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RXs (211-250)
211-Rx Pancreatic Abscess : “ External “ drainage
212-Rx Granulum Inguinale : Tetra/10-21 days
213-Rx Pertusis : erythro/14 days
214-Rx Pancoast syn: radiation followed by surgery
215-Rx Acute otitis media: Amoxy /10 days , failed Amoxi-Clav
216-Rx Measles : don’t forget Vit A
217-Rx chest tube drainage of blood more than 1500cc at first or more than 600cc in 6 hours : surgical thoracotomy
218-Rx RV infarction : immediate volume expansion , failed …Dobutamine
219-Rx Vomiting due to chemotherapy: Ondansetron
220-Rx Adjustment disorder: psychodynamic psychotherapy or brief cognitive psychotherapy
221-Rx Legionella pnumo: high dose erythro or azithro
222-Rx CLL ( w associated symp) : chlorambucil/pred
223-Rx first degree heart block: no Rx!
224-Rx Non displaced scaphoid Fx : cast immobilization of wrist
225-Rx Displaced scaphoid Fx : Internal fixation
226-Rx premature atrial beats: No RX!
227-Rx Hairy cell leukemia : Cladribine
228-Rx Non-Hodgkin’s lymphoma: CHOP
229-Rx SVC obstruction: Angioplasty w stenting ( imp)
230-Rx Mediastinitis : Thoracotomy for debrid,drain + antibiotic therapy
231-Rx displaced femoral neck in “ elderly” : primary arthroplasty
232-Rx clavicle Fx in infant : no Rx, avoid putting pressure on arm
233-Rx PID in hospitalized pt : cefoxitin/doxy , cefotetan/doxy, clinda/genta
234-Rx PID in non hos pt: cefoxitin/probencid, cetraixone/doxy
235-Rx Androgen insensivity syn: Gonadectomy ( inc risk of test cancer)
236-Rx compartment syn due to eschar of burn wounds: escharotomy
237-Rx Papilloma of breast : Galactogram guided resection
238-Rx shaft of femur Fx: closed intermedullary fixation w/o interrupting skin.
239-Rx scoliosis < 20 degree: observe
240-Rx scoliosis >30: Bracing.
241-Rx Scoliosis >40: surgery
242-Rx Shaft of humerus: closed reduction + hanging cast .
243-Rx dirty looking wound in pt w less then 3 doses of tet tox: toxoid +Tig ( only situation which u give pt Tig)
244-Rx uncomplicated Basilar skull fx : head elevation , fluid restriction.
245-Rx Ludwig Angina: IV peni w coverage for anaerobes
246-Rx Meconium plug syn : Water soluble contrast enema
247-Rx Ovarian torsion : surgery
248-Rx Tubo-ovarian abscess: surgery
249-Rx volvulus or malrotation: immediate surgery
250-Rx Transposition of great vessels : keep ductus arteriosus open, go for surgery.
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