Day 13 Flashcards
what is rx of TTP?
plasmapharesis
steroids
rituximab
what are classic findings in TTP
low platelets HUS renal failure fever neuro manifestations
what commonly happens to kidneys in pregnancy?
they get natural hydronephrosis
what maternal hormones are elevated in T21?
bhcg and inhibin A
what are signs of phenytoin toxicity?
ataxia
horizontal nystagmus
dysmetria
increased reflexes
male patient with CF is infertile, why?
no semineferous tubules
shipyard workers have what exposure that is concerning for lungs?
asbestos
what is management of pulmonary stenosis in young person?
balloon valvulotomy
what other heart sound can be associated with severe mitral regurgitation?
an S3
what is rx of dressler syndrome?
NSAID and colchicine
atrial tachycardia with second degree AV block is from what?
digoxin toxicity
if pressures in heart chambers are about equal, what is going on?
cardiac tamponade
define active phase arrest in stage 1 of labor
4 hours of no cervical change with adequate contractions
if patient is symptomatic from sinus bradycardia, what should you give?
atropine
what is first line therapy for severe hypercalcemia?
fluids (NS)
what can be given with fluids to help lower calcium?
calcitonin
in addition to calcitonin, what other med can help lower calcium?
bisphosphonates
pregnant patient that just deluvered suddenly has fever, hypoxia crackles in both lungs is experiencing what?
chemical pneumonitis from aspiration
what are indications for bone imaging in diabetic foot ulcer?
if large greater than 2cm
if deep like exposed bone
if lasted longer than 2 weeks
what are three tests for diagnosing hypercortisolism?
late night salivary cortisol
24 hour urine cortisol
low dose dexamethasone suppression test
what is a common tumor that secretes EPO?
RCC
what are EPO levels in primary polycythemia?
LOW
abx for postpartum endometritis
clinda and gent
what blood cancer can cause testicular enlargement?
ALL
what can ALL cause in chest?
anterior mediastinal mass
what part of brain can be seen as atrophied on scan with Alzheimers?
temporal lobe
what parkinsons med is associated with acute angle closure glaucoma?
trihexphenidyl
what is moa of trihexyphendiyl?
anti cholinergic medication
what is Moa of pramipexole?
dopamine agonist
5 Ps of lichen planus
purple/pink
pruritic
polygonal papules
plaques
rx for lichen planus?
roids
when do kids with beta thal present?
usually 6-12 months as amount of fetal Hgb decreases
what is rx for beta thal major?
chronic transfusion therapy and chelation
atlantoaxial instability is associated with what?
down syndrome
what is rx of atlantoaxial instability?
joint fusion
findings of beta blocker toxicity
hypotension
bradycardia
bronchospasm
AMS
what happens to sugar levels in beta blocker toxicity?
LOW
what is rx of beta blocker overdose?
atropine
glucagon and
fluids
what is the only resting tremor really?
parkinsons
is parkinsons tremor more likely to be symmetric or asymmetric?
asymmetric
do uric acid stones like basic or acidic urine?
acidic
what is appearance of uric acid stones on xray?
trick…they are radiolucent so you cannot see them
two rx for refractory neuroleptic malignant syndrome
bromocriptine and dantrolene
will P vera only show erythrocytosis?
no all cell lines usually elevated
in addition to itching, what are some other sx of p vera?
splenomegaly, facial plethora
what is rx of p vera?
phlebotomy and hydroxyurea
what is treatment of acute hypotension during labor?
mom on left side and phenylephrine
what SSRI in elderly and those with cardiac issues?
sertraline
what is viral load of HIV that determines labor management?
1000
if above 1000, what is management of HIV mom at time of delivery?
csxn, with normal therapy plus zidovudine
if below 1000, what is management of HIV mom at time of delivery?
normal therapy and vaginal delvery
infant to mom with viral HIV load greater than 1000 needs what?
full ART therapy
infant to mom with viral HIV load less than 1000 needs what?
zidovudine
abx for epiglottitis?
vanc and ceftriaxone
what is imaging for epiglottitis?
lateral neck xra
name some weird associations with celiac disease
iron deficiency anemia osteoporosis peripheral neuropathy depression/anxiety atrophic glossitis
peroneal nerve injury is due to what type of injury?
proximal fibula
peroneal nerve injury symptoms?
loss of sensation in posterolateral leg and dorsolateral foot, foot drop and decreased eversion
rx of staph scalded skin syndrome?
vanc or nafcillin
findings of staph scalded skin syndrome?
fever, generalized erythema and blisters then nikolsky sign
what is rash of scarlet fever like?
fine pink sandpaper like rash in flexural regions…it does not blister
what causes scarlet fever?
strep pyo
sausage link retinal veins///
waldenstroms macroglobulinemia
using population level data is what type of study?
ecological study
heart defects in marfans
MVP and aortic root dilation
