1st recurrent cdif treated with…
repeat vanc- longer course
or
fidoxamicin
urgency incontinence managament
- bladder training, timed voids
- weight loss, stop smoking and caffeine
- antimuscarinic agents (tolterodine, oxybutynin, solifenacin)
common procedures for tattoo removal
- laser removal
- dermabrasion
herpes zoster treatment
valcyclovir- 7 days
post-exposure to varicella receive what if immune vs not immune?
immune- nothing
not immune: varicella vaccine or Ig if immunocompromised/pregnant
how to prevent herpes zoster transmission
keep it covered
acute and subacute herpetic neuralgia vs post herpetic neuralgia treatment
actue/subacute: NSAIDs, analgesics
post: gabapentin, TCAs, lyrica
dx scoliosis
scoliometer and x-ray spine
which cobb angles of scoliosis require what management
<10: nothing
10-40: brace
>40: surgery
do you have to give abx ppx for GBS if you had a prior pregnancy with positive GBS clc?
no, only if prior infant with GBS infection
indications for abx ppx for GBS
- GBS bacteriuria, UTI (regardless of tx)
- positive GBS culture
- unknown GBS plus fever, rupture of membranes >18 hrs
do c-sections increase risk of subsequent miscarriage
no
sickle cell swelling of hands and feet is called
dactylitis
treatment of dactylitis
pain control- NSAIDs, opioids, heat
hydration
situations of isolated positive anti-HBc
- window of acute hep B when Ag down and anti-has not yet risen
- years after recovery of acute inf and once all others weaned off
- chronic HBv and HasAg has fallen
what do you do with an isolated positive anti-HBc
IgM anti-HBc (to see if its than window)
initial test for suspected testicular cancer mass
US
treatment of intussception
air or saline enema
surgery
do you need consent for minor if emergency?
no
complication of treatment of intussception
intestinal perf
oliguria following hypotensive episode is what kind of AKI
acute tubular necrosis
muddy brown casts
ATN
