6/13/13 b Flashcards
What is the tx of choice for somatization disorder?
brief monthly visits w/ primary care physician
What personality disorder is common in male relatives of pts w/ somatization disorder?
antisocial p.d.
What personality disorder is common in female relatives of pts w/ somatization disorder?
histrionic p.d.
What kind of sx would usu. be found in conversion disorder?
pseudoneurological (e.g. mutism, blindness, paralysis)
What does “la belle indifference” refer to?
pts. w/ conversion disorder don’t mind their (fake) disability
What is the primary gain of a conversion disorder?
keeps real problem out of pt’s conscious awareness
Retinal hemorrhages in an infant are indicative of what?
shaken baby syndrome
What is found on bronchoalveolar lavage in amiodarone-induced restrictive lung disease?
foamy macrophages
What malabsorptive disease is associated w/ hyperpigmentation, lymphadenopathy, cardiac disease, and rheumatologic disturbances?
Whipple’s disease
What is the etiology of pseudohypoparathyroidism?
mutant PTH receptor is non-functional
What is a normal jugular venous pressure range?
6-8 cm H20
What 2 classes of drugs are usef to treat akathisia resulting from the use of psychotropic medications?
β-blockers and anti-cholinergics
Cataplexy is characteristically associated w/ what disorder?
narcolepsy
What is the standard “triple therapy” protocol for H. pylori?
Amoxicillin, Clarithromycin, and a PPI
What can be used in place of amoxicillin in the triple therapy protocol?
metronidazole
What is naltrexone?
blocks μ-receptor in brain; reverses effects of opioids
What should you warn pts about before prescribing metronidazole?
disulfiram-like fx
What are the characteristic CXR findings of silicosis?
bilateral upper lobe involvement and “egg-shell” calcification of hilar lymph nodes
Pts w/ silicosis have 30 times the risk of contracting _______ and must be screened for it yearly.
TB
Pts w/ intracerebral hemorrhage usu. lose consciousness immediately. At what point do pts. w/ cerebellar hemorrhages lose consciousness?
when cerebellar tonsils herniate through foramen magnum
What should be done to treat intra-cerebellar hemorrhage?
immediate surgical evacuation
What are some (3) special clinical features of intra-cerebellar hemorrhage?
gait imbalance, gaze palsy, facial weakness
