8/27 Flashcards
tender thyroid with high T4 and low TSH
subacute thyroiditis, usually post viral
acute urinary retention
- after surgery in men with BPH
- can cause agitation and confusion
- do bladder ultrasound and insert foley
high vs very high triglycerides
high = CV events
very high = pancreatitis
alcohol and triglycerides
increases both
best medication for lowering triglycerides
fibrates (however statins are first line and aren’t recommended to be used together)
arterial ulcers occur…
at blood flow extremities (tips of toes)
pneumococcal vaccine in HIV
recommended for 13 followed by 23 8 weeks later, then 5 years and at 65
recommendations for hepatitis A vaccine in adults
- MSM
- liver disease
- travelers
common atypical presentation of ACS
dyspnea, epigastric pain, and N/V
primary meds in aortic dissection
beta blockers
joint WBC levels
- 200-2000 = non-inflammatory
- 2000-10000 = inflammatory
- above 10000 = septic
steps in stopping variceal bleeding
intubate first to protect airway, then do endoscopy
description of hypertrophic cardiomyopathy murmur
crescendo-decresendo systolic murmur at left sternal border with no carotid radiation
pronator drift is sensitive for….
upper motor neuron or pyramidal/corticospinal tract disease (more weakness in the supinator muscles)
first med for stable patients with possible ACS
aspirin (as long as aortic dissection risk is low)
causes of aging orthostatic hypotension
arterial stiffness, decreased NE, and decreased baroreceptor response
anion gap metabolic acidosis after seizure
due to muscle hypoxia and high lactic acid levels
most common cause of spontaneous lobar hemorrhage
cerebral amyloid angiopathy
pseudotumor cerebri is also called…
idiopathic intracranial hypertension
parathyroidism and hypertension
they are associated, but unclear why
treatment for acute organ rejection
steroids
what to do during acute right heart failure
give fluids to maintain right heart preload
association with MALT of the stomach
H pylori
