6/22/13 a Flashcards
Cirrhosis + platypnea and orthodeoxia =
hepatopulmonary syndrome
What is thought to cause hepatopulmonary syndrome?
inability of the liver to clear pulm vasodilators from circulation
EKG: Tall, broad R waves in V1, V2; ST dep in V-V3; and tall upright T-waves in V1-V3 indicate a _______ wall infarct.
posterior
Which vessel is infarcted in a true posterior wall infarct?
PDA
ST elevation in leads I, aVL, V4-V6 indicate a _______ wall infarct.
lateral
Which vessel is infarcted in a lateral wall infarct?
CFX
How much RhoGAM is administered to Rh (-) mothers at 28 wks and again at delivery (if uncomplicated)?
300 μg
If fetomaternal hemorrhage is suspected, but not confirmed, in an Rh(-) mother, what is the best next step?
rosette test on maternal hemorrhage to confirm or disprove
If there has, in fact, been fetomaternal hemorrhage w/ Rh(-) mother, what is the best next step?
Kleihauer-Betke stain using flow cytometry on maternal blood (to assess extent of hemorrhage)
After diarrhea and vomiting d/t viral gastroenteritis, what will the state of Na+ and osmalility be in the serum?
both low
What is the first-line tx of htn in pts w/ scleroderma w/ renal involvement?
ACE-Is
After ACE-Is, what type of antihypertensive drug should be given to scleroderma pts w/ renal involvement?
Ca++ ch. blockers
What drug is used for the PULMONARY htn of scleroderma?
Bosentan
Is laboratory confirmation necessary to make the Dx of early Lyme disease?
No! The Dx is clinical!
Is laboratory confirmation necessary to mae the Dx of late Lyme disease?
Yes!
