8/8 and 8/9 Flashcards
young female needle drainage doesn’t get rid of breast cyst next step
evaluate for bc with core needle biopsy
signs of hyper metabolic state in burn injury
tachycardia
hypertension
increased gluconeogenesis and insulin resistance, elevated protein and lipid catabolism, causing elevated body temp
when does mittelschmerz occur
middle of menstrual cycle (days 10-14)- corresponds to ovulation
tx for post partum endometritis
clindamycin and gentamicin
ovarian rupture but stable tx
observation
where does dermatitis herpetiformis show up
elbows, knees, back, butt- tx = dapsone and gluten fee diet
Endometrosis increases risk for
infertility
unilateral breast discharge test
ultrasound, plus minus mammogram
first line open angle glaucoma agent
latanoprost a topical prostaglandin
eye exam straight lines appear curved
macular degeneration
what is sympathetic ophthalmia
damage to good eye after penetrating injury uncovers hidden antigens
long term complications of sjogre syndrome
non-hodgkins lymphomas
corneal damage
dental caries
why is there an s4 in aortic stenosis sometimes
high resistance generated by stenosed valves causes concentric hypertrophy and stiffening of the LV
Beta blocker overdose signs and symptoms
bradycardia, hypotension,hypoglycemia, delirium, seizures, cariogenic shock
BB overdose tx
IVF and atropine followed by glucagon if no improvements
cholesterol crystal embolism interesting lab finding
eosinophilia and low complement
clinical findings for papillary muscle rupture(day 3-5)
severe pulmonary edema
new holosytolic murmur
Interventricular septum rupture clincal findings
chest pain
new holosystolic murmur bi v failure, shock, Left to right ventricular shunt
free wall rupture clinical features
chest pain, shock, distant heart sounds from tamponade
LVA clinical ft
subacute ♥️ failure and stable angina
what class is ondansetron
serotonin 5HT antagonist
MCHC in hereditary spherocytocis
⬆️
what cells are in hairy cell leukemia
clonal B cells
cytopenia in hairy cell
pan
massive splenomegaly no lymphadenopathy cancer
hairy cell
ALL cells
lymphoblasts- small cells with scant cytoplasm
what does G6PD have on smear
bite cells and Heinz bodies(hemoglobin so dark red)
MOA for type 2 HIT
antibody mediated platelet activation
signs of HIT
thrombocytopenia and arterial and venous thrombosis
what is salvage therapy
therapy used when standard therapy fails
spleen role in immune system
antibody facilitated phagocytosis
how to tell apart leukemioid reaction from CML
leukemoid has higher late neutrophil precursors (metamelocytes, bands)
EPO in polycythemia vera
low
iron levels in thalassemia
⬆️
why does lack of intrinsic factor cause b12 microcytic anemia
causes impaired DNA synthesis
possible complications of cervical conization
cervical stenosis, cervica incompetencee, and preterm delivery
tx of BV in pregnancy
still metro
contraindication to raloxifene
hx of vte
what type of coagulopathy is DIC
consumptive
what is peyronie disease
fibrous plaque in penis causes painful curvature
thyroid storm features
fever tachycardia htn arrhythmia agitation/delerium/seizure coma lid lag n/v/d/jaundice
most important modifiable RF for pancreases cancer
smoking
most common of sick sinus syndrome
degeneration of SA node and replacement with fibrous tissue
+clostridum septicum next test
colonoscopy- associated with colon cancer so is strep Boris
tx for diphenhydramine overdose
physostigmine
chronic arsenic poisoning signs and symptoms
hypo/hyper pigmentation, hyperkeratosis, stocking and glove neuropathy
snake bite normal labs what do you do?
observe for 12-24 hours with repeat coagulation studies-Crotalidae polyvalent immune Fab has a lot of anyphlaxis so avoid if you can
why HTN in hyperthyroid
increased myocardial contractility
which MEN syndrome has marfanoid
MEN 2B
tx for central DI
Desmopressin
meds for diabetic gasteroporesis
metocloprimide or erythromycin
LArge fiber nueropathy sensory loss
pressure and proprioception
large fiber neuropathy exam
diminished ankle reflex, reduced vibration, light tough, proprioception
small fiber neuropathy sensory loss
pain and temp
diabetes meds for weight loss and CV benefits
GLP-1 (-tide)and SGLT-2(-flozin)
prolactinoma tx
dopamine agonist like cabergoline or bromocriptine
how long to take bisphosphanates
5 years after this risk of atypical fractures increases
vit d deficiency causes a ____ in Ca and phos and a ___ ion PTH
decrease
increase
what type of complications does tight MEDICAL glycemic control lower
microvascular like nephropathy and retinopathy. Diet controlled helps micro and macro
ACTH and Cortisol in secondary adrenal insufficiency
down
ACTH primary adrenal insuficenct
⬆️
cortisol primary adrenal insufficiency
⬇️
what mineral helps Ca2+ absorption
Mg2+
Why is T3 low in euthyroid sick syndrome
decreased peripheral conversion of t4 to t3
acromegaly cardio findings
concentric left ventricular thickening
milk alkali symptoms
n/v constipation polyuria polydipsia nuropsych sx
indications for cell free DNA testing
Maternal Age greater than or equal to 35 abnormal maternal serum screening sonogram that looks like aneuploidy previous aneuploidy baby parental balanced robertsonian translocation
CCB overdose stuff
Brady, hypotension , HYPERGLYCEMIA
