4/14 Flashcards
what does hemorrhagic stoke from av malformation look like on ct
hyperdensefluid collection with irregular margins
what markers are elevated in rheumatic fever
esr
crp
what does rsv cause
bronchiolitis
what is hyposthenuria
low urine osmolarity despite fluid restriction, normal serum sodium. Common in sickle cell
2nd line otitis media
amoc-clauv
pen allergic otitis media
clindamycin or azithromycin
bartonella henselae tx
azithromycin
intraventricular hemorrhage signs
seizures or apnea
full fontanel
acute anemia
can be asymptomatic
primary risk factor intraventricular hemorrhage
prematurity-germinal matrix not developed enough
what is spondylolisthesis and what are sx
forward slip of vertebral body. persistant back pain in child or adolesent on lumbar extension. step off. can cause radiculopathy
what neuro thing does tet of fallot increase risk for
brain abscess, r to l shunt allows bacteria to by pass pulm circulation so less phagocytosis
Gross motor milestones 2m,4m,6m,9m,12m
2 = lifts head/chest in prone position 4 = sits with trunck support, begins rolling 6=sits momentarily propped on hands 9 = pulls to stand, cruises 12 = sstands wellwalks first steps
Fine motor milestones 2m, 4m, 6m, 9m, 12m
2 =hands unfisted 50%, tracks past midline
4 = hands mostly open, reaches midline
6 = transfers objects hand to hand
9 =3 finger pincer grasp, holds bottle or cup
12 = 2 finger pincer
Language milestones 2m 4m 6m 9m 12m
2 = coos, alert to sound 4 = laugh, turn to voice 6 = responds to name, babbles 9= mama dada 12 = other words
social/cog milestones 2m 4m 6m 9m 12m
2 = social smile, recognizes parents 4 = enjoys looking around 6 = stranger anxiety 9 = waves bye, pat-a-cake 12 = separation anxiety, comes when called
double birth weight by _____and triple by____
4 months, 1 year (height increases by 50%)
tinea capitus tx
oral griseofulvin or terbinafine
anaphylaxis blood first blood transfusion
selective IgA def
central stellate scar on well circumscribed solitary hypodense liver nodule
Focal nodular hyperplasia, common in women 20-50
electrolyte abnormality rcc
hypercalcemia
most common cause of cervical myelopathy
spondylosis
how to check for gastric cancer
EGD
how often is afp elevated hcc
50%
3 indications to test for pheo
classic triad:ha, tachy, sweating
Resistant htn with unexplained increase in glucose
Family hs of Men2, NF1, VHL
Cancers associated with VVHL
cerebellar and retinal hemangioblastomas
pheos
rcc (clear)
Autosomal dominant
pre eclampsia increases mothers risk of
stroke
why can epidurals cause hypotension
nerve fibers for vascular tone blocked = venous pooling
post delivery: difficulty ambulating, radiating suprapubic pain, pubic symphysis pain, intact neuro exam dx?
pubic symphysis diastasis, treat conservatively
extra lab at initial visit high risk pre e
24 hr urine protein
atypical glandular cells on pap test next steps
endometrial biopsy. also do postmenopausal bleeding if over 45
besides epithelial ovarian cancer what else can elevate ca125
tubo-ovarian access. c reactive protein will also be elevated
where us blasto mycosis and what are its sx
great lakes, PNA, weight loss, lytic lesions, skin lesions