Day 10 Review - HemOnc1, HemOnc2, HemOnc3 Flashcards
Most likely cause of aortic stenosis in a 50 yo pt
Congenital bicuspid aortic valve
Most common cause of aortic stenosis in a 70 yo pt
Senile or degenerative aortic calcification
Classic but rare EKG finding in PE
S in lead 1 and Q plus inverted T in lead 3 (S1Q3T3)
Most likely cause of secondary HTN: HTN in arms, but low bp in lower extremities
Aortic coarctation
Most likely cause of secondary HTN: Proteinuria seen w/ renal disease, hypokalmia
Hyperaldosteronemia
Most likely cause of secondary HTN: Tachycardia, diarrhea, heat intolerance
Hyperthyroidism
Most likely cause of secondary HTN: Hyperkalemia
Renal failure; Renal artery stenosis
Most likely cause of secondary HTN: episodic sweating, tachycardia
Pheochromocytoma
Elderly F w/ h/o cholecystitis p/w 5 day history of vague recurrent ab pain
Gallstone ileus
Pt in ER p/w painful, irreducible inguinal mass - next step
OR; Incarcerated inguinal hernia requires surgical correction
4 mo child p/w non-bilious vomiting despite changing formula from milk based to soy based
Congenital pyloric stenosis
Pt for F/U w/ bp 150/85, record states bp was 145/95 in visit one mo ago - next step
Re-check bp in 2-4 wks; 3 sep bp’s on separate occassions required to dx HTN
Glomerular disorder: Most common nephrotic syndrome in children
Minimal change disease
Glomerular disorder: Granular pattern of immune complex deposition and hypercellular glomeruli
Post streptococcal (or post-infectious) glomerulonephritis
Glomerular disorder: Linear pattern immune deposition on BM
Goodpasture’s syndrome
Glomerular disorder: Kimmelstel Wilson nodular glomerulosclerosis
Diabetic glomerulopathy
Glomerular disorder: Most common nephrotic syndrome in adults
Membranous glomerulonephritis
Glomerular disorder: EM shows loss of epithelial foot processes
Minimal change disease
Glomerular disorder: Nephrotic syndrome assoc. w/ hep B
Membranoproliferative glomerulonephritis
Glomerular disorder: assoc. w/ HIV
FSGS
Glomerular disorder: Anti-GBM antibodies, hemoptysis, hematuria
Goodpasture’s syndrome
Glomerular disorder: EM shows subepithelial humps & tram track appearance
Membranoproliferative glomerulonephritis
Glomerular disorder: nephritis, deafness, cataracts
Alport’s syndrome
Glomerular disorder: On LM, crescent formation
RPGN (or crescentic) glomerulonephritis
Glomerular disorder: LM shows segmental sclerosis, hyalinosis
FSGS
Glomerular disorder: purpura on back and legs, IgA nephropathy, ab pain
Henoch-Schonlein purpura
Glomerular disorder: Positive ANCA
Crescentic glomerulonephritis (or RPGN)
Glomerular disorder: anti-dsDNA antibodies
Lupus nephritis