Summary: Step 2

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Read the summary and the most important questions on STEP 2

  • Internal Medicine

    This is a preview. There are 117 more flashcards available for chapter 15/07/2015
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  • Management of uncomplicated cystitis

    Trimethoprim-sulfa (3 days), nitrofurantoin (5 days), or fosfomycin (single dose)
    Get urine culture only if fail initial treatment
  • What is complicated cystitis and how is it treated?

    Cystitis with factors that increase risk for antibiotic resistance, such as diabetes, CKD, pregnancy, immunocompromise, UTI, hospital-acquired infection, or infection associated with a procedure or indwelling foreign body.
    Get urine culture prior to treatment.
    Treat with fluoroquinolones in stable patients or IV ceftriaxone in severe cases.
  • Symptoms and complications of giant cell arteritis

    Headache, jaw claudication, muscle fatigue, vision loss, scalp tenderness, aortic aneurysm
  • Warfarin-induced skin necrosis

    Pain, followed by bullae formation and skin necrosis. Typically on breasts, buttocks, thighs, and abdomen. Administer vitamin K and give heparin until lesions heal.
  • Treatment of primary Raynaud's

    Avoid aggrevating factors (cold, stress)
    Calcium channel blockers (nifedipine, amlodipine)
  • What is secondary Raynaud's phenomenon?

    Etiologies: Connective tissue disease, Occlusive vascular conditions, sympathomimetic drugs, vibrating tools, hyperviscosity syndromes, nicotine
    Presentation: Usually men >40, symptoms of underlying disease, tissue injury or digital ulcers, abnormal nail fold capillary examination
  • Treatment of torsades de pointes

    Unstable patients: Defibrillation
    Stable patients: IV magnesium sulfate, correct underlying cause of QT prolongation
  • Beck's triad of cardiac tamponade

    Hypotension, elevated JVP, and muffled heart sounds
  • What is pyoderma gangrenosum?

    A neutrophilic ulcerative skin disease that forms an expanding, painful ulcer
    Often triggered by trauma
    Usually in individuals with a systemic disorder (eg. autoimmune disease or leukemia
    Diagnose with skin biopsy
    Treat with corticosteroids
  • What areas are the most vulnerable to ischemic colitis?

    The splenic flexure and the recto-sigmoid junction

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