Day 15 Flashcards
what are some classic symptoms of acute intermittent porphyria?
abdominal pain, psychiatric issues, peripheral neuropathy
what is acute management of pregnant patient with pyelonephritis?
inpatient IV abx (ctx often)
classic sx of febrile hemolytic transfusion reaction
fever, chills, hematuria flank pain
what is management of cerebellar hemorrhage?
if patient has big hemorrhage, then surgery. But definitely maintain low ICP and reverse patients anticoagulation
what is appearance of throat in diphtheria?
gray color with pseudomembran
what is rx for somatic symptom disorder? first and second line?
first line is frequent follow up visits with same doc, second is SSRI or CBT
which kids are at risk of bronchopulmonary dysplasia?
kids who have O2 requirement for more than 28 days when an infant
when does thrombocytopenia become worrisome in pregnancy?
if less than 100K
what level of potassium requires repletion in HHS?
anything below 5.2
what is most common cause of CNIII palsy?
diabetic neuropathy leading to ischemia
what do you do about severe bradycardia and hypotension from hypothermia?
REWARM
three features of horner syndrome
anhidrosis, miosis and ptosis
type 1 RTA is where in kidney?
alpha intercalated cells cant excrete H+
what is urine pH and serum potassium in type 1 RTA?
urine is basic and hypokalemia is present
what is issue in type II RTA?
proximal tubule cant reabsorb HCO3
what is issue in type III RTA?
aldosterone doesnt work
what are some big differences in preeclampsia and SLE flare in pregnancy?
RBC casts on UA
arthralgias
facial rash
findings of riboflavin deficiency
stomatitis, glossitis, seborrheic dermatitis, normocyic anemia
what are indications for BRCA testing?
ovarian cancer in first degree, breast cacncer in first degree less than 50
what is treatment of muscular dystrophy? when does it onset?
2-3 years…roids
d-xylose test can be positive in what two conditions?
celiac and SIBO
how do you didfferentiate between SIBO and celiac with dxylose test?
if abnormal, empirically treat with rifaximin and see if it gets better. if it does then SIBO, if it doesnt then celiac
what is used instead of doxy in lyme disease in pregnant patient?
amoxicillin
what are EKG signs of ventricular aneurysm?
ST elevations that are persistent
what are sx of ventricular aneurysm?
HF sx pretty much
what differentiatses meconium ileus and hirschprung?
meconeum will have negative squirt test
meconium will have dilation of small bowel while hirschprung dilates in large bowel
meconium will have normal rectal tone
describe steps of rx in acne?
topical retinoid…topical abx…oral isoretinoin
what type of acne is classically treated by topical abx?
inflammatory
patient gets epidural and shortly afterbecomes hypotensive…why?
because epidural can decrease sympathetic response in legs and lead to increased venous pooling and vasodilation in legs
laboring patient with hypotension after epidural should receive what?
fluid and phenylephrine
name a weird risk factor for colon cancer?
obesity/DM
raised sharply demarcated borders of infected skin is indicative of what type of infection?
erysipelas
what is balanitis?
inflammation of glans of penis
what can cause balanitis?
irritation, infection and trauma
when should you do test for balanitis?
if thick white d/c then do KOH, if urethral dc then C/G
what are sx of balanitis
erythema pruruitis and d/c around penis
a rigid person that is a perfectionist has what type of personality disorder?
Obsessive compulsive personality disorder
what is a common measure of association in randomized control trials?
relative risk
despite gestational age, what is management of chorioamnionitis?
Iv abx and immediate delivery (can induce labor)
when do you do a fetal fibronectin test?
patient having preterm contractions…
/when do you test fetal lung maturity
if gestational age unclear and need to determine management of patient…ie how long to try to keep baby in
with bad fetal heart tracing and imminent demise can a mom deny c sxn?
yes…
lesch nyhan is deficiency of what?
HGPRT
what are clinical features of lesch nyhan?
ID
hypotonia
self mutilation
gout
what is clinical feature of interstitial cystitis?
bladder pain with filling…so patients pee to relieve the pain
is interstitial cystitis an infection…
no
what is rx of interstitial cystitis?
not really a treatment…behavior modification
nitrites in urine indicate what?
presence of bacteria
LE in urine indicates what?
presence of WBC
AKI after starting lisinopril wth HTN….
renal artery stenosis
