𝐙𝐀𝐆 𝐃𝐨𝐜𝐭𝐨𝐫𝐬 57 || Scheme
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تجميعات Antifungal
■ Drugs for Dermatophyte:
- Terbinefine --> Oral & Topical
- Ketoconazole (Azole) --> Oral & Topical
- Griseofulvin --> Oral
■ Drugs for Candida:
- Ketoconazole (Azole)
- Fluconazole --> systemic, esophageal, oropharyngeal
- Caspofungin
- Micafungin --> Prophylaxis & Mucocutaneous Candidiasis
- Nystatin
■ All antifungal are fungicidal EXCEPT Griseofulvin
✅ Favourable combination:
Amphotericin B + Flucytosine --> Decrease dose & nephrotoxicity
❌ Unfavorable combination:
- Amphotericin B + Azole --> Decrease amphotericin effect
- Azole + (Antacid/H2 Blocker) --> Decrease azole effect (absorption)
Quantitative data tests :
2 independent groups → ✅ Unpaired T-test
Same group (Before & After) → ✅ Paired T-test
More than 2 groups → ✅ ANOVA
Large sample (≥30) أو Population SD معروفة → ✅ Z-test
⏳ Time (سنين – شهور – أيام) ➜ ✅ Line diagram
🥧 Parts of a whole (نسب مئوية/أجزاء من الكل) ➜ ✅ Pie chart
📊 Continuous numerical data (طول، وزن، عمر، ضغط...) ➜ ✅ Histogram
📈 Continuous data + شكل التوزيع ➜ ✅ Frequency polygon
📉 Comparison between categories (ذكر/أنثى، محافظات، فصائل دم...) ➜ ✅ Bar chart
كلمة السر في الامتحان:
Trend / Over time / During years ➜ Line diagram ✅
Percentage / Proportion / Distribution of a whole ➜ Pie chart ✅
Continuous data ➜ Histogram أو Frequency polygon ✅
🚨Take Care
■ Types of Data
Age --> Contiuous
Hemoglobin level --> Contiuous
Height --> Contiuous
Weight --> Contiuous
Number of students --> Discrete
RBCs Count --> Discrete
Pulse rate --> Discrete
Socioeconomic status --> Ordinal
Gender --> Categorical
Residence --> Categorical
Blood group --> Categorical
■ Significant test for regression
- Linear regression --> t test of regression
- Multiple regression --> F test
■ Degree of Freedom (df):
- df for t test = (n1+n2)-2
- df for Z test = 2
- df for Chi square test = (row-1)*(column-1)
■ Significance test for two means:
- small sample and not normal --> t test
- large sample and normal --> Z test
■ Parameter VS Statistics:
- Population --> Parameter (Greek letters)
- Sample --> Statistics (English letters)
■ Mortality Rate:
- Maternal mortality rate = no. of dead mothers/ number of women in reproductive age
- Maternal mortality ratio= no. of dead mothers/ no. of live birth
■ Diffence between Morbidity & Mortality:
- Case fatility = dead cases/ ill cases --> a measure of morbidity
- Cause specific mortality= dead cases beacuse of a specific cause/ population
- Proportional mortality = dead cases beacuse of a specific cause/ total deaths
■ Best measure for:
- Fertility --> Net reproductive rate
- Morbidity --> Incidence & Prevelance
- Mortality--> Age specific mortality
■ Uses of vital indices:
Incidence Rate --> Disease surveillance, risk factors, relative importance of one disease to another
Prevalence Rate --> Disease burden, planning, diagnosis
Case Fatality Rate (CFR) --> Virulence, fatility
Maternal mortality ratio --> indicate health system efficacy
Cause specific mortality rate --> severity of disease to cause death
Proportional (relative) mortality rate --> relative importance of one death cause to another
■ Intersection of fields:
- Health Informatics --> Health + Information Technology + Computer science
- Puplic Health Informatics --> Health Informatics + E-Health + Business
■ Internet VS Intranet
Intranet --> local (organizations)
Internet --> global
تجميعات ANS
■ Glucoma Treatment
- Adrenaline
- BBlockers
- Pilo carpine
- Carbachol
- Neostigmine
- Demecarium (Neostigmine substitute)
......................................
