step 2ck knowledge questions I have

[mpd210]

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mild migraine: first try nsaids as tx

acute migraine: do you still try nsaids as initial tx, or do you go straight to definitive tx with triptans?

also:
anti-hypertensive of choice in isolated systolic HTN? thiazides or ca blockers?

lastly:
acute pyelonephritis:
kaplan says first step in mngmnt = empiric abx
UW says first step in mngmnt = blood cx and then empiric abx
which is correct?

 

[surprisedgirl]

i believe uworld is right....

lastly:
acute pyelonephritis:
kaplan says first step in mngmnt = empiric abx
UW says first step in mngmnt = blood cx and then empiric abx
which is correct?[/QUOTE]

 

[mpd210]

sorry, last question.

in osteomyelitis, kaplan says first test to do is xray even though it won't show anything for a few weeks. this is because its cheap and easy to do. is this correct, because if I saw bone scan as an answer choice, I would've chosen it.

 

[arthrodisiac]

i dont think its enough to say acute pyelo without further explanation...there are a list of criteria for the severity. if a patient comes into a pc office, they will just give abx if its a mild case...but if fever is over a certain limit, pregnant, or abx are not working after 48-72 hrs i think then you step it up.

i think xray is first step....bone scan is expensive and takes the better part of a day to complete, although xrays are usually not positive for a week they are useful as a baseline.

migraine is nsaid...triptans are not first line (expensive, more side effects, etc)

 

[mpd210]

my friend has a question on his test about diagnosing recurrent pancreatitis... what test do you choose?

 

[mibawa]

Hello there, i just had this question the other day

for chronic pancreatitis use stool elastase to measure pancreatic insufficiency. (perhaps also for recurrent?)

go figure.