First Aid 2012 Edition: ERRORS by Conrad Fischer Ritodrine is OFF THE MARKET! dangerous beta two agonist.

Metaproterenol is NOT USED in asthma any more Isoproterenol is DANGEROUS in heartDZ Pregnant hypertension is FiRST with LABETOLOL . Labetolol. Labetolol. Not 1st alphamethyldopa. Labetolol p175.Cryptosporidium Rx with Nitazoxanide p176 Malaria treatment is WRONG. NOT chloroquine. use mefloquine or atovoquone/proguanil. p186, Herpes best test is VIRAL CULTURE for HSV, NOT Tzanck prep p170 mycoplasma treat with DOxy, Macrolide or quinolone, NOT TETRA p 173. Candida albicans best treated with FLUCONAZOLE or CASPOFUNGIN, not ampho, NOT AMPHOTERICIN! p 168 Weil -Felix reaction is NOT USED! stop teaching it or putting in book! neither sensitive nor specific. use PCR for Rickettsia p176 Babesia is treated with Azithromycin and atovoquone. NOT Quinine/clinda. Quinine causes DEAFNESS with NO Better efficacy p176 BABESIA diagnosed by PCR!!! use Azithromycin and atovoquone. Number ONE beta blocker in ALL things cardiac is METOPROLOL p162 Legionella : ANY macrolide treats, Azitho and clarithro MUCH easier to take. ALso, Doxy or ANY quinolone. Erythro not the ONLY drug p194 MAI has NOT major features in common with TB. MAI is NOT in lung in HIV. p205 SHOULDN'T put "Methicillin" on top.missing OXACILLIN p206 . Penicillin-Cephalosporin cross reaction nowhere NEAR 5-10%! really 10 years. p351. Candida is NUMBER ONE infectious cause of esophagitis p359 say Colonoscopy OR occult blood. Colonoscopy is FIRST and BEST. p368 Ulcers. PPI is first, not sure why it is UNDER H2. p395 Add Dabigatran and rivaroxaban. these are 10a drugs. AKA "Pradaxa" Great for Afib. Not sure why forgotten. p397. Cilostazol for peripheral artery disease. NEVER coronary. dipyridamole rx for stroke only. Not Coronary. missing PRASUGREL TICAGRELOR PRASUGREL TICAGRELOR are alternatives to clopidogrel for combo with aspirin in CAD. Prasugrel MORE efficacy more bleeding. add eptifibitide and tirofiban to abciximab p401 PLEASE put "Tamoxifen PREVENTS 50% of BREAST cancer in those with 2 relatives with breast cancer" Please get this info out! p 418. Add Anti-TNF drugs (Etanercept, adalimumab) to Rheumatoid treatment. COX 2 NOT better! sulfasalazine in pREGNANT

p419 BIG!!! do NOT answer Colchicine for acute gout! you will screw up test! use STEROIDS if NSAIDS do not work. Add Pegloticase to treat p420 TB is NOT a common cause of infectious arthritis. sorry, TB at LOWEST reported incidence in history of world p431 take OUT colchicine for acute gout. it was changed. . Probenecid DE-emphasized too p514 Paraldehyde is SOOO current! invented in 1829!!! Just one problem. it is not sold in USA. USMLE does NOT test drugs NOT made p514. Phenformin was REMOVED FROM THE MARKET IN 1970s there is NO PHENFORMIN MADE IN 40 years! p514. Paraldehyde has NO utility and is NOT MANUFACTURED in US. Phenformin was REMOVED in 1970s.

Sorry again ! p206 . Penicillin-Cephalosporin cross reaction nowhere NEAR 5-10%! really !! only LESS than 1%. TOTALLY safe to use cephs if there is a rash to penicillin p207 Under "Carbapenems" forgot to put in Ertapenem and Doripenem. In general forget DAPTOMYCIN the MRSA drug that is oral too. p207 Under MRSA forgot: CefTAROLINE the only cephalosporine to cover MRSA forgot TIGECYCLINE the glycylcycline p209 Demeclocycline should NEVER be put under antibiotics. Demeclocycline is 100% for SIADH p 209 Under Macrolide PLEASE put erythromycin LAST. p213-214 forgot to put in MICAFUNGIN or Anidulafungin under echinocandins p214 ANidulafungin=EXCELLENT echinocandin. Put in POSAconazole, Vori, Caspo to oral cover Aspergillus. NO ampho for aspergillus any more. p216 AMANTADINE and RIMANTADINE are 100% OUT!!! as influenza treatment! gone! Finito! Kaput! No more! AMANTa/RIMANTa for flu Chronic hepatitis C gets THREE drugs! add EITHER BOCEPREVIR or Telaprevir to the usual interferon/ribavirin to get SURE up to 80% for Hep C p 219 !!! Metronidazole is SAFE in pregnancy. since 2006. Metronidazole SAFE in pregnancy INCLUDING 1st trimester MMWR Recomm Rep. 2006; 55(RR-11):1. CDC supported Metronidazole in pregnancy since 2006 p265 year 2012 "First Aid: Step 1". Echothiophate has NOT BEEN MANUFACTURED since 2003. Take your time! It is only a NINE YEAR DIFFERENCE! p265 Echothiophate is NOT manufactured since 2003. USMLE does NOT test obsolete, eradicated, DEAD drugs p266 MISSING "Tiotropium" the MOST useful antimuscarinic for COPD. put next to Ipratropium. p266 Under NO circumstance is methoscopolamine, pirenzepine or propantheline EVER used for ulcers EVER p266, Isoproterenol is NOT used any more! Ischemia is most common cause of AV block, Isoproterenol will KILL YOU if you have ischemia p267 REmove Metaproterenol. Historical use albuterol

p268 Add Tamsulosin to alpha1 drugs. it is the MOST used & one missing! No orthostasis p269 SVT Delete propranolol. the answer has been metoprolol or atenolol since 1990. p281 put ACE inhibitors with Vasodilators. ARBSs are number two choice. First Aid lists the 3rd line drug, hydralazine, first p298 AST has NO PLACE in cardiac evaluation. Put MYOGLOBIN to rise in first 4 hours. p300 Typo!! it should say "angiotensin receptor ANtagonists" NOT "agonists" we use ARBs!!! in CHF p306 Diazoxide is ABSOLUTELY WRONG for hypertensive crisis. NOT USED since 1970's. HOWEVER!! Labetolol (main drug) is left out p328. add "High Urine Sodium" for SIADH. add "ADH antagonists" conivaptan, tolvaptan for SIADH p333 Put METFORMIN on TOP ist Rx! Add the FORGOTTEN CLASS!!! Sitagliptin (januvia), saxagliptin, linagliptin. Use with metformin and sulfonylurea orally. "Gliptins' are a Top ten drug in USA for >10 years.