5/22/2014 Flashcards
G cells secrete
gastrin
zollinger ellison
pancreatic gastrinoma - excessive gastric acid secretion
ulcers of duodenum to jejunum
zollinger ellison
delta cell tumors
somatostatinoma - DM, Cholelithiasis, steatorrhea, hypochlorhydria
therapy to lessen anxiety of a particular situation or behaviour
behavior modification
partial serotonin agonist and 5-HT1a receptors - for patients with generalized anxiety, acts like an anxiolytic
buspirone
SSRI for depression, OCD, bulemia, and social phobias
fluoxetine
alpha 1 inhibitors
-zosins (terazosin, prazosin, doxazocin) - useful for both BPH and HTN
repression vs suppression
unconscious vs conscious
pagets of breast
unilateral, painful, itching and scaling. associated with intraductal carcinoma
large epidermal cells with a clear halo
paget
underlying ductal carcinoma in situ
paget
breast abscess during breast feeding, staph aureus
mastitis - lactiferus sinus
intramedullary carcinoma
spinal cancer
innervation of superior oblique
trochlear, CNIV
exits through stylomastoid foramen
facial nerve
exits through foramen ovale
CNV-3 mandibular
foramen spinosum
middle meningeal artery
superior orbital fissure
ophthalmic nerve V1 - corneal reflex
only motor output of glossopharyngeal nerve CNIX
stylopharyngeus
calcitonin secretion
medullary carcinoma
most common thyroid cancer - malignant but good prognosis
papillary carcinoma
antibodies against TSH receptors
graves disease
myosin antibodies
rheumatic fever and heart disease - M-protein
IgE and cross linking of mast cells and basophils to cause histamine release
type I
hypersensitivity of ABO transfusion and rheumatic heart disease
Type II cytotoxic
autonomic symptoms of lambert eaton
dry mouth and erectile dysfunction
hashimoto tx
levothyroxine
villous atrophy in small intestine
celiac
lacerated middle meningeal
epidural hematoma - lens shaped, will not cross suture lines
tears of basilar artery =
subarachnoid hemorrhage
presenting sign and symptoms of subdural hematoma
confusion and depressed consciousness
anterior pituitary hormones
TSH, Prolactin, LH, FSH, GH, ACTH (FLAT PiG)
basophil secreted anterior pit hormones
B-FLAT
TRH
thyrotropin releasing hormone of hypothalamus - stimulates TSH and prolactin.
hypothalamic hormones
TRH, Dopamine, CRH, GHRH, Somatostatin, GnRH
Prolactin effect on hypothalamus
decreased GnRH
active TH and inactive
triiodothyronine and thyroxine
T3 effects 4Bs
brain maturation, bone growth, beta-adrenergic, basal metabolic
distinguishing primary vs secondary hyperthyroidism
TSH level
tertiary hyperthyroidism
elevated TRH
PTU
propylthiouracil - impedes iodine organification and coupling. inhibits peripheral conversion of T4 to T3
pharm tx of pituitary adenoma of thymotrophs - TSH
PTU
Methimazole
inhibition of iodine organification and coupling - no peripheral effect on hormone conversion
drugs with disulfiram like effects
metronidazole, procarbazine, sulfonylureas, cephalosporins
herpes
acyclovir
syphilis tx
penicillin G
third gen cephalosporin for neisseria
cephtriaxone
tetracycline for chlamydia
doxycycline
acetazolamide
carbonic anhydrase inhibitor
spironolactone
competes with aldosterone
chronic bronchitis
3 mo for 2 consecutive yrs. productive cough. smoking and cystic fibrosis
s3 heart sound
heart failure
keratin pearls
squamous cell cancer
TB in CD4 <50 pts.
mycobacterium avium intracellular complex
MAC in AIDS tx
clarythromycin and azythromycin
decreased ferritin and increased TIBC
iron deficiency anemia
Methylmalonic acid buildup
B12 deficiency anemia
normocytic normochromic cells are
ACD anemia of chronic disease
low TIBC/transferrin, increased ferritin
ACD
Virchow’s node
left supraclavicular lymph adenopathy - pancreatic cancer
pancreatic referred pain
back
GB referred pain
shoulder
enlarged palpable painless GB
Coursoviers sign - pancreatic cancer
echymosis behind ear
battle sign - basilar skull fracture
calf pain with forced dorsiflexion of foot - sign of DVT
Homan sign
palpation of left abdomen that results in apendiceal pain on the right
rovsing sign
CA19-9
tumor marker of pancreatic adenocarcinoma
CA 125
marker of ovarian cancer
best cancer imaging
CT
obesity and nulliparity - risk of
endometrial cancer - not cervical cancer
tx of schizophrenia that causes agranulocytosis
clozapine - have WBCs checked weekly
risk of adhesive capsulitis
diabetics, females and thyroiditis
tx of early adhesive capsulitis
intra-articular steroid injections
injury of overuse
tendonitis - dx with speed or yergason tests