CARDIOVASCULAR Acute / Subacute Bacterial Endocarditis
o Treatment: aspirin, nitrates, B-blockers, Ca channel blockers, ACE-I, statin, coronary angioplasty, CABG § B-blockers prolong life in patients with coronary disease and are first line therapy for chronic angina • Unstable: when pain is less responsive to NTG, lasts longer, occurs at rest / less exertion – ANY CHANGE à eval
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INTERNAL MEDICINE - Twist of Lemons
twistoflemons.comwith injection of provoking agents into coronary artery = gold ... o Tx: Smoking cessation, lifestyle (BP, LDL/HDL, obesity) o “Primary prevention” = platelet inhibitors (Aspirin, etc.) = cornerstone ... § penicillin/ampicillin + gentamicin § vancomycin in IVDU o prosthetic valve: § vanco + gentamicin + rifampin (for s.aureus) ...
Psychiatry + Behavioral Health
twistoflemons.comPsychiatry + Behavioral Health MOOD DISORDERS Bipolar I Disorder • Definition: >1 manic episode and occasional major depressive episodes • r/f: family history = strongest risk • mania: abnormal and persistently elevated, expansive or irritable mood at least 1 week with marked impairment of social / occupational function – 3+: o mood: euphoria, irritable, labile, dysphoric
SURGERY EOR study guide - Twist of Lemons
twistoflemons.como Roux-en-Y Gastric Bypass (RNYGB): MC used bariatric surgery for tx of severe obesity in US – proximal gastric pouch created by transecting stomach; 75-85% excess body weight lost in first two years; less severe nutrition problems § Bypass of most of stomach, entire duodenum, and part of small intestine
DERMATOLOGY 15% - Twist of Lemons
twistoflemons.com• Infection occurs 48-72 hours after, MC in immunocompromised Clinical Manifestations • Isolated to perineal area & involves genitocrural folds • Satellite lesions may be visible – tiny, red papules & papulovesicles Diagnosis • Clinical, may use KOH prep Management • Hydrocortisone 1% BID + antifungal (Nystatin cream)
OBSTETRICS - Twist of Lemons
twistoflemons.combleeding disorders, seizure disorders), surgical (abdominal / pelvic), family (chromosomal abnormalities, ... o Latent HSV = antiviral prophylaxis at 36 weeks o GBS: 36 weeks . o External doppler + external stress gauge for uterine contractions = nonstress test (NST) – baseline
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