08-05-2010, 11:37 AM
Below some HY management of some conditions:
1- Rx Webs in plummer vinson : dilation
2- Rx Intimal flap of carotid artery: surgey
3- Rx Ant wall MI : risk of arterial thrombo ; full doses heparin + 3 months of warfarin.
4- Rx Acute ill and toxic pt with UC : proctosigmo + biopsy
5- Rx Heat stroke : rapid cooling
6- Rx progressive back pain + myelopathy: IV dexa --> MRI --> Rx Metastatic cord compression : Radiotherapy
7- Rx refractory hydrothorax due to cirrohis : TIPS
8- Rx Ref ascitis : TIPS
9- Rx recurrent variceal bleading not responsive to medical Rx : TIPS
10- Rx TCA poisoning : NaHCO3
11- Rx diabetic cystopathy: 1- oral bethancol , 2- intermittent catheter
12- Rx chlamydia : single dose of Azithromycin OR 7 days doxycyclin
13- Rx neuromalignant syn : Dantrolene or Bromocripten
14- Rx atopic dermatitis : prevention of Rx , take short baths.
15- Rx presbyopia : convex lenses
16- Rx amblyopia : cover better eye
17- Rx hyperopia : convex lenses
18- Rx myopia : concave lenses
19- Rx beta blocker posioning : recent ingestion= emesis , bradycardia : Atropine--> Isoproterenol--> glucagon-->pace
20- Rx beta blocker poisioning : severe bronchospasm : aminophylline or Beta2 agonist.
21- Rx Isolated duodenal hematoma : NG + parentral nutrition.
22- Rx for preventing recurrence of HBV after liver transplant : HBV Ig + Lamivudine.
23- Rx Seizure due to INH toxicity : Pyriodoxine
24- Rx hyponatremia due to SIADH : water restriction.
25- Rx Girl infant < 3 months w vaginal bleeding : observation
26- Rx Slow down progression of DM nephropathy : AceI
27- Rx epiglottitis : Fiberoptic laryngoscopy in OR ( not in ER)
28- Rx acute attacks of migrains : Rizatriptan
29- Rx acute attack of migrains lasts for longer than 48 hours or r frequently recurrent : ergotamine.
30- Rx anorexia nervosa : hospitalization
31- Rx prophlaxy against human bites : Amoxi / calvulanate
32- Rx rhabdomyolysis : osmotic diuresis + bicarbonate
33- Rx Afib + HF : digoxin .
34- Rx acute rejection : high dose IV steroides.
35- Rx bipolar disorder : lithium , valporate, OLANZAPINE.
36- Rx PCP : cotri .
37- Rx PCP + PaO2 no answer --> esophagoscopy + cytology + biopsy
41- Rx psuedotumor cerebri : 1-acetazolamide --> no answer --> 2- shunt.
42- Rx struvite stones : eradication of UT infections.
43- Rx persistantly elevated ALT leval w detectable HBs Ag , HBe Ag and HBV DNA : INF and lamivudine.
44- Rx febrile neutropenic pt : cetazidime or cefepime ( add vanco if pt is hypotensive or there is high suspiscion of MRSA)
45- Rx Isolated systolic HTN: thiazides .
46- Rx acute attack of cluster headaches : 100% oxygen
47- Rx prevention of cluster headaches : verapamil
48- Rx reversing cardiac effects of ca channel blockers : Ca!
49- Rx Viterous hemorrhage : immediate ophthlamo condsultation.
50- Rx Battery in esophagus : remove it immediatly .
51- Rx Battery in intestine : observe it.
52- Rx acute bleeding in pts with liver failure : FFP.
53- Rx OtoSclerosis : Surgery + Sodium Fluoride .
54- Rx non infalm comedones : topical retionides.
55- Rx mild inflam acne : benzoyl peroxide , topical antibiotics.
56- Rx Refractory mania, severe dep , dep in pregnancy , neuroleptic malig synd, catatonic schizo : ECT
57- Rx Acute attack of hepatic encephalopathy : All dietary protein withheld , oral or rectal lactulose , oral NEOMYCIN.
58- Rx white reflex in infant : refer to ophthalmo
59- Rx ST elevation>1 mm in 2 contiguous leads : thrombolytic therapy OR PTCA
60- Rx New LBBB : thrombolytic therapy.
