6-26 Flashcards
bony destruction, osteophyte formation, foot deformity in pt w/ diabetic neuropathy
neurogenic arthropathy
treatment for acute hyponatremia
hypertonic saline
rapidly progressive cellulitis of the submandibular space
ludwig angina - usually due to dental infections
cancer arising from chronic wound
SCC
treatment for greater trochanteric pain syndrome
NSAIDs, activity mod, heat -> PT, corticosteroid injection
management of possible scaphoid fracture
CT/MRI if XR is neg
or splint + re-XR in 7-10 days
test for thoracic aortic injury
CT angio of the chest
most common malignancy of the lip
SCC
drugs assoc w/ methemoglobinemia
topical anesthetics + dapsone
imaging to confirm appropriate central venous catheter tip placement
CXR
test for possible AAA
focused bedside US
acid/base status in TB w/ primary adrenal insufficiency
non-AG metabolic acidosis (w/ hyperkalemia + hyponatremia)
fever, maculopapular rash, + renal failure following administration of SMX-TMP
acute interstitial nephritis
calcium changes during panic attacks
dec in serum ionized calcium (hypervent -> inc blood pH -> dec H+ bound to albumin -> inc Ca bound to albumin)
AKI assoc w/ acyclovir
crystal-induced AKI (pcpt drug causes intratubular obstruction)
glomerulonephritis following URI w/ low complement vs nml complement
low = PIGN
- subepithelial humps
- kids
- 10-21 days post URI
nml = IgA nephropathy
- mesangial
- adults
- 5 days post URI
macrocytic anemia w/ nml MMA
folate deficiency
dense intramembranous glomerular deposits
membranoproliferative GN - caused by persistent activation of alternative complement pathway
renal vein thrombosis is assoc w/ what nephrotic syndrome?
membranous glomerulopathy
treatment for hypovolemic hypernatremia
.9% saline until euvolemic -> then 5% dextrose
5% dextrose if asymptomatic
urine casts following hypovolemic shock
muddy brown casts from acute tubular necrosis
PBC treatment early in dz course
ursodeoxycholic acid
1st line therapy for renal artery stenosis
ACE-Is and ARBs
dz + treatment of stomal stenosis following roux-en-Y GB
esophagogastroduodenoscopy
how does sarcoid cause hypercalcemia?
inc calcitriol production
pts w/ nephrotic syndrome have an inc risk for what CV complications?
atherosclerosis + hypercoagulability (from hyperlipidemia + loss of ATIII)
pain exacerbated by bladder filling, relieved by voiding - assoc w/ dyspareunia
interstitial cystitis (painful bladder syndrome)
avoid what DMII drug in acutely ill pts w/ ARF, liver failure or sepsis?
metformin - leads to inc risk of lactic acidosis
