1/29/13 b Flashcards
What condition that mainly affects women is characterized by anogenital discomfort, porcelain-white polygonal macules with patches and a “cigarette paper” quality? Sclerosis and scarring may lead to oblieration of the labia minora and clitoris.
Lichen sclerosis et atrophicus (LS&A)
What is the next step in mgmt of a pt. who has suspicious lesions wikth lichen sclerosis et atrophicus?
vulvar punch biopsy
What malignancy is more common in women with lichen sclerosis et atrophicus?
squamous cell carcinoma of the vulva
What is the treatment for lichen sclerosis et atrophicus?
topical corticosteroid
Neonatal abstinence syndrome is caused by fetal withdrawal from _______.
opiates
What is the most serious side effect of hydroxychloroquine?
retinopathy
Jejunal ulcers are almost pathognomonic for what condition?
Zollinger-Ellison syndrome
What is produced by a Zollinger-Ellison tumor?
gastrin
How does Zollinger-Ellison syndrome cause steatorrhea?
gastrin up–>stomach acid up–>inactivation of pancreatic ulcers
What are the 3 D’s of endometriosus?
dyspareunia, dysmenorrhea, and dyschezia
What is the diagnostic procedure for endometriosus?
laparoscopy
What are the Tx options for endometriosus?
estrogen/progestin pills, GnRH analogs (leuprolide), or danazol
Which malignant form of gestational trophoblastic disease is more commonly metastatic?
choriocarcinoma
Which malignant form of gestational trophoblastic disease is not commonly metastatic?
gestational trophoblastic neoplasia
What is the most common site of metastasis of choriocarcinoma?
lungs
What are the 4 F’s of gallstone formation?
Fat, Female, Fertile, Forty
What 3 drugs are first-line for cocaine-induced cardiac ischemia?
benzos, nitrates, and aspirin
Why are β-blockers contraindicated in cocaine-induced cardiac ischemia?
they would aggravate the vasoconstriction
What is the purpose of each of the first-line drugs in cocaine-induced vasoconstriction?
benzos - lower tachycardia, htn, and anxiety
aspirin - prevent thrombi
nitrates - alleviate coronary vasoconstriction
What is the Tx of choice for a pt. w/ V-tach who is alert, has a normal K+ level, and not in hemodynamic compromise?
IV amiodarona (lidocaine may also be used)
Digitalis is only for arrhythmias originating in the _______.
atria
What is the Tx of choice for a pt. w/ V-tach with hemodynamic compromise?
cardioversion
Why do celiac pts. have easy bruising? hyperkeratosis?
Vit. K deficiency; Vit. A deficiency
Which bacteria tends to cause infection in pts. w/ chronic indwelling catheters and makes the urine alkaline? How does it change urine pH?
Proteus; urease (+)
