8/6 Flashcards
how does phenytoin cause anemia
⬇️ folic acid absorption
what heart thing can carcinoid cause
tricuspid regurg
carcinoid clinical features
skin flushing, telangiectasis, cyanosis Diarrhea, cramping valvular lesions bronchospasm niacin deficiency- dermatitis, dementia, diarrhea
what is elevated in carcinoid syndrome
5-hydroxyindoleacetic acid
tx for vasovagal
counter pressure techniques
hyper homocysteine tx
B6
patient’s in labor under 32 weeks need what 4 things
indomethacin:stops labor
bethamethasone: matures fetal lungs
Mg2+ decreases cp risk
Penicillin to ⬇️ GBS
SE of indomethacin on mom and baby
premature closure od ductus arteriousus and oligohydramnios
during stage 1b of labor how much change should be going on
1cm every 2 hours
next best step with active phase arrest?
C-section
contraindications to exercise in pregnancy
amniotic fluidmleak cervical insufficiency multiple gestations placenta abrption or previa premature labor pre e or gestational hypertension sever heart of lung disease
for normal physiologic leukorrhea what is scene on micro
rare PMN’s and squamous cells
can you continue breast feeding with mastitis and abx
sure
complement levels mixed cryoglobunemia
⬇️
tx fot legionella
respiratory fluoroquinolone or new macrolide
small wound or swelling that rapidly progresses in someone with autoimmune disorder
pyoderma gangrenous, treat with steroids
what’s the e one from human bite injury
Eikenella
lv dysfunction post mi CI and Wedge pressure
CI ⬇️
Wedge pressure ⬆️
if there is a mass and symptoms with rectal prolapse what’s the tx
surgery
first line thing for knee arthritis
strengthen quads
where is acute pain in popliteal cyst rupture
calf
chronic lateral hip pain worse with hip flexion or laying on affected side dx
grater trochanter pain syndrome (trochateric bursitis)
what groups get behcet’s
young adults
Turkish/middle eastern/asian
behcet’s clinical findings
Recurrent oral aphthous ulcers genital ulcers eye lesions-uvitits skin lesions thrombosis
soap bubble in bone X-ray dx
giant cell tumor
what is dupuytren’s contracture
fibrosis of the palmar fascia, limits extension
what is a sclera renal crisis and how do you treat it
acute onset of AKI and hypertension in patient with scleroderma, give ACEi
Itchy in pregnancy with increased bile acids dx and tx
intrahepatic cholestasis of pregnancy, tx ursodeoxycholic acid
contraindications to breast feeding
active untreated TB HIV Herpes boobs active varicella chemotherapy or radiation active substance abuse disorder
endometrial cancer risk factors
obesity chronic an ovulation/PCOS nulpariety early menarche or late menopause tamoxifen
tamoxifen class and SE
Selective estrogen receptor modulator.
hot flashes
venous thromboembolism
endometrial hyperplasia and carcinoma
what size hemothorax needs immediate thoracotomy
> 1500ml
barotrauma injury with TM rupture tx
leave it, it will get better probably
list ALL the malignant hyperthermia things
sudden onset tachypnea, tachycardia, myoglobinuria, and muscle rigidity -NOT ALWAYS FEBRILE
usually tachycardia
sometimes hyperK
