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)
initial test for child with prolonged cough
spirometry to test for asthma
structural lesions that lead to dysphagia in pharynx and upper esophagus should be visualized how
nasopharyngeal largynoscopy
when is CABG preferred over PCI?
its with multi vessel dz or DM
pt with pSVT treated with what (vs if persistent tachyarrythmia)
adenosine
if persistent- direct cardioversion
ovarian hyperstimulation syndrome
complication of ovarian induction for IVF
b/l ovarian enlargement, ascites, hypercoagulable, hemoconcentration
multi organ failure…
when should epi be given for anaphylaxis
generalized skin findings
resp sxs- wheezing
GI sxs- N/V/D
CV sxs- hypotension
after HIV exposure, when can HIV test be reliable?
after 4 weeks
before starting HIV treatment, what tests should you get?
hep B serologies
drug resistance genotype testing
rapid strep test for center criteria over..
3
kid with mild lead level should have repeat testing in
1 month
most common cause of sudden cardiac death
HOCM
cause of sudden cardiac death with nl EKG and TTE
anomalous aortic origin of a coronary artery
can HELLP san occur postpartum?
yes apparently
lead time vs length time bias
lead: detecting earlier
length: slow vs rapid progressive dz
management of hyatidiform mole
- suction curettage
- monitor bhcg until gone for 6mo
do you need to get MRI before joint aspiration for c/f pediatric septic joint?
no- don’t delay care
preferred tx for ureteral stone in clinically unstable patient
percutaneous nephrostomy or retrograde ureteral stent
proximal muscle weakness (cant climb stairs) with elevated CK, ESR, CRP
polymyositis
resp dz associated with polymyositis
ILD
what can help patients with chronic hypoparathyroidism with low serum Ca and high urine Ca
thiazide diuretics
which STI test should asymptomatic man get?
HIV
treatment for herpes zoster
valacylovir
dx for herpes zoster
clinical- don’t need testing
precautions for localized vs generalized herpes zoster
localized- standard + covering wounds
gen: contact + airborne
treatment for raynauds
CCB - nifedipine, amlodipine (NOT verapamil)
if c/f cholecystitis but US is inconclusive, what tesT?
HIDA scan
ideal imaging for appendicitis in pregnant pt
graded compression abd US
treatment for lichen sclerosus
topical corticosteroids
