6/24/13 Flashcards
Francisella tularensis: Describe the lesion at site of infection and the location/character of the lymphadenopathy.
ulcerative lesion; exquisitely tender regional lymphadenopathy
What infection from a cat bite causes regional lymphadenopathy following local cellulitis?
Pateurella multocida
What infection from a cat scratch, bite, or fleabite causes papules at the inoculation site and an enlarging, nontender lymph node?
Bartonella henselae
Which kind of peptic ulcer pain is relieved by meals?
DUODENAL
Which 2 TB drugs, aside from INH, are anti-B6 and can cause a sideroblastic anemia?
pyrazinamide and cycloserine
What is the typical regimen for TB?
Rifampin
INH
Pyraznamide
Ethambutol
Achalasia results from degeneration of the _______ cells.
Auerbach plexus
What is the most common cyanotic heart abnormlity presenting immediately after birth?
TGA
This is the presumed defect if there is no pulmonary problem.
Transposition of the great arteries: What procedure is performed (prior to surgery) if prostaglandin E1 does not end the cyanosis?
balloon septostomy
What are the effects of 17-hydroxylase deficiency?
hyperaldosteronism, no cortisol, no sex steroids.
male: female external genitalia
female: no secondary sexual characteristics
What are the effects of 21-hydroxylase deficiency?
deficiency of mineralocorticoids and cortisol, high sex hormones (salt wasting, hypotension)
masculinization
What are the effects of 11-β-hydroxylase deficiency?
high corticosteroids, low cortisol, high sex hormones
(htn)
masculinization
What are the major indications for CABG?
- LMCA or (LAD + LCX >70%)
- 3-vessel disease
- 2-vessel disease w/ DM
What susbstance was the pregnant mother probably using if the newborn is very irritable w/ hi-pitched cry, with tremors, excessive suck, and abnormal breathing?
cocaine
What substance was the pregnat mother probably using if the newborn is very irritable, has GI dysfunction, respi distress, autonomic Sx?
opiates
