8/10 Flashcards
chronic non-nonhealing wound becomes which cancer
squamous
knee dislocation test after reduction
ABI to make sure that popliteal is doing ok
pathophys of neonatal thyroxosis
transplacental passage of maternal anti-TSH receptor antibodies.
Antibodies bind to infant’s TSH receptors and cause excessive thyroid hormone release
dumping syndrome post GI procedure next step
dietary mod
hyperplastic polyp removed on colonoscopy when is next colonoscopy
10 years, those aren’t cancer
ab pain, distension, SINGLE dilated loop of large bowel on x-ray dx? tx?
colonic volvulus most likely cecal.
laparotomy
sigmoid volvulus tx
endoscopic detorsion
progressive esophageal dysphagia first test
endoscopy
how do you tell if the cystic duct or common bile duct is obstructed
look at LFTS, will be elevated in common bile duct
most common cause of death in people with ESRD
CV disease
high anion gap, high serum osmol gap, metabolic acidosis, envelope or rhomboid crystals in urine. dx and tx
ethylene glycol poisoning, fomepazole.
how to calculate serum osmal gap and normal serum osmolal gap
measured-calculated <10
formula for calculated serum osmolar gap
(2*Na)+(glucose/18)+(BUN/2.8)
utetral stone imaging
NON contrast CT ot US
preterm labor meds 34-36
pen if gbs+ or unknown, maybe betamethasone but really either way
preterm labor meds 32-33 (6/7)
betamethasone
tocolytics
pen if GBS + or unknown
preterm labor meds <32
betamethasone
tocolytics
pen if GBS + or unknown
and Mg2+
GBS abx mild pen allergy
cephalosporin
GBS sever pen allergy
erythromycin or clindamycin, if resistant to those bad boys do the Vanc
can you use ergots for migrants in pregnancy
NOOOOOO!!!!!
when to avoid NSAIDS pregnancy
1st and 3rd trimesters
diagnostic test for HIT
serotonin release assay
antihypertensives okay for pregnancy
labetalol
nifedipine
hydralazine
methyldopa
long standing RA what nephrotic syndrome will they get
AA amyloidosis
most common cause of abnormal hemostasis in patient’s with CKD and tx
platelet dysfunction with NORMAL PT, PTT.
DDVAP is tc
sodium nitroprusside SE in patient’s with CKD
cyanide tox- HA, confusion, arrhythmia., flushing, respiratory depression
what does DHES raise risk for
clear cell vaginal cancer
undetectable serum estrogen, high ash and lh normal internal female genitals dx?
aromatase deficiency
emergency contraception options
copper iud
ulipristal
levonorgestrel
rf for worsening of scoliosis
female, premenarche, age <12
fu for gestational diabetes post baby
2hr glucose tolerance test at 6 weeks
what is autonomic dysreflexia
response to noxious stimuli in spinal cord injury patients trigger unregulated sympathetic response.
worse prognostic factors for the panc
older age >55 BMI over 30 AMS SIRS+ ⬆️ BUN,Cr or HCT pulmonary infiltrates severe necrosis on ct
confirmatory thing to do for epiglottis if patient is stable
lateral neck radiograph
