6/15/13 Flashcards
What is the first step in Tx of a large breast tumors that is fixed to the chest wal or has extensive nodal involvement?
preoperative chemo
lateral epicondylitis results from small tears in the common extensor tendon of the forearm, esp. the tendon of the _______ muscle.
extensor carpi radialis brevis
In a pt. w/ cholecystitis, what does “reflection from the gallbladder wall” on US indicate?
emphysematous cholecystitis
What is the Tx for emphysematous cholecystitis?
immediate cholecystectomy and broad spectrum Abx
What is the first step in any symptomatic spinal cord injury/lesion?
hi-dose IV steroids
What is the first step in a pt. w/ Hx of cancer presenting w/ back pain, even if there are no neuro deficits?
MRI
What serum chemistry abnormalities (3), aside from hyperuricemia, are found in tumor lysis syndrome?
hyperphosphatemia, hypocalcemia, and hypperkalemia
What is the mech of hypocalcemia in tumor lysis syndrome?
phosphate causes it to precipitate
What is the most important initial test in the Dx of meningitis?
CSF WBC count
Where do you usually find bacteroides?
oral cavity
What kind of Abx are used to Tx nocardiasis?
sulfa drugs (e.g. sulfadiazine or TMP-SMX)
How does Actinomycyes differ from Nocardia?
not acid-fast
Tx for spontaneous bacterial peritonitis?
cefotaxime + albumin
What happens to S1 in early mitral stenosis?
increases in intensity
Why isn’t hyporeflexia found in cauda equina syndrome?
LMN lesion!
