for definitive
165
LBBB
Broad R in v5, v6 | Deep S in v1, v2
166
RBBB
RSR in v1, v2 | Deep S in v5, v6
167
Ekg right vent hypertrophy
R>7mm or positive in v1
168
Ekg LVH
Add S in v1 or 2 to R in v5 or v6 | >35 men or 30 women dx
169
Blephritis
Baby shampoo, TOPICAL ab
170
Ectropion
Eyelids roll out | treatment is surgery
171
Entropion
Eyelids roll inward | Treatment is surgery
172
Chalazion
Blocked memobian gland | Warm compress, elective removal
173
Hordoleum
Painful Caused by staff infection Ab, id
174
Dacrocystitis
Infection of the lacrimal sac secondary to staph, strep, staph epidermidis, Candida
175
Pterygium
No treatment unless blocking vision
176
Pinguecula
Benign yellow Mass on the conjunctiva
177
Allergic conjunctivitis
Topical antihistamine drops, oral antihistamines
178
Viral conjunctivitis
Adenovirus | Warm compresses, artificial tears, topical antibiotics?
179
Bacterial conjunctivitis
Topical antibiotics or oral antibiotics for G / C conjunctivitis
180
HSV conjunctivitis
Dendritic ulcers on cornea Most common cause of corneal blindness Hutchinson's sign is HSV on tip of nose Topical or oral antivirals
181
Iritis
Limbic flush: erythema goes to edge of iris | Treat with steroids and dilating drops
182
Corneal abrasion
Treat with topical antibiotics to cover pseudomonas | Do not give tetracaine or topical anesthetic
183
Corneal ulcer
Immediate referral to Ophthalmology
184
Cataracts
Lens replacement surgery
185
Closed angle glaucoma
Immediate referral to Ophthalmology | Topical beta blockers and IV acetazolamide
186
Open-angle glaucoma
Progressive vision loss | Treat with prostaglandins, beta blockers, Alpha Agonist, Carbonic anhydrase inhibitors
187
Hyphema
Leading into the anterior chamber | Treat by elevating head of bed, reducing IOP, reversing coagulation issues, possible surgery
188
Macular degeneration
Most common cause of blindness in age over 50 | No true eatment
189
Papilledema
Evidence of increased intracranial pressure | Suspect CNS tumor, intracranial hypertension, ventricular system obstruction
190
Retinal detachment
Acute painless vision changes Increased floaters, flashes, curtain Laser cryosurgery Patient lies with head to the affected side
191
Central retinal artery occlusion
Emergent referral to Ophthalmology
192
Central retinal vein
Thrombotic event Sudden painless unilateral vision loss Blood and Thunder Can recover with time
193
Retinopathy
Hypertensive: AV nicking, cotton wool spots Diabetic: hard exudates, edema, microaneurysms, venous dilation Treat underlying disease
194
Orbital blowout fracture
Diplopia and exophthalmos Entrapment can lead to diminished EOM in downward gaze Observation if non-displaced fracture with normal extraocular movements Surgery
195
Penetrating eye trauma
Seidel sign: leaking Fluorescein, open globe Shield eye Immediate referral to opthamology
196
Orbital cellulitis
Broad-spectrum antibiotics
197
Horizontal nystagmus
Vestibular disorder
198
Vertical nystagmus
Central nervous system disorder
199
Optic neuritis
Multiple sclerosis! Pain with arm movements, color vision alteration MRI with contrast is highly sensitive IV steroids speed recovery
200
Strabismus
Misalignment of the eyes Evident with corneal light reflex Treat with exercises or surgery
201
Amblyopia
Ocular pathology interfering with normal cortical visual development Visual Center in the brain won't develop and will never learn to see what then I Can be caused by strabismus most common Treat with early corrective lenses and patching Vision loss permanent if left untreated
202
Amblyopia
Ocular pathology interfering with normal cortical visual development Visual Center in the brain won't develop and will never learn to see what then I Can be caused by strabismus most common Treat with early corrective lenses and patching Vision loss permanent if left untreated
203
Graves disease
Autoimmune hypertyroid TSH low T4 high TSI positive Radioactive iodine Meds if pregnant (polythiouracil 1st trim) methimazole after
204
Hashimotos
Autoimmune hypothyroidism most common Elevated TSH Postitive tpo Levothyroxine
205
Subacute thyroiditis (dequervians)
Painful goiter, transient hyperthyroidism, follows viral infection Tx as with BB, NSAIDS, and levothyroxine
206
Primary hyperparathyroidism
Elevated serum Ca Elevated PTH Decreased phos Bones, stones, groans, moans, psych overtones Osteoporosis, kidney stones, constipation, muscle spasms, depression and personality d/o Parathyroidectomy
207
Hypoparathyroidism
Surgical MC Parasthesias, laryngeal spasm, prolonged QT Low calcium, low pth, high phos Calcium supplementation and vit D
208
Addisons
Fatigue, wt. Loss, hypotension, dry skin Decreased sodium Increased K Hypoglycemia Hypochloremia Increased skin pigment due to ACTH 21 hydroxylase ab most specific With adrenal cortex ab almost 99% 24 urine cortisol first test to r/o ACTH st in test GS Tx w/steroids
209
Cushings
Excessive ACTH producing pituitary awesome MC Dexamethasone suppression test (ACTH and cortisol can be supressed) Adrenal adenoma decreased ACTH, increased cortisol can't be suppressed with dexamethasone Ectopic ACTH both elevates and aren't suppressed 24th urine cortisol, salivary test Surgery to remove tumor
210
Acromegally
Pre puperty: gigantism Post puberty: acromegally Headache MC secondary sx, Arthralgia and myalgias GH producing pituitary tumor IGF and GH elevated OGTT is GS (if suppressed, no acromegally) Dopamine agonist (cabergoline) or surgery
211
Dwarfism
Decreased IGF and insulin like binding protein Dx with GH st in test with arginine and clonidine GH shots
212
Prolactinoma
Most common neoplasm in MEN-1 Galactorhhea (women) Gynochamastia (men), decreased libido Cabergoline
213
Ventral DI
Caused by trauma Politics, polydipsia Low urine osmolariy, high serum Na, high serum similarity, low urine SG Desmopressin
214
Cervical lesions
LSIL with neg pap repeat in 1 yr LSIS with no or positive pap: culpo and bx
215
PMDD
4 depression sx for pms | 5 for PMDD
216
Gonnorhhea cervicitis
Rocephin 250 mg IM
217
Chlamidya
Azithomycin 1 g
218
Trichamonas
Flagyl
219
HSV cervicitis
Acyclovir

PANCE Review (1 decks)

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