Day 6 Flashcards
what is primary risk for fetus with preeclampsia?
small for gestational age
define strabismus?
ocular misalignment
what is a hyperthyroid state that will have low iodine uptake in thyroid?
painless and subacute thyroiditis
when can you be diagnosed with gestational hypertension?
after 20 weeks, no proteinuria
mom with chronic hypertension at risk of what during pregnancy?
csxn, preeclampsia, abruption, hemorrhage
fibromylagia attacks what age woman?
20-50
what are PE signs of fibromyalgia?
tender points with widespread pain
what is rx of fibromyalgia?
regular exercise, good sleep and maybe NSAIDs
what is size cutoff for TB skin test in healthy patient with no risk factors?
15mm
what is size cutoff of TB test to treat in patient TB contact or HIV?
5mm
does placenta previa bleeding cause pain?
NO
what is management of placenta previa?
no intercourse, no digital exams, inpatient admits for bleedign episodes
what e coli causes bloody diarrhea?
shiga toxin e coli
what is risk factor for magnesium toxicity?
renal insufficiency
what are signs of magnesium toxicity”
hyporeflexia, nausea, vomiting, somnolence
what is rx of magnesium toxicity?
calcium gluconate
is pH low or high in BV?
high
describe treatment timeline of acute TB
2 months 4 drug, followed by 2 months of isoniazid and rifampin only `
three medication options for tourettes
VMAT2 (tetrabenazine) and clonidina and antipsychotics
what type of spinal lesions does prostate cance cause?
osteoblastic
what type of spinal lesions does MM and RCC cause?
mixed blastic and lytic
rx of pertussis
macrolide
patient with pancreatitis develops pleural effusion, what is cause?
fistula
when should patient with depression be candidate for indefinite therapy?
with 3+ episodes, severe depression, chronic dperession
patients with mullerian agenesis should be evaluated for what other abnormality?
renal abnormalities with renal US
what are causes of neuroleptic malignant syndrome?
antipsychotis, anti emetics
what are sx of NMS
fever, AMS, lead pipe rigidity, dysautonomia
what lab finding in NMS?
elevated CK and renal insufficiency
what are first treatment steps of NMS?
stop offending meds, supportive care, if refractory give bromocriptne or dantrolene
what nephrotic syndrome is associated with RA?
amyloid
what are signs of lymphangitis?
tender red streaks on skin with tender lymphadenopathy
what bug classically causes lymphangitis?
strep pyo and MSSA
what abx for lymphangitis?
cephalexin
what is treatment of peri anal strep infection
oral amoxicillin
what are skin findings in peri anal strep?
bright sharply demarcated redness of perianal area
what is management of persistent pulm HTN in infant?
oxygenation and ventilation along with inhaled nitric oxide
what is rx of lichen sclerosus?
hig potency steroids
who gets biopsy of lichen sclerosus?
new onset in an adult
3 common meds that cause SIADH?
SSRI carbamazapine and NSAIDs
which lung cancer causes SIADH?
small cell
what are sx of brown sequard syndrome?
ipsilateral hemiparesis
ipsilateral proprioception and vibration loss
contralateral pain and temperature loss
in a study, if a lot of ppl are lost to follow up, what is this called?
attrition bias…a form of selection bias
what four things are measure in biophysical profile?
amniotic fluid
breathing movements
movement
tone
what is abnormal score of biophysical profile?
less than 6
how long is non stress test of fetus, what are you looking for?
20-40 minutes, 2+ accelerations
how is imaging of developmental hip dysplasia managed?
less than 4 mos US, more than 4 montsh Xray
what causes a urethral diverticulum?
recurrent uTIS
what are sx of urethral diverticulum?
dysuria
dyspareunia
post void dribbling
ant vaginal wall mass
how should you treat urethral diverticulum?
surgical treatment
aside from ataxia, what else can happen with medulloblastoma as far as sx? why?
can have elevated ICP sx due to obstructive hydrocephalus
what is rx of viral myocarditis in kids?
diuretics, inotropes as needed, IVIG maybe
what is timeline of adjustment disorder?
has to be within 3 months of the stressor
two lung manifestations of scleroderm
pulm HTN and interstitial lung disease
what things is membranous nephropathy associated with?
Hep B, SLE, NSAIDs, malignancy
optic disc hyperemia is unique to what poisoning?
methanol poisoning
what are sx of cerebral venous thrombosis?
HA, vomiting, papilledema, seizures
who is at risk for CVT?
pregnant, peri partum, thrombophilia, OCP users, malignanyc and infection
what is imaging to confirm CVT?
MR venography
what is rx of CVT?
heparin
unilateral breast bloody discharge in older woman gets what imaging?
US and mammogram
is gonoccocal early or late conunctivitis in newborn?
early
what are signs of orbital compartment syndrome?
eye pain, diplopia and vision loss
what is rx of orbital compartment syndrome?
urgent surgical decompression
