4/18 Flashcards
gnawing constant epigastric pain and weight loss
pancreatic cancer
first step for PMS
symptom diary, can treat with SSRI/OCP
blue tinged mass in amenorrheic teen
imperforate hymen
stress incontinence in nulliparous woman
fibroid compressing bladder
diagnosis of esophageal spasm
esophageal manometry
sudden pain with movement and osteoporosis
vertebral compression fracture
risk with chantix
cardiovascular events
UTI treatment in infants
3rd gen cephalosporin, fluoroquines can disrupt cartilage development
inevitable abortion
must be before 20 weeks and have cervical dilation and bleeding
bleeding in pregnancy after 20 weeks
placenta previa
most common cause of neonatal hypothyroidism
thyroid dysgenesis
pemphigus vulgaris vs bullous pemphigoid
PV = desmosomes, flaccid bullae, acantholysis BP = pruritic, tense bullae, linear IgG deposits
todd paralysis
limited focal weakness or paralysis following general seizure
high AFP with wall defect
gastroschisis (generally an isolated defect
treatment of myasthenia gravis
pyridostigmine (anticholinesterase inhibitor
quad screen in downs
up-down-up-down
quad screen in edwards
all down
most common cause of pseudotumor cerebri
medications (vitamin A, tetracyclines)
type of cardioversion for SVT
synchronized (used unsynchronized for shockable rhythm)
acid base disturbance in adrenal insufficiency
non anion gap metabolic acidosis - H+ ions aren’t excreted
cause of hypercoagulability in nephrotic syndrome
loss of antithrombin III in the urine
itchy genitalia in kid at bedtime
can be helminth infection
most common cause of uncorrectable hypokalemia
hypomagnesemia
upper and lower motor neuron lesions in non ALS
cervical spondylosis and cervical spondylotic myelopathy due to narrowing
initial treatment for venous insufficiency
leg elevation and compression stockings
butterfly pattern on CT
glioblastoma
screen for HCV
only in concurrent IV drug users
cause of hammer and claw toe deformities
diabetic peripheral neuropathy
chest xray in chronic aortic coarctation
rib notching
antidepressant most likely to cause hypertension
venlafaxine
newborn treatment with maternal hep B infection
hep B IG and vaccine
DLCO and A-a gradient in pulmonary fibrosis
DLCO decreased A-a increased
modifiable risk factor for breast cancer
estrogen exposure - decrease alcohol intake
treatment of intusseption
air or saline enema
bladder cancer screening
don’t do it
multiple family members treated with splenectomy for RBC disorder
hereditary spherocytosis
rapid onset severe rash in palms and soles
TSS due to staph toxins
mittelschmerz
pain during ovulation
timeline of alcohol hallucinations
12-48 hours - also usually visual
PAS staining macrophages
Whipple disease
pap smear with atypical glandular cells in women over 35
can be endometrial cancer - do biopsy
acute otitis media vs serous otitis media
serous has no acute inflammatory signs, more likely to be chronic
evaluation of caustic injestion
xrays for signs of perforation (upper GI study if suspected)
- endoscope if patient is stable to survey damage
features of NF1
optic glioma, neurofibromas, cafe au lait, scoliosis, Lisch nodules
most common cause of death in ESRD
CVD - uremia and replacement therapy cause oxidative stress on vessels
muscle weakness with bulbar involvement
myasthenia gravis
initial treatment of BPH
alpha blockers - relax prostate muscle (can also cause hypotension)
downside of 5 alpha reductase inhibitors in BPH
reduce size of prostate and can take months
findings in NPH
enlarged ventricles
labs in tumor lysis sydrome
low calcium - phosphate binds and precipitates
high phosphate - from cells
high potassium - from cells
schizoaffective disorder
mood symptoms are more prominent
signs of central retinal vein occlusion
retinal hemorrhages, dilated veins and cotton wool spots
next step after active phase arrest
c section
treatment of TCA overdose
sodium bicarb, pH affects ability of TCA to bind
associated signs in juvenile arthritis
chronic oligoarthritis, rash and daily fevers
initial treatment of peritonsillar abscess
needle drainage
screening in FAP
annual colonoscopies starting at 10-12
alarm signs of back pain
previous malignancy, constant pain, neuro defects, sudden onset
febrile neutropenia treatment
fear of pseudomonas, treat with big guns (pip-tazo)
treatment of elevated homocysteine
B6 and folate to decrease DVTs
most common TE defect
proximal esophageal atresia with fistula
effect of potassium from beta 2 agonist
decrease, drives it into the cell
CMV retinitis
blurred vision, floaters and sensitivity to light - yellow fluffy hemorrhages along vasculature
bad sign in asthma exacerbation
normal PaCO2
punched out erosions with rims of cortical bone
pseudogout
erosion of the joint margins
RA
treatment for epiglotitis
ceftriaxone and vancomycin
treatment for trigeminal neuralgia
carbamezapine
signs of alpha 1 antitrypsin
COPD at young age or with no smoking history, liver disease
