8/23 Flashcards
Ha, n/v, neck stiffness suddenly
Afebrile
Dx
Subarachnoid hemorrhage
Pt needs breast ca screen
Declines mammo due to radiation
Next choice
MRI breast
Lower abd pain for 2 mo after eating
Dx
Acute mesenteric ischemia
Mid systolic crescendo-decrescendo murmur dx
Ass sx
Aortic stenosis
Delayed carotid pulse after heart beat
Family hx of colon CA and endometrial CA, and other gi CA
Screening needed
Colonoscopy and then every 1-2 years
Scurvy sx
Vit c def associated sx
Joint pain
Diaper dermatitis dx
Contact dermatitis
OCD to
Fluoxetine
Ssri
Hyperpigmentation with no other sx
Dx
Melisma
Multiple myeloma anion gap
Decreased anion gap due to hyperCa
Difference bn MEN2A and B
2B gi Timors and Marfan habitually
No parathyroid tumors like A
Parkinson’s
Mechanism
Levy bodies = alpha-synuclien accumulation
Pyloric stenosis electrolyte abnl
Low cl, k
Metabolic alkalosis
Steven Johnson additional findings
Involved mucous membranes
Eyes (conjunctivitis)
Genitalia
Plantar fasciitis tx
Rest, ice, NSAIDs, stretching
Times corporis tx
Topical azole
Oral griseofulvin for failed topical
Newborn with perinatal hiv exposure to
Zidovudine
Plum fibrosis lung testing finding
Decreased diffuse capacity
Decrease fev1 and vital capacity
Increased fev1/fvc
Bruising, recurrent infections, cafe au lait spots
Dx
Franconia anemia
Fanconi anemia increases risk
Dz
Acute myelogenous leukemia
Tx for hemochromatosis
Phlebotomy
RA tx
Sulfasalzine and NSAIDs
Hemochromatosis genetic cause
Homozygous c282Y HFE gene mutation
Folate vs B12 def differences
Elevated mma in b12
Neuro sx only b12
Most specific test for RA
anti-CCP
Staph toxic shock vs tens
Mucous membranes only with tens
Soap bubble on X-ray type
Of ca
Giant cell tumor
Biggest risk factor for dementia
Age
Sigmoid volvulus to
Endoscopic decompression
Urinary incontinence first test regardless of length of time
UA
Malignant hyperthermia vs
Neuroleptic malignant syndrome medications triggering
Malignant hyperthermia ass with anesthesia
Neuroleptic ass with antipsych
Tx neuroleptic malignant hyperthermia
Stop med, IVF
benzos
Dnatrolene, bromocriptine, amantadine
Wagners specific test
C-ANCA
antibodies against proteinase-3
Neonatal conjunctivitis causes
Gonorrhea
Oral Thrush in adult tx
Azole lozenges and give testing
Not po azole unless failed
Rupture AAA diagnostic test
US
Psoriasis tx
Topical steroids
Low tsh and t4
Cause
Secondary hypothyroidism
Pituitary
Schizophrenia vs schizophreniform
More than 6 mo is schizophrenia
Carpal tunnel symptoms
Weakness and numbness omg third three fingers
Spares sensation in the at eminence
Elevated trip onion and active chest pain dx
Nstemi
Prolonged PTT bleeding disorder
Dx and tx
vWD - most common
Give desmopressin
Servers nerve palsy
Dx and nerves
Erb-duchennes
C5-6
Galeazzi’s frx
Distal radius
Monteggia’s frx
Proximal radius
Night stick fracture
Ulnar frx from blocking a blow
Pt has increase morning glucose initial test and dx
Have it taken earlier
Dawn phenomenon
Specificity calculation
SPIN
it’s about the negatives
= true neg/ all neg
Ulcer from H pylori grade
I
Lateral epicondylitis associated wrist movement with pain
Wrist extension
Wrist flex ion with medial
Consent if asked about level of experience must answer clearly and honestly
Yep
VIPoma electrolyte abnormality
Low K from diarrhea
And hyperglycemia
Prosthetic valve endocarditis most common cause
Staph epidermidis and aureus
Modules and cysts in lung
Ribs lytic lesions
Dx
Langerhans cell histiocytosis
Crohns dz first line tx
Steroids
Ingestion Tylenol within one hour tx
Activated charcoal
Greasy stool, stay skin, diabetes
Dx
CF
PUD with H pylori to
Omeprazole, clarithromycin, amoxicillin
If had macrlide abx-
Omeprazole, bismuth subcitrate, metronidazole, tetracycline
Sickle cell with ED cause
Vado-occlusive
OCD to
SSRI or TCA( including clomipramine)
Wallenbergs test for dz
Vertebral insufficiency
Drop arm test assessing muscle
Supraspintsus
Alleys stretch test is assessing
Shoulder mobility
aortic dissection initial study
CXR, then CT
itchy rash on baby dx and risk factor
atopic dermatitis
fhx of asthma
most sensitive test for lupus
ANA, if negative can 95% rule out lupus
young healthy male with elevated Crt, ask about
supplement (creatinine) use
normal newborn screening
PKU and hypothyroidism
early diastolic blowing murmur
aortic regurg
late diastolic murmur with opening snap
mitral stenosis
prevention of osteoporosis
vit D, calcium, quit smoking/etoh, weight bearing exercise
mydriasis
dilated pupil
alcoholic found down with AMS and mydraisis, which brain bleed
subdural
younger, distal limb weakness, decreased sensation and reflexes, spine deformities, high arched foot dx
charcot-marie-tooth
only males, waddling gait, progressive weakness, using arms to move legs, CK elevated dx
duchenne muscular dystrophy
cacluate odds ratio
= (exposed with dz x exposed wo)/(not exposed w x not expo wo)
MEN 2A list of dz
medullary thyroid ca, pheochromocytoma, adrenal hyperplasia, parathyroid tumor
unstable pt with PE presentation next step
CT before tPA (heparin for stable PE pt)
ITP sx
low platlet and bleeding
wiskott-aldrich
low plt and immune deficient
atypical squamous cells on pap next step
HPV typing
then colposcopy if positive
repeat 3 years if negative
Start screening lipids and glucose
35 in males
45 in females
Hep a vaccine for adults who
Work with kids from endemic areas of travel in endemic areas
Hep B vaccine for adults who
Have sex with multiple people
Drug use
Healthcare
HPV vaccine can be given up til
45 yo
weight reduction surgery BMI qualification
> 40 or >35 with comorbidity
NSAID causes ulcer grade
Type V
stomach acidity ulcer grade
Type II and III
