#
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. 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. 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. 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
#
1. Symptoms
1. Headache
2. Feeling of پری
3. thick mucosal discharge
4. fever
5. Hx of URI more than 10 days ago
6. a period of resolving symptoms then worsening of them
2. Treatment
1. Amp ceftriaxone 50mg/kg IV stat
2. Susp amoxicillin 250mg/5ml w/2cc bid for 10 days #1
1. or susp co-amoxiclav 457mg/5ml w/2 bid
3. Syrup acetaminophen 120mg/5ml w/2cc qid
4. Elixir diphenhydramine 12.5mg/5ml w/3cc qid #1
1. syrup guaifenesin qid
3. Trade Name
1. Susp Farmentin 643 w/3 #1 bid (co-amoxiclav)
2. susp Faramox 400mg/5ml (200mg/5ml) (Amoxicillin)
4. As tab
1. Tab co-amoxiclav 625mg tds for 2 weeks
2. Tab amoxicillin 500mg tds for 2 weeks
5. in case of Penicillin hypersensitivity:
1. Levofloxacin 20mg/kg/day
1. or Tab clindamycin 300mg tds for 3 weeks (30mg/kg/day)
6. If no response to treatment, refer to ENT man
#
1. symptoms
1. Abdominal pain
2. 70% mucosal diarrhea
3. 40% bloody diarrhea
4. N/V
5. 30% fever
6. at first diarrhea is watery and massive but then became bloody but more frequent
2. Dx: S/E, Leukocyte and PMN in stool
3. Treatment
1. Syrup azithromycin first day 12mg/kg/day then 6mg/kg/day for 4 days
1. or Amp ceftriaxone 50mg/kg/dose IV SD
2. or Syrup cefixime 8mg/kg/day (syrup 100mg/5ml)
3. or Tab ciprofloxacin 500mg bid for 5 days
2. Syrup zinc sulfate bid
1. 2.5 cc for <6m/o
2. 5 cc for >6m/o
3. Powder ORS
4. Syrup acetaminophen 10mg/kg 120mg/5ml w/2 cc qid
4. in case of failure of treatment
1. Metronidazole 20mg/kg/day tds
#
1. features
1. red papules with 1-2 mm burrows
2. more in clefts
2. Treatment
1. Cream permethrin 1% #1, put on cream for 12 hours then wash the body and hair with shampoo, repeat 1 week later
2. Shampoo permethrin #1
3. **all family members must do this**
4. Tab hydroxyzine 25mg bid or qd for pruritus
5. For pregnancy and children:
1. ointment sulfur precipitate, use 3 nights, wash in 4th night, repeat 1 week later
6. <2 m/o ⇒ only use olive oil, every 2 days for 2 weeks
7. Spray Dermin (includes permethrin) for surfaces and stuff
#
1. Symptoms;
1. frequency
2. dysuria
3. flank pain
4. fever
5. CVA tenderness
2. Lab data:
1. U/C
2. U/A
3. B/C
4. repeat 1 week after treatment as test of cure
3. Treatment
1. Mild:
1. Tab ciprofloxacin 500mg bid for 10-14 days
1. or TMP-SMZ 800/160
2. Severe cases:
1. IV line fix
2. CBC, diff, BUN, Cr, Na, K, BS, B/C, U/A, U/C-antibiogram
3. Serum 1/3 2/3 1 lit iv q8h
4. Amp ampicillin 1gr qid
5. Amp gentamycin 1.5mg/kg/8h
1. or Amp ceftriaxone 2gr bid
6. Sonography
7. if pregnant:
1. Amp ceftriaxone 2gr bid
2. then cap cefalexin 500 mg qid for 14 days
8. Or Darab Hospital Ab regimen
1. Ciprofloxacin 400mg q12h IV
2. Meropenem 1gr q12h IV
3. in prolong or relapsing cases, use sonography and CT scan
#
1. treatment
1. NO previous ab-therapy
1. tab azithromycin 250, 500 mg #6 (500mg stat then 250 mg qd)
2. Previous ab-therapy
1. Tab levofloxacin 250, 500, 750 mg qd (750 mg for 5 days, 500 mg for 14 days)
3. If poor condition or afraid of fluoroquinolones side effects
1. Amp ceftriaxone 1 gr IV stat
2. Tab azithromycin 250 mg #6 500 mg stat then 250 mg qd
4. If with fever
1. Tab acetaminophen 500 mg qid #30
5. If productive cough
1. Syrup expectorant 5cc qid #1
#
1. symptoms:
1. hypogastric pain
2. N/V
3. Fever
4. Vaginal discharges
5. dyspareunia
6. menstruations problems
7. usually Hx of STDs
2. If pregnant, + abscess formation or severe symptoms, admit. otherwise treat:
1. outpatient treatment
1. Amp ceftriaxone 1gr IM stat
2. Tab metronidazole 500mg #28 bid
3. Tab doxycycline 100 mg #28 bid
1. can cause esophagitis
2. use with a cup of water
3. do not lye down after use
2. inpatient treatment
1. Amp clindamycin 600mg IV q6h
2. Amp gentamycin 1.5mg/kg IV q8h
3. continue IV treatment till 48 hours post fever, then shift to PO treatment for 14 days
1. Tab clindamycin 300mg qid
2. Tab metronidazole 500 mg bid