Agacnp Barkley Review: Combined Study Guide 2023

What is the management for a migraine headache? {Ans: 1. Avoidance of trigger factors (very impt) 2. relaxation/stress mgt 3. PPX daily if attacks occure >2-3x/month -amitryptyline(Elavil) -divalproex(Depakote) -propanolol(Inderal) -Imipramine(Tofranil) -clonodine(Catapres) -verapamil(Calan) -topiramate(Topamax) -gabapentin(Neurontin) -methysergide(Sansert) -magnesium ***not an inclusive list**}What is respiratory acidosis? {Ans: 1. results from *decreased alveolar ventilation* 2. in acute resp failure, there is a sharp rise in pCO2 with only a small increase in plasma HCO3. After 6-12 hours, the increase in pCO2 will evoke the renal compensatory mechanism, but this days several days to manifest.}Labs/diagnostics of respiratory acidosis {Ans: low pH High pCO2 serum HCO3 >26 Low serum chloride in chronic patients (<93)}Von Willebrand Disease {Ans: Genetic Disorder that results in the reduced ability to create blood clots by mutation or deficiency in Von Willebrand factor and clotting factor VIII. S/S: Easy bruising, prolonged or severe episodes of bleeding Tx: DDAVP, Factor VIII Concentrate}Cardiac Index Lab Value {Ans: Normal 2.5-4 L/min}actinic Keratosis {Ans: Occur in sun exposed areas of the body. Premalignant = squamous cell carcinoma. Rough, raised, flesh colored or hyper pigmented in appearance Tx: Liquid nitrogen removal}Labs/diagnostics for giant cell arteritis {Ans: 1. Very high ESR