■ CI with Pheochromocytoma:
- Clonidine
- a Methyl Dopa
■ Treatment of Pheochromocytoma:
- a Methyl Tyrosine
- Phenoxy benzamine
- Phentolamine
......................................
■ CI with MAO Inhibitors:
- Adrenaline
- Tyramine
......................................
■ ADHD Treatment:
- Ephedrine
- Atomoxeitine
تجميعات ANS
■ Glucoma Treatment
- Adrenaline
- BBlockers
- Pilo carpine
- Carbachol
- Neostigmine
- Demecarium (Neostigmine substitute)
......................................
■ CI with Pheochromocytoma:
- Clonidine
- a Methyl Dopa
■ Treatment of Pheochromocytoma:
- a Methyl Tyrosine
- Phenoxy benzamine
- Phentolamine
......................................
■ CI with MAO Inhibitors:
- Adrenaline
- Tyramine
......................................
■ ADHD Treatment:
- Ephedrine
- Atomoxeitine
Chemotherapy تجميعات
■ All chemotherapy are bactericidal EXCEPT:
Cidal TCML SuTr تكمل سطر
- Tetracycline
- Chloramphenicol
- Clindamycin, Maceolides --> static at small dose & cidal at large
- Linezolid --> static with all bacteria & cidal with streptococci
- Sulphonamides
- Trimethoprim
.....................................................
■ Broad Spectrum Drugs:
Cef TCRAM Car سيف تكرم ب كار
- Cefipime (4th gen. Cephalosporin)
- Tetracycline
- Chloramphenicol
- Ticarcillin/ Carbencillin (Antipsedomonas Penicillin)
- Rifampicin
- Ampicillin/ Amoxicillin
(Broad Spectrum Penicillin)
- Moxifloxacin (4th gen. Quinilones)
- Carbapenem
■ Drugs against Negative Aerobic Bacteria:
الحاجات اللي فيها N و O جمب بعض هتفكرنا إنها Negative و Oxygen dependant
- Aminoglycosides
- 2nd & 3rd gen. Cephalosporin
- Monobactam (Azetronam)
- 1st & 2nd gen. Quinilones
■ Drugs against Positive Anaerobic Bacteria:
Live Positive
- Clindamycin
- Linezolid
- Levofloxacin (3rd generation Quinilones)
- Vancomycin
.....................................................
■ Drugs that cause ototoxicity:
- Aminoglycosides
- Macrolides
- Vancomycin
■Drugs that cause phototoxicity:
- Tetracycline
- Quinilones
■Drugs that cause Nephrotoxicity:
- Aminoglycosides
- Cephalosporin
- Vancomycin
- Carbapenem
■Drugs that cause Thrombophlebitis:
- Macrolides
- Cephalosporin
■Drugs that cause Teratogenicity:
- Tetracycline
■Drugs that cause Superinfection:
- Tetracycline
- Chloramphenicol
■Drugs that cause Optic neuritis:
- Chloramphenicol
- Linezolid
■Drugs that cause cross allergy:
- B lactames
🔘 ttt of HTN with pregnancy --->
a. DOC alpha methyldopa
b. Labetalol
🔘 ttt of HTN crisis -->
a. Tyramine reaction or cheese reaction
b. Clonidine withdrawal syndrome
c. Pheochromocytoma
🔘 ttt of HTN urgency -->
a. Clonidine
🔘 ttt of HTN emergency -->
a. Fenoldopam
🔘 ttt of HTN with BPH -->
doxazosin
🔘 ttt of BPH only --> tamsulosin
🔘 ttt of pulmonary HTN -->
Tolazolin
🔘 ttt of mild HTN --> B BLOCKER
🔘 ttt of chronic heart faliure--->
▪ Bisoprolo metoprolo carvidiolol in small doses
🔘 ttt of Acute heart faliure--->
▪ Dobutamine
