9 Flashcards
HUS =
kid w abdp, bloody d, anemia, RF, thrombocytopenia
tx = supportive (plasmapheresis, dialysis prn, steroids)
HSP =
abd pain, palpable purpura on LE, arthralgia, renal dis
tx = hydration + NSAIDs (admit + CS if serious)
1’ tx for afib w RVR in stable pt?
BB or CCB
a/w light chain amyloidosis?
Multiple myeloma
Waldenstrom’s
a/w inflammatory amyloidosis?
chains =
RA, IBD, chronic inf
abn folded beta-2 microglobulin, apolipoprotein, transthyretin
MEN type 1
1’ hyperparathyroidism
pancreatic tumors
pituitary tumors
MEN type 2a
medullary thyr CA
pheochromocytoma
parathyr hyperplasia
MEN type 2b
medullary thyr CA
pheochromocytoma
marfanoid
mucosal/int neuromas
Emergent tx acute glaucoma?
mannitol, acetazolamide, pilocarpine, timolol
Dx aortic dissection?
TEE > CT/MRI
Statin indications?
40-75 w DM
clinically sig atherosclerotic dis
190
Simple partial sz =
deja vu, +/- aura, no LOC
Partial sz with generaliztn =
LOC, tonic-clonic
Complex partial sz =
LOC, +/- aura, automatisms, can have bil motor findings
etiology of asterixis:
hepatic encephalopathy, uremic encephalopathy, hypercapnia
Brown-Sequard syndrome:
damage to lateral spinothalamic tracts = contralat loss of pain and temp beginning 2 levels below lesion
UTI with incr pH =
proteus mirabilis
Cirrhosis management:
US f/u for HCC q6mo
EGD to monitor varices
MC site of htn hemorrhage?
putamen (which involves int capsule, causing contralat hemiparesis)
tx fibromuscular dysplasia?
percutaneous angioplasty with stent placement
Pernicious anemia is a/w incr risk of…
gastric ca (due to atrophic gastritis)
Prosthetic joint inf: early vs >3 mo?
early = S aureus, GNR, anaerobes
> 3 mo: coag negative stah (epi), propionibacterium, enterococi
Afib mgmt?
CHADS2 (CHF, HTN, age >75, DM, stroke/tia)
0 = none or ASA 1 = anticoag or ASA 2-6 = anticoag
Why are ACEI renoprotective in DM?
decr interglomerular HTN
Dis of abn platelet aggregation:
dx?
VW and Bernard Soulier
dx? abn plt function testing
Hyper IgM =
Excellent, abnormal CD 40 ligand on T cells ( class switching)
Treatment of uric acid kidney stones?
Potassium citrate (alkalize)
When does ventricular remodeling occur?
Weeks to months after MI (ventr dil)
* limit with Ace inhibitor, start within 24 hours of heart attack
Skin abnormality associated with mycoplasma?
Erythema multiforme
Live vaccines are contraindicated in HIV if …
CD 4 less than 200
