Rise Again

Medical student's blog

[medphoenix]

Taking medical history in Spanish

[medphoenix]

Trazodone=Trazobone

Trazodone = Trazobone = priapism (side effect)

Trazodone is an antidepressant that can cause priapism (painful boner that lasts for long time-->can cause impotence if untreated)

[medphoenix]

Clomipramine and Maprotiline

Clomipramine and Maprotiline both increase seizure risk, but Clomipramine is a tertiary TCA (block NE+5-HT), while Maprotiline is a secondary TCA (block NE). 

Mnemonic for seizure association

Clomipramine clonic-tonic mnemonic (Seizures)

Maprotiline mad&thrashing (Seizures)

[mynotes4usmle]

Two highly tested drug interactions for CNS drugs are Serotonin syndrome and Hypertensive crisis…

[the-black-and-blue-swan-blog]

Since they wanna put me on antidepressants, and psychotics I’m gonna commit suicide once the daydreaming is gone. Reality will set in and I don’t want this reality.

[birdsy-purplefishes]

Protip: If you take antidepressants, do not catch a cold. All cold medication is now bad for you. You’re stuck with that stuffy nose!

[medphoenix]

Sleep Emotion Remember (SERotonin)

Determination Obsession Pleasure (DOPamine)

[medphoenix]

FFP or Cryoprecipitate

Fresh frozen plasma = fresh frozen factors (coagulation factors)

Cryoprecipitate has fibrinogen (Cryo Fibro) 

[medphoenix]

Olanzapine "Old Man Sleeping"

It's raining, it's pouring, the old man is snoring.

Snoring = sleeping = sleepwalking

Olanzapine's main side effect is sleepwalking

[medphoenix]

Bacterial Skin Lesion Haikus

oh impetigo

staph aureus is your cause

please be on the test

•

hey staph scalded skin

you would be nothing without

your mean phage group II

•

old lady on leg

i see a punched out ulcer

i think ecthyma

•

i am an abscess

or furuncle/ carbuncle

incise and drain me

•

erysipelas

you have a distinct border

is it lunchtime yet

[medphoenix]

XXX Erotic Orotic Acid is X-Linked in OTC

Marked elevation of orotic acid in Ornithine Transcarbamylase (OTC) deficiency, an X-linked disorder

Erotic sounds like orotic, so XXX Erotic = X-linked Orotic Acid

[knowmedge]

There are four types of hypersensitivity reactions.

Type I is IgE-mediated and occurs very quickly after exposure. It is associated with allergens such as bee stings, peanuts, and certain medications, to name a few. This can lead to a life-threatening condition called anaphylaxis.

Type II hypersensitivity reactions are cytotoxic/antibody-mediated. Some examples in this category are hemolytic reactions, goodpasture syndrome and hyperacute graft rejection.

Type III is known as immune complex/IgG/IgM mediated and includes certain diagnoses like hypersensitivity pneumonitis, systemic lupus erythematosus, polyarteritis nodosa and serum sickness.

Type IV is known as delayed or cell-mediated hypersensitivity reaction. Examples include chronic graft rejections, purified protein derivative (PPD), latex, nickel and poison ivy.

A quick mnemonic to use to remember these is ACID:

Type I - Allergic

Type II - Cytotoxic

Type III - Immune complex deposition

Type IV - Delayed

[medphoenix]

Retigabine can make lips and nails as blue as a smurf's

K+ ch activator for partial seizures/broad action with side effects of drowsiness, slurred speech, urinary retention, and blue pigmentation of skin, lips, and fingers

[medicowesome]

Amyotrophic lateral sclerosis

[medphoenix]

Antiarrhythmics Mnemonic

Class I Local Anesthetics 

IA Queen proclaims dis pyrAmid. 

Quinidine, Procainamide, Disopyramide

IB Little bitty Mexicans fancy tacos

Lidocaine, Mexiletine, Phenytoin, Tocainide

IC I can see propane flecks

Encainide, Propafenone, Flecainide

Beta Blockers - lol

K+ channel blockers

Kinky Ami sorta lied about her AIDS

K+ Amiodarone(Dronedarone), Sotalol, Ibutilide, Dofetilide, Sotalol

[medphoenix]

Marowak has high defense, so it uses that to defend WBC from HIV by blocking the binding of HIV outer envelope protein gp120 to the CCR5 chemokine receptor on the WBC. 

Maroviroc (Marowak), HIV entry inhibitor 

Only works for CCR5-selective tropic strains of HIV

Pharmacokinetics: CYP3A4 (can be toxic if co-administer with other CYP)

Adverse effects: well-tolerated :)

Resistance: 

Shift in viral tropism (HIV-->AIDS)

Mutations of HIV's gp120 to allow binding of virus in presence of inhibitor

[medphoenix]

Black dots of tinia capitis – only 1 fungus that does this = Trichophyton tonsurans (#1 for tinia capitis in U.S.)