11.8 Flashcards
long term lithium use is ass w/
nephrogenic diabetes inspirid and tubulointerstitial nephropathy
lithium + valproate
antipsychotic quetiapine + lamotrigine anticonvulsant
meds for bipolar disorder
TVUS w/ thickness greater than 4 mm
need to do endo bx
acute epigatric pain after a couple days of pain
w/ signs of free air under diaphragm = perforate ulcers = intraperitoneal free air
atlantoaxial instability is seen in pts w/ down syndrome
acute leukemia hypothyroid T1DM duodenal atresia hirschsprung disease CAVSD VSD ASD intellectual disability early onset alzheimer disase
weight loss tachycardia proptosis diplopia
graves ophthalmopathy
live version of measles after vaccine - what do you do?
can happen (rash, fever), do nothing, avoid contact w/ immunocompromised
most common cause of pneumonia in CF pts in kids versus adults?
staph aureus in <20
pseudomonas >20
urethral stricture
weak stream dyuria
PVR is increased
surgical urethroplasty or dilation
if pt arrives w/in 12 hours of sx onset w/ STEMI but no PCI available?
fibrinolysis
when do you do a head CT in a kid with brain injury?
altered mental status LOC serious injury IE high fall high hit serious MVC vomiting headache basilar skull fracture
IF NONE OF THESE, these observe for 4-6 HOURS
DDH
Developmental dysplasia of the hip
Risk factors Breech positioning
Positive family history
Excessively tight swaddling
Clinical features
Positive Ortolani test
Dislocated hip
Limited hip abduction
Supportive findings
Limb length discrepancy
Asymmetric gluteal/inguinal/thigh creases
when to refer to ortho surgery for DDH?
if dislocated hip + limited hip abduction
otherwise if<4mo then do U/S
if>4mo then do hip x-ray
erythematous papules that coalesce + DM + GI sx + weight loss
glucagonoma
glucagon is high
abdominal imaging
6-36 month old has episodic crying, abdominal tenderness, intermittently flexes up hips
target sign on U/S, tx w/ air or saline enema ==== intussusception
risk factors for intessusception
HSP meckels eliac tumor polyps
MAT treatment
irregular rhythm
distinct P waves of different morphologies
Treat by correcting underlying disturbance = either COPD, hypokalemia, or sepsis
if persists then give verapamil
hemoptysis but not immigrant, immunocompromised
invasive aspergillosus.
nodules w/ ground glass opacities
serum biomarkers for cell wall components sand sputum stain + culture
BAL/bx is required fi noinvasive testing
patients are treated w/ 1-2 weeks of voriconazole + caspofunging and then transitioned to prolonged tx w/ voriconazole alone
AV block 1st degree (long PR) + long QRS?
SITE of conduction delay could be anywhere so EP testing is recommended
how to best prevent alcoholic CM
abtain from alcohol
what is active phase arrest???
cervix unchanged for 4 hours after getting to 6 cm
second stage arrest is also 3-4 hours after getting to 10 cm
for active phase arrest = c-section is best next step
for second stage = vaginal delivery is best next step
mixed cryoglobulinemia syndrome
immune complex deposition disorder ass w/ chronic hepatitis C = fatigue, palpable purpura
