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High-Yield Medical Treatments Overview

May 7, 2025

Lecture Notes: Rapid Review of Treatments for Various Conditions

Introduction

  • Purpose: Auto flashcard review focused on high-yield information.
  • Format: Easy-to-read text with visuals, allowing for both audio and/or video use.
  • Usage: Can be used while multitasking (cooking, cleaning, walking, etc.), competitively with a study buddy.
  • Content: Aligned with "First Aid for the USMLE Step 1".

Key Treatments by Condition

Neurological

  • Absence Seizures: Ethosuximide
  • Attention Deficit Hyperactivity Disorder (ADHD): Methylphenidate, Amphetamines, CBT, Atomoxetine, Guanfacine, Clonidine
  • Tonic Clonic Seizures: Levetiracetam, Phenytoin, Valproate, Carbamazepine
  • Trigeminal Neuralgia: Carbamazepine

Psychiatric

  • Alcoholism: Disulfiram, Acamprosate, Naltrexone, Supportive care
  • Alcohol Withdrawal: Long-acting Benzodiazepines
  • Anorexia: Nutrition, Psychotherapy, Mirtazapine
  • Bulimia Nervosa: SSRIs
  • Depression: SSRIs (first-line)
  • Bipolar Disorder: Mood stabilizers (Lithium, Valproic acid, Carbamazepine) and Atypical antipsychotics
  • Generalized Anxiety Disorder: SSRIs, SNRIs (first-line), Busparone (second-line)
  • Schizophrenia: Typical and atypical antipsychotics for positive symptoms; atypical antipsychotics for negative symptoms

Infectious Diseases

  • Acute Promyelocytic Leukemia (M3): All-trans Retinoic Acid
  • Candida Albicans:
    • Vaginitis: Topical Azole
    • Oral/Esophageal: Nystatin, Fluconazole, Caspofungin
    • Systemic: Fluconazole, Caspofungin, Amphotericin B
  • Chlamydia Trachomatis: Doxycycline and Ceftriaxone (for gonorrhea co-infection) or Oral Erythromycin (chlamydial conjunctivitis in infants)
  • Chronic Myelogenous Leukemia (CML): Imatinib
  • Clostridium Difficile: Oral Metronidazole or Vancomycin (if refractory)
  • Cytomegalovirus: Ganciclovir, Foscarnet, Cidofovir
  • Mycobacterium Tuberculosis: Rifampin, Isoniazid, Pyrazinamide, Ethambutol
  • Neisseria Gonorrhea: Ceftriaxone (add Doxycycline for likely Chlamydia co-infection)
  • Neisseria Meningitis: Penicillin, Ceftriaxone (prophylaxis with Rifampin)
  • Staphylococcus Aureus:
    • Methicillin-sensitive: Nafcillin, Oxacillin, Dicloxacillin
    • Methicillin-resistant: Vancomycin, Daptomycin, Linezolid, Ceftaroline

Cardiovascular

  • Stable Angina: Sublingual Nitroglycerin
  • Pulmonary Arterial Hypertension (Idiopathic): Sildenafil, Bosentan, Epoprostenol
  • Erectile Dysfunction: Vardenafil

Endocrine and Metabolic

  • Diabetes Insipidus:
    • Central: Desmopressin
    • Nephrogenic: Hydrochlorothiazide, Indomethacin, Amiloride
  • Diabetes Mellitus Type 1: Dietary intervention, insulin replacement
  • Diabetes Mellitus Type 2: Dietary intervention, oral hypoglycemics, insulin if refractory
  • Diabetic Ketoacidosis: Fluids, Insulin, Potassium
  • Hyperaldosteronism: Spironolactone

Autoimmune and Inflammatory

  • Crohn’s Disease: Corticosteroids, Infliximab, Azathioprine
  • Ulcerative Colitis: 5-ASA preparations, 6-Mercaptopurine, Infliximab, Colectomy
  • Temporal Arteritis: High-dose steroids

Miscellaneous

  • Osteoporosis: Calcium, Vitamin D supplementation, Bisphosphonates, Parathyroid hormone analogues, Selective estrogen receptor modulators, Calcitonin, Denosumab
  • Prostate Adenocarcinoma: Flutamide
  • Sickle Cell Disease: Hydroxyurea
  • Warfarin Reversal: Fresh frozen plasma (acute), Vitamin K (non-acute)

Conclusion

  • Overall Goal: Enhance recall of high-yield medical treatments.
  • Recommendation: Utilize these notes as a study aid for efficient learning and review.