Day 14 Flashcards
what is kidney stone size that almost always passes on its own?
less than 5 mm
sx of idiopathic intrcranial hypertesnion
headache
vision changes
papilledema
pulsatile tinnitus
what is work up of idiopathic intrcranial hypertesnion ?
start with CT of head to rule out lesions, then do LP
who gets idiopathic intrcranial hypertesnion ?
fat women of child bearing age
a cecal volvulus is treated how?
surgical correction
a simoid volvulus is treated how?
endoscopic detorsion
who gets sigmoid volvulus? who gets cecal volvulus?
old ppl get sigmoid an dyoung get cecal
features of congenital syphillis
desquamating rash on hands and feet
rhinorrhea
skeletal defects
features of congenital toxoplasmosis
chrioretinitis
diffuse intracranal calcification
hydrocephalus
how long are manic episodes?
have to be greater than 1 week
what is alternative to penicillin for syphillis?
doxycycline except if neurosyhpilis then use ceftriaxone
what is time requirement for GAD diagnosis?
6 months!!!
is luekocyte alk phos high in CML or leukemoid reaction?
leukomoid reaction is high and CML is low
does leukomoid reaction or CML have basophilia?
CML
what is null hypothesis of an ANOVA that compares three means?
that all means are the same…so if p value significant then assume all means are not the sam e
what should be done for patient with caustic ingestion?
remove clothing, secure airway, CXR and then endoscopy
patients with lewy body dementia have hig sensitivity to what drugs?
antipsychotics
what should be prescribed with niacin to prevent flushing issue?
aspirin
what is niacin usually prescrbed for?
hypertriglyceridemia
what liver lesion can rupture and cause hemorrhagic shock?
hepatic adenoma
iron ingestion causes what kind of metabolicissue?
anion gap met acidosis
what should weight and height be by 12 months of age?
weight should triple and height increase by 50%
what is cause of hypotension in right sided MI?
decreased right contractility
what is drug for urge incontinence and moa?
oxybutynin and anti muscarinic
what bug can cause GI upset and fetal demise?
listeria
what foods have listeria in it?
raw meets, deli meats, unpasteurized dairy products
patient has progressively worsening GERD and vomiting after gastric bypass, what is happening?
anastamotic stenosis
what is rx of anastomotic stenosis of gastric bypass?
EGD to dilate it
features of FAS?
microcephaly
smooth palpebral fissures
smooth phillthrum
if patient has active HSV lesion can they have trial of labor?
NO
classic triad of biliary cyst?
RUQ pain, RUQ mass, jaundice
risk factors for placenta previa
prior csxn
advanced maternal age
multiple gestations
explain pregnancy weight gain
normal BMI 25-35 lbs
skinny girl 28-40
high BMI 15-25
obese 15
what are complications of inadequate weight gain during pregnancy
low birth weight and pre term delivery
how does tetanus toxoid cause tetanus?
inhibits inhibitory GABA glycine molecules from entering the synaptic clef
rx of tetanus
tetanus IG, toxoid and ABX
rx of onychomychosis
terbinafine or itraconazole
what is a howell jolly body?
RBC DNA remnant
who gets howell jolly bodies?
asplenic
what causes basophilic stippling?
lead poisoning
what is basophilic stippling?
precipitation of rRNA
what can you use for ovulation stimulation in PCOS as last line therapy?
letrozole
rx of botulism
equine antitoxin
what is classic feature of botulism?
descending paralysis
two things to give for aspiring OD
sodium bicarb and charcoal
what are early sx of aspirin OD?
N/v and abdominal pain
what is management of emphysematous cholecystitis?
REMOVE
spiral fracture of distal tibia is what?
toddlers fracture…normal
what is finding of hsv encephalitis on MRI
temporal lobe hemorrhage/edema
can HIV be passed in breast milk?
you bet
signs of HIV infection in baby?
FTT
chronic diarrhea
lymphadenopathy
what is surgical indication in NEC?
pneumoperitoneum….NOT pneumatosis intestinalis
how is leg positioned in posterior dislocation?
internally rotated and shortened
what nerve is injured in posterior hip doslocation?
sciatic
