april 26 Flashcards
immediate post op fever is usually caused by…
tissue damage during the procedure
bloor smear in CMV infection typically reveals…
atypical lymphocytes
rupture of a perianal abscess may lead to a …
perianal fistula
suppurative parotitis often occurs in ….
elderly patients post op
why are elderly patients (especially those with dementia) at risk of suppurative parotitis?
they may have decreased fluid intake -> salivary stasis -> infection
treatment of suppurative parotitis?
IV broad spectrum antibiotics, hydration, massage
treatment for sigmoid volvulus with no perforation?
flexible sigmoidoscopy
does cervical myelopathy have UMN or LMN signs?
both - LMN at the level of the lesion, and UMN signs below
how does cervical myelopathy present?
gait dysfunction, extremity weakness, vibration/pain sensation changes
inability to palpate the point of maximal impulse in the heart is characteristic of …
a large pericardial effusion
clinic presentation of leriche syndrome?
- bilateral hip, thigh, and buttock claudication
- absent or diminished femoral pulses
- impotence
leriche syndrome AKA
aortoiliac occlusion
patients with serum sodium <130 and any symptoms of hyponatremia should receive…
hypertonic saline 3% boluses
neurological consequence of hyponatremia?
cellular swelling and cellular edema
Neonatal circumcision decreases the risk of…
- UTIs as an infant
- phimosis
- penile inflammatory conditions
- spread of STIS
- penile cancer
what is phimosis?
contraction of foreskin preventing retraction
risk factors for atraumatic splenic rupture?
- hematologic malignancy
- infection
- splenic congestion
- medications (anticoagulants)
how may a burn injury lead to compartment syndrome?
excessive fluid accumulations/eschar can compress venous and lymphatic drainage
how do you transport an amputated extremity?
- wrap it in damp gauze and put it in a plastic bag
- put it in ICE WATER
do you transport an amputated extremity directly on ice?
no - IN ICE WATER and sealed in a bag/gauze
risk factors for hidradenitis suppurativa?
- smoking
- metabolic syndromes
treatment of hidradenitis suppurativa?
mild: topical clindamycin
moderate: oral tetracycline
severe: TNF alpha
path of transfusion associated lung injury?
-transfusion results in massive release of cytokines/ROS -in the pulmonary vasculature -> inflammatory pulmonary edema
does transfusion associated circulatory overload have JVD?
yes
does transfusion associated lung injury have JVD?
no
what is bronchiolitis obliterans?
complication of lung transplant
bronchiolitis obliterans - acute or chronic complication of lung transplant?
chronic
bronchiolitis obliterans PFTs pattern?
restrictive
path of bronchiolitis obliterans
chronic lymphocyte infiltration of lung parynchema
are there crackles when auscultating the lungs with bronchiolitis obliterans?
NO
are there crackles when auscultating the lungs with pulmonary fibrosis?
yes
management of a nasal hematoma following trauma?
drain the hematoma
why do you need to drain a hematoma of the nasal spetum?
it can turn into a septal abcess or cut off blood supply leading to necrosis of the septum
do patients with primary sclerosis cholangitis usually have normal ultrasounds?
yes
timolol effects on aqueous membrane production?
decreases it
what kind of hearing loss does menieres disease cause?
sensorineural
what kind of hearing loss does otosclerosis cause?
conductive
