Day 7 Flashcards
why do patients with preeclampsia get epigastric pain?
referred pain from capsular stretching of liver
what can happen in brain with patients who have preeclampsia? aside from seizure
can have acute ischemic stroke
what three meds for high BP in pregnancy
labetalol, hydralazine, nifedipine
can brachial cleft cysts drain fluid?
yes…especially if infected
what is time requirement for cyclothymic disorder?
2 years!!
what is rx for acute hereditary angioedema?
c1 inhibitor concentrate
what complement levels are low in hereditary angioedema?
c1 and c4
what are signs/sx of kallman syndrome?
primary amenorrhea, lack of smell, low FSH and LH
what is chromosome in CML?
9;22, BCR-ABL
what is rx of CML?
imatinib…tyrosine kinase inhibitor
what is treatment of severe versus mild histoplasmosis?
severe is Amphotericin B and mild is itraconazole
formula for sensitivity
TP/TP+FN
formula for specificity
TN/TN+FP
sensitivity is good at ruling in our out disease?
rule out…SnOUT
specificity is good at ruling in or out disease?
in…SpIN
what is normal 1hr glucose test?
less than 140
irregularly shaped hyperpigmented macules on face is what in a pregnant patient?
melasma
what is difference between ODD and CD?
ODD is basically you dont get along and talk back to authority figures..CD you actually break laws and break shit
apnea and vital sign instability can be early sign of what in infant?
NEC
what is classic sleep finding in MDD?
decreased REM sleep latency
what is next step in eval of acromegaly after finding elevated IGF?
glucose suppression test
what are CSF findings in cryptococcal meningitis?
low WBC, low glucose, and elevated protein
what coag study is often abnormal in anti phospholipid syndrome?
PTT prolongation
what hyperthyroid states have low iodine uptake?
thyroiditis and taking thyroid meds
how do you differentiate between thyroiditis and levothyroxine abuse when patient has low uptake on iodine scan?
measure thyroglobulin…thyroiditis is high and levothyroxine abuse will have low thyroglobulin
what are two issues with gastroschisis while baby in utero?
oligohydramnios and growth restriction
what virus causes croup?
parainfluenza
what imaging sign is associated with croup
steeple sign
rx of pjp infection
bactrim and roidds
two imaging options for diagnosing kidney stones
US or NON contrast CT
what is conservative management of adenomyosis?
OCPs/progestin IUD
what is definite treatment of adenomyosis?
hysterectomy
what is apnea of prematurity?
brief spells of baby not breathing and will desat but is fine between spells
what is rx of apnea of prematurity?
caffeine and non invasive ventilation if needed
what are potential complications of oligohydramnips?
meconium aspiration, preterm and cord compression
what are potential complications of polyhydramnios?
cord prolapse, PPROM and preterm
what should you do to a keratocanthoma?
excise it and biopsy
describe a keratocanthoma
rapidly growing skin nodule wiht keratin pplug and ulceration
what hip condition can you give steroid injection for?
trochanteric bursitis
what metabolic acid base issue with bicarb leak?
met acidosis
how does hypothyroidism cause amenorrhea?
due to high prolactin levels that lead to inhibition of GnRH
what is leading cause of pneumonia in kids with CF?
staph aureus
what is leading cause of penumonia in adults with CF?
pseuodomonas
yellow white fluffy lesions on optho exam means what?
CMV retinitis
what are sc of CMVretinitis?
blurred vision, floaters, flashing lights sensation
who gets CMV retinitis?
AIDS
what is rx of cmv retinitis?
valganciclovir
what opioid meds cannot be given to patient with CKD?
morphine, codeine, tramadol
bacterial meningitis CSF
wbc 1000+, low glucose, protein >250
tuberculosis meningitis CSF
100-500 WBC mainly lymphocytes, low glucose, protein 100-500
viral meningitis csf
wbc count 10-500 (lymph), 40-70 glucose, low protein
GBS has what in CSF?
loads of protein
what is management of functional constipation in an infant?
give them prune juice
what is main difference between narcissist and histrionic?
the drama and erratic behavior of histrionics
two antibiotics that cause distal symmetric neuropathy?
flagyl and fluoroquinolones
case control studies use what for analysis?
odds ratio
what labs are elevated in PSC?
bilirubin and alk phos
what are CNS symtpoms of lyme diseae?
CN palsy, meningitis
whatis cardiac sign of lyme disease?
2:1 av block
what is rx of lyme disease?
doxy, but if have cardiac or neuro manifestations then need CTX
what are the two common findings with entamoeba histolytica infection?
diarrhea, can be bloody then liver abscess
what is rx of entamoeba?
flagyl and paromomycin
what are two main outcomes in reyes syndrome?
liver failure and rapidly progressive encephalopathy w
what labs are abnormal in reyes syndrome?
liver enzymes (except normal bilirubin), PT, PTT and iNR elevated
what acid base disturbance in reyes syndrome
metabolic acidosis
what is rx of reye syndrome?
supportive care
what are presenting sx of HIV associated neurocognitive disorder?
Cd4 less than 200…leads to impaired memory, personality changes, impaired attention, can also have ataxia
what is MSK finding of lung disease?
hypertrophic osteoarthropathy
how much time between onset of stroke sx of fibrinolytic therapy?
has to be within 4.5 hours
how do you diagnose malaria?
thin and thick blood smears
what are blood findings in labs with malaria?
anemia and thrombocytopenia
