8/7 Flashcards
Immunosuppressed patient with nausea, vomiting, bloody diarrhea, endoscopy showing large shallow ulcers dx?
cmv
cervical radiculopathy first line tx
NSAIDs and avoid activity
chronic mesenteric ischemia sx
unexplained chronic abdominal pain
weight loss
and food aversion usually celiac or mesenteric
what position relieves pain in chronic pancreatitis?
leaning forward
tine has what micro
segmented hyphae
second jock itch next step
check toes, probably infection from that
does Steven Johnson and TEN cause mucosal involvement
yeas
meds that cause Steven Johnsons
allopurinol abx, anticonvulsants, NSAIDS(piroxicam), sulfasalazine
conditions that cause Steven Johnsons
mycoplasm pna
vaccination
graft vs host
what shape is erythema multiform
target, has mucosal lesions also
molluschi contagious everywhere what is the tx
cellular immunodeficiency probably HIV
erythematotelangiectaticrosacea tx -flushing, erythema, and pustules
topical brimonidine, lasers
papulopustular rosacea tx
1st: metro
2nd: oral tetra cyclones
phymatous rosacea tx
oral isotretinoin
lasers
isolated hyper pigmented lesion of papule with central dimple, lasts months, healthy person
dermatofibroma
most common causes of CN3 palsy
compression(aneurysm, tumor) or microvascular ischemia
tx myasthenia crisis
plasmapheresis or IVIG and steroids.
Intubate if in respiratory distress
cerebellar dysfunction signs
progressive gait dysfunction truncal ataxia nystagmus intention tremor dysdiadochokinesia
where is lesion that causes hemi-neglect
right parietal lobe or whatever is non dominant
bilateral symmetric hyper intensity on MRI
hypoxic brain injury
symptoms of Wallenberg syndrome (lateral medullary)
vertigo, diplopia, nystagmus, loss of pain and temp in psi face and contra limbs, dysphagia, hoarseness, psi hornets syndrome, hiccups, lack of automatic respiration.
medial mid pontine infarction signs
contralateral ataxia and hemiparesis
medial medullary syndrome signs
alternating hypoglossal hemiplegia, contra lateral paralysis of the arm and leg and tongue deviation toward lesion
prenatal lab tests first visit
RH H and H with mcv HIV VDLR or RPR HBsAg rubella and varicella Pap test if needed chlamydia PCR Urine culture urine protein
prenatal labs 24-28 weeks
H and H
RH antibody if Rh neg
1 hr glucose
prenatal lab 35-37 weeks
group b strep
tx for hyperandrogegism of pregnancy with ovarian masses on US
leave it alone, resolves after pregnancy
describe round ligament pain
sharp pain that radiates to vagina usually from gravid uterus
Hemorrhagic pustules with surrounding erythema that involve necrotic ulcers probs got neutrophilspenia and bacteremia.
ecthyma gangranosum from pseudomonas, systemic infection not systemic autoimmune thing like pyoderma gangrenoum
Lemierre syndrome organism and who it affects
Fusobacterium necrophrum, young immuno COMPETENT people
Lemierre presentation
weeklong sore throat and high fever, rigors, dysphagia and neck pain + swelling through sternociedomasto will have nodules on x-ray and causes jugular thrombosus.
besides ulcers what can gastrinoma(ZE) cause in the tummy
thickened folds
best test for c spine injury in the ER
CT
Nexus criteria for CT c spine
neuro deficit spinal tenderness AMS Intoxication Distracting injury
what nerve is responsible for knee extension and hip flexion
femoral
what nerve provides sensory information to anterior thigh and medial leg
femoral
what nerve enervates medial compartment of thigh
obturator
high TSH and T3/T4 + sx
TSH secreting pituitary tumor
micro characteristics of diabetic nephropathy
glomerular hyperinfiltration, basemetn membrane thickening, mesangial nodules.
why do CF/ chronic pancreatitis patient’s get hypoglycemia easy
kills alpha and beta cells so no glucagon to prevent hypoglycemia
how to tell apart liver vs cardiac cause of le edema
hepatojugular reflex, if pos then it’s the ❤️
quickest way to lower symptomatic hyper K
insulin and glucose
VWD MOA
impaired platelet - endotheliallial binding
what test to do if patient is on hydroxychloroquine chronically
eye exams
