4/13 Flashcards
what causes sx croup
edema and narrowing of the proximal trachea
vit k def labs
prolonged pt followed by prolonged ptt. in cirrhotic can develop in 7 days
which lung cancer has high Ca
squamous from PTHrp
how to transport amputated digit
wrapped in saline moistened gauze in a plastic bag immersed in ice water
young male increased afp and bhcg
nonseminomatous germ cell tumor
only bhcg elevated testicular cancer
seminoma
HCC marker
AFP
klumpke palsy
shoulder distocia c8 t1 claw hand miosis ptosis sytocia
erb-duchenne palsy
c5 c6
waiters tip
grasp but no moro
short cervix pharm tx
progesterone to maintain uterin quiescence
high risk for sti during preg
less than 25, prior sti, sex worker/multiple partners
rupture of membranes before 34 weeks/ healthy. what meds
steroids and latency antibiotics
non sex risk factor for cervical cancer
smoking
large calcified echogenic ovarian mass in young woman
mature cystic teratoma
lichen sclerosus test
punch biopsy to rule out cancer
lichen sclerosus tx
topical steroids
Waldenstrom macroglbulinemia
hypervisocity neuropathy bleeding hepatosplenomegaly lymphadenopathy IgM Rouleaux >10% clonal b cells
Multiple myeloma
Osteolytic fractures/lesions Anemia Hypercalcemia renal insufeciency igg, iga,light chains Rouleaux >10% clonal plasma cells
alopecia areata first line
intralesional triamcinolone(steroids)
how does c botulinum cause paralysis
inhibits presynaptic acth release at neuromuscular junction
c botulinum signs
symmetric descending weakness
diaphragmatic weakness
blurred vission/diplopia
facial weakness/dysarthria/dysphagia
neuronal cell group effected by huntingtons
GABA
nephrotic syndrome 4-6 days after uri in adult normal c3
IgA nephropathy
loop acid base problem
alkelemia, lose k and cl.
inhibit Na-K-
cl
meds that cause hyperK
non selective beta blockers acei arb aldosterone antagonists digoxin NSAIDS
meds that cause nephrogenic di
Li demeclocycline foscarnet cidofovir amphotericin
acute changes hyperventilation
decreased serum ionized calcium, bicarb is in kidneys so takes longer
MRI findings HIV neurocognitive disorder
ventricular enlargement and increase in white matter diffusely
Look For Those Small Cells pneumonic
Microcytic anemia Lead Fe thalassemia sideroblastic chronic dz
what can indirect coombs test be used to identify
rh alloimunization
+ coombs
drug induced or immune hemolytic anemia
meds that cause aplastic anemia
chloremphnecol
sulfonamides
phenytoin
chemo
aplastic anemia sickle cell
parvovirus b19
how do you monitor heparin
ptt
warfarin moa
inhibits vit k dep factors.2, 7,9, 10pt/inr increased
heparin moa
inhibitsantithrombin 3, inactivates 2a, 9a,10a,11a,12a
factors not exclusively synthesized in liver
vWF, 8
ptt vWF def
increased, so is bleeding time
ptt and pt hemophillia
ptt increased pt normal, normal bleeding time
aml staining
myeloperoxidase
blood cancer high proportion of neutos
CML
cml tx
imantanib
blood cancer massive splenomegaly no lyphadenopathy
hairy cell leukemia
pjp marker
increased LDH
