8/3 Flashcards
acute fatty liver of pregnancy signs
RUQ/epigastric pain, fulminant liver failure
acute fatty liver of pregnancy labs
profound hypoglycemia aminotrasferases X2-3 increased bill thrombocytopenia DIC
acute fatty liver of pregnancy management
immediate delivery
Sheehan’s clinical features
lactation failure(⬇️ prolactin)
amenorrhea, hot flashes, vaginal atrophy( ⬇️ FSH and LH)
anorexia and rapid weight loss with hypotension(⬇️ACTH)
decreased lean body mass(⬇️ GH)
HELPP syndrome pathophys
systemic inflammation and platelet consumption
cancers that abirth control is preventative for
endometrial and ovarian
cancers birth control increases risk factors for
hepatic adenoma
cervical
what margin to remove basal cell on neck
narrow
A-a gradient in interstitial lung disease
increased
Paget’s disease labs
All phos: high
urine hydroxyproline: high
serum phos: normal
serum calcium: normal
best marker for DKA resolution
serum anion gap
hard signs of vascular bleeding
bruits or thrills over the injury
expanding hematoma
absent pulses
cool extremities
hard signs of vascular injury + penetrating wound next step
Urgent surgical repair
symptoms of RA cervical Myelopathy
neck pain radiating to occipital region
slowly progressive spastic quadriparxsis.
painless sensory deficits in the hands and feet
respiratory dysfunctiom from vertebral artery dysfunction
Signs of RA cervical Myelopathy
protruding anterior arch of atlas
scoliosis with loss of cervical lordosis
UMN
Hoffmans sign-flicking the nail thing
what test might be false pos with antiphospholipid and what is the tx in pregnancy
- VDRL
- antivoagulate with low molecular weight heparin
rare oxytocin side effect
seizure 2/2 hypoNa
lafy under 30 when do you follow up after draining simple cyst breast
2 months
what complication can occur in FOOSH in older patients
rotator cuff tears- will have abduction and external rotation weakness, dx with MRi
acid base change with pregnancy
Respiratory alkalosis-stimulated by progesterone
RF for stress fracture
repetitive activities
abrupt increase in physical activity
inadequate calories or vit dfemale athlete triad
morton neuroma stuff
pain between 3-4 toes on plantar surface with clicking sensation
why is there bleeding in radiation proctitis
deceased rectal compliance
utter-tonic agent c antra indicated with htn
methylergovine
utter-tonic agent c antra indicated with asthma
carboprost
mediastinal shift toward effected side
atelectasis
3 phases of treatment for cryptococcal meningitis
- amphotericin B plus flucytosine for >= 2 weeks
- high dose fluconazole >+8 weeks
- maintenan fluconazole for ever or until CD4 greater than 100 for 3 months
PBC pathophys and sx
intrahepatic cholestasis due to autoimmune destruction of small bile ducts. Presents in middle aged women with fatigue pruritus, hepatomegaly and elevated all phos
long terms side effects of Hodgkins lymphoma tx
secondary malignancy and CV disease
TB Cerebrospinal fluid findings
⬆️ WBC(Lymphocytes
⬆️protein
⬇️ glucose
tuberous sclerosis inheritance pattern
AD
uncomplicated pyelonephritis abx
oral fluoroquinolone, Bactrim
acid base probs with salicylate toxicity
mixed responses all and met acid with oH often in the normal range
tx for stroke in sickle cell
exchange transfusion
worried about penile fracture what test
retrograde urethrography bc probably has urethral injury too. But after that go get some urgent surgery
what is elevated with leading cell tumor
estradiol- will have gynecomastia