61- Rx Trachoma : ORAL tetra or erythromycin.
62- Rx diabetic nephropathy : protein restriction ( 0.8 g/kg) , don't use AceI if Cr> 2,2.5
63- Rx Zenker : excision and frequently cricophayngeal myotomy
64- Rx porcelain gall bladder : cholecystectomy ( risk of carcinoma)
65- Rx conversion disorder : psychotherapy ( long term benefit )
66- Rx Dyspepsia w positve breath test : erad H.pylori
67- Rx Dyspepsia w/o positive breath test : H2 blocker / PPI
68- Rx fibromuscular dysplasia : percutaneous angioplasty w stent placement.
69- Rx prophylaxis against MAC : Azithro or clarithro
70- Rx PBC: ursodeoxycholic
71- Rx Orbital cellulitis : imm admin of IV antibiotics.
72- Rx carcinoid synd : can u remove it?( Remove it ) , u can't remove it ? ( use octerotide )
73- Rx vaginismus : relaxation, Kegel exercise , insertion training.
74- Rx Hypertrophic dystrophy of Vulva : steroides.
75- Rx lichen scleroris : steroides
76- Rx atrophic vaginitis : estrogen
77- Rx stable angina + HTN : Beta blocker.
78- Rx Tremor and rigidity in parkinson : Antichol ( benzotropines)
79- Rx exercise induced asthma : Beta agon , mast cell stabilizer.
80- Rx Reiter syn : NSAIDS .
81- Rx Chronic HCV ( HCV RNA presents , ALT inc , chornic hepatitis of at least moderate grade): INF+ Ribaverin.
82- Rx Lactation Suppression: tight fitting bra , ice packs , analgesics.
83- Rx non-complinat schizophrenic pt : long acting injectable antipsychotics like fluphenazine and haloperidol.
84- Rx TIA due to atherosclrosis: ASA
85- Rx TIA due to emboli from heart : Anticoagulation.
86- Rx Nocardiosis : sulfonamides.
87- Rx prophylaxis of getting UTI after intercourse : voiding after intercourse.
88- Rx met prostate cancer: palliative radiation + anti androgen therapy ( leuprolide )
89- Rx Actinomycosis : high dose penicillin
1- Rx Webs in plummer vinson : dilation
2- Rx Intimal flap of carotid artery: surgey
3- Rx Ant wall MI : risk of arterial thrombo ; full doses heparin + 3 months of warfarin.
4- Rx Acute ill and toxic pt with UC : proctosigmo + biopsy
5- Rx Heat stroke : rapid cooling
6- Rx progressive back pain + myelopathy: IV dexa --> MRI --> Rx Metastatic cord compression : Radiotherapy
7- Rx refractory hydrothorax due to cirrohis : TIPS
8- Rx Ref ascitis : TIPS
9- Rx recurrent variceal bleading not responsive to medical Rx : TIPS
10- Rx TCA poisoning : NaHCO3
11- Rx diabetic cystopathy: 1- oral bethancol , 2- intermittent catheter
12- Rx chlamydia : single dose of Azithromycin OR 7 days doxycyclin
13- Rx neuromalignant syn : Dantrolene or Bromocripten
14- Rx atopic dermatitis : prevention of Rx , take short baths.
15- Rx presbyopia : convex lenses
16- Rx amblyopia : cover better eye
17- Rx hyperopia : convex lenses
18- Rx myopia : concave lenses
19- Rx beta blocker posioning : recent ingestion= emesis , bradycardia : Atropine--> Isoproterenol--> glucagon-->pace
20- Rx beta blocker poisioning : severe bronchospasm : aminophylline or Beta2 agonist.
21- Rx Isolated duodenal hematoma : NG + parentral nutrition.
22- Rx for preventing recurrence of HBV after liver transplant : HBV Ig + Lamivudine.
23- Rx Seizure due to INH toxicity : Pyriodoxine
24- Rx hyponatremia due to SIADH : water restriction.
25- Rx Girl infant < 3 months w vaginal bleeding : observation
26- Rx Slow down progression of DM nephropathy : AceI
27- Rx epiglottitis : Fiberoptic laryngoscopy in OR ( not in ER)
28- Rx acute attacks of migrains : Rizatriptan
29- Rx acute attack of migrains lasts for longer than 48 hours or r frequently recurrent : ergotamine.
