5/17/13 b Flashcards
What is the Charcot triad of cholangitis?
fever/chills, jaundice, and RUQ pain
What is the differenital dx (2) of a painless cystic mass above the testicle?
epididymal cyst and spermatocele
What is the tx for epididymal cyst or spermatocele?
no tx if asymptomatic
What should be the next step to identify the source of lower GI bleeding when anoscopy and rectal exam are negative in a pt who is actively bleeding?
erythrocyte scintigraphy
What is the tx for a displaced femoral neck fracture?
replacement of femoral head w/ prosthesis
What is the preferred tx for pyogenic liver abscess?
percutaneous drainage
What is the next step for pts w/ GERD who fail medical therapy?
Nissen fundoplication
What does Cushing’s triad indicate?
increased intracranial pressure
What is Cushing’s triad?
bradycardia, hypertension, and irregular breathing
Pt under general anesthesia develops muscle rigidity, sinus tachycardia, hyp[erthermia, and skin cyanosis and mottling. What happened?
malignant hyperthermia
What is the mainstay of tx for malignant hyperthermia?
dantrolene
What kind of a drug is dantrolene?
muscle relaxant
What is the tx for a non-strangulated, reducible umbilical hernia in an infant?
none, unless persists beyond 2 yo
What is the treatment for follicular thyroid cancer?
total thyroidectomy followed by radioactive iodine
Why is radioactive iodine used post-op in follicular carcinoma of the thyroid?
metastases will take up iodine once thyroid is gone
Pt has chills, fever, and low back and perineal pain. Rectal exam shows tender, swollen prostate. Dx?
prostatitis
What 2 organisms most commonly cause prostatitis?
E. coli and Chlamydia
What are good antibiotic choices for the Gram-negative rods that usu. cause prostatitis?
fluoroquinolone or TMP-SMX
What kind of testicular cancer produces AFP and, histologically, consists of sheets of small, poorly differentiated cells w/ scant cytoiplasm and crowded nuclei?
embryonal carcinoma
What testicular cancer produces AFP and, histologically, demonstrates papillary structures resembling glomeruli?
yolk-sac tumor
What testicular cancer produces placental alk phos (PLAP) and is composed of nests of large, round, clear cells w/ central nuclei and obvious nucleoli resembling spermatocytes? This accounts for almost half of all testicular cancers.
seminoma
What testicular cancer produces β-hCG and consists of cytotrophoblastic and syncytiotrphoblastic cells resembling chorionic villi?
choriocarcinoma
