3 Flashcards
oligoarthritis after GI or GU infection, with blurry vision
reactive arthritis
synovial results for reactive arthritis
elevated WBC, no bacterial clx
patient with HIV with widespread skin papule withs umbilication - with central necrosis and hemorrhagic crust
cutaneous cryptococcosis
diagnosis of cutaneous cryptococcus with
biopsy
best prognostic factor for HIV patient with CNS lymphoma
CD4 count increasing - degree of immunosuppression
if 40 y/o diabetic is perfect health wise, does he still need a statin?
yes
how many years into a DM diagnosis should you get a diabetic retinopathy screening
5 years
if someone has a DVT and then gets a stroke, what test should you do?
TEE to see if there’s a patent shunt in the heart for this paradoxical embolus
eye problems in sarcoid
uveitis
what comes first in vaccines- PCV13 or PPSV23 for people over 65?
13
meningitis with high opening pressure
cryptococcus
ways to reduce ICP in patient with cryptococcus
perform serial LPs
when do you start HAART for someone with severe AIDS
when theres subclinical improvement- 2-10 weeks (prevent reconstitution inflammatory syndrome)
when is mannitol used to reduce ICP
intracranial hemorrhage, CNS tumors, stroke
1st line therapy for acute gout
NSAIDs
2nd line for acute gout
colchicine
maintenance med for gout
allopurinol
liver mass for young healthy woman on OCPs
hepatic adenoma (if asx, just stop OCP)
if someone has medullary thyroid cancer, what should you do
also check for pheo and hyperparathyroidism (MEN 2)- check CEA, calcitonin, metanephrines, neck US
diagnosis of tourettes requires vs chronic tic disorder
T: multiple motor tics AND at least one vocal tic
C: At least one motor OR vocal tic
diabetic with early satiety and postprandial fullness and dizzy, sweatiness
gastroparesis
dx for gastroparesis
nuclear gastric emptying study
treatment for chronic prostatitis
6 weeks cipro or bactrim
whats intelligence like for people with Turner syn
normal but at risk for learning disabilities