30- Rx anorexia nervosa : hospitalization
31- Rx prophlaxy against human bites : Amoxi / calvulanate
32- Rx rhabdomyolysis : osmotic diuresis + bicarbonate
33- Rx Afib + HF : digoxin .
34- Rx acute rejection : high dose IV steroides.
35- Rx bipolar disorder : lithium , valporate, OLANZAPINE.
36- Rx PCP : cotri .
37- Rx PCP + PaO2 no answer --> esophagoscopy + cytology + biopsy
41- Rx psuedotumor cerebri : 1-acetazolamide --> no answer --> 2- shunt.
42- Rx struvite stones : eradication of UT infections.
43- Rx persistantly elevated ALT leval w detectable HBs Ag , HBe Ag and HBV DNA : INF and lamivudine.
44- Rx febrile neutropenic pt : cetazidime or cefepime ( add vanco if pt is hypotensive or there is high suspiscion of MRSA)
45- Rx Isolated systolic HTN: thiazides .
46- Rx acute attack of cluster headaches : 100% oxygen
47- Rx prevention of cluster headaches : verapamil
48- Rx reversing cardiac effects of ca channel blockers : Ca!
49- Rx Viterous hemorrhage : immediate ophthlamo condsultation.
50- Rx Battery in esophagus : remove it immediatly .
51- Rx Battery in intestine : observe it.
52- Rx acute bleeding in pts with liver failure : FFP.
53- Rx OtoSclerosis : Surgery + Sodium Fluoride .
54- Rx non infalm comedones : topical retionides.
55- Rx mild inflam acne : benzoyl peroxide , topical antibiotics.
56- Rx Refractory mania, severe dep , dep in pregnancy , neuroleptic malig synd, catatonic schizo : ECT
57- Rx Acute attack of hepatic encephalopathy : All dietary protein withheld , oral or rectal lactulose , oral NEOMYCIN.
58- Rx white reflex in infant : refer to ophthalmo
59- Rx ST elevation>1 mm in 2 contiguous leads : thrombolytic therapy OR PTCA
60- Rx New LBBB : thrombolytic therapy.
61- Rx Trachoma : ORAL tetra or erythromycin.
62- Rx diabetic nephropathy : protein restriction ( 0.8 g/kg) , don't use AceI if Cr> 2,2.5
63- Rx Zenker : excision and frequently cricophayngeal myotomy
64- Rx porcelain gall bladder : cholecystectomy ( risk of carcinoma)
65- Rx conversion disorder : psychotherapy ( long term benefit )
66- Rx Dyspepsia w positve breath test : erad H.pylori
67- Rx Dyspepsia w/o positive breath test : H2 blocker / PPI
68- Rx fibromuscular dysplasia : percutaneous angioplasty w stent placement.
69- Rx prophylaxis against MAC : Azithro or clarithro
70- Rx PBC: ursodeoxycholic
71- Rx Orbital cellulitis : imm admin of IV antibiotics.
72- Rx carcinoid synd : can u remove it?( Remove it ) , u can't remove it ? ( use octerotide )
73- Rx vaginismus : relaxation, Kegel exercise , insertion training.
74- Rx Hypertrophic dystrophy of Vulva : steroides.
75- Rx lichen scleroris : steroides
76- Rx atrophic vaginitis : estrogen
77- Rx stable angina + HTN : Beta blocker.
78- Rx Tremor and rigidity in parkinson : Antichol ( benzotropines)
79- Rx exercise induced asthma : Beta agon , mast cell stabilizer.
80- Rx Reiter syn : NSAIDS .
81- Rx Chronic HCV ( HCV RNA presents , ALT inc , chornic hepatitis of at least moderate grade): INF+ Ribaverin.
82- Rx Lactation Suppression: tight fitting bra , ice packs , analgesics.
83- Rx non-complinat schizophrenic pt : long acting injectable antipsychotics like fluphenazine and haloperidol.
84- Rx TIA due to atherosclrosis: ASA
85- Rx TIA due to emboli from heart : Anticoagulation.
86- Rx Nocardiosis : sulfonamides.
87- Rx prophylaxis of getting UTI after intercourse : voiding after intercourse.
88- Rx met prostate cancer: palliative radiation + anti androgen therapy ( leuprolide )
89- Rx Actinomycosis : high dose penicillin