4/26 Flashcards
tumor associated with myasthenia gravis
thymoma
retinal hemorrhages in kids
abuse
cofactors required for PTH synthesis
magnesium and vitamin A, in case of hypomag, patient will have low PTH and low calcium
treatment of acute gout attack
NSAIDs then colchicine
when to treat with acyclovir in pregnancy
only with active lesions - can give prophylactic dose at 36 weeks
cause of urinary stasis in pregnancy
progesterone relaxes the ureter
overdose with horizontal nystagmus
PCP
next step with discoloration in torsion or incarceration
surgery, don’t wait for imaging
elevated lab value in sarcoid
calcium
fussy and irritable in child after surgery
likely in pain
OCPs decrease risk of what cancers
endometrial/ovarian
A-a gradient formula
150-0.8/CO2
alternative for doxy in lyme
amox
digoxin and potassium
low potassium worsens digoxin toxicity
treatment for organophosphate poisoning
atropine
most common causes of CAP
h flu and s pneumo
gentamicin causes what kidney problem
ATN
plethysmography
for LFTs
voices in berevement
may hear voices of the dead but not from the living
serpiginous skin tracts
cutaneous larva migrans
muscles in achalasis
tightened LES but decreased peristalsis
location of occlusion causing rest pain
femoral-popliteal vessels
immediate treatment of AAA rupture
beta blockers to lower cardiac contractility
steps in pituitary microadenoma
bromocriptine first followed by surgery if refractory
auditory hallucinations are specific for…
schizophrenia
treatment of small penumothorax
100% oxygen, dont need to treat less than 20%
treatment of neurological deficits due to mets
radiation to decrease spinal compression
contraindication to alpha blocker in BPH
hypotension
hypertrophic osteoarthropathy
in bronchogenic carcinoma
electrolyte abnormalities in adrenal isufficiency
hyponatremia and hyperkalemia
best test for diabetic nephropathy
urine creatinine/microalbumin ratio
when tocolytics should stop being used
34 weeks - outweigh the risks of preterm delviery
dermal blisters on hands in hep c
porphyria cutanea tarda
erythema toxicum neonatrum
scattered pustules and papules in newborn, benign
normal height/weight gain at one year
weight triples, height up 50%
rule out test for suspected learning disability
hearing test
most common cause of thrombocytopenia in lupus
autoimmune destruction
risk factors for MS
cold climate and low vitamin D levels
presbyopia
loss of elasticity in lens over time
loss of pain in temp in brown sequard
contralateral to side of lesion, tend to occur 1-2 levels down
pronator drift is sign of…
UMN lesion of pyramidal/corticospinal tract lesion, causes more weakness in the supinator muscles
positive urine bilirubin
results from buildup of conjugated bilirubin in blood that isnt degraded in the intestines
elevated urobilinogen
caused by buildup of unconjugated bilirubin
rouleaux formation
multiple myeloma
post void dribbling with vaginal wall mass
urethral diverticulum
treatment of bell’s palsy
glucocorticoids (even though it may be caused by a virus)
risk factor for cervical cancer
smoking, OCPs
important screen before starting antidpressant
mania
preferred anticoagulation in renal disease
unfractionated heparin
opioid vs benzo over dose
benzo has normal pupil and no respiratory depression
most likely secondary complication of HSP
intussusception, due to intestinal edema and bleeding
labs in cholestasis of pregnancy
high LFTs and bile acids - severe itching on palms and soles
elevated total bile acids salts in pregnancy
cholestasis of pregnancy - treat with ursodeoxycholic acid
tetanus toxoid inhibits ….. release
GABA/glycine - blocks release of inhibitory neurotransmitters
mixed cryo is associated with…
hep C and SLE
diamond blackfan anemia
pure red cell aplasia, macrocytic anemia, triphalangeal thumbs
triphalangeal thumbs
diamond blackfan anemia
earliest manifestation of vaso-occlusion in sickle cell disease
dactylitis - always bilateral
vaso-occlusive vs osteo in sickle cell
many sites vs one site
when to only anoscopy for anal bleeding
less than 40 y/o
elevated LFTs in TB treatment
if healthy and mildly elevated, do nothing
- careful in liver disease/alcohol use
findings in pinealoma
limitation of upward gaze, eyelid retraction and light-near dissociation
how do vagal maneuvers stop reentrant tachys
block the AV node
how long should malaria prophylaxis be continued for
4 weeks after return
treatment for early parkinson’s patients with tremor
trihexyphenidyl (anticholinergic)
how polysaccharides vaccines work
mostly T cell dependent mechanism
mononuclear inflammatory infiltrate in lamina propria
microscopic colitis - also thickened subepithelial collagen band
microscopic colitis is associated with…
NSAIDs, PPIs, smoking, autoimmune disorders
overuse pain in medial knee
pes anserinus
components of Howell Jolly bodies
RBC nuclear remnants
components in basophilic stipling
precipitation of rRNA
rare finding in pseudogout
chondrocalcinosis
