14 Flashcards
triad in cardiac tamponade
hypotension, JVD, dec heart sounds
plusus parodxus
SBP dec by 10 with inspiration
seen in tamponade
echo for tamponade
RA and RV collapse- impaired diastolic filling of right side of heart
widespread musculoskeletal pain, fatigue, nl ESR
fibromyalgia
what tests to get to rule out fibromyalgia
CBC, TSH, ESR
aplastic crisis in Sickle cell
cessation of erythropoiesis , retic <1%
drug interactions with lithium
ACEI, thiazide diuretics, NSAIDs(not ASA)
management lithium toxicity
Li levels q2-4 hrs
IV hydratation
HD if level>4 or >2.5 + renal failure
jones criteria
rheumatic fever
Joints heart (carditis) nodules erythema marginatum sydenham chorea
sydenham chorea
emotional lability
distal hand movements
facial grimacing, feet jerking
pronator drift
develop 1-8 months after strep
treatment of s chorea
penicillin until adulthood
GI sxs, eosinophilia, iron def anemia
hookworm
when is viral conjunctivitis no longer contagious?
once drainage has resolved
differentiate viral vs allergic conjunctivitis
viral- burning, viral prodrome
allergic- itching, both eyes
unilateral middle ear effusion that persists >3mo c/f
cancer! nasopharyngeal mass
treatment for menieres
salt restricted diet, diuretics
Nelson’s syndrome
pituitary enlargement, hyper pigmentation, visual field defect
following bilateral adrenalectomy
healthy worker effect
working populations generally healthier than general pop and have lower mortality rates (bias effect in studies)