4/24 Flashcards
treatment of hypercalcemia in metastatic bone disease
bisphosphonates
basis of normal stress response
no change in functionality
pathway for psych dopamine neurons
mesolimbic
adult stills disease
recurrent fevers, joint pains and rash
immune response in endocarditis
can have positive RF factor and high ESR
uterus with multiple small cysts
trophoblastic disease
most common arrhythmia in cardiac arrest
vfib - reentrant ventricular arrhythmia
fetal anemia on heart tracing
sinusoidal pattern
bartonella vs pasturella
bartonella = cat scratch - skin findings with lymphadenopathy pasteurella = cat bite - cellulitis
location of blasto and special aspects
mississippi and ohio river basins - skin lesions and lytic bone lesions
age of diagnosis of CVID
25-40
mutation in polycythemia vera
JAK2
when symptoms occur in aortic stenosis
less than 1.0cm area
why is septic arthritis more common in RA
due to joint deformities
high hormone in non-functioning pituitary adenoma
prolactin - not inhibited
large, hard liver with occult stool blood
could be liver metastases, in alcoholics, liver is shrunken and cirrhotic
acid-base disorder in aspirin tox
metabolic acidosis and respiratory alkalosis
vessels involved in fibromuscular dysplasi
carotid and renal arteries
treatment of stye
warm compresses
treatment of pregnant women with previous herpes infection
acyclovir at 36 weeks
treatment of true wound dehiscence
emergent surgery - skin dehiscence can be treated with wet-to dry or vacuum
option for psych patients that are non-adherent
long acting injectables
key finding in inevitable aborition
cervical dilation
age distribution of type 1 diabetes
4-6 then 10-14
hcg can mimic….
TSH, can have hyperthyroidism in molar pregnancy
risk for vaginal candidiasis
pregnancy, immunosuppression or diabetes
chlamydia vs gonoccocal urethritis
gonoccocal - 1-3 days and purulent
chlamydia - 5-14 days and non-purulent, nor prevented by erythromycin
STI mostly likely to show no gram staining
chlamydia (gonorrhea usually does)
high hematocrit and low glucose in newborn
polycythemia
meningitis in kids older than 1 month
neisseria or s pneumo
treatment of GBS
IVIG - steroids do not work
third most common cause of pancreatitis
hypertriglyceridemia
ichthyosis vulgaris
diffuse dermal scaling
high creatinine and low urine sodium in liver disease
hepatorenal syndrome
timeline for tick borne infection
must be on for at least 48-72 hours
eye problems in NF1
optic gliomas
most common reason for stent thrombus
medication non-compliance of dual platelet therapy
specific cell in interstitial nephritis
urine eosinophils
treatment of arsenic poisoning
dimercaprol
lead tox vs arsenic tox
lead = more GI arsenic = more skin
necessary treatment of emphysematous cholecystitis
emergent lap chole
calcium/phos in pagets disease
normal, elevated alk phos due to bone turnover
psych complication in MS
depression
CN 6 fibers most susceptible to ischemia
inner, somatic, down and out gaze
treatment of women with PCOS that wants baby
clomiphene citrate (blocks estrogen feedback, allowing FSH/LH secretion)
bedwetting is normal before age ___
5
major hormone issue in refeeding syndrome
insulin, drive potassium into cell (and phosphorus and mag)
timeline of HIT
usually 5-10 days after heparin started
treatment of lead poisoning
calcium disodium EDTA
triad in paroxysmal nocturnal hemoglobinuria
hemolysis, cytopenias, hypercoagulable state
negative progesterone withdrawal test
due to damage of the endometrium, likely secondary to surgery
associated with REM sleep disorder
Lewy body dementia or Parkinsons
treatment of polymyositis
steroids
PTHrP
due to squamous cell carcinoma SCa++ous cell
malodorous vaginal discharge
BV
symmetric congenital defects are usually caused by…
congenital defects (asymmetric are caused by placental insufficiency)
bilateral diffuse interstitial infiltrates in immunocompromised
PCP pneumonia
paranoid vs delusions
delusions - specific, no other diagnosis, funcitonal
paranoid - pervasive distrust, always present
treatment of narcolepsy
modafinil
pleural effusion lung sounds
decreased tactile fremitus, dull to percussion
euthyroid sick syndrome
low T3, others normal - due to decreased peripheral conversion of T4 to T3
thyroid test in acutely ill
interpret with caution
treatment of leg DVT with contraindication to thrombolytics
IVC filter
phenytoin can cause ______ deficiency
folate due to impaired uptake in jejunum
low calcium and high PTH
low vitamin D or chronic kidney disease
longitudinal splitting of glomerular basement membrane
Alport syndrome - mutation of type 4 collagen
neuro symptoms after brain aneurysm repair
rebleeding early
vasospasm and infarction in day 3-10 (prevent with CCB)
acute joint pain after working in day care center
parvovirus
cause of obstruction in tension pneumo
crushing of VC, does not cause elevated left heart pressures
HPV in child should concern for…
child sexual abuse
dissociative identity disorder the same as….
multi personality disorder
CVID vs brutons
brutons also had low B cell count, presents earlier (defect in tyrosine kinase)
when to use different graves treatment
drugs - mild, pregnancy, older patient, stabilization
RAI - moderate to severe after stabilized
thyroidectomy - cancer, severe eye problems
mechanism underlying exudative effusion
increased capillary permeability
TEN vs SJS
TEN = greater than 30% of body area
mechanism for compensation in aortic valve disease
eccentric hypertrophy, increase compliance
cause of hyponatremia in labor augmentation
oxytocin acts like ADH
muscle issue in cushings
atrophy due to increased catabolism
trigger of bronchoconstriction in asthma
can be aspirin or beta blockers
papillary muscle rupture vs septal rupture
murmur in septal rupture is harsh and holosystolic with palpable thrill
vessel concern in Kawasakis
coronary artery aneurysm
why human milk is better
better for absorption and gastric emptying
first step in microcytic anemia
get iron studies
three options for Cushing syndrome evaluation
late-night cortisol, urine cortisol or low dose dex suppression
well appearing infant with painless and bloody stools
food protein induced allergic protocolitis
age of Meckels
most common at 2, rare before 6
sharp triphasic synchronous discharges
Jakob Cruzfedlt
when was HepC screened for in blood transfusions
after 1992
mitral valve in HOCM
systolic anterior motion of mitral valve
treatment of frequent PVCs
beta blocker
treatment of Prinzmetal
CCBs
anti U1 ribonucleoprotein
polymyositis
