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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 1 (2021)
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First Aid for the USMLE Step 1 (2021) | Medicine (MD/DO) School Study Aid

Page 192 -
6 Picmonics to Learn | 12 mins
Tetracycline Drug Names and Indications
Drug Names
Demeclocycline
Minocycline
Doxycycline
Fecally Eliminated
Can be Used in Renal Failure
Indications
Antidiuretic Hormone Antagonist
Chlamydia
Rickettsia
Borrelia burgdorferi
Helicobacter Pylori
Mycoplasma Pneumonia
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3 mins
Tetracycline Mechanism
Binds to 30 S to Prevent Attachment of Aminoacyl tRNA
Limited CNS Penetration
Divalent Cations Inhibit Absorption
Must Not Take with Milk, Antacids, Iron
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1 min
Tetracycline Toxicities
Inhibition of Bone Growth in Children
Teratogen
Discoloration of Teeth
Photosensitivity
GI Distress
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2 mins
Tigecycline (Tygacil)
Mechanism Of Action
Glycylcycline Antibiotic
Binds 30S Subunit
Inhibits Protein Synthesis
Indications
Severe Infections
Broad Spectrum Coverage
Anaerobic & Multidrug-Resistant Organisms
Deep Tissue Penetration
Side Effects
GI Distress
Severe Nausea and Vomiting
Considerations
2nd Line Agent
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3 mins
Chloramphenicol
Mechanism
Bacteriostatic
Inhibits 50S Peptidyltransferase Activity
Indications
Meningitis
Rocky Mountain Spotted Fever in Pregnant Women
Side Effects
Anemia
Aplastic Anemia
Gray Baby Syndrome due to Decreased UDP-Glucuronyl Transferase
Resistance Caused by Plasmid Encoded Acetyltransferase
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2 mins
Clindamycin
Mechanism of Action
Bacteriostatic
Binds 50S Ribosomal Subunit
Blocks Translocation
Indications
Anaerobic Infections above the Diaphragm
Aspiration Pneumonia
Lung Abscess
Side Effects
Can Cause Pseudomembranous Colitis
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1 min

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