4 Flashcards
S/s benzo OD?
slurred speech, gait abn, drowsiness
Phenytoin toxicity?
nystagmus, ataxia, confusion
Li toxicity?
tremor, hyperreflexia, ataxia, sz
Tachycardia-mediated cardiomyopathy: presentation?
dyspnea, exercise intol, afib w/ RVR, LV systolic dysfunction
*chr tachycardia –> LV dilation + myocardial dysf
(tx agressive rate and rhythm control)
CVID: labs?
decr IgG, IgA, IgE, IgM with nml B cells
pres ~15-35 yo
Food poisoning: vomiting predominant?
S aureus, B cereus, Norovirus
Food poisoning: diarrhea predominant?
Salmonella, campy, Shiga-toxin E coli, Shigella, enterobacter, Vibrio, Yersinia
HTN emergency?
Malignant htn?
> 180/120 + end organ complications
retinal hemorrhages, exudates, papilledema
(enceph = cerebral edema + neurological s/s)
Raloxifene s/e?
incr risk of DVT, hot flashes, leg cramps
*increases bone mineral density, decr breast cancer risk (NO incr risk for endometrial ca)
Tx symptomatic sinus bradycardia:
IV atropine
if no response, transcut pacing, IV dopamine or IV epi
ant shoulder dislocation a/w…
post shoulder dislocation a/w…
fall/trauma
sz
Central vs nephrogenic DI?
central: desmopressin incr UOP by 50%, Na >150
nephrogenic: thirst intact, Na 142-105
1’ Polydipsia Na?
FSGS is a/w…
HIV
Membranous nephropathy is a/w…
hep B
Time frame: brief psychotic d/o? schizophreniform? schizophrenia? delusional d/o?
brief psychotic d/o = 1d to 1mo
schizophreniform = 1 mo to 6mo
schizophrenia = 6+ mo
delusional d/o = >1 mo
tx neonatal thyrotoxicosis?
methimazole + b blocker
Vitiligo is a/w…
pernicious anemia, a/i thyroid disease, T1 DM, 1’ adrenal insuff, hypopituitarism, alopecia areata
CA a/w PTHrP =
sq cell, renal/bladder, ovarian, endometrial, breast
CA a/w vit D prod =
lymphoma
multiple ring-enh lesions, esp at basal ganglia
toxo
solitary periventr ring-enh lesion in HIV+ pt
1’ CNS lymphoma
*EBV
cortical/subcortical atrophy and incr ventrical size in HIV pt
AIDs dementia
scarring and atrophy on head CT in HIV pt
subacute sclerosing panencephalitis
multiple non-enh lesions in cortical white matter
PML (hemiparesis, abn speech/gait, CN abn
**JC virus
HSP: pres?
palpable purpura, hematuria, abdp, arthralgia, +/- scrotal swelling, incr risk of intussusception (target sign) in
niacin def is a/w…
incr corn diet, etoh abuse, carcinoid syndr, Hartnups
dx Polycythema vera:
decr EPO + JAK2 mutation
vanc treats…
aminoglycosides treat…
good choice for anaerobic inf?
amoxicillin treats…
vanc –> G+
aminoglycosides (amikacin) –> G-
anerobes = clinda
amox = G+, G-, anaerobes
High RAIU scan w nodular uptake pattern?
toxic adenoma, multinodular goiter
Low RAIU scan, decr thyroglobulin
exogenous thyr ingestion
Low RAIU scan, incr thyroglobulin
thyroiditis or I exposure
WPW afib w RVR tx?
cardioversion or procainamide
AV node blockers will cause vfib
