5/25/13 d Flashcards
How long must Sx have been present to Dx PTSD?
1 month
What is the recommended first-line tx for PTSD?
SSRIs
What should be suspected in a woman w/ adnexal tenderness and RUQ tenderness?
Fitz-Hugh-Curtis syndrome
What is Fitz-Hugh-Curtis Syndrome?
perihepatic adhesions secondary to PID
What is the first step after history and general physical in suspected PID?
pelvic exam
What 2 things must be done during pelvic exam for PID?
samples for culture/Gram stain and assess for cervical motion tenderness
How should you differentiate TTP from HUS on the exam?
altered mental status predominant–>TTP
renal failure predominant–>HUS
What kind of renal failure do HUS pts have?
anuric
How can TTP and DIC be differentiated based on lab tests?
coagulation studies
What is the immediate treatment of a sucking chest wound?
cover w/ Vaseline gauze taped on 3 sides
What is the first step when a pt is suspected of having (non-tension) pneumothorax but is totally stable?
X-ray
How many weeks gestation should we be at before attempting external cephalic version for breech pressentation?
> 36 wks
What is the treatment of choice for keloids and hypertrophic scars?
intralesional steroid injection
How are keloids different from hypertrophic scars?
they grow beyond the boundaries of the scar
Immunodeficiency disease characterized by thrombocytopenia, eczema, and recurrent infections (esp. respi).
Wiskott-Aldrich syndrome
What is the inheritance pattern of Wiskott-Aldrich syndrome?
X-linked
What sort of disease are children w/ Wiskott-Aldrich syndrome prone to develop, if they live long enough?
malignancies, esp. lymphomas and ALL
On colonoscopy, any polyp larger than ___ should be removed.
1 cm
What is the tx of choice in hypertrophic cardiomyopathy?
β-blockers
How do β-blockers help in hypertrophic cardiomyopathy?
they slow ventricular rate, increasing filling time, and reducing outlet obstruction
