2/12/13 c Flashcards
What should you suspect in an elderly or immunocompromised pt who develops an intense, deep, burning on one side of the abdomen or chest?
Shingles
What is the mechanism of respiratory alkalosis in pregnancy?
progesterone stimulates the respiratory ctr in the medulla, causing tachypnea
What is the Hb cutoff for anemia in the 1st and 3rd trimesters of preg? In the 2nd?
<10.5 g/dL
What is the best Tx for fibromuscular dysplasia of the renal artery?
angioplasty w/ stent
All pts, including pregnant pts, w2/ chronic HCV, should receive vaccinations against _______ and _______ if not already immune.
Hepatitis A, B
What is the cause of osteomalacia in pts w/ bowel resection?
malabsorption of Vit D
________ is a chronic follicular occlusive disease most commonly affecting the intertriginous skin, including the axillary, groin, and infrmammary regions. It appears as painful inflammatory nodules and draining sinus tracts that can last weeks or longer.
Suppurative hidradenitis
How many mg/dL does Ca++ drop for every 1 g/dL drop in serum albumin below 4.0?
0.8
What Abx can cause phototoxic reactions?
tetracyclines
What nerve may be injured by anterior dislocation of the humerus out of the glenoid fossa?
axillary
Tennis elbow is also known as what?
lateral epicondylitis
Palsy of the axillary nerve would cause paralysis and eventual atrophy of which muscles?
teres minor and deltoid
_______ is the result of repetitive overhead motions. Pts complain of pain w/ active range of motion of the shoulder. Passive internal rotation and forward flexion at the shoulder also elicits tenderness.
Subacromial bursitis
In what condition causing back pain will lumbar flexion worsen the pain?
lumbar disk herniation
What is Winter’s formula for calculating the amount of repiratory compensation (pCO2) expected in a metabolic acidosis?
pCO2 = 1.5 [HCO3] + 8
What diagnostic tool should be used next in pts w/ suspected pancreatic cancer but non-diagnostic US and CT?
ERCP
What should be suspected in a pt w/ a first-time presentation of unilateral eye pain, redness, and a dilated pupil w/ poor light response?
acute angle closure glaucoma
What is Charcot’s triad of fever, severe jaundice, and RUQ pain indicative of?
cholangitis
What is cholangitis?
infection of the common bile duct
What is the first-libe Tx for cholangitis?
broad-spectrum Abx
What should be done for pts w/ acute cholangitis whose Sx persist despite Abx?
sphincterotomy, stone removal, and/or stenting by ERCP
