1/30/13 b Flashcards
What causes a foul-smelling, greenish, frothy discharge from the vagina and a “strawberry cervix”?
Trichomonas
What is the tx for trichomoniasis?
metronidazole for pt. and partner
Which vaginal infection requires 3 of the following 4 clinical criteria for Dx: (1) thin, homogenous discharge, (2) vag pH >4.5, (3) positive whiff test, (4) clue cells on wet mount?
Gardnerella
What are the Tx options for Gardnerella?
oral or topical metronidazole or clindamycin
Lower abdominal tenderness with both adnexal and cervical motion tenderness w/o other explanation is enough to diagnose _______.
PID
What medication should be used to treat acute agitation in elderly pts?
low-dose haloperidol (or atypicals like risperidone or quetiapine)
What is the most common form of congenital adrenal hyperplasia?
21-hydroxylase deficiency
What are the consequences of 21-hydroxylase deficiency?
salt-wasting, hyperkalemia, virilization
What test is used to confirm suspected 21-hydroxylase deficiency?
ACTH stimulation test
The absence of peristaltic waves in the lower 2/3 of the esophagus and significant decrease in LES tone are characteristic for esophageal dysmotility associated w/ _______.
scleroderma
_______ most commonly occurs as a drug rxn. Pts present w/ fever, rash, acute renal dysfunction, and eosinophiluria w/ WBC casts.
Interstitial nephritis
What GI condition that may mimic MI will respond to nitrates and/or Ca++ channel blockers?
Diffuse esophageal spasm (DES)
What disorder can cause myopathy and increased creatine kinase with decreased reflexes?
hypothyroidism
What infant skin condition presents with pruritis and skin lesions distributed symmetrically over the face, scalp, chast, and extensor surfaces, typically sparing the diaper region?
atopic dermatitis
