Day 8 Flashcards
what are sx of kawasaki disease?
fever for 5+ days conjunctivitis mucositis cervical lymphaenopathy rash erythema and edema of hands and feet
what is rx of kawasaki?
IVIG and aspirin
what are complications of kawasaki?
coronary artery aneurysm, or venticular dysfunction
theoretically, what is most effective emergency contraception?
copper IUD
what is first and second line rx for gestational DM?
first is diet, 2nd is insulin
how should you manage shoulder dystocia?
be calm, elevate legs and push against chest, apply suprapubic pressure and maybe make an episiostomy
when does intrahepatic cholestasis of pregnancy onset?
3rd trimester
what are signs/sx of intrahepatic cholestasis of pregnancy?
generalized pruritis, often worse on hands/feet
RUQ pain
what are lab findings in intrahepatic cholestasis of pregnancy?
increas total bile acids, increase LFTs, sometimes bilirubin elevated
what is most significant complication of intrahepatic cholestasis of pregnancy?
fetal demise
what is rx of intrahepatic cholestasis of pregnancy?
ursodeoxycholic acid and antihistamines
when should intrahepatic cholestasis of pregnancy patient be delivered?
37 weeks
how does intrahepatic cholestasis of pregnancy differ from acute fatty liver of pregnancy?
acute fatty liver will be in fulminant liver failure and have low platelets
what is difference in malingering and factitious disorder>
there is secondary gain in malingering, factitious just wants to play sick rol e
what nerve and artery can be injured in supracondylar humeral fracture?
median nerve and brachial artery
what is most common cause of sensorineural hearing loss in a child?
congenital CMV infection
what precautions for measles infection?
airborne
what are calcium levels in CKD?
low!
pain with hip extension and infectious signs should make you think about what?
psoas abscess
rx for depression with psychotic features
antipsychotic and SSRI
what second gen AP for metabolic syndrome?
olanzapine
VACTERL
vertebral anal cardiac treacheoesophageal renal limbs
findings of NF type 2
scwannomas
meningiomas
cataracts
skin tumors
signs of congenital hypothyroidism
puffy face, fat tongue, prolonged jaundice, enlarged fontanelle, lethargy poor feeding
rx of congenital hypothyroidism?
levothyroxine
what is long term complication of untreated congenital hypothyroidism?
neurocognitive dysfunction
what should be done for CIN 3 of cervix?
conization or LEEP
what is post conization follow up for CIN 3?
pap at 1 and 2 years post op
rapid hyponatremia correction causes…
osmotic demyelination
rapid hypernatremia correction causes?
cerebral edema
four main findings of sturge weber syndrome
port wine stain
ID
seizures
visual field defect/glaucoma
what are signs of digoxin toxicity?
anorexia, NV, fatigue and weakness
what happens with eyesight in digoxin toxivity?
color vision alterations
what is rx for oppositional defiant disorder?
parent management therapy and psychotherapy
what age should menarche occur?
15
what are organs of aromatase deficiency
female internal genitalia, no breast development and clitoromegaly
what hormone is high and what hormone is low in aromatase deficiency?
testosterone is high, estrogen is low
what are some risks for developing second stage of labor arrest?
fetal malpositioning
inadequate contractions
cephalopelvic disproportiong
what is test to tell if patient has central or nephrogenic diabetes insipidus
desmopressin test
which of central or nephrogenic will respond to desmopressin?
central
