4/20 Flashcards
mixed venous oxygen in septic shock
can be elevated due to inability for oxygen delivery in peripheral tissues
highest risk psych drugs for weight gain and hyperglycemia
olanzapine and clozapine
ovarian hyperstimulation syndrome
caused by VEGF leading to ovarian cysts and increase in doppler flow
meds for HOCM
beta blockers, CCBs
signs of appendicitis in pregnancy
rebound tenderness and guarding, may have contractions and fetal tachy
first step to reduce cord compression
maternal repositioning followed by amnioinfusion
when does acute fatty liver occur in pregnancy
third trimester
hyponatremia in respiratory infection
legionnaires, treat with fluoro or macrolide
area of brain in huntingtons
caudate and putamen - GABA
choanal atresia
cyanosis aggravated by feeding and relieved by crying - obstruction in nose
immediate med for stroke
IV alteplase, within 4.5 hours
port wine stain, seizures, capillairy-venous malformations
Sturge-Weber syndrome
nevus flammeus
port wine stain
testosterone secreting tumor
sertoli-leydig cell tumor, rapid onset virilization
frequent common cause of urinary stasis and UTI in toddler
chronic constipation
patient with hypoalbuminemia may be deficiency
calcium
causes of splenic infarction
thromboembolus, sickle cell, hypercoag state
consideration in recurrent lobe pneumonia
foreign body or malignancy
treatment of ethylene glycol poisoning
fomezezil prevents further breakdown into toxic products
sodium thiosulfate treats…
cyanide poisoning
megestrol acetate
prostaglandin analog for appetite in cancer
measure in case control studies
odds ratio
when does odds ratio approximate relative risk
when the incidence of disease is rare
lewy body vs parkinsons
in lewy body, symptoms occur at the same time
how long should SSRIs be continued in depression
6 months if helpful, longer if refractory
symmetric vs asymmetric IUGR
first tri = symmetric (infections)
2/3 = asymmetric (placental insufficiency)
high AFP in baby
neural tube/abdominal wall defects or multiple gestations
fetal hydantoin syndrome
cleft lip, wide fontanelle, phalangeal hypoplasia, cardiac - antiepileptics in neonates
treatment of EHEC
supportive only, antibiotics increase risk of HUS
breastfeeding jaundice
increase in indirect bilirubin due to poor feeding and delayed stooling
breast milk jaundice
persistence of jaundice past the first week due to breast milk content, no feeding difficulties
PPROM in 34-37 weeks
antibiotics, maybe steroids and delivery
herpangina vs herpes
herpangina is in oropharynx, herpes in lips
treatment for food bourne botulinum
horse-derived antitoxin
EBV DNA in CSF
HIV lymphoma
side effect of trastuzumab
cardiac toxicity - get an echo before
advanced bone age in early puberty, next step
LH measurement
- high = central
- low = peripheral
fanconi anemia
congenital cause of aplastic anemia due to DNA repair defect
epigastric burning with heaving lifting
atypical angina
infectious causes of bloody diarrhea
campylobacter, EHEC, shiga
causes of constrictive pericaditis
cardiac surgery, TB, viral pericarditis
risk of PPI
c diff due to decrease in acid
treatment for borderline
dialectal therapy
ice pack tests
improves myasthenia gravis
spondylolisthesis
slipping of vertebral body forward
partial vs absent dystrophin
duchenne’s vs becker, varies with age of onset
liver disease in pregnancy with normal platelets
cholestasis
treatment of warfarin bleeds
PT concentrate or vitamin K (takes longer)
most common cause of viral myocarditis
coxsackie
danger in TCA overdose
QT prolongation
hexagonal urine crystals
cysteinuria
cardiac conduction system degneration
sick sinus syndrome