Pulmonary Hypertension
This class includes HFpEF, HFrEF, and valvular disease
What is WHO class II?
After the 4th dose of Vancomycin
When do you get a vancomycin serum trough level?
Metformin
What is the first line outpatient treatment for T2DM?
Due to the nephrotoxic properties of vancomycin, you must get this lab result
Why do you find trough levels when treating someone with vancomycin?
This must be taller than the QRS complex
How do you define peaked T waves?
Snoring, Tired, Observed stopped breathing while sleeping, high blood Pressure, BMI, Age, Neck circumference, Gender
What is the STOP BANG criteria for sleep apnea?
The physical exam of a leg raise differentiates between these diseases
How do you tell the difference between cellulitis and venous stasis?
Blood sugar level: 140 - 180 mg/dL
What is the target blood sugar in a inpatient diabetic?
This score is based on creatinine, bilirubin, INR, sodium.
What are the components of the MELD score?
One this medication you need 2-3 bowel movements
How many bowel movements do you want on lactulose?
Ambrisentan + tadalafil
fluconazole 150 mg PO once
What is the oral treatment for vaginal candidiasis?
Physical exam finding of fruity breath
What is a well known physical exam finding for DKA?
This is measure of disease prognosis in alcoholic hepatitis (AH) used to identify patients at highest risk of mortality.
What is a Maddrey's discriminant function score used for?
Lower serum sodium by 10 mEq/L in 24 hours
What is the goal of chronic hypernatremia treatment?
mPAP > 20 mmHg, PAWP >15 mmHg, PVR < 3WU
What are the criteria for Isolated post-capillary PH (IpcPH)?
Inpatient - Zosyn IV, Outpatient - fluoroquinolone
What are the treatments for a complicated UTI?
body weight (kg) x .5
How do you estimate a patient's daily insulin needs?
The value of 9 based on this score is used to treat withdrawal in alcoholics
What CIWA score do you need to give ativan?
Nonselective beta blockers such as propranolol and nadolol block the adrenergic dilatory tone in mesenteric arterioles, resulting in a decrease in portal inflow
What is the prophylaxis for esophageal varices? Why?
Right to Left shunt
What is the last line treatment for PAH (PH WHO class I)?
Treat for 2 weeks after last positive blood culture
How long do you treat for gram negative bacteremia?
The serum sodium needs to be correct in this disease
What needs to be correct in hyperglycemia?
Use the Fe Urea equation
What diagnostic equation do you use to look for AKI in patients on loop diuretics?
MRI is the imaging of choice for this MSK/ID problem
What is the imaging of choice for osteomyelitis?