7/29 Flashcards
anterior mediastinal mass t’s
teratoma, thymoma, thyroid, terrible lymphoma
decreased peripheral vision with increased cup/disk ratio
glaucoma
most sensitive test for diabetic nephropathy
urine-albumin to creatinine ratio
onchomycosis organism and tx
trichophyton rubrum
tx: terbinafine and itraconazole
long term hyper ca tx >14
bisphosphanates
short term tx f hyper ca >14
NS+calcitonin
Adult Still’s disease ft
-recurrent high fevers
arthritis/arthralgia
salmon colored rash
causes of digital clubbing
malignancy, CF, R–> cardiac shunt
what tests predicts risk of future diabetic foot ulcers
monofilament test
Disseminated gonococcal infection triad
tenosynovitis
painless vesiculopapular skin lesions
polyarthraligia
hookworm tx
ivermectin
pathophys of anemia of chronic disease
⬆️ inflamatory cytokines this inhibits ferroportin on enterocytes and macrophages, leading to less iron absorption and increased iron sequestration
WPW goes into a fib and is hemodynamically stable, what med do you us
antiarrhythmics like procainamide o ributilide
For WPW why can you not use Adenosine, BB, CCB, dig?
they block AV node and promote conduction across the accessory pathway= fib
pathophys of esophageal probs in systemic scleroderma
atrophy and fibrosis of smooth muscle in lower esophagus
tx for lithium levels over 2.5 and signs if toxicity, or >4 with no signs
hemodialysis
which SSRI to avoid in recent MI patients
citalopram bc it prolongs QT.
dose dependent
which SSRI should you give post MI depression
Sertraline
bupropion class
Norepi and dopamine reuptake inhibitor
what is a functional tremor
psychogenic, will be inconsistent and not fit a classic neuron pattern
acute dystonia tx
benztropine
diphenhydramine
akathisia tx
BB
Lorazapam
Benztropine
drug related parkonsism tx
benztropine
amantadine
tardive dyskinesia tx
valbenazine
deutetrabenazine
cruetzfeldt Jakob marker
14-3-3
sSRi short term SE
HA, Nausea, insomnia/sedation, anxiety and dizziness
long term SSRI SE
sexual dysfunction
weight gain