#
1. Treatment
1. Tab acyclovir 400 mg 2tab q5h #70
2. Tab gabapentin 100 mg qhs #10
3. Gel lidocaine
4. check CBC
2. Other treatment
1. Pain control
1. tab amitriptyline 25mg qd
1. or Tab pregabalin 75mg qd
2. or Tab Nortriptyline 25 mg qd
2. Anti viral
1. Tab valacyclovir 1000 mg tds #21
3. Antiseptic
1. Alibour Water tds
1. or Lotion calamine tds
#
1. Seen in:
1. DM
2. prolong driving
3. warm and dry weather
4. drug use
2. Treatment
1. treat underlying disease
2. Drop tear opht artificial 0.5% qid
3. Oint opht Vit-A qd
4. Gel opht Lubricant qhs
#
1. DDx:
1. skin in wart does not have skin lines, painless
2. skin on corn, callosity has its lines and usually painful
2. Warts treatment
1. single wart: treat for 2 month if no response, better to cryotherapy
1. cryotherapy
2. Salicylic acid 5 gr bid only on lesion
3. Lactic acid 5gr bid only on lesion
4. Flexible collodion 20 gr bid only on lesion
5. Oint zinc oxide bid on intact skin around the lesion
2. Sessile wart
1. Cream tretinoin 0.05% bid for 1 month
3. Vaginal, mucosal wart:
1. Podophyllin 10, 25% in tenture Benzoin (weekly applied by physician)
2. dysplasia screening
3. HPV vaccination
3. Corn, callosity treatment
1. correct pressure
1. Salicylic acid 15gr bid
2. Lactic acid 15gr bid
3. Flexible collodion 60 gr bid
4. Oint zinc oxide 20% bid on intact skin
2. or Solution salicylic acid # tds
1. oint zinc oxide 20% #1
3. or Solution verrumal #1 bid
1. or oint tretinoin 0.05% #1 qhs
2. or Gel benzoyl peroxide 5% #1 qd
#
1. DDx;
1. Obstruction
2. GE
3. Food poisoning
4. GERD
5. Sinusitis
6. Pharyngitis
7. Migraine
8. Stress
9. MI
10. Stroke
11. pregnancy
12. drug reaction
2. Regurgitation in infancy does not have gag reflex or provocative an is off significance
3. Treatment
1. Syrup ondansetron 0.15cc/kg bid #1
1. or amp ondansetron 0.15mg/kg IM or IV (2, 4, 8 mg)
2. Ondansetron is almost safe except for long QTs
3. For motion sickness
1. Tab dimenhydrinate #20 q4h
2. Tab B6 #30 qd
3. Tab Zintoma #30 qd
4. Tab metoclopramide #20 qd
1. do not prescribe it with promethazine due to high risk of extra pyramidal symptoms
#
1. check
1. 25 (OH) D level
2. Treat if < 30
1. Pearl Vit-d 50,000 IU #10 weekly for 8 weeks then monthly
2. check vit level after 3-4 months
3.
#
1. Usually bilaterally affected with Hx of common cold
2. Treatment
1. Drop opht naphazoline-antazoline #1 qid
2. Drop tear opht artificial 0.5% #1 qid
3. cold compress
#
1. DDx:
1. central: less severe, constant, bilateral nystagmus, diplopia, Focal neurological deficit
2. Peripheral: more severe, lasting for minutes then resolves, N/V, positional
1. Vestibular neuritis
2. Meniere
3. BPPV
4. Labyrinthitis
2. Check in BP in all patients
3. Peripheral Treatment
1. Amp promethazine 25mg IM
1. if IV infused, control symptoms with diphenhydramine
2. Discharge the pt with:
1. Tab ondansetron 4 mg tds
2. Tab baclofen tds #20
3. or Tab dimenhydrinate 50 mg tds #10
4.
#
1. Symptoms:
1. severe pain
2. congestion
2. Treatment
1. drop opht cyclopentolate 1% 1-2drop SD
2. drop tear opht artificial 0.5% #1 qid
3. drop opht sulfacetamide 10% #1 qid 2drop
4. Tab ibuprofen 400mg #30 qid in case of severe pain
5. cold compress
6. sun glasses
7. Ophthalmic pad
#
1. For mild reactions
1. Tab hydroxyzine 25mg bid #03
1. or syrup diphenhydramine 12.5mg/5cc qid #1
2. Lotion calamine D #1 bid
3. Amp hydrocortisone IM #1
4. Amp chlorpheniramine IM #1
2. Add in chronic cases
1. Tab montelukast 10 mg qd #30
3. Add if generalized
1. Tab prednisolone 50 mg #15 daily for 1 week then taper
#
1. symptoms
1. sexually active pt
2. heavy pussy discharge, gray like, soapy, pruritic
3. must treat the partner as well
4. strawberry cervix
2. Treatment
1. Tab metronidazole 500mg #8 2gr stat, 2gr for partner (can be repeated if relapsed)
2. In breast feeding:
1. Tab metronidazole 500mg #8 2gr stat, 2gr for partner
2. no feeding for 24 hours
3. if multiple recurrence
1. Tab metronidazole 500mg #14 bid for 5 days
4. if pregnant
1. Tab vaginal clotrimazole 100mg #10 qhs
1. or ovale vaginal metronidazole 500mg #7 qhs