8-23 Flashcards
avoid metformin in…
acute renal failure, liver failure, sepsis - due to inc risk of lactic acidosis
tx for antipsychotic induced parkinsonism
add on benztropine or amantadine if it’s working well
tx for ingestion of botulism spores
botulism immune globulin
unilateral varicocele that fails to empty when patient is recumbent
suspicion for mass that obstructs venous flow (RCC)
motor: 1-5 yrs
walk, steps, tricycle, hop, skip
RDW and RBCs in thalassemia minor
normal - see target cells on smear
first line prevention of migraines in pregnancy
beta blocker
complications of PBC
(anti-mito Abs) malabsorption, metabolic bone dz, HCC; tx w/ urso
phys exam for aortic regurg
early diastolic murmur, bounding pulses
Abs in hashimoto thyroiditis (high TSH)
anti-TPO Abs
baby w/ unconj bili, nml Hgb, neg coombs, inc retics
hemolysis (G6PD def, hgb SS, etc)
proximal muscle weakness + diminished DTRs
lambert-eaton (Abs to presynaptic voltage-gated Ca channels)
AV block in pt w/ endocarditis
perivalvular abscess
cough, conjunctivitis, white dots in mouth, fever, rash
measles (starts on head and spreads caudally)
tx for pinworm infection
pyrantel pamoate OR albendazole
tx for vasospastic angina
CCB
dx of acute liver failure
elevated AST/ALT, hepatic encephalopathy, INR>1.5
tx for AOM perf w/ amox tx in past 30 days
amox-clavulanate
common site of HTN brain hemorrhage
basal ganglia
defense mechanism: attributing one’s own feelings to someone else
projection
pt w/ dizziness, SOB, chest pain relieved w/ cold water immersion
AVNRT
defense mechanism: transferring feelings to a less threatening object/person
displacement
social: 2 + 6 mo, 1 yr
social smile, stranger anxiety, separation anxiety
motor: 2, 4, 6mo
lift head, roll over, sit up
tx for scabies
topical permethrin vs oral ivermectin
CHF does what to kidneys?
RAAS activation -> vasoconstrict afferent + esp efferent arterioles
1st step dx for cushing syndrome
24 hr urine cortisol vs late night salivary cortisol vs low dose dex suppression -> then measure ACTH
hepatorenal syndrome pathophys
splanchnic dilation -> RAAS -> renal vasoconstriction
kid w/ itchy fingers
scabies - tx w/ permethrin
sildenafil relative contraindications
alpha blockers and nitrates - cause hTN
surveillance for beckwith-wiedemann syndrome
serum AFP and abd/renal US (wilms tumor and hepatoblastoma)
child w/ painful hip after viral illness, able to bear weight, nml labs
transient synovitis
clinical exam findings for laryngomalacia
inspiratory stridor
baby w/ unconj bili, nml Hgb, nml retics, neg coombs
breast milk (not enough, dec bowel fxn) vs breast feeding (problem w/ moms milk) jaundice
shapes: 3, 4, 5yrs
circle, cross, triangle
BRUE definition
<1yo, <1min, change in color/tone/breathing/responsiveness
bug + tx for chronic bacterial prostatitis
E Coli; tx w/ FQ for 4-6 wks
abx relatively contraindicated in aortic aneurysm
fluoroquinolones
fever, rash, tender lymph nodes
rubella
why are CF pts more at risk for insulin-induced hypoglycemia?
lose glucagon-secreting alpha cells too
nephrotic syndrome assoc w/ HBV
membranous nephropathy
common causes of adult nephrotic syndrome
FSGS, membranous nephropathy, membranoproliferative glomerulonephritis
common causes of adult nephritic syndrome
IgA nephropathy, membranoproliferative glomerulonephritis, crescentic glomerulonephritis
